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Amyotrophic lateral sclerosis: Lou Gehrig’s disease

Please allow our specially trained in-home care team to assist you in remaining safely and comfortably in your own home while managing the progressive, debilitating effects of ALS on your life. Following a comprehensive assessment completed by an  RN Care Manager, you will be assigned specially trained caregivers who are supervised and supported by the experienced RN Care Manager; who will also provide nursing care as needed in accordance with the care plan established by you, your medical team and Fedelta’s RN Care Manager. 

Care provided is focused on your individual needs with attention to maintaining safety, comfort, dignity and providing support. We will address progressive motor symptoms including increasing muscle weakness resulting in decreasing ability to move arms, legs; then body. Special attention is paid to the progressive symptoms of difficulty breathing and swallowing. An individual care plan addressing ways to maintain adequate nutrition, prevent choking, maintain ability to speak and maintain head support is established with modifications made promptly as necessary.

Ongoing RN assessment ensures that necessary safety provisions or physical modifications within the home are made and caregiver reminders and assistance are altered when needed to maintain your highest level of safety, comfort and participation in daily activities of your choice. 
Reassurance and encouragement provided by each caregiver will support you as you cope with ongoing physical and emotional changes.

Specialized care addressing needs of people living with ALS includes:

  • Attention on learning to communicate with client; verbally and non-verbally.

  • Establish and maintain a meaningful relationship with client.

  • Maintain safety with environmental modifications, use of assistive devices, safety prompts, assistance with walking.

  • Assessment and sustained management of discomfort such as: spasticity, choking, respiratory distress.

  • Medication management and education.

  • Education about and monitoring of worsening symptoms.

  • Range of motion exercises.

  • Continence management.

  • Assessment of skin with interventions as necessary.

  • Dietary modifications including: swallow precautions, adequate hydration, constipation prevention.

  • Assistance with personal care and grooming.

  • Encouragement, prompts and assistance as needed to maintain participation in meaningful activities as long as possible; making modifications when necessary.

  • Maintain dignity as progressive symptoms cause physical and emotional distress.

  • Ongoing communication with medical care team to ensure prompt response to changes in condition in order to prevent ER visits or hospitalization.

  • Accompaniment to health care appointments.


Every day, we hear from happy clients who tell us they're glad they trusted Fedelta with this important decision. We invite you to see what they have to say.

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