AA Learn more about in-home care options for your loved ones

Given the choice, most of us want to stay in our homes. Sometimes, people need help to remain at home. That's where Always Best Care Senior Services comes in.

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“Always Best care is the best! Their caregiver is very nice with respective attitude. They are all expert and knows their job very well in all ages. I never regret that their service to take care of my grandmother. They are trustworthy, respectful, honest and passionate to their work. I highly recommend them on their work.”

Facundo K.

“I met with Elaine Gill as we needed a secure place for my Dad. She was very knowledgeable and professional. Fortunately, the second location she showed us was a good fit (Dakota Paradise). I heartily recommend Always Best Care if you want help finding a loved one the proper care.”

Keith S.

“I cannot really find the words to say how wonderful the staff is at Always Best Care of Upper Chesapeake: Highly competent, Comforting, caring, extremely attentive, endlessly patient and reassuring. Elaine Gill has done an amazing job at ensuring that the staff she has are just as committed to ensuring the highest quality of life for every client, as Elaine! You are on the top of my list for any further care services that my family members may need going forward.”

Alan L.

“I used Always Best Care to care for my parents who happen to live in another state. I met with Elaine (the owner) to discuss my options and determine the best caregiver service to meet my parents needs. She was a great help; addressed all my questions and concerns and gave me peace of mind that my parents were in good hands. Their caregiver is wonderful and very competent. I don't have to worry about them or become a detective to find out what is going on with them in Maryland. Although my parents were a little skeptical at first, Elaine and her staff have put their mind at ease and made them feel very comfortable about the entire experience. They both feel much safer now and happier that they are able to stay in the home that they love. I am comforted in knowing that my parents are receiving quality care and they are in the capable hands of Elaine and her staff at Always Best Care. Words can not express my sincere gratitude for the awesome care provided to my parents.”

Monica C.
 In-Home Care Baldwin, MD

How does In-home Senior Care in Baldwin, MD work?

Home is where the heart is. While that saying can sound a tad cliche, it's especially true for many seniors living in America. When given a choice, older adults most often prefer to grow older at home. An AARP study found that three out of four adults over the age of 50 want to stay in their homes and communities as they age. When you begin to think about why, it makes sense. Home offers a sense of security, comfort, and familiarity.

The truth is, as we age, we begin to rely on others for help. When a family is too busy or lives too far away to fulfill this role, in-home senior care is often the best solution. Home care services allow seniors to enjoy personal independence while also receiving trustworthy assistance from a trained caregiver.

At Always Best Care, we offer a comprehensive range of home care services to help seniors stay healthy while they get the help they need to remain independent. As your senior loved one ages, giving them the gift of senior care is one of the best ways to show your love, even if you live far away.

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 Senior Care Baldwin, MD

Aging in Place: The Preferred Choice for Most Seniors

While it's true that some seniors have complicated medical needs that prevent them from staying at home, aging in place is often the best arrangement for seniors and their families. With a trusted caregiver, seniors have the opportunity to live with a sense of dignity and do so as they see fit.

In-home care makes it possible for millions of seniors to age in place every year. Rather than moving to a unfamiliar assisted living community, seniors have the chance to stay at home where they feel the happiest and most comfortable.

Here are just a few of the reasons why older men and women prefer to age at home:


How much does a senior's home truly mean to them? A study published by the American Society on Aging found that more than half of seniors say their home's emotional value means more than how much their home is worth in monetary value. It stands to reason, that a senior's home is where they want to grow old. With the help of elderly care in Baldwin, MD, seniors don't have to age in a sterilized care facility. Instead, they can age gracefully in the place they want to be most: their home. In contrast, seniors who move to a long-term care facility must adapt to new environments, new people, and new systems that the facility implements. At this stage in life, this kind of drastic change can be more harmful than helpful.

Healthy Living
Healthy Living

Institutional care facilities like nursing homes often put large groups of people together to live in one location. On any given day, dozens of staff members and caregivers run in and out of these facilities. Being around so many new people in a relatively small living environment can be dangerous for a seniors' health and wellbeing. When you consider that thousands of seniors passed away in nursing homes during the COVID-19 pandemic, opting for in-home care is often a safer, healthier choice for seniors. Aging in place has been shown to improve seniors' quality of life, which helps boost physical health and also helps insulate them from viral and bacterial risks found in elderly living facilities.


For many seniors, the ability to live independently with assistance from a caregiver is a priceless option. With in-home care, seniors experience a higher level of independence and freedom - much more so than in other settings like an assisted living community. When a senior has the chance to age in place, they get to live life on their own terms, inside the house that they helped make into a home. More independence means more control over their personal lives, too, which leads to increased levels of fulfillment, happiness, and personal gratification. Over time, these positive feelings can manifest into a healthier, longer life.

Cost and Convenience
Cost and Convenience

More independence, a healthier life, and increased comfort are only a few benefits of aging in place. You have to take into consideration the role of cost and convenience. Simply put, it's usually easier to help seniors age in place than it is to move them into an institutional care facility. In-home care services from Always Best Care, for instance, can be less expensive than long-term solutions, which can cost upwards of six figures per year. To make matters worse, many residential care facilities are reluctant to accept long-term care insurance and other types of payment assistance.

With Always Best Care's home care services, seniors and their families have a greater level of control over their care plans. In-home care in Baldwin, MD gives seniors the chance to form a bond with a trusted caregiver and also receive unmatched care that is catered to their needs. In long-term care facilities, seniors and their loved ones have much less control over their care plan and have less of a say in who provides their care.

Empowers Seniors

Affordable Care Plans

In-home care is a valuable resource that empowers seniors to age in place on their own terms. However, a big concern for many families and their loved ones is how much in-home care costs. If you're worried that in-home care is too expensive, you may be pleasantly surprised to learn that it is one of the most affordable senior care arrangements available.

Typically, hiring an Always Best Care in-home caregiver for a few hours a week is more affordable than sending your loved one to a long-term care facility. This is true even for seniors with more complex care needs.

At Always Best Care, we will work closely with you and your family to develop a Care Plan that not only meets your care needs, but your budget requirements, too. Once we discover the level of care that you or your senior need, we develop an in-home care plan that you can afford.

In addition to our flexible care options, families should also consider the following resources to help offset potential home care costs:

Veteran's Benefits
Veteran's Benefits

Aid and Attendance benefits through military service can cover a portion of the costs associated with in-home care for veterans and their spouses.

Long-Term Care Insurance
Long-Term Care Insurance

Many senior care services like in-home care are included in long-term care insurance options. Research different long-term care solutions to find a plan that provides coverage for senior care.

Private Insurance
Private Insurance

Home care can be included as part of a senior's private insurance plan. Read over your loved one's insurance policy carefully or speak with their insurance provider to determine if in-home care is covered.

Life Insurance
Life Insurance

Depending on the life insurance plan, you may be able to apply your policy toward long-term care. You may be able to use long-term-care coverage to help pay for in-home elderly care.

Respite Care Baldwin, MD

During your Care Plan consultation with Always Best Care, your Care Coordinator will speak with you about in-home care costs and what options there may be to help meet your budget needs.

Compassionate Care. Trusted Caregivers

When you or your senior loved one needs assistance managing daily tasks at home, finding a qualified caregiver can be challenging. It takes a special kind of person to provide reliable care for your senior loved one. However, a caregiver's role involves more than meal preparation and medication reminders. Many seniors rely on their caregivers for companionship, too.

Our companion care services give seniors the chance to socialize in a safe environment and engage in activities at home. These important efforts boost morale and provide much-needed relief from repetitive daily routines. A one-on-one, engaging conversation can sharpen seniors' minds and give them something in which to be excited.

At Always Best Care, we only hire care providers that we would trust to care for our own loved ones. Our senior caregivers in Baldwin,MD understand how important it is to listen and communicate with their seniors. A seemingly small interaction, like a short hug goodbye, can make a major difference in a senior's day. Instead of battling against feelings of isolation, seniors begin to look forward to seeing their caregiver each week.

Understanding the nuances of senior care is just one of the reasons why our care providers are so great at their job.

Unlike some senior care companies, our caregivers must undergo extensive training before they work for Always Best Care. In addition, our caregivers receive ongoing training throughout the year. This training ensures that their standard of care matches up to the high standards we've come to expect. During this training, they will brush up on their communication skills, safety awareness, and symptom spotting. That way, your loved one receives the highest level of non-medical home care from day one.

 Caregivers Baldwin, MD

Taking the First Step with Always Best Care

The first step in getting quality in-home care starts with a personal consultation with an experienced Care Coordinator. This initial consultation is crucial for our team to learn more about you or your elderly loved one to discover the level of care required. Topics of this consultation typically include:

An assessment of your senior loved one


An in-depth discussion of the needs of your senior loved one to remain in their own home


Reviewing a detailed Care Plan that will meet your senior loved one's needs


Our caregivers are trained to spot changes that clients exhibit, like mental and physical decline. As your trusted senior care company, we will constantly assess and update your Care Plan to meet any new emotional, intellectual, physical, and emotional needs.

If you have never considered in-home care before, we understand that you and your family may have concerns about your Care Plan and its Care Coordinator. To help give you peace of mind, know that every team member and caregiver must undergo comprehensive training before being assigned to a Care Plan.

When you're ready, we encourage you to contact your local Always Best Care representative to set up a Care Consultation. Our Care Coordinators would be happy to meet with you in person to get to know you better, discuss your needs, and help put together a personalized Care Plan specific to your needs.

Latest News in Baldwin, MD

Dr. Tyler Baldwin, MD Brings Radiology Expertise to Campbell County Health

GILLETTE, Wyo. - July 24, 2023 - Campbell County Health is pleased to share that Dr. Tyler Baldwin, MD, will begin working with the organization’s radiology department. Dr. Baldwin, who recently joined Gillette Medical Imaging as a radiologist, will read images for the patients of Campbell County Health. Gillette Medical Imaging has provided radiological services to Gillette and the surrounding communities for the past five decades. Through its partnership with GMI, CCH can offer quick turnaround times for image readin...

GILLETTE, Wyo. - July 24, 2023 - Campbell County Health is pleased to share that Dr. Tyler Baldwin, MD, will begin working with the organization’s radiology department. Dr. Baldwin, who recently joined Gillette Medical Imaging as a radiologist, will read images for the patients of Campbell County Health. Gillette Medical Imaging has provided radiological services to Gillette and the surrounding communities for the past five decades. Through its partnership with GMI, CCH can offer quick turnaround times for image readings, enhance access to care, and have radiology expertise on-site at the hospital.

Originally from Riverton, Wyoming, Dr. Baldwin received his MD from the University of Washington School of Medicine as part of the Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI) program. He has always had a desire to live and work in his home state and participating in the WWAMI program further fueled his aspiration to practice medicine in Wyoming. After graduating from medical school, Dr. Baldwin completed his radiology residency at the University of Florida and completed his neuroradiology fellowship, also at the University of Florida.

Reflecting on his childhood aspirations, Dr. Baldwin shared, "I always knew I wanted to be a radiologist since I was very young, even though I didn't fully comprehend what that entailed at the time."

Dr. Baldwin was drawn to radiology because of the amazing technology and direct impact that imaging has on patient care.

"The ability to analyze and interpret images to quickly aid in diagnosis, treatment, and disease prevention is immensely rewarding," said Dr. Baldwin.

Outside of work, Dr. Baldwin first and foremost enjoys spending time with his wife and three children and enjoys fly fishing, fly tying, hunting, and camping.

Dr. Baldwin's expertise and dedication to patient care make him a valuable addition to Gillette Medical Imaging, Campbell County Health, and the wider community. He looks forward to utilizing his skills to provide dedicated and skilled radiology services to the patients of Campbell County Health.

About Campbell County Health (CCH): An affiliate of UCHealth, CCH includes Campbell County Memorial Hospital, an acute care community hospital in Gillette Wyoming; Campbell County Medical Group with nearly 20 clinics; The Legacy Living & Rehabilitation Center long-term care center and the Powder River Surgery Center. With around 80 providers, 1,200 total staff and over 20 specialties, CCH is committed to serving our community by providing a lifetime of care with dedication, skill and compassion.


Hilary Baldwin, MD: Present and Future Rosacea Treatment Options


During this HCPLive interview, Hilary Baldwin, MD, spoke on recent treatment advances made for rosacea as well as the potential application of her team’s ‘Personalized Acne Treatment Tool’ for other conditions such as rosacea.

Baldwin is known for her work as the medical director of the Acne Treatment & Research Center in New York.

She first was asked about the distinctions between rosacea treatment in the present day compared to a decade prior, giving her views made on the recent advancements.

“It has changed it completely,” Baldwin said. “I’ve forgotten what the year was, but I want to say it was at least 15 or 16 years ago that we started the American Acne and Rosacea Society, and I remember very clearly at that first meeting, that I was about to go and give a talk, entitled ‘What's new with rosacea?’ And I asked the group sitting in front of me of all these acne and rosacea experts, what the heck is new and everybody said nothing.”

Baldwin then noted that after that meeting, the world of treatment advances leapt forward with the creation of modified release doxycycline.

“It was the first oral FDA-approved treatment for rosacea,” she said. “And then in the last couple of years, as you mentioned, the introduction of 3 brand new topicals, which are absolute game changers, compared to our older topical medications that we had. Highly more effective, very well tolerated. And very fast acting with the newest medication, the microencapsulated benzoyl peroxide, reducing 40% of lesions in the first 2 weeks.”

Later, Baldwin was asked about the possibility of applying her team’s recently-developed ‘Personalized Acne Treatment Tool’ for rosacea and other dermatologic conditions.

“I think it could be used, since the whole idea is personalized care, individual care for the patient sitting in front of you,” she explained. “It's not 1 size fits all for any dermatologic disorder. And we have to take the patient through skin care, how to cleanse, how to moisturize, what kind of sunscreens to use, when to use their medications, how to use their medications, and be very specific.”

She added that dermatologists must make sure to deal with the psychological aspects of the disease.

“Many dermatologic diseases have a great deal of psychological overlay,” Baldwin said. “So we have to think of the disease, the severity, but also the issues and the concerns of the patients from start to finish, and make sure that we're following them at an adequate rate, so that we're encouraging them to continue to be adherent with their therapy. So yeah, I think what applies to acne in that regard or certainly applies to rosacea, and applies as well probably to atopic dermatitis and psoriasis as we move forward with the treatment.”

To find out more about Baldwin’s views on this topic, view the interview segment above.

The quotes contained in this description were edited for clarity.

Hilary Baldwin, MD: The Surge of Rosacea Treatment Options


Hilary Baldwin, MD, recalls the first meeting of the American Acne and Rosacea Society in May 2012.

“I had a rosacea talk coming up titled, ‘What’s New in Rosacea,’ and I had nothing,” Baldwin joked to HCPLive. “I asked everybody in the room, ‘Do you have something for me?’ And we really didn’t have a whole heck of a lot.”

Twelve years later, that script has flipped.

In an interview with HCPLive during the Maui Derm 2023 NP + PA Summer Conference in Colorado Springs this week, Baldwin, medical director of the Acne Treatment & Research Center in New York, discussed the boom of topical and disease-targeting agents that have come to define modern rosacea management. In fact, in a dozen years, the field has progressed from dormancy to becoming “one of the easiest diseases for me to take care of.”

“We have wonderful new topicla medications, we have our oral medications for the treatment of the papules and pustules of rosacea, we have 2 drugs that work well for the erythema, we have lasers that work well for the erythema and telangiectasias,” Baldwin said. “I’m a happy girl.”

Baldwin particularly highlighted the advent of topical therapies including ivermectin, minocycline, and a new formulation of benzoyl peroxide in the last decade—“all of them far more efficacious and also more tolerable” than their predecessors metronidazole and azelaic acid.

Still, rosacea treatment buy-in and adherence remain a persistent challenge for patients. Baldwin said the length of the chronic disease is generally what will dictate a patient’s waning commitment to topical treatment. Additionally, the severity of disease may ebb and flow during a treatment regimen; patients may believe they can discontinue treatment during a period of well-managed disease, only for it to flare again.

“Fortunately—although it’s a cosmetic emergency—it’s not a medical emergency,” Baldwin said. “They go back on their medication and it works once again.”

Dermatologists are also challenged to convince patients that “better is not really what we’re going for.” New drugs have provided new goals.

“We have ample evidence now that if you go all the way to clear (skin), your chances of staying clear and being able to go on a drug holiday are much improved,” Baldwin said. “In fact, with our newer topical medications, we have some evidence that the recurrence rate across the board is less. There are patients who never seem to have rosacea again, and we just never saw that before.”

Study defines role of steroids in congenital heart disease surgery

by Bill SnyderSteroids are commonly given to infants during open-heart surgery to reduce inflammation, but whether the drugs significantly improve patient outcomes has not been settled — until now.Results of the STeroids to REduce Systemic Inflammation After Infant Heart Surgery (STRESS) trial, co-led by investigators from Vanderbilt University Medical Center, were published Nov. 6 in The New England Journal of Medicine...

by Bill Snyder

Steroids are commonly given to infants during open-heart surgery to reduce inflammation, but whether the drugs significantly improve patient outcomes has not been settled — until now.

Results of the STeroids to REduce Systemic Inflammation After Infant Heart Surgery (STRESS) trial, co-led by investigators from Vanderbilt University Medical Center, were published Nov. 6 in The New England Journal of Medicine, and presented Nov. 8 at the American Heart Association Scientific Sessions 2022 in Chicago.

Approximately 40,000 operations for congenital heart disease are performed annually in the United States, the majority in infants younger than 1 year of age. Congenital heart disease surgery in infants is a high-risk procedure, with death and complications often directly related to severe systemic inflammatory response syndrome after cardiopulmonary bypass.

The randomized STRESS study, the largest prospective clinical trial ever conducted in the field of pediatric cardiology, compared methylprednisolone to inactive placebo in 1,200 infants under 1 year of age who underwent elective cardiac surgery with cardiopulmonary bypass at 24 U.S. congenital heart disease centers, including VUMC.

Compared to placebo, methylprednisolone did not reduce the likelihood of “worse outcomes,” including death during hospitalization or within 30 days after surgery, heart transplantation during the hospitalization, and a long postoperative hospital stay. Steroid use also was associated with a higher likelihood of hyperglycemia (high blood glucose) requiring insulin treatment.

However, the odds of postoperative bleeding requiring a second operation were lower in the methylprednisolone group, and patients undergoing less-complex operations were more likely to benefit from steroid administration.

These findings are particularly relevant to congenital heart surgery centers, said Scott Baldwin, MD, director of the Division of Pediatric Cardiology at Vanderbilt, and the study’s co-principal investigator. Roughly half of these centers give steroids during surgery, he said.

“This unprecedented study has settled an important question in the surgical treatment of congenital heart defects,” said Prince Kannankeril, MD, MSCI, who directs the Vanderbilt Center for Pediatric Precision Medicine. “While the results are nuanced, they suggest that further study and patient stratification could lead to a more personalized medicine approach to this difficult problem.”

Kannankeril, who holds the Richard B. Johnston Jr. MD, Chair in Pediatric Research, and Baldwin, the Katrina Overall McDonald Professor of Pediatrics, were among three co-authors from VUMC. The third was David Bichell, MD, chief of Pediatric Cardiac Surgery and William S. Stoney Jr. Professor of Cardiac and Thoracic Surgery.

Clinical trials, particularly those involving young children, have been hampered by the limited number of patients at a single institution and the high cost of patient recruitment.

STRESS utilized the Society for Thoracic Surgeons database, which includes 98% of congenital heart disease surgeries performed in the United States and Canada. By identifying patients through registries, the cost of conducting this study was cut by about two-thirds, compared to traditional clinical trials with similar enrollment.

“Using the ‘trial within a registry’ model, it was the cheapest per patient cost,” Baldwin said. “This is important because even though our final end point showed no definitive benefit, we could figure that out without a spending a fortune.”

Kevin Hill, MD, MS, chief of Pediatric Cardiology at Duke University Medical Center, and a former Pediatric Cardiology fellow and graduate of the Master of Science in Clinical Investigation program at Vanderbilt, is the paper’s first and corresponding author.

The trial was co-sponsored by the Duke University/Vanderbilt University Trial Innovation Center and supported in part through the Pediatric Trials Network of the Eunice Kennedy Shriver National Institute of Child Health and Human Development.

UAH's "Doctor" Xavier Baldwin completing surgery residency at UNCHS

Family tradition and the passion to learn more about the science behind disease laid the foundation for Xavier Baldwin’s career as a physician.Baldwin graduated cum laude from The University of Alabama in Huntsville (UAH) in 2013 with a Bachelor of Science degree in biology and chemistry, and a minor in mathematics. He learned about UAH from his high school basketball coach who knew Baldwin was interested in playing college hoops without sacrificing a good educational experience."I started playing basketball a...

Family tradition and the passion to learn more about the science behind disease laid the foundation for Xavier Baldwin’s career as a physician.

Baldwin graduated cum laude from The University of Alabama in Huntsville (UAH) in 2013 with a Bachelor of Science degree in biology and chemistry, and a minor in mathematics. He learned about UAH from his high school basketball coach who knew Baldwin was interested in playing college hoops without sacrificing a good educational experience.

"I started playing basketball at the age of five and have loved the game ever since. I only play one to two games per month now, due to surgery training," said Baldwin. While playing guard for the UAH Chargers, Baldwin was known by two nicknames, "X" and "Doctor." No matter the name, everyone knew Charger #25 intended to become Dr. Xavier Baldwin.

While achieving basketball success at UAH, Baldwin delved deeper into another passion, acquiring medical knowledge. "I found I could still love basketball without going on to play at the highest level (professional basketball)."

Baldwin keenly remembers his UAH professors, especially Dr. Debra Moriarity, Professor Emeritus and Department Chair of the Biological Sciences Department. "Dr. Moriarity encouraged me the most. Laboratory testing included breast cancer research, growing cancer cells and testing them against potential cytotoxic oils/plant compounds.

"The academic rigor at UAH prepares you adequately for most avenues of post graduate training. I knew I was interested in medicine following the biology/science courses and help from several peers pursuing the same career path," he added.

Baldwin is a second year general surgery resident at The University of North Carolina Hospital System. "Healthcare is consistently evolving and changing with the influence of government, technology, and an aging population. It’s hard to make a prediction on healthcare years from now, but as I finish training, I hope to have a lasting impact."

Baldwin said a career in medicine could be a rewarding one. "I would encourage interested students to research and look into the multitude of careers available. Just remember, whatever path you choose, the training will be difficult, but the impact is what will truly matter."

Baldwin now joins his mother, a physical therapist, one sister, an anesthesiologist, and two other sisters, nurses in the medical field.


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