Love in the Final Chapter: Caring for a Loved One in Home Hospice

October 15, 2025

When it comes to end-of-life care, 71% of Americans believe the goal should be to help people die without pain, discomfort, and stress. The focus of hospice care is on quality of life and symptom management, and it is designed to provide comfort to individuals with a life expectancy of six months or less. 

A team of medical professionals addresses the patient’s physical, psychological, and spiritual needs on a case-by-case basis, ensuring that every patient receives a care plan tailored to their specific needs. Care is most often delivered in the patient’s home, and the hospice team can support caregivers during this process.

Quality is Key

Hospice is end-of-life care, but that doesn’t mean someone receiving care will pass right away. While doctors recommend hospice when a patient only has six months or less to live and is no longer responding to curative treatments, many patients live longer. In such cases, what matters still is a patient’s quality of life, not quantity.

“Each person’s journey at the end of life is different,” says Jessica Kelly, a licensed hospice nurse in New York. “We tailor our care to meet those unique needs, whether that’s managing pain, supporting emotional well-being, or helping families share meaningful moments together.” 

Home Care Takes a Toll 

While it is nearly everyone’s preference to pass away in the comfort of their own home, the task of caregiving can be more than loved ones expect. “I do think that when patients are at home, they are in a peaceful environment,” says Parul Goyal, a palliative care physician. “It is comfortable for them. But it may not be comfortable for family members watching them take their last breath.”

The burden put on loved ones, especially spouses, can cause caregiver syndrome, which is characterized by the stress and burnout that comes from providing constant care to someone who is chronically or terminally ill. 

“Our long-term-care system in this country is really using families, unpaid family members,” says Katherine Ornstein, a professor of geriatrics and palliative medicine at Mount Sinai. “What we really need to do is to broaden the support that individuals and families can have as they’re caring for individuals throughout the course of serious illness.” 

Self-Care for Caregivers 

Providing care to a hospice patient can be both rewarding and difficult. Social psychology researchers Richard Schulz and Joan Monin found that caregivers suffer when they witness their loved one’s suffering without feeling like they can remedy it. It becomes important not just to care for the patient but for caregivers to care for themselves as well. 

One way to start accepting a terminal diagnosis is to begin getting a loved one’s affairs in order. It can be helpful to collect necessary documents and passwords and to begin sorting through possessions. Staying busy during the care process can help manage emotions as they arise. 

Handling Grief 

It’s easy to get paperwork and belongings in order. It’s not as easy to manage your grief. The loss of a loved one is among life‘s most significant stressors. Grief can affect every aspect of your health. While everyone’s experience is different, it is common to feel intense emotions during a loved one’s illness and after losing them.

Here are ways caregivers can take care after loss: 

• Express your emotions. Bottling them up will only intensify them. 
• Don’t put yourself on a timeline. People move forward at their own pace. Trust that your pain will lessen over time. 
• Take care of yourself as you grieve. Eat nourishing meals, stay hydrated, and sleep enough. 
• When you’re ready, exercise. It can reduce stress, tension, and sadness. 
• Hospice providers make grief support groups available to anyone who has lost a loved one in hospice care. 
• The Hospice Foundation also offers a newsletter to help during bereavement. 

When to Seek Help 

Most people find a way to adjust to their loss, but it is a painful and uncomfortable process. About 10% to 15% of people who are grieving have a complicated reaction to their loss. Grief experts agree that if grief is unmanageable, meaning someone has not returned to their pre-loss level of functioning within six to 12 months, it may be time to seek the professional help of a grief counselor. Your hospice team can help you find the care you need. 

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Handling a loved one’s affairs is one way caregivers can manage their grief. With Insureyouknow.org, you may organize financial documents, property records, and other documentation of personal effects. Getting everything in order can bring you some peace of mind during emotionally challenging times. 

A Simple Guide to Choosing a Medical Power of Attorney

September 15, 2025

Studies show that the treatment wishes of patients vary greatly from those of their family members, yet only a third of Americans have a medical power of attorney in place. With a medical power of attorney, you can legally designate an agent to handle your medical decisions should you become unable to speak for yourself. It also includes instructions on the kinds of medical treatment you wish to receive. 

Even if you do not know your wishes, a medical POA ensures that the person you trust can make those decisions for you. “A medical power of attorney is a pretty powerful document,” says William Raftis, attorney for Student Legal Services at Texas Tech. “It grants a person to make medical decisions on behalf of another person in the case that they are unable to make such a decision for themselves.”

Without a Document 

When you don’t have a medical power of attorney and you are unable to tell the doctor your preferences, the following people would be legally authorized to make your healthcare decisions:

• A court-appointed guardian or conservator
• Your spouse or domestic partner
• One of your adult children or siblings 
• A close friend
• Your nearest living relative

It’s important to know that if you have a medical POA and get married, then that document is revoked. If you do not want your spouse to act as your agent, then you must have a new medical power of attorney written up.

Choosing an Agent 

To designate someone as your agent, you must sign a legal medical power of attorney document that names an agent and the healthcare decisions you’d like them to make if you become unable to. Your agent can decide whether or not to admit or discharge you from a hospital or nursing home, which treatments you receive, and who has access to your medical records. 

Many people mistakenly believe that designating an agent and signing a medical POA grants that person the authority to make all of your healthcare decisions. But a medical power of attorney is only necessary if you become unable to make your own decisions. 

Every state has its own legal requirements for medical POAs, such as witnesses and notarization, but you may not even need a lawyer to draw up a medical POA. Many states provide free forms through government websites. If your state does not offer forms online, consider inquiring with healthcare providers and hospitals, as they may also have forms available.

Comfort is Key 

The person you designate to be your agent should be somebody whom you trust. They should be over 18 years of age and should not be a doctor or healthcare professional. The person you choose should be someone who you know will carry out your wishes. You should discuss your wishes with them in advance and ensure that they will be comfortable making those decisions on your behalf. 

If it makes you more comfortable, you may appoint two people to serve as co-agents or a successive agent in case the first agent becomes unable to do so. Keep in mind that it may create confusion when multiple agents are involved in the decision-making process. Healthcare professionals may only be able to reach one agent in the event of an emergency, or agents may disagree about how to carry out your wishes best.

Make Those Decisions Now

In addition to choosing your agent, your medical power of attorney should state your wishes. 

The medical POA should state: 

• Whether or not you want to use machines to be kept alive or receive feeding tubes
• Name a legal guardian, if needed
• Whether or not you want to donate any organs in the event of your passing, and what to do with your remains 

If at some point, you change your mind about any of your directives or who you’d like to be your agent, then you should have a new medical power of attorney drawn up. 

Medical POA Safekeeping 

You should always inform your agent of any changes made to a medical POA and make sure they have the most up-to-date copy. Then store your document in a safe but easily accessible location. A medical power of attorney should be stored in both a physical safe place at home and a secure digital platform. Provide your attorney with a copy, as well as your healthcare providers and other trusted loved ones.

Why Documentation Matters 

Emergencies come without warning. Without documentation in place, confusion over what’s best for you will add stress to an already difficult circumstance. Every adult should have a medical power of attorney in place, even adult children going off to college. “Students are 18 and they are now legally adults,” says Raftis. “It’s really just a way to help empower the students to make sound medical decisions.”

Acting early guarantees that you will have the necessary support during an emergency. This proactive approach enables families to focus on their loved one’s care rather than paperwork. “It’s a gift to your family to get these plans in place,” says Sally Hurme, an elder law attorney in Virginia. “Why create chaos, indecision, confusion, frustration, turmoil =—all of these may happen if you don’t have advance directives.”

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Being clear about how you want to be cared for doesn’t just protect you; it also ensures that you receive the care you need. It prevents your loved ones from having to make painful decisions on your behalf under emotional circumstances. In this way, a medical power of attorney provides peace of mind for both the individual and their loved ones. With Insureyouknow.org, you can store all of your medical records and healthcare documentation in one simple-to-review place, giving you more time to focus on what matters.

Extreme Weather and Mental Health

August 15, 2025

The physical effects of hurricanes and other natural disasters are known, but the psychological toll has often been overlooked. Events such as these can induce “disaster fatigue,” a form of emotional exhaustion that can reshape how people make choices in future situations.

While Southwestern states must endure hurricane season, residents in the West face similar stakes when confronted with several waves of massive wildfires. Look no further than the recent catastrophic Los Angeles fires to begin to understand the trauma survivors will endure for the rest of their lives.

Unfortunately, as the probability of natural disasters increases, so does disaster fatigue. That fatigue can make it challenging to encourage people to get out of harm’s way the next time they’re faced with a natural disaster.

In Florida, for instance, people are becoming less inclined to prepare for a second hurricane if they’re still digging out from the first. And it isn’t just fatigue from weather events. “It’s the COVID fatigue. It’s like, how many other things can they deal with? How much risk can they contend with?” says Laura Myers, a social scientist at the University of Alabama. “A lot of people are saying, ‘I’ve done all I can do, I’ve done the best I can do, and we’ll just see how it plays out.'”

If you think you may have experienced a form of disaster fatigue, here’s everything scientists know about the phenomenon so far and five ways to prevent or cope with the exhaustion.

What Exactly is Disaster Fatigue?

After constantly being warned about storms and other potential disasters, people can become emotionally worn out and mentally drained. Disaster or hurricane fatigue is a form of psychological exhaustion that occurs in individuals exposed to repeated weather events. Unlike acute stress, disaster fatigue accumulates over time, so repeated exposure to similar kinds of crises can wear an individual down to a point where their mind and body no longer have the energy to respond to threats.

The human body is built to handle stress in small amounts by activating the fight-or-flight response. During a threat, this system activates, enabling individuals to make quick, life-saving decisions. When someone knows that a natural disaster is coming, this system is hyperactivated for too long. Just one event is enough to trigger disaster fatigue, but repeated events without enough time to recuperate can leave the body overtaxed.

The Mental and Physical Symptoms of Disaster Fatigue

The kind of chronic stress endured during an extreme weather event can lead to anxiety, sleep disturbances, and even physical repercussions like headaches and digestive issues. Over time, people can also become emotionally numb or apathetic, especially in the face of a new disaster. Disaster fatigue can make it difficult for people to make decisions, while the likelihood of emotional outbursts increases, which can strain interpersonal relationships. 

“What people might be experiencing is: irritability, trouble enjoying the things that they usually enjoy,” says Katie Planchard, a licensed clinical social worker with Ellie Mental Health. “They might have sleep disturbances, they might have issues in some of their relationships, or going to work and doing the things that they would typically do on a normal basis.”

While disaster fatigue is a somewhat newly studied phenomenon, some researchers say that it appears to leave many people facing mental health challenges, including anxiety and post-traumatic stress. That means that even after the weather passes, people can be left with the remaining trauma of having been in a dangerous situation.

Five Ways to Prevent and Cope with Disaster Fatigue

Taking care of yourself is both beneficial to your well-being and enables you to be more resilient and better prepared for stress. By adopting habits that will maintain your physical and mental health at all times, people can become more equipped to handle stressful events when they do occur. 

1. Form a Routine. Routines provide a sense of normalcy and control in any situation. Try to maintain regular sleep patterns, mealtimes, and daily activities as much as possible. “Make sure that you’re still meeting your basic needs, try to get good quality sleep, try to stick with your normal routine, try to make sure you’re eating enough meals and getting good nutrition, and drinking enough water,” Planchard says.
2. Foster Connection. Social support is crucial during times of stress. Stay connected with friends, family, and community members. “If you have family and friends that you can talk to, make sure that you’re reaching out for that support,” Planchard says. “Reach out to your religious leaders. If you are working with a mental health professional, make sure you are talking with them.” Sharing your feelings and experiences with others can provide emotional support and reduce feelings of isolation.
3. Exercise Regularly. Physical activity is a powerful stress reducer. Whether it’s a workout at home or going for a walk outside, make it an activity that you enjoy. Not only does exercise release endorphins, a natural mood booster, but physical activity can also improve sleep, which is often disturbed during stressful times.
4. Take Digital Breaks. While it’s essential to stay informed about weather developments, constant exposure to news and social media can exacerbate anxiety and stress. Try scheduling regular breaks to give yourself a rest from worrying. Try to engage in relaxing activities such as reading, listening to music, meditation, or spending time in nature.
5. Prepare For the Unexpected. By ensuring you have some money saved up in case you end up being out of work for an extended period, need to repair your home, or even relocate, you can alleviate the financial stress that often accompanies times of natural disasters. Another thing is to ensure that you and your loved ones have an evacuation plan. Considering the best course of action before disaster strikes can help ensure that you make the right decision in the moment and alleviate some of the stress ahead of time.

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By finding ways to cope with stress, you can better prepare yourself for the unfortunate event of a natural disaster that strikes close to home. While it’s a misfortune that no one hopes for, taking care of yourself now is a way to feel like you’re getting ahead of whatever might come in the future. With Insureyouknow.org, you may store all of your identification, financial records, and medical information in one place, so that if disaster strikes, you’ll maintain access to your essential documents from anywhere. With one less thing to worry about, you can focus on what truly matters in an emergency: you and your loved one’s safety.

Having Surgery—Is Your Home Ready?

August 1, 2025

According to the National Library of Medicine, one in nine Americans has at least one surgery each year. The hospital discharge is just the beginning. Imagine returning home from surgery, groggy and sore, only to discover you can’t climb the stairs, reach the pain meds, or safely take a shower. That’s why preparing your home before the surgery is just as important as the procedure itself. Known as prehabilitation, this proactive approach helps reduce stress, lowers the risk of complications, and prepares you for a safer and smoother recovery.

Here’s everything you need to think about preparing before surgery.

Stay on Top of Recovery

Your doctor is the best resource for preparing for surgery. Ask them what to expect after surgery so that you know how to prepare best. Even when patients are discharged on the day of their surgery, it can take several months to return to normal activities. Following your surgeon’s care instructions can ensure a smooth recovery.

For older patients undergoing joint replacement procedures, physical therapy after surgery is crucial in regaining strength and mobility. “A knee or hip replacement is fundamentally a major surgery,” says Matthew Abdel, an orthopedic surgeon at the Mayo Clinic. “Everything related to that remains essential– preparing the patient, educating the patient, managing expectations, and having a multidisciplinary team in place – all must work together to allow that patient to go home that day safely.”

Things to consider:

• Learn the best way to contact your doctor if you need assistance after the surgery. If your doctor uses a patient portal to communicate with patients, make sure that you are registered and have access before your procedure.
• Know what your pain management plan will be. “Pain after surgery is something that a lot of patients fear,” says Sterling Elliott, a clinical pharmacist and a professor at Northwestern University. “Knowing how to make good decisions about your options, especially nonopioid ones, will help you feel better and make the best progress.”
• Research outpatient rehabilitation facilities that accept your insurance and would be willing to work seamlessly with your doctor.
• Stay on top of your follow-up appointments to ensure timely and effective communication.

Arranging for Help

You’ll likely need support with a variety of tasks after surgery, from getting a ride home from the hospital to potentially requiring round-the-clock care for several weeks. To ensure your safety, most surgeons recommend having someone stay with you the first night after surgery and arranging for a caregiver to be nearby or living with you for the first three to five days of recovery.

Think about the tasks around the home that you’ll be unable to do on your own. Determine who will be helping you after the surgery and make those arrangements in advance.

Things to consider:

• Arrange for someone to collect the mail, tend to the lawn, or dispose of the trash.
• Don’t forget to check the calendar. Reschedule any other appointments as needed and pay all your upcoming bills in advance. 
• If you have pets, consider asking a friend or family member to care for them or board them before the procedure. This will allow you to focus on your recovery and avoid an accident with an active pet.

Preparing the Home

Take time to thoroughly clean and organize your home before surgery. Simple touches—like freshly washed sheets on the bed—can provide comfort and make your recovery more restful. Think about the parts of the home that you’ll need access to the most after surgery.

Things to consider:

• Set up your bed on the first floor if possible.
• Ensure you have convenient access to a safe and easy-to-use bathroom during your recovery.
• Fill the closet with clothes that are easy to put on and take off. 
• Move everything you’ll need to where you can reach without having to bend down or stretch.
• Shortly before the surgery, buy the groceries you’ll need while recovering at home.
• Meal prep in advance or make full meals to keep you fed for a week or more.
• Place food in a cabinet between your waist and shoulder height and put the dishes you’ll use most on the kitchen counter.
• Use paper products if doing dishes would not be ideal while recovering.
• Keep your phone and charger handy.

To prevent falls, inspect every room for tripping hazards. This includes tucking away electrical cords, installing nightlights, getting clutter off the floor, and securing rugs. Rearrange furniture to create clear pathways for walking, especially if you’ll be using assistive equipment such as crutches or a wheelchair. For more extensive recovery periods, a home healthcare professional can visit your home to provide installation recommendations, such as grab bars in the bathroom or a stairlift in two-story homes.

While preparing the home for an upcoming surgery can be a lot of work upfront, the opportunity to recover in one’s home environment is beneficial. “It satisfies patients,” says Abdel. “You recuperate with your family. You recuperate in your home environment. You don’t feel like you’re institutionalized.”

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Many people feel apprehensive before surgery, but poor mental health can negatively affect recovery. Anxiety and depression are shown to increase pain and stress, as well as slow wound healing^​. Getting outside, making time for enjoyable activities, and eating a healthy diet are all ways people can care for their mental health before undergoing surgery. With Insureyouknow.org, you may store all of your medical and financial records in one accessible place, giving you one less thing to worry about while you recover.

Take Control of Your Health Data with a Digital Record Trust

July 31, 2025

Imagine having all your medical records in one place where you decide who gets to see them. That’s the idea behind a health record trust. Instead of hospitals or clinics controlling access, this system gives you full ownership of your health information.

In the traditional setup, your data is scattered across different providers. It’s hard to access quickly, and you often have to go through formal requests. A health record trust puts you in charge, making your records easier to manage, share, and keep safe.

Why Personal Ownership of Health Data Is Important

When people have control over their personal fitness statistics, they’re empowered to take rate in their care. Instead of counting on hospitals or clinics to manipulate the facts, people can access, update, and proportion their statistics when and how they pick.

This sort of ownership improves portability, permitting sufferers to hold their scientific history throughout providers and places. It also supports accuracy, considering that patients can correct mistakes and hold their data modern. Most importantly, it promotes transparency, making it easier to understand your very own health and make knowledgeable selections.

Personal fitness records possession is a key part of affected person-centered care, wherein the focal point shifts from structures to the character. It ensures your information works for you, now not the alternative way around.

Key Features of a Digital Health Record Trust

A Digital Health Record Trust offers you complete control of your scientific records with tools that keep it secure, private, and smooth to manipulate. Here’s what makes it work:

1. Secure Cloud Storage

Your information is saved within the cloud, in order that they’re usually backed up and to be had whilst you need them—on any tool, anytime.

2. Strong Encryption and Privacy Settings

All data is covered with encryption to hold your personal fitness info safe. You manipulate who sees what, and nothing is shared without your permission.

3. Controlled Sharing

You can provide get right of entry to your own family participants, caregivers, or doctors. This ensures the proper human beings assist you while wanted—specifically in emergencies.

4. Version History and Audit Trail

 Every replacement is tracked. You can see what modified, while it modified, and who accessed it, so your records live clear, accurate, and trustworthy.

How InsureYouKnow Supports These Core Principles

InsureYouKnow places you in control of your virtual health statistics. You can manage who sees your files with custom to get admission to permissions—whether or not it’s a circle of relatives, medical doctors, or caregivers.

All files are stored securely inside the cloud with sturdy encryption, preserving your touchy fitness statistics personal and protected.

Built-in reminders assist you hold the whole lot present day, so your facts are always updated while you need them maximum.

Real-Life Use Cases for Digital Health Record Access

1. Travel or Relocation

Whether you’re shifting to a brand new city or journeying abroad, having instantaneous admission to your virtual health facts guarantees docs can get the facts they need quickly—even if you’re a ways from home.

2. Transition of Care

As teens circulate from pediatric to adult care, a secure fitness document machine allows them to make that transition smoother. With all clinical records in a single location, new vendors get the entire image without delays.

3. Long-Term Caregiving

For caregivers coping with the fitness needs of a parent, spouse, or baby, digital access to scientific facts is crucial. It simplifies coordination, reduces stress, and ensures the proper decisions are made at the right time.

Simple Action Steps to Take Control of Your Health Records

1. Review How You Store Your Health Documents

Start by checking in which your scientific records, coverage papers, and emergency contacts are stored. Are they scattered across folders, emails, or physical documents? A short audit enables you to notice what’s lacking or old.

2. Choose Trusted People for Emergency Access

Think approximately who needs to be capable of viewing your information in case you’re ever in an emergency. It might be a partner, adult toddler, caregiver, or dependent on a pal. Make sure they know the way to get entry to what’s wished while time subjects most.

3. Set Up a Secure Digital Vault with InsureYouKnow

InsureYouKnow allows you to construct a non-public health record machine that acts like a virtual “relied on vault.” You can prepare your medical data set, get admission to permissions, and hold the whole thing competently stored in a single area with strong encryption and cloud safety.

Conclusion

Taking ownership of your health facts isn’t just about convenience—it’s about being organized, knowledgeable, and in control. When you control your own fitness records, you reduce the threat of delays throughout emergencies, enhance communique among vendors, and ensure nothing vital is misplaced or neglected.

By preserving your documents prepared, available, and steady in a relied on platform like InsureYouKnow, you create a machine that works for you and your family—each time and everywhere. It’s a simple step that brings lengthy-time period peace of mind and strengthens your potential to make informed selections approximately your care.

Now is the time to take control of your health statistics and construct a more secure, smarter future.

Everything You Need to Know About Endometriosis

July 1, 2025

According to the World Health Organization, 10% of women worldwide, or 190 million women, are diagnosed with endometriosis. But the actual number of women who have endometriosis is likely much higher as so many cases go undiagnosed.

Endometriosis is a disease in which the tissue similar to that which lines the uterus begins to grow outside of the uterus, potentially causing pain and other complications. The main symptom of endometriosis is a painful menstrual cycle, but the pelvic and abdominal pain associated with endometriosis may eventually become chronic. 

Endometriosis can begin with the first menstrual cycle and last through menopause. Because so many women are dismissed as simply having painful cycles, it’s essential to raise awareness about this condition.

If you think you or someone you know may be suffering through symptoms without a diagnosis, here’s everything you need to know about endometriosis. 

What Makes Diagnosis Difficult 

Women see seven physicians on average before getting diagnosed, and the average delay for diagnosis is 8.5 years. Because the symptoms of endometriosis can mimic other conditions, such as irritable bowel syndrome, diagnosis is often prolonged, if even diagnosed at all. “Endometriosis is a fascinating, but troubling disease,” says Dr. Hugh Taylor, chief of obstetrics and gynecology at Yale New Haven Hospital. “It’s something that is often missed,” he says.

Another factor that makes diagnosis difficult is that the only way to diagnose someone with endometriosis definitively is through a laparoscopic procedure. Once endometrial lesions are deep enough, some may appear on an ultrasound, CT, or MRI scan. But by then, the stage of endometriosis may be somewhat advanced.  Doctors may suspect the disease and clinically diagnose and treat patients for the time being. If endometriosis is suspected, the only way to a definitive diagnosis is through a laparoscopy.

What to Know About Symptoms

Besides having difficult periods each month, other symptoms include pain that becomes chronic throughout the body, digestive irregularities, bladder issues, fatigue, infertility, and mental health struggles. “We’re not talking a little bit of pain here,” says Philippa Saunders, a reproductive biologist at the University of Edinburgh. “People can’t function.” 

When it comes to endometriosis, it’s important to understand that the disease is a whole-body issue. “In the past three to five years, there’s been a complete reframing of this disorder as a neuroinflammatory whole-body condition,” says Saunders. “It isn’t just about a little bit of tissue stuck in the wrong place. Your whole body has reacted.”

Because the tissue can grow anywhere outside of the uterus, endometriosis has the potential to spread throughout the body, affecting every major organ system. Many symptoms are caused by the inflammation that occurs because of the disease. This is why a patient may experience bowel issues, even when lesions are absent in the bowels. 

Why You Need a Specialist 

Even though endometriosis is a gynecological condition, not every gynecologist is extensively trained in diagnosing and treating endometriosis. Because the condition is so complex and largely misunderstood, even the best doctors are not equipped to treat the disorder if they don’t specialize in it. 

The Endometriosis Foundation of America recommends finding a specialist that has exceptional surgical skills, access to modern techniques and equipment, a current understanding of various treatments, and an openness to complementary approaches. Since there is no known cause or cure for endometriosis yet, the best way to manage the condition is through ongoing treatment with a trusted doctor. 

“For women, it can be validating to learn that all of their symptoms have an explanation and that we have effective treatments,” says Taylor. If you suspect endometriosis, you should ask your healthcare team, including your general doctor, OB-GYN, and pelvic floor therapist, if they have any recommendations for specialists in your area. 

Listen to your body and remain committed to finding a doctor who will listen to you, too. Trust your intuition and ask yourself if a doctor is listening to you, acknowledging your symptoms, and addressing your concerns. 

Treatment Options

If endometriosis has been confirmed through another laparoscopic procedure or it is suspected, an excision surgery becomes an option in reducing pain and preventing further complications. Excision surgery at the root of a lesion, rather than ablation, is the best way to prevent the lesions from returning. 

However, the removal of lesions is not a cure. A study in the International Journal of Obstetrics and Gynaecology found that 62% of women with endometriosis had a second surgery within two years, while half had a repeat surgery within 5.5 years. 

The recurrence rate is why maintaining the condition is the main component of ongoing treatment. Make sure you have a doctor who is knowledgeable in hormone therapy, is monitoring your symptoms closely, and making lifestyle recommendations. For instance, plenty of movement and exercise, particularly pelvic floor therapy and Pilates, reduce recurrence and symptoms, while a plant-based anti-inflammatory diet does the same. 

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If you are diagnosed with endometriosis, then prioritizing your overall health will be the best thing you can do to manage the condition. Do everything possible to reduce your symptoms, including working with your doctors. With Insureyouknow.org, you may keep all of your research, medical records, and financial documents in one place, making the management of your endometriosis less overwhelming.

How Much Sleep Do You Really Need?

May 1, 2025

You might pride yourself on burning the midnight oil or think you’re functioning fine on five or six hours of sleep—but your body would likely disagree. According to the CDC, a third of all adults in the United States report that they don’t get enough sleep, and that’s troublesome since the benefits of a good night’s rest are numerous. Sleep isn’t just downtime—it’s when your brain files memories, your body repairs itself, and your mood resets.

So how much sleep do you actually need to feel your best? It’s not a one-size-fits-all answer. While many people are under the assumption they can operate on less than seven hours of sleep a night, research shows that seven hours is just the bare minimum needed.

Here’s everything you need to know about how long you should aim to sleep nightly.

Seven Hours Isn’t Exactly the Golden Rule

According to the CDC, the average adult between the ages of 18 and 60 needs at least seven hours of sleep. “Some people need less than seven hours, while others might need more,” says Eric Zhou, a psychologist at the Division of Sleep Medicine at Harvard Medical School.

While people usually focus on the amount of sleep they need, they forget to consider the quality of sleep they’re having. For instance, you may go to bed at 11 p.m. with an alarm set for 6 a.m., but when do you actually fall asleep, and are you staying asleep all night?

“Instead of focusing exclusively on the number of hours we sleep per night, we should also consider our sleep quality,” says Zhou. It’s about the time you spend in bed every night, but it’s more about the amount of uninterrupted deep sleep you’re experiencing nightly.

Wearable sleep trackers, such as the Oura Ring, Fitbit, or Apple Watch, can provide valuable insight into your patterns and help you develop better sleep habits.

Women May Require More Sleep

The traditional estimate of nightly seven to nine hours of sleep is based on studies that only involved men. This has recently led many to wonder whether or not women need more sleep than men, and several factors suggest they may.

Since women are often caregivers, they are wired to multitask and use more of their brain, while they also report higher levels of stress. This mental exhaustion alone could account for them requiring slightly more sleep every night.

The other factor is hormonal, depending on where they are in their cycle each month, as well as during pregnancy and even after menopause. For instance, the hormone progesterone, which peaks at different times, is a relaxing hormone and often leads to drowsiness.

While not everyone agrees, many health professionals are beginning to recommend more sleep for women, who probably need at least eight hours of sleep a night.

Factoring in Age

The younger you are, the more sleep you need, especially when the body is growing or going through major changes. A newborn needs up to 17 hours of sleep a day, while a teenager between the ages of 13 and 18 needs up to ten.

As you age, melatonin production, which is the sleep hormone, declines. The result of less melatonin is waking up earlier or waking up throughout the night. Once over the age of 61, getting the recommended amount of nine hours of sleep can become more challenging.

How to Get a Good Night’s Sleep

Consistency is key for a good night’s sleep. Try maintaining the same time window between lying in bed and waking up. This works because the body recognizes routine and can be trained to sleep within a specific time frame. “People with good sleep quality often have a predictable sleep window where their sleep occurs,” says Zhou. “Good sleepers are likely to sleep around the same number of hours and stay asleep through the night.”

Physical activity during the day also influences how well you sleep at night. The more activity you incorporate into your day will directly correlate to how much sleep your body needs and therefore, how tired you’ll be by bedtime. “Activity increases your sleep drive,” says Dr. Michelle Drerup, a sleep medicine psychologist. “It’s important to develop exercise as a habit. Pick a time of day that works for you and exercise at the same time every day.”

Refraining from eating two to four hours before bedtime can also help. When we eat, the body must switch gears to digestion, so when you eat right before bed, you must focus on digesting that food and cannot fall into a deep sleep. Eating before bedtime robs your body of its capacity to concentrate on the work it does while you’re sleeping.

The same rule applies to nightly screen time. Studies show that two or more hours of screen time in the evening can disrupt the rise in melatonin you need to fall asleep. Turn devices off at least one hour before bedtime, and replace scrolling with reading a book, taking a bath, or meditating. If you must use your phone at night, reduce your blue light exposure by turning down the brightness or switching to nighttime mode in the evening.

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Building a routine that you can stick to ensures the right amount of sleep every night is possible. With Insureyouknow.org, you can store your medical records in one easy-to-review place. The effort you put into a good night’s rest will show in time.

Everything to Know About Equine-assisted Psychotherapy

March 14, 2025

Horses are well known for the special connection they form with their owners, but bonding with horses is not only more accessible than ever, it can be healing. Beyond pet companionship, horses can be used in therapeutic settings to help people process challenging emotional experiences.

During equine-assisted psychotherapy (EAP), people may groom, feed, or lead a horse with a mental health professional nearby. The main goal of this form of therapy is to help patients with emotional regulation. EAP differs from traditional talk therapy as it offers a more inviting setting, brings people outside, and allows them to use all their senses while processing emotions.

How Horse Therapy Differs From Traditional Counseling

Unlike humans, horses bring different qualities to therapy. For example, horses cannot give patients a feeling of bias or judgement, but because they are sensitive to emotions, they still convey a sense of understanding and connection. “They’re sentient beings, and they think and feel and have incredible memories,” says Paige Deponte, director of an equine-assisted trauma-informed care organization in Honokowai, Hawaii. “They were made to do this.”

Plus, horses’ care, such as feeding and grooming, is therapeutic and helps build empathy. The horse’s unique nature gives people a better awareness of their emotions, increased adaptability, stress tolerance, and even self-esteem. “The goal is for the client to find out more about their needs through a series of questions,” says Depontei. “No session is ever the same.”

Horses Have Been Used in Therapy Throughout History

Hippocrates, the Greek physician known as the “Father of Medicine,” wrote about the therapeutic benefits of horseback riding around 400 BCE. Around the world, horses have even been used to heal specific physical ailments. Scandinavia used equine therapy to treat patients with myelitis in 1946, and in 1952, the Olympian Liz Hartzel credited the healing power of horses as helping her recover from polio.

Riding became a popular form of therapy in the 1950s and 1960s. The North American Riding for Handicapped Association was formed in 1969 and eventually became the Professional Association of Therapeutic Horsemanship International, recognized as PATH. By the 1980s, American and Canadian therapists created a more structured Hippotherapy model to be referenced for treatment.

The Benefits of Horse-Assisted Therapies

Equine-assisted forms of therapy are becoming more popular because of increasing evidence of their effectiveness. “I think it’s growing, and the benefits of it are commanding attention because it is unique,” says Whitney Diamond, who breeds and trains horses for a living. “A huge part of the reason why I believe that the therapy is so powerful with horses is that they’re so primal.”

It’s thought that since they’ve been domesticated for some time, horses are attuned to human emotions and nonverbal signals. This allows them to mirror what someone is feeling, enabling the patient to recognize their mental state. “A big part of therapy is that you must work with them,” says Diamond. “It’s powerful because you have this other being that’s not judging you, that’s working off synergy and energy, and they’re going to meet you where you’re at, good or bad.”

EAP is shown to be just as effective in children, teens, and adults and may be used to help with anxiety, depression, and trauma. EAP can benefit young children who find it challenging to open up and process painful experiences.

There are also physical benefits from working with horses. Caring for an animal is shown to decrease blood pressure and improve cholesterol levels. Horses in particular encourage socialization through other riders, which can lessen feelings of loneliness and isolation. Vigorous horseback riding is also a great cardiovascular exercise, while grooming the horse and taking care of equipment can help build strength.

How to Find a Treatment Center Near You

You may reference PATH Intl. or the Equine Assisted Growth and Learning Association to find an EAP certified professional. These are the most reputable organizations that set the standard, train, and certify anyone using horses as a part of therapy.

Those who are interested in trying EAP are advised to find a program that specializes in their specific difficulty, such as anxiety or trauma recovery. The mental professional at the given organization will then be able to tell potential clients whether or not they seem like a fit for the program. 

If you have any physical limitations, especially back injuries, then EAP might not be the right fit for you. Other considerations include a fear of horses and the cost of therapy, which may not be covered through insurance.

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If you or a loved one may benefit from equine-assisted therapy, you may look for an organization that takes your insurance or offers affordable care. With Insureyouknow.org, you may keep your medical records and progress reports in one easy-to-access place. By keeping track of the changes you notice during therapy, you can observe how you benefit from this unique form of connection in many different ways.

Changing Your Exercise Routine After 50

October 15, 2024

According to the Office of Disease Prevention and Health Promotion, American adults should get between 150 and 300 minutes of moderate aerobic activity a week, in addition to at least two muscle-strengthening activities a week. The recommendations are based on evidence that shows a link between a sedentary lifestyle and an increase in all-cause mortality.

As you grow older, your body and lifestyle change, so it makes sense that your exercise routine should change as well. The benefits of regular exercise on physical and mental health are numerous, including improved cognitive function, alleviating depression, muscle mass and bone density maintenance, and reduced risk of many illnesses, including heart disease, diabetes, and cancer. Most importantly, exercising as you age can help you maintain your independence and improve your overall quality of life.

What to Consider Before Getting Started

Before beginning any new exercise routine, it’s important to check with your doctor first. “If you have any medical conditions, always see your healthcare provider before beginning an exercise program,” says Karol Watson, a cardiologist at UCLA. Patients with arthritis, for instance, could find high-impact exercise bothersome for their joints, so their physician might recommend low-impact cardiovascular activities, such as walking or swimming. In contrast, patients with high blood pressure might need to avoid heavy weightlifting until they’ve received clearance from their doctor.

After checking with your doctor, another thing to consider is your lifestyle outside of the new exercise routine. In order to maintain your ability to exercise and promote recovery, you’ll need to think about taking care of your body before and after physical activity. “That includes being hydrated and fueling your body with nutritious food,” says Elizabeth Gardner, an orthopedic surgeon at Yale. “It also includes stretching both before and after your workout to help keep your muscles happy and prevent injury.”

Walking is the Number One Recommendation

For heart health, Watson says walking is the number one type of movement she tells all of her patients to begin doing once they hit the age of 50. That’s because walking is the most foundational, universal workout that almost anyone can do. “The best way to start out with an exercise program is with regular walking,” Watson says. “Walking has all of the same health benefits of more intense exercises such as running.” You may receive the benefits faster with running, but the benefits remain the same, including working all of the same muscles. Even better, walking isn’t as risky for older fitness goers as it’s associated with lower rates of injury. Since it’s a low-impact exercise, walking is far easier on the joints than running, where you’re pounding the pavement repetitively.

Walking is something anyone can do no matter where they live, whether urban or rural, and it doesn’t require a gym membership so there are no financial barriers. Plus, spending time outdoors for activity increases the benefits of exercise through increased sunlight and nature exposure. Just because walking is simple doesn’t mean it has to be boring, as there are many ways to vary your walking, like increasing your pace, walking on an incline to incorporate a resistance factor, or giving Nordic walking a try, where you incorporate ski-like poles for more of a total-body workout. Walking doesn’t just have to be part of your workout. Incorporating bursts of walking throughout your day is also beneficial.

Swimming for Overall Health

Swimming is another low-impact exercise that can be done outside if you swim in a natural body of water or outdoor pool. It is one of the few exercises that work the entire body while also improving cardiovascular function. If you don’t find the repetitive motion of swimming laps enjoyable, then a water aerobics class, which has similar benefits, might be a better fit for you.

For those over 50, there are a multitude of health benefits to swimming, such as an increase in lung capacity. Since lung capacity naturally decreases as you age, which can make it more difficult to breathe, regular swimming can improve your overall respiratory function. One of the most surprising health benefits of swimming is improved brain function. As swimming increases blood flow to the brain, the production of new brain cells is stimulated, which improves mental clarity and focus and can help prevent age-related cognitive declines.

Yoga, Pilates, and Tai Chi for Balance

While yoga, pilates, and tai chi will improve your balance, which becomes increasingly important as you age in preventing falls, all three of these activities also represent a good balance between getting both a physical and mental workout. While all forms of exercise have mental health benefits, yoga, pilates, and tai chi are designed to be particularly meditative. Stretching and mobility exercises such as these will improve your flexibility and joint range of motion, all contributing to preventing injuries.

While both yoga and tai chi will strengthen your core, pilates is known for being an excellent core workout. Having a strong core helps with back and joint pain, posture, and even respiratory function. Many people don’t even realize their cores’ weakness until they try Pilates. “We humans tend to live along a single plane of movement, working the same muscles daily,” says Houston Methodist athletic trainer Leanne Wonesh. “These repetitive movements are what make us so leg and chest dominant. The goal of Pilates is to balance your muscles by targeting and strengthening the ones you don’t usually use in your day-to-day life but would benefit from them being stronger,” she says.

Dancing Your Way to Health

You can easily do dancing at home or a class in your community. When you dance with others, you’ll not only be getting the benefits that come from moving your body, but you’ll be bonding with others as well. You may try ballet, salsa, or tap dance classes on your own and meet others to dance with in class, or if you have a partner, ballroom classes will cover a variety of styles perfect for beginners.

Besides being a form of exercise that you may greatly enjoy, the physical benefits include improved balance, mobility, and reduced joint pain. According to a Saint Louis University study, just two dance sessions per week reduced the amount of pain medication needed by those over 80. In addition to its physicality, dancing also gives your brain a workout. It involves quick decision-making and having to memorize routines and steps, which can create new neural pathways in the brain and help keep the brain cognitively fit.

When to Include Resistance Training

After adapting to some form of aerobic activity, stretching, and some balancing exercises, then it’s time to add at least two sessions of resistance training per week to your exercise routine. A comprehensive exercise plan that includes both cardio that gets your heart rate up and strength training will yield the best results for your overall health. Resistance exercises can include movements that utilize your body weight, like push-ups and squats, resistance machines that you’ll find in a gym, and weight training with dumbbells. If you’re not sure where to begin, then invest in a few sessions with a personal trainer who will make sure you do the right exercises for your goals, as well as show you how to do them correctly to avoid injury.

Insureyouknow.org Perhaps the most important thing about exercising is finding the ones that you’ll stick with because you enjoy them. An active lifestyle includes activities like gardening, walking the dog, and playing with your children and grandchildren. If you’re a social person, then finding someone to workout with can make exercise more enjoyable. If you like sports, then tennis or golf may be more your style. With Insureyouknow.org, you can keep track of the exercises you try out, analyze the progress you make, and store all of your health records in one place. By prioritizing exercise as you age, you’ll experience a multitude of benefits to your overall health.

Understanding What Hospice Care Means

July 1, 2024

When treatment for serious illnesses is causing more side effects than benefits, or when health problems become compounded, then a patient and their family members may begin to wonder about hospice. “We recognized as people consider hospice, it’s highly emotional times,” says medical director for Austin Palliative Care Dr. Kate Tindall. “It might include worries and fears.” But one of the things she hears most often from patients and their families is that they wish they had started sooner. Understanding who qualifies for hospice and what it entails is the first part of deciding what might be best for those with terminal conditions.

What is Hospice Care?

Hospice is meant to care for people who have an anticipated life expectancy of 6 months or less, when there is no cure for their ailment, and the focus of their care shifts to the management of their symptoms and their quality of life. With hospice, the patient’s comfort and dignity become the priority, so treatment of the condition ends and treatment of the symptoms, such as pain management, begins. There are no age restrictions placed around hospice care, meaning any child, adolescent, or adult who has been diagnosed with a terminal illness qualifies for hospice care.

An individual does not need to be bedridden or already in their final days of life in order to receive hospice care. Other common misconceptions about hospice care are that it is designed to cure any illness or prolong life. It is also not meant to hasten death or replace any existing care, such as those already provided by a physician.

Determining When it’s Time for Hospice

Establishing care is most beneficial for the patient and their caregivers when it is taken advantage of earlier rather than later. Hospice can be used for months as long as eligibility has been met. Once there is a significant decline in physical or cognitive function, the goal for treatment should become to help that individual live comfortably and forgo anymore physically debilitating treatments that have been unsuccessful in curing or halting the illness. 

Both individuals and their loved ones who would benefit from initiating hospice care are often unaware of the services or are uncomfortable asking about them. “It’s a hard conversation to have,” says professor of medicine and palliative care at the Duke University School of Medicine David Casarett. “Many people really want to continue aggressive treatment up until the very end.” While many wait for their providers to suggest it, it should be understood that if eligibility for hospice has been met, an individual and their caregivers can initiate hospice care on their own.

Establishing Hospice Care

In order to qualify for hospice care, a physician must certify that the patient is medically eligible, which means that the individual’s life expectancy is 6 months or less. Typically, the referral to hospice starts with the attending physician’s knowledge of that person’s medical history, while eligibility is then confirmed by the hospice physician. A hospice care team consists of professionals who are trained to treat physical, psychological, and the spiritual needs of the individual, while also providing support to family members and caregivers. Care is person-centered, with the importance being placed on the coordination of care, setting clear treatment goals, and communicating with all involved parties.

Receiving Care at Home

Hospice care is generally provided in the person’s home, whether it’s a personal residence or a care facility, such as a nursing home. “When people are close to the end of their lives, going to the hospital does not make them feel better anymore,” explains professor of medicine at the University of California Dr. Carly Zapata. “Because there’s not necessarily something that we can do to address their underlying illness.” Staying at home allows the individual to be around their personal things and close to their loved ones and pets, which can provide them with comfort during the end of their life.

What Does Hospice Care Include?

Hospice includes periodic visits to the patient and their family or caregivers but is available 24-7 if needed. Medication for symptom relief is administered, any medical equipment needed is provided, and toileting and other supplies such as diapers, wipes, wheelchairs, hospital beds are provided. What may surprise some people is that hospice patients may even receive physical and occupational therapy, speech-language pathology services, and dietary counseling.

If needed, short-term inpatient care may be established for those who cannot achieve adequate pain and symptom relief in their home setting. Short-term respite care may also become available to help family caregivers who are experiencing or are at risk for caregiver burnout. Bereavement care, or grief and loss counseling, is also offered to loved ones who may experience anticipatory grief. Grief counseling is available to family members for up to 13 months after the person’s death.

Paying for Hospice

The first step in finding a hospice agency is to search for ones that serve your county. If there are several options available, then it’s recommended to talk to more than one and see which agency will best fit the patient’s needs. Adequate research should be conducted since not all hospice agencies provide physical and occupational therapy. 

Hospice is a medicare benefit that all Medicare enrollees qualify for, but it may also be covered through private insurance and by Medicaid in almost every state. Military families may receive hospice through Tricare, while veterans with the Veterans Health Administration Standard Medical Benefits Package are also eligible for hospice. Hospice agencies will also accept individual self-pay, while there are also non-profit organizations that provide hospice services free of charge.

Discontinuing Hospice Care

Though it is uncommon, if a patient does improve or their condition stabilizes, they may no longer meet medical eligibility for hospice. If this happens, the patient is discharged from the program. Another situation that sometimes arises is when a person elects to try a curative therapy, such as a clinical study for a new medication or procedure. In order to do that, the patient must withdraw from hospice through what is called revocation. Both children and veterans are exempt from being disqualified from hospice care if they choose to also pursue curative treatments. Any person may always re-enroll in hospice care at any time as long as they meet the medical eligibility.

Opting for Palliative Care

Individuals with chronic conditions or life-threatening illnesses may opt for palliative care, which doesn’t require people to stop their treatments. Palliative care is a combination of treatment and comfort care and can be an important bridge to hospice care if patients become eligible. Because transitioning to hospice care can be an emotional choice, palliative care providers often help patients prepare for that. Many people avoid palliative care because they think it is equal to giving up and that death is imminent, but studies show that for many, palliative care allows them to live longer, happier lives. This is due to the benefits of symptom management and spiritual support.

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While hospice care can be difficult to accept, it can provide people with the best quality of life possible in their final days, as well as provide their loved ones with valued support. With Insureyouknow.org, you may keep track of all medical and financial records in one easy-to-review place so that you may focus on caring for your loved one, your family, and yourself during this period of their care.