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Pulse Home Health Care practices skilled health care procedures firmly rooted in the latest research and best practice policies. We routinely mail bulletins to physicians and other medical referral sources to highlight how we help patients and to explain the scientific basis for different services. Here we share selected physician bulletins about Pulses' Home Health Services. If you have questions about how home health could help you, please contact us today.

Reversing the Progression of Geriatric Disability

A study published in the American Journal of Public Health shows how professionally guided home exercise programs can significantly reduce long-standing disability in geriatric patients while achieving 89% compliance.1 The scientific literature has documented well the benefits of exercise for the geriatric population. However, physical activity levels decreasesteadily with age and become quite low after Home Health Rehabilitation for Disabiltiesage 75.2,3 In the case of your geriatric patients, problems with transportation, lack of encouragement, fear of self-injury, and fear of falling can create serious impediments to routine exercise. When your homebound patients have a recent medical occurrence, refer to Pulse Home Health Care for research-based, home exercise programs designed to address immediate concerns and reduce long-standing disability long-term.

In the Strong-for-Life study, Jette et. al recruited 215 individuals aged 60+ with some sort of functional limitation. Researchers randomized participants into a waiting list group (control) and an in-home physical therapy group. Intervention included a PT directed home exercise plan using elastic bands for resistance and follow-up visits. The intervention group experienced a net reduction of 15% and 18% in long-standing physical disability at three and six months. Eighty-nine percent of the seniors demonstrated productive adherence, and 57% demonstrated 100% adherence.

The authors credit these reasons for the program’s success:

  • Seniors learned exercises to perform at home. Removing the need to drive to a facility and the need to be outdoors overcomes multiple obstacles to compliance.
  • Exercises were designed, taught, and monitored by a physical therapist providing expert assurance that the exercises would be safe and productive.
  • Follow-up visits and assessments promoted compliance.
  • The exercise sessions lasted only 35 minutes and combined elements to improve strength and cardiovascular fitness.
  • The exercises could be performed standing or sitting.

Medicare’s skilled need requirement generally looks for a recent occurrence to justify home health services. Pulse Home Health Care plans of care can include these types of disability-reducing exercise plans for situations such as stroke rehabilitation, recently screened for risk of fall injuries, heart failure management, post myocardial infarction, post revascularization procedure, COPD rehabilitation, or home transition assistance after a recently acquired disability. When you have patients with general geriatric disability compounded by a recent medical occurrence, please remember the comprehensive services available from Pulse Home Health Care.

Medicare Home Health CompareLeading Louisiana in Quality of Care

Medicare publishes risk adjusted, patient outcome measures so the public can assess the quality of home health agencies. Pulse exceeds state averages in 100% of reported outcomes. For instance, compared to other home health agencies, your patients with Pulse are 20% more likely to improve with pain related to movement. They are 30% more likely to improve with dyspnea. Call us if you would like to receive a full report on Medicare’s objective agency comparison measures.

Please offer Pulse Home Health Care to your patients.



  1. Jette AM, et al. Exercise – it’s never too late: the Strong-for-Life program. Am J Public Health: January 1999; 89: 66-72.

  2. Kirchner JT. “Home Exercise for Elderly Persons with Disabilities.” Am Fam Physician: April 1999; 99: 415.

  3. Pollock ML, et al. “Physical Activity and Exercise Training in the Elderly.” Society of Geriatric Cardiology – Position Paper (Bethesda, MD); internet resource: www.sgcard.org/pp/elderly.htm.


2325 Severn Ave, Ste 5 Pulse Home Health CareMetairie LA 70001 Pulse Home Health Care(504) 831-7778

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