As we observe Veterans Day on Friday, November 11, 2011, let’s take a minute to understand why this day is observed and who it is we are honoring.
A gentleman by the name of Raymond Weeks organized a parade in the city of Birmingham, Alabama to honor all American Veterans for their service. The parade was held on November 11, 1947. Later on, US Representative Edward H. Rees of Kansas proposed legislation that would change the name of Armistice Day to Veterans Day to honor all who have served in the United States Armed Forces.
In 1954, President Dwight D. Eisenhower signed a bill proclaiming that November 11th would be Veterans Day. He asked all Americans to rededicate themselves to the cause of peace. Issuing a presidential order, Eisenhower directed the Department of Veterans Affairs to form a Veterans Day National Committee to organize and oversee the national observance of Veterans Day.
In 1968, Congress moved Veterans Day to the fourth Monday in October. However, November 11th was historically significant to many Americans. Therefore, in 1978, Congress formally returned the observance to November 11th.
Every year on November 11th at 11am in Arlington National Cemetery, a color guard, which is comprised of a member from each branch of the military, renders honors to American’s who died in service during a tradition-rich ceremony at the Tomb of the Unknowns. Either the President or his representative places a wreath at the Tomb and a bugler plays “Taps”. The remainder of the ceremony takes place inside the Memorial Amphitheatre which is adjacent to the Tomb. Included in the ceremony is a parade of flags by members of various Veterans service organizations.
Some people ask what’s the difference between Memorial Day and Veterans Day? Memorial Day was set aside to honor those veterans who died in battle or as a result of battle-sustained injuries. Veterans Day is intended to thank and honor all who have served in the military, not only those who have died. Veterans Day aims to show appreciation to all veterans who have sacrificed and done their duty to their country.
Happy Veterans Day! Thank you, Veterans, for all that you have done for us!
Thursday, November 10, 2011
Don't Ignore Signs of Caregiver Stress
Caring for a person with Alzheimer's disease can cause depression, anger and irritability, in addition to taking a physical toll that results in exhaustion and sleeplessness. These are real issues caregivers shouldn't ignore.
November is National Alzheimer's Disease Awareness Month and National Family Caregivers Month. The Alzheimer's Association offers a number of resources to help caregivers manage stress:
November is National Alzheimer's Disease Awareness Month and National Family Caregivers Month. The Alzheimer's Association offers a number of resources to help caregivers manage stress:
- The Alzheimer's Association Caregiver Notebook offers tips for care and planning for the future, as well as a list of resources to use when additional information is needed. To learn more or purchase the Caregiver Notebook, visit www.alz.org/caregivernotebook.
- Caregiver Stress Check, an interactive quiz that helps caregivers to identify symptoms of stress and provides a tailored list of helpful referrals and other support. Take the quiz at www.alz.org/stresscheck.
- Alzheimer's Association CareSource™, an easy-to-use, one-stop online portal for everything you need to widen your care options and plan for care for a person with Alzheimer's. Find out how CareSource can help at www.alz.org/caresource.
Tuesday, October 11, 2011
October is Breast Cancer Awareness Month
Every October, people from across the United States and around the world come together to raise awareness about Breast Cancer. From the Breast Cancer walks to the NFL sporting the color pink, breast cancer awareness is on the rise, which should not come as a suprise. Breast cancer is the second most common cancer in women. According to the Susan G. Komen Breast Cancer Foundation, a woman dies from breast cancer every 69 seconds. But all is not doom and gloom. Between the years of 1999 and 2006, breast cancer rates decreased by 2% per year. Mortality rates between 1998 and 2006 decreased by 1.9% per year. It is thought that part of the decrease in prevalence can be attributed to the reduced number of women receiving hormone replacement therapy. Mortality rates are declining as a result of earlier detection and advances in treatment options.
While breast cancer is most prevalent in women, men are at risk for it also. According to the Centers for Disease Control for every 100 women diagnosed with the disease, one man will also be diagnosed. While a family history of breast cancer does increase one's risk of getting the disease , the majority of diagnosed women have no family history.
The best defense is a good offense. Therefore, it is important to start getting a mammogram yearly or every other year beginning with your 40th birthday. Monthly self-breast examinations are important as are yearly breast exams by your physician.
While breast cancer is most prevalent in women, men are at risk for it also. According to the Centers for Disease Control for every 100 women diagnosed with the disease, one man will also be diagnosed. While a family history of breast cancer does increase one's risk of getting the disease , the majority of diagnosed women have no family history.
The best defense is a good offense. Therefore, it is important to start getting a mammogram yearly or every other year beginning with your 40th birthday. Monthly self-breast examinations are important as are yearly breast exams by your physician.
Tuesday, September 20, 2011
Raising Alzheimer’s Awareness Worldwide
Alzheimer’s disease affects more than 35 million individuals worldwide and costs the global economy more than $600 billion. Alzheimer’s is an international health epidemic that impacts people from all racial and ethnic backgrounds.
September is World Alzheimer’s Month and an opportunity to raise awareness of this devastating disease on a global level. If you know an individual who is in need of information on Alzheimer’s, you can direct them to the following resources in multiple languages from the Alzheimer’s Association:
• Brain Tour – A virtual tour of the brain that helps to explain how the brain works and how Alzheimer’s disease affects it. It is currently available in 14 languages including German, Polish, French and Spanish at alz.org.
• Know the 10 Signs – An easy-to-read list describing the warning signs of Alzheimer’s disease. Available at alz.org in Spanish, Korean, Vietnamese and Chinese.
• 24/7 Helpline – A round-the-clock information and support helpline provided by education specialists and masters level counselors. Services include bilingual Spanish-speaking consultants and interpretation for more than 170 languages. Call 1.800.272.3900.
• Online portals – Fully translated microsites with an overview of Alzheimer's disease, signs and symptoms, caregiving tips and more. These sites are currently available in Chinese, Korean, Spanish and Japanese and can be accessed by visiting alz.org.
For those seeking information on Alzheimer’s in other languages, a local chapter of the Alzheimer’s Association may also be a good resource. To find the chapter nearest you, visit alz.org.
September is World Alzheimer’s Month and an opportunity to raise awareness of this devastating disease on a global level. If you know an individual who is in need of information on Alzheimer’s, you can direct them to the following resources in multiple languages from the Alzheimer’s Association:
• Brain Tour – A virtual tour of the brain that helps to explain how the brain works and how Alzheimer’s disease affects it. It is currently available in 14 languages including German, Polish, French and Spanish at alz.org.
• Know the 10 Signs – An easy-to-read list describing the warning signs of Alzheimer’s disease. Available at alz.org in Spanish, Korean, Vietnamese and Chinese.
• 24/7 Helpline – A round-the-clock information and support helpline provided by education specialists and masters level counselors. Services include bilingual Spanish-speaking consultants and interpretation for more than 170 languages. Call 1.800.272.3900.
• Online portals – Fully translated microsites with an overview of Alzheimer's disease, signs and symptoms, caregiving tips and more. These sites are currently available in Chinese, Korean, Spanish and Japanese and can be accessed by visiting alz.org.
For those seeking information on Alzheimer’s in other languages, a local chapter of the Alzheimer’s Association may also be a good resource. To find the chapter nearest you, visit alz.org.
Sunday, September 11, 2011
Maintaining Mental Health as We Age
by Anne Pagnoni
Oh, to be young again! How many times have you heard yourself or someone else say this? As Home Care Assistance of New Jersey celebrates Health Aging Month, it's important to keep in mind that healthy aging encompasses more than just physical health. Mental health plays a big part in how well we age.
Many people are of the impression that memory loss is a product of normal aging. This is not true! However, as the saying goes, use it or lose it. Therefore, in order to maintain your mental and cognitive health, you have to make sure you're exercising your cognitive abilities. Here are some great brain exercises that you can do on a daily basis:
If you're depressed, you very well may want to lock the door to your home and not allow anyone in or venture out. You may allow yourself to sleep or watch television all day. These things will only make the depression worse. Instead, you need to make yourself more active and more socially involved. Research suggests that physical activity may be just as effective as antidepressants in treating depression. You don't need to hit the gym for two hours per day to reap the benefits of exercise. Instead, park a little farther from the store, do some light housework, or take a short walk. If you're physically disabled or frail, you can always participate in chair exercises to help boost your spirits and your muscle tone. Make sure you're enjoying the company of others. You need support to get through a depressive episode. Limit the time you spend alone. Keep in touch over the phone or email if you're unable to get out of the house regularly. Participate in activities that you enjoy. Get a pet to keep you company. Laugh! If you don't feel like you have anything to laugh about, then watch a comedy or read a funny book.
If you have made some lifestyle changes but are still experiencing depression, then seek help. Talk to your family physician about how you're feeling. Therapy, support groups, and medications are all effective treatments for depression. Don't go it alone.
The key to maintaining mental health as we age is to continue to find meaning in our lives. While we may no longer be working and our children may live further away, we can find other things that will give us a sense of purpose in our lives. Keep moving forward instead of focusing on the past.
As Mark Twain said, "Age is an issue of mind over matter. If you don't mind, it doesn't matter." Make sure you're giving your mental health as much attention as your physical health!
Oh, to be young again! How many times have you heard yourself or someone else say this? As Home Care Assistance of New Jersey celebrates Health Aging Month, it's important to keep in mind that healthy aging encompasses more than just physical health. Mental health plays a big part in how well we age.
Many people are of the impression that memory loss is a product of normal aging. This is not true! However, as the saying goes, use it or lose it. Therefore, in order to maintain your mental and cognitive health, you have to make sure you're exercising your cognitive abilities. Here are some great brain exercises that you can do on a daily basis:
- Play games that involve strategies, such as chess or bridge
- Read newspapers, books, magazines and anything else that you find challenging
- Try to learn new things such as games, driving routes, musical instruments, a foreign language, or a topic of interest
- Do crossword and other word puzzles
- Spend time regularly with others either by phone or in person
- Volunteer your time at an organization that you believe in
If you're depressed, you very well may want to lock the door to your home and not allow anyone in or venture out. You may allow yourself to sleep or watch television all day. These things will only make the depression worse. Instead, you need to make yourself more active and more socially involved. Research suggests that physical activity may be just as effective as antidepressants in treating depression. You don't need to hit the gym for two hours per day to reap the benefits of exercise. Instead, park a little farther from the store, do some light housework, or take a short walk. If you're physically disabled or frail, you can always participate in chair exercises to help boost your spirits and your muscle tone. Make sure you're enjoying the company of others. You need support to get through a depressive episode. Limit the time you spend alone. Keep in touch over the phone or email if you're unable to get out of the house regularly. Participate in activities that you enjoy. Get a pet to keep you company. Laugh! If you don't feel like you have anything to laugh about, then watch a comedy or read a funny book.
If you have made some lifestyle changes but are still experiencing depression, then seek help. Talk to your family physician about how you're feeling. Therapy, support groups, and medications are all effective treatments for depression. Don't go it alone.
The key to maintaining mental health as we age is to continue to find meaning in our lives. While we may no longer be working and our children may live further away, we can find other things that will give us a sense of purpose in our lives. Keep moving forward instead of focusing on the past.
As Mark Twain said, "Age is an issue of mind over matter. If you don't mind, it doesn't matter." Make sure you're giving your mental health as much attention as your physical health!
Monday, September 5, 2011
Keeping Yourself Safe at Home
by Anne Pagnoni
Home is where the heart is. Most people want to stay in their homes for the duration of their lives. While it's inevitable that we'll experience physical changes as we age, there are some things that we can do to make sure that we're able to remain safely in the family home.
The biggest thing which forces an older adult from his or her home is a fall. According to the Centers for Disease Control, one out of three adults over age 65 falls each year and is the leading cause of injury death. Falls are also the most common cause of nonfatal injuries and hospital admissions due to trauma. Keep in mind that a fall can cause a hip fracture, pelvis fracture, or head injury all of which carry their own complications. All is not lost, however, as many falls do not "just happen" but can many times be avoided.
One of the most important things to do to ensure safety in the home is to make sure that your house is well-lit. If you have areas in your home that are dim, then consider adding additional lighting fixtures or table lamps. Have working light switches at the top and bottom of all stairs.
Stairs can be particularly hazardous. Make sure that all stairs are in good repair and clutter free. You should have handrails on both sides of the stairs. If you have wooden or concrete steps, then you may consider painting a strip of contrasting color on the edge of each step to guard against a misstep. Avoid carrying large items up or down the stairs. If you absolutely must carry something, then make sure you carry the item in one hand and hold onto the hand rail with the other. Never let the item that you're carrying block your view of the steps.
Throw rugs, pets, electric cords, coffee tables, and cluttered high-traffic areas all pose a tripping risk. All throw rugs should either be removed or tacked down. Pets have a tendency to get under foot. Make sure you always know where your pet is as you are walking around your home. Electric cords and telephone cords should all be taped down if they are crossing the floor in a traffic area. Coffee tables tend to be knee level as opposed to eye level. Make sure your coffee table is in an area that you don't frequently walk. Keep all walkways clutter free.
Avoid using waxy cleaners on hardwood, tile, or vinyl flooring as wax makes floors slippery. If you must use wax, then choose a non-skid formula. Do not walk on wet floors as they are slippery. Allow ample time to make sure that floors are dry before walking on them. During the winter months, make sure that you have salt or sand by any exterior doors that are used. Icy surfaces are slippery, too!
The bathroom is another room in the house that is full of fall hazards. To avoid falls in the shower, make sure that you have a non-skid surface in the tub/shower. If you have a bath rug or bath mat outside of the shower, make sure that it is secured to keep it from slipping when you step on it. Grab bars should be present and anchored securely to the inside of the tub or shower. If it is difficult for you to shower standing up, then consider purchasing a bath seat and a hand-held shower head. Both will allow you to continue tending to your personal care while reducing your risk of falling while showering. If you have difficulty getting on or off of the toilet, make sure that you have a toilet with a raised toilet seat and securely anchored grab bars near the toilet.
While a fall might not be the biggest concern to someone who is preparing a meal in the kitchen, there are a variety of other accidents waiting to happen. Keep your canned goods, other staple items, and pots and pans in an easy to reach location. Heavier items should be stored in lower cabinets while lighter items can be stored in higher cabinets. Make sure you have a stable step stool handy so that you can safely reach items that are outside of your reach. Keep a working fire extinguisher readily accessible to the kitchen. Avoid wearing loose fitting clothing while cooking on the stove top as they may catch fire.
For added security, have a telephone in all bedrooms, the living room, and kitchen. Make sure you have a list of emergency numbers next to each phone. If you have chronic health conditions or take medications that have a tendency to make you dizzy, then you may benefit from wearing an emergency call pendant. Should you happen to have a fall or another mishap in a part of the house where you aren't able to get to a phone, an emergency call pendant just may save your life. By pressing a button on a pendant that you wear either around your neck or on your wrist, you have access to an emergency response team 24 hours per day, 7 days per week.
By exercising caution and making some minor home improvements and changes to the way you do things, you will greatly reduce your risk of injury in the home.
Home is where the heart is. Most people want to stay in their homes for the duration of their lives. While it's inevitable that we'll experience physical changes as we age, there are some things that we can do to make sure that we're able to remain safely in the family home.
The biggest thing which forces an older adult from his or her home is a fall. According to the Centers for Disease Control, one out of three adults over age 65 falls each year and is the leading cause of injury death. Falls are also the most common cause of nonfatal injuries and hospital admissions due to trauma. Keep in mind that a fall can cause a hip fracture, pelvis fracture, or head injury all of which carry their own complications. All is not lost, however, as many falls do not "just happen" but can many times be avoided.
One of the most important things to do to ensure safety in the home is to make sure that your house is well-lit. If you have areas in your home that are dim, then consider adding additional lighting fixtures or table lamps. Have working light switches at the top and bottom of all stairs.
Stairs can be particularly hazardous. Make sure that all stairs are in good repair and clutter free. You should have handrails on both sides of the stairs. If you have wooden or concrete steps, then you may consider painting a strip of contrasting color on the edge of each step to guard against a misstep. Avoid carrying large items up or down the stairs. If you absolutely must carry something, then make sure you carry the item in one hand and hold onto the hand rail with the other. Never let the item that you're carrying block your view of the steps.
Throw rugs, pets, electric cords, coffee tables, and cluttered high-traffic areas all pose a tripping risk. All throw rugs should either be removed or tacked down. Pets have a tendency to get under foot. Make sure you always know where your pet is as you are walking around your home. Electric cords and telephone cords should all be taped down if they are crossing the floor in a traffic area. Coffee tables tend to be knee level as opposed to eye level. Make sure your coffee table is in an area that you don't frequently walk. Keep all walkways clutter free.
Avoid using waxy cleaners on hardwood, tile, or vinyl flooring as wax makes floors slippery. If you must use wax, then choose a non-skid formula. Do not walk on wet floors as they are slippery. Allow ample time to make sure that floors are dry before walking on them. During the winter months, make sure that you have salt or sand by any exterior doors that are used. Icy surfaces are slippery, too!
The bathroom is another room in the house that is full of fall hazards. To avoid falls in the shower, make sure that you have a non-skid surface in the tub/shower. If you have a bath rug or bath mat outside of the shower, make sure that it is secured to keep it from slipping when you step on it. Grab bars should be present and anchored securely to the inside of the tub or shower. If it is difficult for you to shower standing up, then consider purchasing a bath seat and a hand-held shower head. Both will allow you to continue tending to your personal care while reducing your risk of falling while showering. If you have difficulty getting on or off of the toilet, make sure that you have a toilet with a raised toilet seat and securely anchored grab bars near the toilet.
While a fall might not be the biggest concern to someone who is preparing a meal in the kitchen, there are a variety of other accidents waiting to happen. Keep your canned goods, other staple items, and pots and pans in an easy to reach location. Heavier items should be stored in lower cabinets while lighter items can be stored in higher cabinets. Make sure you have a stable step stool handy so that you can safely reach items that are outside of your reach. Keep a working fire extinguisher readily accessible to the kitchen. Avoid wearing loose fitting clothing while cooking on the stove top as they may catch fire.
For added security, have a telephone in all bedrooms, the living room, and kitchen. Make sure you have a list of emergency numbers next to each phone. If you have chronic health conditions or take medications that have a tendency to make you dizzy, then you may benefit from wearing an emergency call pendant. Should you happen to have a fall or another mishap in a part of the house where you aren't able to get to a phone, an emergency call pendant just may save your life. By pressing a button on a pendant that you wear either around your neck or on your wrist, you have access to an emergency response team 24 hours per day, 7 days per week.
By exercising caution and making some minor home improvements and changes to the way you do things, you will greatly reduce your risk of injury in the home.
Sunday, August 14, 2011
Travel for Those with a Chronic Health Condition
By Anne Pagnoni
As the end of summer nears, you may be considering a last minute vacation. If you or another member of your party has a chronic health condition, then there are some things that you may want to do before embarking on that fantastic voyage.
As soon as possible prior to your trip, arrange to meet with your physician to discuss any risks which may be involved with you traveling. This is especially important if you are traveling internationally as you may need immunizations or preventative medications prior to departure. Ask your physician for copies of recent EKG, laboratory, and x-ray results to take with you on your trip. If you are traveling to a country where English is not the primary language, then you may wish to have your medical records translated to the destination’s primary language. Keep in mind that while you may speak the language, if you are in a medically unstable condition, then you may not be able to communicate your health needs with the treating physician.
If you will be on an airplane or in a car for a long amount of time and have a history of circulatory problems, then you will want to take precautions to avoid swelling in the legs and developing blood clots. Make sure that you get up out of your seat or out of your car every hour or two and take a short walk; perform leg lifts several times per hour while sitting in your seat; and wear compression stockings.
Begin packing your luggage a week or two ahead of time to make the task more manageable. Pack all medications and medical supplies in your carry-on luggage. Bring extra medications in case you are delayed on your trip. Make sure your medications are in their original bottles to avoid any unnecessary delay at customs.
Contact your wireless cell phone provider to make sure that your phone can work internationally. Have the names, phone numbers, and fax numbers for all treating physicians and your pharmacy. Make sure you have the local numbers as 1-800 numbers typically do not work outside of the country. Have phone numbers of the local hospital in the country where you’ll be staying.
If you suffer from blood sugar issues or require food to take medications, then have a light snack on hand. This is especially important if you are traveling by plane as meals are no longer always served during a long flight.
As the end of summer nears, you may be considering a last minute vacation. If you or another member of your party has a chronic health condition, then there are some things that you may want to do before embarking on that fantastic voyage.
As soon as possible prior to your trip, arrange to meet with your physician to discuss any risks which may be involved with you traveling. This is especially important if you are traveling internationally as you may need immunizations or preventative medications prior to departure. Ask your physician for copies of recent EKG, laboratory, and x-ray results to take with you on your trip. If you are traveling to a country where English is not the primary language, then you may wish to have your medical records translated to the destination’s primary language. Keep in mind that while you may speak the language, if you are in a medically unstable condition, then you may not be able to communicate your health needs with the treating physician.
If you will be on an airplane or in a car for a long amount of time and have a history of circulatory problems, then you will want to take precautions to avoid swelling in the legs and developing blood clots. Make sure that you get up out of your seat or out of your car every hour or two and take a short walk; perform leg lifts several times per hour while sitting in your seat; and wear compression stockings.
Begin packing your luggage a week or two ahead of time to make the task more manageable. Pack all medications and medical supplies in your carry-on luggage. Bring extra medications in case you are delayed on your trip. Make sure your medications are in their original bottles to avoid any unnecessary delay at customs.
Contact your wireless cell phone provider to make sure that your phone can work internationally. Have the names, phone numbers, and fax numbers for all treating physicians and your pharmacy. Make sure you have the local numbers as 1-800 numbers typically do not work outside of the country. Have phone numbers of the local hospital in the country where you’ll be staying.
If you suffer from blood sugar issues or require food to take medications, then have a light snack on hand. This is especially important if you are traveling by plane as meals are no longer always served during a long flight.
Tuesday, August 9, 2011
Social Support Activities Lead to Better Quality of Life As One Ages
by Anne Pagnomi
How important is social support as a person ages? This may seem like an easy question to answer. Most people would not choose isolation and loneliness versus spending time with companions. However, can lack of social support really hinder a person’s overall quality of life?
Lack of social support is related to negative impacts on health and well being, especially for older people. Having a variety of positive social supports can contribute to psychological and physical wellness of elderly individuals. Support from others can be important in reducing stress, increasing physical health and defeating psychological problems such as depression and anxiety.
When considering who provides social support for an elderly individual our first thoughts are of family members. While it is true that most support does come from family members, there are many circumstances in which family members cannot be supportive (stress due to responsibilities, illness, death, financial problems, job relocation). In the United States the fastest growing age group of individuals are those 85 years and older. Due to this fact, family supports will inevitable decrease for these older individuals. A need for community-based services is more important now then ever before.
Community-based services can be extremely useful for elderly individuals. Services for older persons can encompass many areas, but one of the most important areas as discussed previously is social support. Support for elderly persons can be found in many places including: senior centers, assisted living facilities, meal delivery, religious affiliations, adult day care centers, etc. These services can provide positive social supports that can help older persons defeat loneliness and isolation. However, social support must encompass more then physical presence or conversation. Studies have shown that social support services should contain quality activities. These activities should promote positive self-awareness.
Self-awareness is key to a person’s overall quality of life and satisfaction. Many leisure social activities can be used to help increase an individual’s self-awareness. Activities for elderly individuals may include reminiscence groups, journal writing, readings of favorite book passages, group exercise, singing groups, etc. Individuals may also feel more self-satisfied if they are part of the planning of social activities that take place.
Two of these community-based service centers that provide quality social support services for elderly individuals are discussed below.
Senior Citizen Centers
Today, there are estimated to be about 15,000 senior centers across the United States. Senior centers act as a focal point for older Americans to receive many aging services. The most common services offered at a senior center include health programs (including Zumba and Yoga), arts/humanities activities, intergenerational programs, employment assistance, community action opportunities, transportation services, volunteer opportunities, education opportunities, financial assistance, senior rights counseling/legal services, travel programs and meal programs. These programs and activities can help promote positive self-awareness.
Lori Beckle describes how participating in her local senior citizens center has given her the independence and life satisfaction she thought was lost when her husband died in 2009. “ I was devastated and so frightened for my future without Ed. He was my only friend and the one I turned to when I felt alone. My daughter invited me to attend our local senior center where a bereavement group was being held for those who had lost a loved one. I met Phyllis during the group and now I have a new friend I call when I become afraid. Phyllis has helped me develop the skills to get through the tough times and focus on my immediate happiness.”
Adult Day Care Centers
According to the National Adult Day Services Association (NADSA), there are currently more than 4,600 adult day care centers nationwide. Adult day care is a program in which activities are provided to promote social support and health services to an older adult during the daytime. Most centers operate Monday through Friday during daytime hours. Social support services at an adult day care can consist of musical entertainment and singing groups, group games such as cards, gentle exercise, discussion groups (books, films, current events), holiday/birthday celebrations and local outings. Not only are these social activities provided, but participants of the program can also develop lasting relationships with staff and other participants. Adult day care centers also provide meals and health services. Adult day care centers differ from other programs for elderly individuals, because they allow the participants to develop and increase self-awareness by encouraging independence.
Amanda describes her experience as a volunteer at her local adult day care center. She stated, “ I was involved in planning the activities for Thursday afternoons. I wasn’t sure what kind of activities my older friends would enjoy so I had them share their favorite activities they participated in when they were my age (23). I soon realized that I was hearing the most fascinating stories of hopping trains, college dances, swimming in the lake, etc We decided Thursday afternoons would be spotlights of each individuals’ lives as a twenty-something. One of the participants told me that Thursdays became a highlight for her week.”
Adult Day Care Centers and Senior Citizen Centers help to provide an elderly individual the opportunity to participate in social support activities. Social support activities found in these programs can be beneficial to a person’s quality of life and overall satisfaction. With a higher self-awareness and quality of life an individual can reduce the risks of mental and physical health problems as they age.
How important is social support as a person ages? This may seem like an easy question to answer. Most people would not choose isolation and loneliness versus spending time with companions. However, can lack of social support really hinder a person’s overall quality of life?
Lack of social support is related to negative impacts on health and well being, especially for older people. Having a variety of positive social supports can contribute to psychological and physical wellness of elderly individuals. Support from others can be important in reducing stress, increasing physical health and defeating psychological problems such as depression and anxiety.
When considering who provides social support for an elderly individual our first thoughts are of family members. While it is true that most support does come from family members, there are many circumstances in which family members cannot be supportive (stress due to responsibilities, illness, death, financial problems, job relocation). In the United States the fastest growing age group of individuals are those 85 years and older. Due to this fact, family supports will inevitable decrease for these older individuals. A need for community-based services is more important now then ever before.
Community-based services can be extremely useful for elderly individuals. Services for older persons can encompass many areas, but one of the most important areas as discussed previously is social support. Support for elderly persons can be found in many places including: senior centers, assisted living facilities, meal delivery, religious affiliations, adult day care centers, etc. These services can provide positive social supports that can help older persons defeat loneliness and isolation. However, social support must encompass more then physical presence or conversation. Studies have shown that social support services should contain quality activities. These activities should promote positive self-awareness.
Self-awareness is key to a person’s overall quality of life and satisfaction. Many leisure social activities can be used to help increase an individual’s self-awareness. Activities for elderly individuals may include reminiscence groups, journal writing, readings of favorite book passages, group exercise, singing groups, etc. Individuals may also feel more self-satisfied if they are part of the planning of social activities that take place.
Two of these community-based service centers that provide quality social support services for elderly individuals are discussed below.
Senior Citizen Centers
Today, there are estimated to be about 15,000 senior centers across the United States. Senior centers act as a focal point for older Americans to receive many aging services. The most common services offered at a senior center include health programs (including Zumba and Yoga), arts/humanities activities, intergenerational programs, employment assistance, community action opportunities, transportation services, volunteer opportunities, education opportunities, financial assistance, senior rights counseling/legal services, travel programs and meal programs. These programs and activities can help promote positive self-awareness.
Lori Beckle describes how participating in her local senior citizens center has given her the independence and life satisfaction she thought was lost when her husband died in 2009. “ I was devastated and so frightened for my future without Ed. He was my only friend and the one I turned to when I felt alone. My daughter invited me to attend our local senior center where a bereavement group was being held for those who had lost a loved one. I met Phyllis during the group and now I have a new friend I call when I become afraid. Phyllis has helped me develop the skills to get through the tough times and focus on my immediate happiness.”
Adult Day Care Centers
According to the National Adult Day Services Association (NADSA), there are currently more than 4,600 adult day care centers nationwide. Adult day care is a program in which activities are provided to promote social support and health services to an older adult during the daytime. Most centers operate Monday through Friday during daytime hours. Social support services at an adult day care can consist of musical entertainment and singing groups, group games such as cards, gentle exercise, discussion groups (books, films, current events), holiday/birthday celebrations and local outings. Not only are these social activities provided, but participants of the program can also develop lasting relationships with staff and other participants. Adult day care centers also provide meals and health services. Adult day care centers differ from other programs for elderly individuals, because they allow the participants to develop and increase self-awareness by encouraging independence.
Amanda describes her experience as a volunteer at her local adult day care center. She stated, “ I was involved in planning the activities for Thursday afternoons. I wasn’t sure what kind of activities my older friends would enjoy so I had them share their favorite activities they participated in when they were my age (23). I soon realized that I was hearing the most fascinating stories of hopping trains, college dances, swimming in the lake, etc We decided Thursday afternoons would be spotlights of each individuals’ lives as a twenty-something. One of the participants told me that Thursdays became a highlight for her week.”
Adult Day Care Centers and Senior Citizen Centers help to provide an elderly individual the opportunity to participate in social support activities. Social support activities found in these programs can be beneficial to a person’s quality of life and overall satisfaction. With a higher self-awareness and quality of life an individual can reduce the risks of mental and physical health problems as they age.
Wednesday, July 13, 2011
Safer Travel for Those with Dementia
Summer is the time of year when many Americans plan summer and holiday travel. Whether you’re considering a weekend getaway or an extended stay, traveling with an individual who has Alzheimer’s requires additional thought and preparation.
People with Alzheimer’s and their caregivers need to be prepared for a change in schedule and environment. Even if it is a trip you have taken before, it may feel new for the person with the disease.
Additionally, as Alzheimer’s progresses, negotiating changes in environment will become increasingly challenging. Be prepared for the individual with the disease to experience some confusion or disorientation. Exercise caution, as wandering and getting lost are more likely during transitional times. The checklist below will help you plan for the trip and make it successful and safe.
Before going
• Call the Alzheimer’s Association chapter in the area you will be visiting. Let them know you will be staying in the area and ask about available resources. You can locate any chapter by calling 1.800.272.3900 or visiting www.alz.org/apps/findus.asp.
• Enroll the person in MedicAlert® + Alzheimer’s Association Safe Return®, a 24-hour nationwide emergency response service for individuals with Alzheimer’s or a related dementia who wander or have a medical emergency. You may also want to consider the Alzheimer’s Association Comfort Zone®, powered by Omnilink, a Web-based GPS location management service or Alzheimer’s Association Comfort Zone Check-InTM.
• If you are already enrolled in MedicAlert, update your records with temporary contact information (call 1.888.572.8566).
Upon arrival
• Let neighbors know a person with Alzheimer’s is staying next door and ask them to keep their eye out for wandering or other unsafe behavior.
• During the first few days after arrival, keep your schedule light with lots of down time.
• Create opportunities to re-acclimate the person to the new environment.
• Keep familiar things around.
• Limit access to money and credit cards.
• Limit access to driving.
• Be aware that the change can be chaotic for the person.
• Recognize the warning signs of anxiety and agitation.
For more tips on safety for people living with Alzheimer’s disease and related dementias, including concerns about wandering, disaster preparedness, home and medication safety, visit the Alzheimer’s Association Safety Center at www.alz.org/safetycenter or call 1.800.272.3900 to find the Alzheimer’s Association chapter closest to you.
People with Alzheimer’s and their caregivers need to be prepared for a change in schedule and environment. Even if it is a trip you have taken before, it may feel new for the person with the disease.
Additionally, as Alzheimer’s progresses, negotiating changes in environment will become increasingly challenging. Be prepared for the individual with the disease to experience some confusion or disorientation. Exercise caution, as wandering and getting lost are more likely during transitional times. The checklist below will help you plan for the trip and make it successful and safe.
Before going
• Call the Alzheimer’s Association chapter in the area you will be visiting. Let them know you will be staying in the area and ask about available resources. You can locate any chapter by calling 1.800.272.3900 or visiting www.alz.org/apps/findus.asp.
• Enroll the person in MedicAlert® + Alzheimer’s Association Safe Return®, a 24-hour nationwide emergency response service for individuals with Alzheimer’s or a related dementia who wander or have a medical emergency. You may also want to consider the Alzheimer’s Association Comfort Zone®, powered by Omnilink, a Web-based GPS location management service or Alzheimer’s Association Comfort Zone Check-InTM.
• If you are already enrolled in MedicAlert, update your records with temporary contact information (call 1.888.572.8566).
Upon arrival
• Let neighbors know a person with Alzheimer’s is staying next door and ask them to keep their eye out for wandering or other unsafe behavior.
• During the first few days after arrival, keep your schedule light with lots of down time.
• Create opportunities to re-acclimate the person to the new environment.
• Keep familiar things around.
• Limit access to money and credit cards.
• Limit access to driving.
• Be aware that the change can be chaotic for the person.
• Recognize the warning signs of anxiety and agitation.
For more tips on safety for people living with Alzheimer’s disease and related dementias, including concerns about wandering, disaster preparedness, home and medication safety, visit the Alzheimer’s Association Safety Center at www.alz.org/safetycenter or call 1.800.272.3900 to find the Alzheimer’s Association chapter closest to you.
Sunday, July 10, 2011
Choosing Home Care Services that Meet Your Needs
by Anne Pagnoni
Making the decision to hire a home care service to provide care for your loved one is an important decision and can, at the same time, be very difficult. If an illness or recovery from surgery requires nursing care or physical therapy, a physician may order skilled home care services that provide both skilled providers and personal aides. Your decision is then based on the obvious medical determinations made by the doctor. But what if you as the family caregiver must determine the extent of care needed without the help of a doctor?
Each home care situation is unique. In the beginning, family or friends step in to help with simple tasks and support for aging seniors who want to stay in their homes. As long term care needs progress, more time is required to manage those needs. Physical and mental conditions change with aging making usually routine hygiene and daily living activities difficult for an aging individual. Even with the healthiest of seniors, the ability to drive a car, shop for groceries or do general housekeeping eventually needs to be relinquished to the responsibility of another person.
In one example, Karen, would stop by her parents' home on her way to work every morning and again on her way home from work in the evening. She checked in the morning to see that they were up and ready for the day and Karen would take a shopping list for things they needed. In the evening she delivered the needed items she had purchased during her lunch break and sometimes she fixed a meal when one was not prepared by her mother. This worked well until Karen began to notice her father did not shave or dress during the day and both parents were forgetting their medications. Karen felt more time and supervision was needed in their care but with her own family and job, she could not do it. Non-medical or personal home care services would be a good option for Karen to consider.
Before starting your search for a non-medical or personal home care company, determine what the care needs are and how much time each week will be required for assistance from the company. You may want to consult with the family physician and other family members as well as experienced social workers or care managers to determine needs. Most home care companies, as well, will help you do an assessment at no charge. With your care needs in hand, you are ready to begin your search.
The National Association for Home Care & Hospice (http://www.nahc.org/home.html) gives the following guidelines and checklist in searching for a home care company.
•How long has this provider been serving the community?
•Does this provider supply literature explaining its services, eligibility requirements, fees, and funding sources? Many providers furnish their home care clients with a detailed "Patient Bill of Rights" that outlines the rights and responsibilities of the providers, clients, and family caregivers alike.
•How does this provider select and train its employees? Does it protect its workers with written personnel policies and malpractice insurance? Does it protect clients from theft or abuse by bonding its employees?
•Does this provider assign supervisors to oversee the quality of care clients are receiving in their homes? If so, how often do these individuals make visits? Who can the client and his or her family members call with questions or complaints? How does the company follow up on and resolve problems?
•What are the financial procedures of this provider? Does the provider furnish written statements explaining all of the costs and payment plan options associated with home care?
•What procedures does this provider have in place to handle emergencies? Are its caregivers available on notice?
•How does this provider ensure client confidentiality?
If a home care company has not previously been recommended to you, ask for a list of previous clients and call for their experience with this provider.
Following up on these guidelines can help you determine the quality of personal care that is given. Many states license non-medical home care companies and require both legal and health standards to be maintained.
Read about individual home care companies in your area on the National Care Planning Council's website www.longtermcarelink.net.
Making the decision to hire a home care service to provide care for your loved one is an important decision and can, at the same time, be very difficult. If an illness or recovery from surgery requires nursing care or physical therapy, a physician may order skilled home care services that provide both skilled providers and personal aides. Your decision is then based on the obvious medical determinations made by the doctor. But what if you as the family caregiver must determine the extent of care needed without the help of a doctor?
Each home care situation is unique. In the beginning, family or friends step in to help with simple tasks and support for aging seniors who want to stay in their homes. As long term care needs progress, more time is required to manage those needs. Physical and mental conditions change with aging making usually routine hygiene and daily living activities difficult for an aging individual. Even with the healthiest of seniors, the ability to drive a car, shop for groceries or do general housekeeping eventually needs to be relinquished to the responsibility of another person.
In one example, Karen, would stop by her parents' home on her way to work every morning and again on her way home from work in the evening. She checked in the morning to see that they were up and ready for the day and Karen would take a shopping list for things they needed. In the evening she delivered the needed items she had purchased during her lunch break and sometimes she fixed a meal when one was not prepared by her mother. This worked well until Karen began to notice her father did not shave or dress during the day and both parents were forgetting their medications. Karen felt more time and supervision was needed in their care but with her own family and job, she could not do it. Non-medical or personal home care services would be a good option for Karen to consider.
Before starting your search for a non-medical or personal home care company, determine what the care needs are and how much time each week will be required for assistance from the company. You may want to consult with the family physician and other family members as well as experienced social workers or care managers to determine needs. Most home care companies, as well, will help you do an assessment at no charge. With your care needs in hand, you are ready to begin your search.
The National Association for Home Care & Hospice (http://www.nahc.org/home.html) gives the following guidelines and checklist in searching for a home care company.
•How long has this provider been serving the community?
•Does this provider supply literature explaining its services, eligibility requirements, fees, and funding sources? Many providers furnish their home care clients with a detailed "Patient Bill of Rights" that outlines the rights and responsibilities of the providers, clients, and family caregivers alike.
•How does this provider select and train its employees? Does it protect its workers with written personnel policies and malpractice insurance? Does it protect clients from theft or abuse by bonding its employees?
•Does this provider assign supervisors to oversee the quality of care clients are receiving in their homes? If so, how often do these individuals make visits? Who can the client and his or her family members call with questions or complaints? How does the company follow up on and resolve problems?
•What are the financial procedures of this provider? Does the provider furnish written statements explaining all of the costs and payment plan options associated with home care?
•What procedures does this provider have in place to handle emergencies? Are its caregivers available on notice?
•How does this provider ensure client confidentiality?
If a home care company has not previously been recommended to you, ask for a list of previous clients and call for their experience with this provider.
Following up on these guidelines can help you determine the quality of personal care that is given. Many states license non-medical home care companies and require both legal and health standards to be maintained.
Read about individual home care companies in your area on the National Care Planning Council's website www.longtermcarelink.net.
Sunday, June 26, 2011
Downsizing, Organizing, Handicap Remodeling, or Relocating
by Anne Pagnoni
When Robert and Anne bought their family home thirty years ago, their plan was to live through retirement in this home. They had furnished their home with refurbished antiques acquired from their many trips together. It was one of their cherished antique coffee tables that Robert tripped over, breaking his hip. Now with his return from the hospital in a wheelchair, the overwhelming task of making their home accessible for Robert’s wheelchair and safe for both of them faced Anne.
Remodeling for wheelchair access, organizing home furnishings and daily living items or downsizing and relocating to a smaller living area are monumental tasks that are many times thrust on senior home owners. Sometimes the need to do this is brought on by injury or age related illness. Home and yard maintenance can become a daunting chore for even the healthiest of seniors, requiring them to make a downsizing decision.
There is a large and growing industry of specialists who understand these challenges of elderly homeowners and are ready and willing to help with remodeling, organizing or the sale of the home and with the move to a new location.
A professional organizer provides skills in making the home safe and manageable. Relocating furniture, removing hazards such as electrical cords, throw rugs, heavy objects on shelves that might fall are some of the ways they make a home more senior friendly. They specialize in helping seniors part with items that clutter or have no valued use, so to make rooms less crowded or to make ready for a move to a smaller living space.
Handicap remodeling services and senior safety services offer help in adding wheelchair ramps and widening doorways. Bathrooms are made more accessible and safe, with hand rails, walk-in bath facilities and easier access to toilets.
If moving to a smaller retirement home or care facility is the best solution there is another senior specialty provider to call on called a Seniors Real Estate Specialist.
The Senior Real Estate Specialist concentrates more on a complete service package for the sale of the property and/or the purchase of a new living arrangement. The specialist also arranges for the services of a relocation specialist or Senior Move Manager to provide a complete, stress-free package for the elderly homeowner.
A move often requires downsizing and getting rid of a tremendous number of acquired possessions. The relocation specialist or Senior Move Manager, as they are often called, will typically provide a turnkey operation that includes assessing and identifying items to keep, arranging for auction or other disposal, cleaning the home, moving the belongings and setting up the new residence. The manager may also work closely with a real estate agent to arrange for the sale of the home and may also be involved in the financial transactions necessary to move into a new living arrangement.
All the help available to seniors may in itself be overwhelming. How do seniors choose the right service provider for their needs? How do they know they will hire someone qualified, responsible and honest? Area Agencies on Aging and State Better Business Bureaus are good resources to check out available service providers.
Family, friends and religious leaders can be valuable resources to seniors in referring service providers and helping to manage the hiring and supervision.
The National Care Planning Council’s website http://www.longtermcarelink.net/ provides educational articles and information on eldercare providers throughout the nation.
When Robert and Anne bought their family home thirty years ago, their plan was to live through retirement in this home. They had furnished their home with refurbished antiques acquired from their many trips together. It was one of their cherished antique coffee tables that Robert tripped over, breaking his hip. Now with his return from the hospital in a wheelchair, the overwhelming task of making their home accessible for Robert’s wheelchair and safe for both of them faced Anne.
Remodeling for wheelchair access, organizing home furnishings and daily living items or downsizing and relocating to a smaller living area are monumental tasks that are many times thrust on senior home owners. Sometimes the need to do this is brought on by injury or age related illness. Home and yard maintenance can become a daunting chore for even the healthiest of seniors, requiring them to make a downsizing decision.
There is a large and growing industry of specialists who understand these challenges of elderly homeowners and are ready and willing to help with remodeling, organizing or the sale of the home and with the move to a new location.
A professional organizer provides skills in making the home safe and manageable. Relocating furniture, removing hazards such as electrical cords, throw rugs, heavy objects on shelves that might fall are some of the ways they make a home more senior friendly. They specialize in helping seniors part with items that clutter or have no valued use, so to make rooms less crowded or to make ready for a move to a smaller living space.
Handicap remodeling services and senior safety services offer help in adding wheelchair ramps and widening doorways. Bathrooms are made more accessible and safe, with hand rails, walk-in bath facilities and easier access to toilets.
If moving to a smaller retirement home or care facility is the best solution there is another senior specialty provider to call on called a Seniors Real Estate Specialist.
The Senior Real Estate Specialist concentrates more on a complete service package for the sale of the property and/or the purchase of a new living arrangement. The specialist also arranges for the services of a relocation specialist or Senior Move Manager to provide a complete, stress-free package for the elderly homeowner.
A move often requires downsizing and getting rid of a tremendous number of acquired possessions. The relocation specialist or Senior Move Manager, as they are often called, will typically provide a turnkey operation that includes assessing and identifying items to keep, arranging for auction or other disposal, cleaning the home, moving the belongings and setting up the new residence. The manager may also work closely with a real estate agent to arrange for the sale of the home and may also be involved in the financial transactions necessary to move into a new living arrangement.
All the help available to seniors may in itself be overwhelming. How do seniors choose the right service provider for their needs? How do they know they will hire someone qualified, responsible and honest? Area Agencies on Aging and State Better Business Bureaus are good resources to check out available service providers.
Family, friends and religious leaders can be valuable resources to seniors in referring service providers and helping to manage the hiring and supervision.
The National Care Planning Council’s website http://www.longtermcarelink.net/ provides educational articles and information on eldercare providers throughout the nation.
Monday, June 13, 2011
The Dangers of Osteoporosis
by Anne Pagnoni
Osteoporosis, which is a disease in which the bones become weak and brittle, is a condition affecting almost 10 million Americans with another 34 million being at risk for the condition. Of these almost 20% are men. While osteoporosis may not sound like a devastating disease, consider the fact that bones can become so weak and brittle that even mild stressors such as bending over, sneezing, or coughing can cause a bone fracture.
When we're younger, breaking a bone isn't necessarily a serious condition. Think of the young child who falls and breaks an arm while bike riding. He often returns to school with a cast on his arm and a marker so that all of his friends can sign it. Breaking a bone when we're older, however, is a serious condition. Broken bones due to osteoporosis most likely occur in the spine or hip both of which directly support our weight. Hip fractures in older adults can lead to disability and even death due to postoperative complications.
Some people with osteoporosis find themselves with spinal fractures even though they haven't fallen or otherwise injured themselves. This is a result of the bones in the back becoming so brittle that they begin to compress on each other. Compression fractures tend to be very painful and require a long recovery.
There are a variety of risk factors for osteoporosis - some we can change and some we can't. Risk factors that we can change include maintaining an adequate amount of calcium in our diets; stopping smoking; getting regular exercise; avoiding excessive alcohol consumption; and, if possible, avoiding the long-term use of corticosteroid medications. Risk factors that can't be changed include being a woman; increasing age; being either white or of Asian descent; having a family history of osteoporosis; being of a small body frame; possessing too much of the thyroid hormone; or having certain medical conditions including celiac disease and Crohn's Disease.
Certain medications can be prescribed to help slow bone loss and maintain bone mass. Hormone therapy, particularly estrogen, can help maintain bone density if started shortly after menopause; however, this can increase the risk of developing a plethora of other ailments including blood clots, breast cancer, and even heart disease. Physical therapy is another option which can be helpful in improving bone strength.
If you find yourself diagnosed with Osteoporosis, there are a few things that you can do to work to maintain your independence. Maintain good posture as this can help alleviate stress on your spine. If you need to lift something, make sure that you bend at your knees and not your waist, and lift with your legs. Wear low-heeled shoes with nonslip soles. Make sure that you don't have any tripping or fall hazards at home including electrical cords, throw rugs, and slippery surfaces. Keep your home brightly lit and install grab bars both inside and outside of your shower door. If you are in chronic pain, then discuss this with your doctor. Chronic pain can begin to limit your mobility, which will result in even more pain.
When it comes to osteoporosis, prevention truly is the best medicine. Make sure that you're getting adequate amounts of calcium and vitamin D in your diet. If you aren't sure that you're getting enough, then talk to your doctor about supplements that you can take. Exercise regularly. While you don't have to be a body builder, make sure that you're incorporating strength training with weight bearing exercises.
Osteoporosis, which is a disease in which the bones become weak and brittle, is a condition affecting almost 10 million Americans with another 34 million being at risk for the condition. Of these almost 20% are men. While osteoporosis may not sound like a devastating disease, consider the fact that bones can become so weak and brittle that even mild stressors such as bending over, sneezing, or coughing can cause a bone fracture.
When we're younger, breaking a bone isn't necessarily a serious condition. Think of the young child who falls and breaks an arm while bike riding. He often returns to school with a cast on his arm and a marker so that all of his friends can sign it. Breaking a bone when we're older, however, is a serious condition. Broken bones due to osteoporosis most likely occur in the spine or hip both of which directly support our weight. Hip fractures in older adults can lead to disability and even death due to postoperative complications.
Some people with osteoporosis find themselves with spinal fractures even though they haven't fallen or otherwise injured themselves. This is a result of the bones in the back becoming so brittle that they begin to compress on each other. Compression fractures tend to be very painful and require a long recovery.
There are a variety of risk factors for osteoporosis - some we can change and some we can't. Risk factors that we can change include maintaining an adequate amount of calcium in our diets; stopping smoking; getting regular exercise; avoiding excessive alcohol consumption; and, if possible, avoiding the long-term use of corticosteroid medications. Risk factors that can't be changed include being a woman; increasing age; being either white or of Asian descent; having a family history of osteoporosis; being of a small body frame; possessing too much of the thyroid hormone; or having certain medical conditions including celiac disease and Crohn's Disease.
Certain medications can be prescribed to help slow bone loss and maintain bone mass. Hormone therapy, particularly estrogen, can help maintain bone density if started shortly after menopause; however, this can increase the risk of developing a plethora of other ailments including blood clots, breast cancer, and even heart disease. Physical therapy is another option which can be helpful in improving bone strength.
If you find yourself diagnosed with Osteoporosis, there are a few things that you can do to work to maintain your independence. Maintain good posture as this can help alleviate stress on your spine. If you need to lift something, make sure that you bend at your knees and not your waist, and lift with your legs. Wear low-heeled shoes with nonslip soles. Make sure that you don't have any tripping or fall hazards at home including electrical cords, throw rugs, and slippery surfaces. Keep your home brightly lit and install grab bars both inside and outside of your shower door. If you are in chronic pain, then discuss this with your doctor. Chronic pain can begin to limit your mobility, which will result in even more pain.
When it comes to osteoporosis, prevention truly is the best medicine. Make sure that you're getting adequate amounts of calcium and vitamin D in your diet. If you aren't sure that you're getting enough, then talk to your doctor about supplements that you can take. Exercise regularly. While you don't have to be a body builder, make sure that you're incorporating strength training with weight bearing exercises.
Wednesday, June 8, 2011
Be Aware of High Blood Pressure
by Anne Pagnoni
According to the CDC, almost 68 million people are living with high blood pressure, which is also known as hypertension. High blood pressure increases the risk for heart disease and stroke, which are the first and third leading causes of death, respectively.
Blood pressure is the force of blood against your artery walls as the heart pumps your blood throughout your body. If your blood pressure rises and stays high for a long period of time, then it can damage the body in a variety of ways. Blood pressure is measured in two numbers. The systolic number, which is the "top" number, refers to blood pressure when the heart is beating. The diastolic number, which is the "bottom" number, refers to blood pressure when the heart is resting between beats. A normal blood pressure reading is any reading when the systolic number is less than 120 and the diastolic number is less than 80.
Blood pressure varies during the day. It tends to increase when you're excited, nervous, or active. It tends to decrease when you are sleeping. It's important to keep in mind that if your blood pressure stays above the normal reading for the majority of the time, then you are at risk for hypertension and other health problems.
In addition to sleep, excitement, and activity, there are many other factors that impact blood pressure. The amount of water and salt that you have in your body; the condition of your kidneys, nervous system, and blood vessels; health conditions including thyroid disease and sleep apnea; and the varying levels of hormones in your body impact blood pressure. Age impacts blood pressure as blood pressure tends to increase as we get older simply because our blood vessels become stiffer as we age.
Hypertension has been shown to cause the arteries throughout the body to narrow in some places. As a result, blood flow is limited to various body parts which can lead to heart attack, stroke, or kidney failure. Aneurysms, which are abnormal bulges in artery walls, can form in blood vessels as a result of high blood pressure. Blood vessels in the eyes can burst or begin to bleed. This can lead to changes in vision or even blindness.
There are a variety of medications that can be used to treat hypertension. These vary from medications that help remove water and salt from the body to medications that slow down the heart or relax and widen blood vessels. Some individuals benefit from having two or more medications.
In addition to prescription medications, there are a variety of lifestyle changes that one can make to help decrease blood pressure. Eating a diet low in fat, cholesterol, and salt can help reduce blood pressure as well as limiting the consumption of alcoholic beverages. Men should have no more than two alcoholic drinks per day while women should have no more than one alcoholic drink per day. Physical activity is another way to manage high blood pressure. It's important to speak with your physician prior to starting any physical exercise regiment in order to learn what is safe for you to do. Maintaining a healthy weight can do wonders in the fight against high blood pressure. If you are a smoker, then quit smoking. There are products that can help you quit. Talk to your doctor for more information about these. Learn how to manage stress and relax. Some people choose physical activity while others opt for meditation or listening to music. Find out what works for you.
While high blood pressure cannot be cured, it can be controlled. Make sure that you work closely with your doctor to make sure that your hypertension is being properly managed. Managing your high blood pressure will allow you to live a long life.
For more information, please visit the Centers for Disease Control and Prevention or the National Heart Lung and Blood Institute.
According to the CDC, almost 68 million people are living with high blood pressure, which is also known as hypertension. High blood pressure increases the risk for heart disease and stroke, which are the first and third leading causes of death, respectively.
Blood pressure is the force of blood against your artery walls as the heart pumps your blood throughout your body. If your blood pressure rises and stays high for a long period of time, then it can damage the body in a variety of ways. Blood pressure is measured in two numbers. The systolic number, which is the "top" number, refers to blood pressure when the heart is beating. The diastolic number, which is the "bottom" number, refers to blood pressure when the heart is resting between beats. A normal blood pressure reading is any reading when the systolic number is less than 120 and the diastolic number is less than 80.
Blood pressure varies during the day. It tends to increase when you're excited, nervous, or active. It tends to decrease when you are sleeping. It's important to keep in mind that if your blood pressure stays above the normal reading for the majority of the time, then you are at risk for hypertension and other health problems.
In addition to sleep, excitement, and activity, there are many other factors that impact blood pressure. The amount of water and salt that you have in your body; the condition of your kidneys, nervous system, and blood vessels; health conditions including thyroid disease and sleep apnea; and the varying levels of hormones in your body impact blood pressure. Age impacts blood pressure as blood pressure tends to increase as we get older simply because our blood vessels become stiffer as we age.
Hypertension has been shown to cause the arteries throughout the body to narrow in some places. As a result, blood flow is limited to various body parts which can lead to heart attack, stroke, or kidney failure. Aneurysms, which are abnormal bulges in artery walls, can form in blood vessels as a result of high blood pressure. Blood vessels in the eyes can burst or begin to bleed. This can lead to changes in vision or even blindness.
There are a variety of medications that can be used to treat hypertension. These vary from medications that help remove water and salt from the body to medications that slow down the heart or relax and widen blood vessels. Some individuals benefit from having two or more medications.
In addition to prescription medications, there are a variety of lifestyle changes that one can make to help decrease blood pressure. Eating a diet low in fat, cholesterol, and salt can help reduce blood pressure as well as limiting the consumption of alcoholic beverages. Men should have no more than two alcoholic drinks per day while women should have no more than one alcoholic drink per day. Physical activity is another way to manage high blood pressure. It's important to speak with your physician prior to starting any physical exercise regiment in order to learn what is safe for you to do. Maintaining a healthy weight can do wonders in the fight against high blood pressure. If you are a smoker, then quit smoking. There are products that can help you quit. Talk to your doctor for more information about these. Learn how to manage stress and relax. Some people choose physical activity while others opt for meditation or listening to music. Find out what works for you.
While high blood pressure cannot be cured, it can be controlled. Make sure that you work closely with your doctor to make sure that your hypertension is being properly managed. Managing your high blood pressure will allow you to live a long life.
For more information, please visit the Centers for Disease Control and Prevention or the National Heart Lung and Blood Institute.
Monday, May 9, 2011
Living with Arthritis
By Anne Pagnoni
According to the CDC, over 50 million Americans are living with the pain and discomfort of arthritis. Of these, 21 million are experiencing physical limitations due to the disease. While arthritis is a word that most of us have heard, did you know that arthritis is actually a general term used to describe joint inflammation and that the term arthritis is used to describe over 100 different conditions impacting the joints? While osteoarthritis is the most common type of arthritis, rheumatoid arthritis, fibromyalgia, lupus, and gout are other frequently occurring forms of arthritis. Arthritis is seen more commonly in adults over age 65, but it can impact anyone including children.
Arthritis is seen as a public health problem as it impacts such a large number of people. As our population continues to age, the number of people living with arthritis is going to increase. It is predicted that the number of adults living with arthritis will increase to 67 million by the year 2030 with at least one third being impacted with limited activity as a result.
There are a variety of factors that have been shown to increase a person’s risk for arthritis. The risk of developing arthritis increases with age. Women are at a greater chance of developing arthritis than men. Almost 60% of all people with arthritis are women. Certain genes can increase a person’s chance of developing certain types of arthritis including rheumatoid arthritis and systemic lupus. Excess weight can lead someone developing osteoarthritis of the knees. If someone has a job that involves them repeatedly bending and squatting, then they are at an increased risk of developing arthritis.
There are things that you can do to protect your joints and help prevent osteoarthritis in particular. Maintain your ideal body weight. The more you weigh the more stress you’re putting on your knee, back, hip, and feet joints. Exercise regularly. Exercise protects joints by strengthening the muscles around them. Strong muscles keep joints from rubbing on each other. When lifting or carrying items, use your largest and strongest joints and muscles. This helps alleviate stress and prevent injury to smaller joints. Listen to your body. If you’re in pain, then you probably overstressed your joints.
I f you or someone you know has been diagnosed with arthritis, there are things that you can do to continue to live a relatively pain-free life. While there are medications that can help alleviate joint pain and swelling, there are many things that can be done that don’t involve medications. Physical and occupational therapy, splints or assistive devices, and weight loss can all help control pain and maintain function. For more suggestions on how to “do it easier” with arthritis, please visit Arthritis Today.
For more detailed information about arthritis, please visit the Arthritis Foundation and Centers for Disease Control and Prevention.
According to the CDC, over 50 million Americans are living with the pain and discomfort of arthritis. Of these, 21 million are experiencing physical limitations due to the disease. While arthritis is a word that most of us have heard, did you know that arthritis is actually a general term used to describe joint inflammation and that the term arthritis is used to describe over 100 different conditions impacting the joints? While osteoarthritis is the most common type of arthritis, rheumatoid arthritis, fibromyalgia, lupus, and gout are other frequently occurring forms of arthritis. Arthritis is seen more commonly in adults over age 65, but it can impact anyone including children.
Arthritis is seen as a public health problem as it impacts such a large number of people. As our population continues to age, the number of people living with arthritis is going to increase. It is predicted that the number of adults living with arthritis will increase to 67 million by the year 2030 with at least one third being impacted with limited activity as a result.
There are a variety of factors that have been shown to increase a person’s risk for arthritis. The risk of developing arthritis increases with age. Women are at a greater chance of developing arthritis than men. Almost 60% of all people with arthritis are women. Certain genes can increase a person’s chance of developing certain types of arthritis including rheumatoid arthritis and systemic lupus. Excess weight can lead someone developing osteoarthritis of the knees. If someone has a job that involves them repeatedly bending and squatting, then they are at an increased risk of developing arthritis.
There are things that you can do to protect your joints and help prevent osteoarthritis in particular. Maintain your ideal body weight. The more you weigh the more stress you’re putting on your knee, back, hip, and feet joints. Exercise regularly. Exercise protects joints by strengthening the muscles around them. Strong muscles keep joints from rubbing on each other. When lifting or carrying items, use your largest and strongest joints and muscles. This helps alleviate stress and prevent injury to smaller joints. Listen to your body. If you’re in pain, then you probably overstressed your joints.
I f you or someone you know has been diagnosed with arthritis, there are things that you can do to continue to live a relatively pain-free life. While there are medications that can help alleviate joint pain and swelling, there are many things that can be done that don’t involve medications. Physical and occupational therapy, splints or assistive devices, and weight loss can all help control pain and maintain function. For more suggestions on how to “do it easier” with arthritis, please visit Arthritis Today.
For more detailed information about arthritis, please visit the Arthritis Foundation and Centers for Disease Control and Prevention.
Monday, April 25, 2011
MyCareCommunity Hosts a Free Webinar for New Jersey Caregivers
by Anne Pagnoni
According to the National Alliance for Caregiving, there are more than 65 million Americans spending an average of 20 hours per week providing care for a loved one. The value of these caregiving services is estimated to be $375 billion a year. This is almost double the amount spent on home care and nursing home services combined. As a service to these caregivers, MyCareCommunity of New Jersey is hosting an educational web conference entitled, "For Those in Transition…A Community Behind You". The program will address which community support services are available, should you or your loved one choose to remain at home. Also discussed in the program will be variety of senior healthcare and housing options that are available should you or your loved one choose to move from your home.
Kevin McClarren, president and care manager of Home Care Assistance in Warren Township, has partnered with MyCareCommunity both to promote the resources that it offers to caregivers and to pull together a local panel of experts, who will be present on the webinar. “This webinar is an excellent one-stop shop for caregivers to gain insight into the variety of care options that are available to their loved ones both in the home and in other care settings. Caregivers will have the ability to ask questions and interact directly with the panel, which includes experts in the field of home care, independent living, and assisted living.”
This live and interactive consumer-oriented event will be offered April 28, 2011, at 12:00 PM EST. The hour long program will explore options regarding utilizing the services of a Senior Real Estate Specialist; Assisted Living; Independent Living; Home Care; and Geriatric Care Management.
Preregistration for the event is required. Sign up today by visiting http://www.mycarecommunitynj.org/ and clicking on the registration link. Caregivers who are unable to attend the live webinar will be able to view a playback of the presentation provided that they are preregistered for the event.
About MyCareCommunity
MyCareCommunity is a free, online caregiver support program providing caregivers and their families the support and information they need to manage their many caregiving responsibilities. For more information, please visit http://www.mycarecommunitynj.org/.
According to the National Alliance for Caregiving, there are more than 65 million Americans spending an average of 20 hours per week providing care for a loved one. The value of these caregiving services is estimated to be $375 billion a year. This is almost double the amount spent on home care and nursing home services combined. As a service to these caregivers, MyCareCommunity of New Jersey is hosting an educational web conference entitled, "For Those in Transition…A Community Behind You". The program will address which community support services are available, should you or your loved one choose to remain at home. Also discussed in the program will be variety of senior healthcare and housing options that are available should you or your loved one choose to move from your home.
Kevin McClarren, president and care manager of Home Care Assistance in Warren Township, has partnered with MyCareCommunity both to promote the resources that it offers to caregivers and to pull together a local panel of experts, who will be present on the webinar. “This webinar is an excellent one-stop shop for caregivers to gain insight into the variety of care options that are available to their loved ones both in the home and in other care settings. Caregivers will have the ability to ask questions and interact directly with the panel, which includes experts in the field of home care, independent living, and assisted living.”
This live and interactive consumer-oriented event will be offered April 28, 2011, at 12:00 PM EST. The hour long program will explore options regarding utilizing the services of a Senior Real Estate Specialist; Assisted Living; Independent Living; Home Care; and Geriatric Care Management.
Preregistration for the event is required. Sign up today by visiting http://www.mycarecommunitynj.org/ and clicking on the registration link. Caregivers who are unable to attend the live webinar will be able to view a playback of the presentation provided that they are preregistered for the event.
About MyCareCommunity
MyCareCommunity is a free, online caregiver support program providing caregivers and their families the support and information they need to manage their many caregiving responsibilities. For more information, please visit http://www.mycarecommunitynj.org/.
Monday, April 18, 2011
Using Your Home Equity for Long Term Care
by Anne Pagnoni
For many seniors the equity in their home is their largest single asset, yet it is unavailable to use unless they use a home equity loan. But a conventional loan really doesn't free up the equity because the money has to be paid back with interest.
A reverse mortgage is a risk-free way of tapping into home equity without creating monthly payments and without requiring the money to be paid back during a person's lifetime. Instead of making payments the cash flow is reversed and the senior receives payments from the bank. Thus the title "reverse mortgage".
Many seniors are finding they can use a reverse mortgage to pay off an existing conventional mortgage, to create money to pay off debt, make home repairs, or for remodeling.
For those seniors who are in need of long term care and want to stay in their home, a reverse mortgage can create the money needed to pay for in-home personal and medical care. They can also pay for needed medical equipment and handicap adaptation to their home.
There are no income, asset or credit requirements. It is the easiest loan to qualify for.
A reverse mortgage is similar to a conventional mortgage. As an example:
•The bank does not own the home but owns a lien on the property just as with any other mortgage
•You continue to hold title to the property as with any other mortgage
•The bank has no recourse to demand payment from any family member if there is not enough equity to cover paying off the loan
•There is no penalty to pay off the mortgage early
•The proceeds from a reverse mortgage are tax-free and can be used for any legal purpose you wish
False Beliefs Regarding Reverse Mortgages
•"The lender could take my house." The homeowner retains full ownership. The Reverse Mortgage is just like any other mortgage; you own the title and the bank holds a lien. You can pay it off anytime you like.
•"I can be thrown out of my own home." Homeowners can stay in the home as long as they live, with no payment requirement.
•"I could end up owing more than my house is worth." The homeowner can never owe more than the value of the home at the time the loan is due.
•"My heirs will be against it." Experience demonstrates heirs are in favor of Reverse Mortgages.
Virtually anyone can qualify. You must be at least 62, own and live in, as a primary residence, a home [1-4 family residence, condominium, co-op, permanent mobile home, or manufactured home] in order to qualify for a reverse mortgage.
The amount of reverse mortgage benefit for which you may qualify, will depend on
•your age at the time you apply for the loan
•the reverse mortgage program you choose
•the value of your home
•current interest rates
•and for some products, where you live
As a general rule, the older you are and the greater your equity, the larger the reverse mortgage benefit will be (up to certain limits, in some cases). The reverse mortgage must pay off any outstanding liens against your property before you can withdraw additional funds.
The loan is not due and payable until the borrower or borrowers no longer occupy the home as a principal residence (i.e. the borrower sells, moves out permanently or passes away). At that time, the balance of borrowed funds is due and payable, all additional equity in the property belongs to the owners or their beneficiaries.
The most popular reverse mortgages are the so-called HECM loans. HECM loans require that the applicant meet with a government approved counseling agency to be sure the applicant understands the reverse mortgage process.
The Federal Trade Commission states:
“Before applying for a HECM, you must meet with a counselor from an independent government-approved housing counseling agency. Some lenders offering proprietary reverse mortgages also require counseling. The counselor is required to explain the loan’s costs and financial implications, and possible alternatives to a HECM, like government and nonprofit programs or a single-purpose or proprietary reverse mortgage. The counselor also should be able to help you compare the costs of different types of reverse mortgages and tell you how different payment options, fees, and other costs affect the total cost of the loan over time. Most counseling agencies charge around $125 for their services. The fee can be paid from the loan proceeds, but you cannot be turned away if you can’t afford the fee.”
A Reverse Mortgage Specialist in your area can answer your questions, calculate the amount of loan you can receive and advise the type of loan for your needs.
The National Care Planning Council (http://longtermcarelink.net/a7reversemortgage.htm) has a list of Reverse Mortgage Specialists in your area.
For many seniors the equity in their home is their largest single asset, yet it is unavailable to use unless they use a home equity loan. But a conventional loan really doesn't free up the equity because the money has to be paid back with interest.
A reverse mortgage is a risk-free way of tapping into home equity without creating monthly payments and without requiring the money to be paid back during a person's lifetime. Instead of making payments the cash flow is reversed and the senior receives payments from the bank. Thus the title "reverse mortgage".
Many seniors are finding they can use a reverse mortgage to pay off an existing conventional mortgage, to create money to pay off debt, make home repairs, or for remodeling.
For those seniors who are in need of long term care and want to stay in their home, a reverse mortgage can create the money needed to pay for in-home personal and medical care. They can also pay for needed medical equipment and handicap adaptation to their home.
There are no income, asset or credit requirements. It is the easiest loan to qualify for.
A reverse mortgage is similar to a conventional mortgage. As an example:
•The bank does not own the home but owns a lien on the property just as with any other mortgage
•You continue to hold title to the property as with any other mortgage
•The bank has no recourse to demand payment from any family member if there is not enough equity to cover paying off the loan
•There is no penalty to pay off the mortgage early
•The proceeds from a reverse mortgage are tax-free and can be used for any legal purpose you wish
False Beliefs Regarding Reverse Mortgages
•"The lender could take my house." The homeowner retains full ownership. The Reverse Mortgage is just like any other mortgage; you own the title and the bank holds a lien. You can pay it off anytime you like.
•"I can be thrown out of my own home." Homeowners can stay in the home as long as they live, with no payment requirement.
•"I could end up owing more than my house is worth." The homeowner can never owe more than the value of the home at the time the loan is due.
•"My heirs will be against it." Experience demonstrates heirs are in favor of Reverse Mortgages.
Virtually anyone can qualify. You must be at least 62, own and live in, as a primary residence, a home [1-4 family residence, condominium, co-op, permanent mobile home, or manufactured home] in order to qualify for a reverse mortgage.
The amount of reverse mortgage benefit for which you may qualify, will depend on
•your age at the time you apply for the loan
•the reverse mortgage program you choose
•the value of your home
•current interest rates
•and for some products, where you live
As a general rule, the older you are and the greater your equity, the larger the reverse mortgage benefit will be (up to certain limits, in some cases). The reverse mortgage must pay off any outstanding liens against your property before you can withdraw additional funds.
The loan is not due and payable until the borrower or borrowers no longer occupy the home as a principal residence (i.e. the borrower sells, moves out permanently or passes away). At that time, the balance of borrowed funds is due and payable, all additional equity in the property belongs to the owners or their beneficiaries.
The most popular reverse mortgages are the so-called HECM loans. HECM loans require that the applicant meet with a government approved counseling agency to be sure the applicant understands the reverse mortgage process.
The Federal Trade Commission states:
“Before applying for a HECM, you must meet with a counselor from an independent government-approved housing counseling agency. Some lenders offering proprietary reverse mortgages also require counseling. The counselor is required to explain the loan’s costs and financial implications, and possible alternatives to a HECM, like government and nonprofit programs or a single-purpose or proprietary reverse mortgage. The counselor also should be able to help you compare the costs of different types of reverse mortgages and tell you how different payment options, fees, and other costs affect the total cost of the loan over time. Most counseling agencies charge around $125 for their services. The fee can be paid from the loan proceeds, but you cannot be turned away if you can’t afford the fee.”
A Reverse Mortgage Specialist in your area can answer your questions, calculate the amount of loan you can receive and advise the type of loan for your needs.
The National Care Planning Council (http://longtermcarelink.net/a7reversemortgage.htm) has a list of Reverse Mortgage Specialists in your area.
Wednesday, March 30, 2011
New Report Reveals Nearly 15 Million Alzheimer's Caregivers
According to the 2011 Alzheimer's Disease Facts and Figures released March 15 by the Alzheimer's Association, there are nearly 15 million Alzheimer's and dementia caregivers in the United States - 37 percent more than reported last year. In 2010, these individuals provided 17 billion hours of unpaid care valued at $202.6 billion.
The rising prevalence of Alzheimer's places increasingly intense demands - emotional, physical and financial -on the millions of family members and friends who care for those with Alzheimer's. "Alzheimer's disease doesn't just affect those with it. It invades families and the lives of everyone around them," said Harry Johns, president and CEO of the Alzheimer's Association.
As the Alzheimer's epidemic continues to escalate, more and more Americans will experience the strain of this disease. Today, an estimated 5.4 million individuals are living with Alzheimer's. It is the sixth-leading cause of death in the country and the only cause of death among the top 10 in the United States that cannot be prevented, cured or even slowed.
2011 Facts and Figures also includes a special report focusing on early detection and diagnosis. Increasing evidence suggests that early diagnosis of Alzheimer's and timely intervention is beneficial both for people with the disease and their caregivers. Experts believe that early detection of Alzheimer's disease and early interventions with improved therapies provide the greatest hope to delay or stop additional damage to the brain.
To help, learn the 10 Warning Signs of Alzheimer's Disease© and be aware of them in yourself and others. The signs are a key tool in increasing recognition of changes that indicate Alzheimer's or another dementia.
10 Warning Signs of Alzheimer's Disease
• Memory changes that disrupt daily life
• Challenges in planning or solving problems
• Difficulty completing familiar tasks
• Confusion with time or place
• Trouble understanding visual images and spatial relationships
• New problems with words in speaking or writing
• Misplacing things and losing the ability to retrace steps
• Decreased or poor judgment
• Withdrawal from work or social activities
• Changes in mood and personality
If you or someone you care about is experiencing any of the 10 warning signs, please see a doctor to find the cause. For more information about the signs, early detection and diagnosis or the Facts and Figures report, contact the Alzheimer's Association via the web or 1.800.272.3900.
The rising prevalence of Alzheimer's places increasingly intense demands - emotional, physical and financial -on the millions of family members and friends who care for those with Alzheimer's. "Alzheimer's disease doesn't just affect those with it. It invades families and the lives of everyone around them," said Harry Johns, president and CEO of the Alzheimer's Association.
As the Alzheimer's epidemic continues to escalate, more and more Americans will experience the strain of this disease. Today, an estimated 5.4 million individuals are living with Alzheimer's. It is the sixth-leading cause of death in the country and the only cause of death among the top 10 in the United States that cannot be prevented, cured or even slowed.
2011 Facts and Figures also includes a special report focusing on early detection and diagnosis. Increasing evidence suggests that early diagnosis of Alzheimer's and timely intervention is beneficial both for people with the disease and their caregivers. Experts believe that early detection of Alzheimer's disease and early interventions with improved therapies provide the greatest hope to delay or stop additional damage to the brain.
To help, learn the 10 Warning Signs of Alzheimer's Disease© and be aware of them in yourself and others. The signs are a key tool in increasing recognition of changes that indicate Alzheimer's or another dementia.
10 Warning Signs of Alzheimer's Disease
• Memory changes that disrupt daily life
• Challenges in planning or solving problems
• Difficulty completing familiar tasks
• Confusion with time or place
• Trouble understanding visual images and spatial relationships
• New problems with words in speaking or writing
• Misplacing things and losing the ability to retrace steps
• Decreased or poor judgment
• Withdrawal from work or social activities
• Changes in mood and personality
If you or someone you care about is experiencing any of the 10 warning signs, please see a doctor to find the cause. For more information about the signs, early detection and diagnosis or the Facts and Figures report, contact the Alzheimer's Association via the web or 1.800.272.3900.
Sunday, March 20, 2011
A Local Hometown Hero
This month’s Caregiver Spotlight honors Barbara Bryson from Home Care Assistance of Southern New Jersey for her professionalism, compassion and dedication to her client. Barb has been in the health care field for over 20 years and she has been a Certified Home Health Aide for over 16 years.
Barb’s stays with her client Nancy five days a week. Nancy is unable to effectively verbalize her thoughts and ideas due to the effects of a brain tumor and stroke. The two have built such a strong bond that Barb is now able to anticipate most of Nancy’s needs before they arise. Speaking on behalf of the family, Nancy’s daughter Jane says:
"Barb is an absolute gem. Not only is she reliable, caring and compassionate, but she is truly a wonderful person. She is very respectful of my home which is very important when you have someone in your home every day. Barb has become as close to a family member as we could hope for."
Barb provides daily companionship to Nancy and accompanies her on appointments and other trips outside the home. She has happily agreed to stay overnight at the home when Jane needs to travel for business. In addition to the great bond Barb has formed with Nancy and her family, she has also found a new friend in their dog Petey!
Thank you, Barbara, for all your hard work! You are an inspiration to us all.
Barb’s stays with her client Nancy five days a week. Nancy is unable to effectively verbalize her thoughts and ideas due to the effects of a brain tumor and stroke. The two have built such a strong bond that Barb is now able to anticipate most of Nancy’s needs before they arise. Speaking on behalf of the family, Nancy’s daughter Jane says:
"Barb is an absolute gem. Not only is she reliable, caring and compassionate, but she is truly a wonderful person. She is very respectful of my home which is very important when you have someone in your home every day. Barb has become as close to a family member as we could hope for."
Barb provides daily companionship to Nancy and accompanies her on appointments and other trips outside the home. She has happily agreed to stay overnight at the home when Jane needs to travel for business. In addition to the great bond Barb has formed with Nancy and her family, she has also found a new friend in their dog Petey!
Thank you, Barbara, for all your hard work! You are an inspiration to us all.
Thursday, March 10, 2011
Choosing Home Care Services that Meet Your Needs
by Anne Pagnoni
Making the decision to hire a home care service to provide care for your loved one is an important decision and can, at the same time, be very difficult. If an illness or recovery from surgery requires nursing care or physical therapy, a physician may order skilled home care services that provide both skilled providers and personal aides. Your decision is then based on the obvious medical determinations made by the doctor. But what if you as the family caregiver must determine the extent of care needed without the help of a doctor?
Each home care situation is unique. In the beginning, family or friends step in to help with simple tasks and support for aging seniors who want to stay in their homes. As long term care needs progress, more time is required to manage those needs. Physical and mental conditions change with aging making usually routine hygiene and daily living activities difficult for an aging individual. Even with the healthiest of seniors, the ability to drive a car, shop for groceries or do general housekeeping eventually needs to be relinquished to the responsibility of another person.
In one example, Karen, would stop by her parents' home on her way to work every morning and again on her way home from work in the evening. She checked in the morning to see that they were up and ready for the day and Karen would take a shopping list for things they needed. In the evening she delivered the needed items she had purchased during her lunch break and sometimes she fixed a meal when one was not prepared by her mother. This worked well until Karen began to notice her father did not shave or dress during the day and both parents were forgetting their medications. Karen felt more time and supervision was needed in their care but with her own family and job, she could not do it. Non-medical or personal home care services would be a good option for Karen to consider.
Before starting your search for a non-medical or personal home care company, determine what the care needs are and how much time each week will be required for assistance from the company. You may want to consult with the family physician and other family members as well as experienced social workers or care managers to determine needs. Most home care companies, as well, will help you do an assessment at no charge. With your care needs in hand, you are ready to begin your search.
The National Association for Home Care & Hospice (http://www.nahc.org/home.html) gives the following guidelines and checklist in searching for a home care company.
Following up on these guidelines can help you determine the quality of personal care that is given. Many states license non-medical home care companies and require both legal and health standards to be maintained.
Read about individual home care companies in your area on the National Care Planning Council's website http://www.longtermcarelink.net/.
Making the decision to hire a home care service to provide care for your loved one is an important decision and can, at the same time, be very difficult. If an illness or recovery from surgery requires nursing care or physical therapy, a physician may order skilled home care services that provide both skilled providers and personal aides. Your decision is then based on the obvious medical determinations made by the doctor. But what if you as the family caregiver must determine the extent of care needed without the help of a doctor?
Each home care situation is unique. In the beginning, family or friends step in to help with simple tasks and support for aging seniors who want to stay in their homes. As long term care needs progress, more time is required to manage those needs. Physical and mental conditions change with aging making usually routine hygiene and daily living activities difficult for an aging individual. Even with the healthiest of seniors, the ability to drive a car, shop for groceries or do general housekeeping eventually needs to be relinquished to the responsibility of another person.
In one example, Karen, would stop by her parents' home on her way to work every morning and again on her way home from work in the evening. She checked in the morning to see that they were up and ready for the day and Karen would take a shopping list for things they needed. In the evening she delivered the needed items she had purchased during her lunch break and sometimes she fixed a meal when one was not prepared by her mother. This worked well until Karen began to notice her father did not shave or dress during the day and both parents were forgetting their medications. Karen felt more time and supervision was needed in their care but with her own family and job, she could not do it. Non-medical or personal home care services would be a good option for Karen to consider.
Before starting your search for a non-medical or personal home care company, determine what the care needs are and how much time each week will be required for assistance from the company. You may want to consult with the family physician and other family members as well as experienced social workers or care managers to determine needs. Most home care companies, as well, will help you do an assessment at no charge. With your care needs in hand, you are ready to begin your search.
The National Association for Home Care & Hospice (http://www.nahc.org/home.html) gives the following guidelines and checklist in searching for a home care company.
- How long has this provider been serving the community?
- Does this provider supply literature explaining its services, eligibility requirements, fees, and funding sources? Many providers furnish their home care clients with a detailed "Patient Bill of Rights" that outlines the rights and responsibilities of the providers, clients, and family caregivers alike.
- How does this provider select and train its employees? Does it protect its workers with written personnel policies and malpractice insurance? Does it protect clients from theft or abuse by bonding its employees?
- Does this provider assign supervisors to oversee the quality of care clients are receiving in their homes? If so, how often do these individuals make visits? Who can the client and his or her family members call with questions or complaints? How does the company follow up on and resolve problems?
- What are the financial procedures of this provider? Does the provider furnish written statements explaining all of the costs and payment plan options associated with home care?
- What procedures does this provider have in place to handle emergencies? Are its caregivers available on notice?
- How does this provider ensure client confidentiality?
Following up on these guidelines can help you determine the quality of personal care that is given. Many states license non-medical home care companies and require both legal and health standards to be maintained.
Read about individual home care companies in your area on the National Care Planning Council's website http://www.longtermcarelink.net/.
Sunday, February 27, 2011
Who is Home Care Assistance?
This is who we are. The security guard. The friend. The caregiver.
“No way, I’ll throw her out of the house – I don’t need and I don’t want a caregiver,” Ed yelled at his daughter.
Linda knew her Father needed help — his Alzheimer’s was progressing and he was getting very forgetful of important things – like turning off the stove.
But he was adamant about not having help. Linda was getting desperate, afraid for her Father’s safety and health since he lived alone in a home that he didn’t want to leave.
Fortunately, Linda called Home Care Assistance and talked with a Case Manager familiar with the problem. They discussed her Father’s habits and enjoyments and found that Ed liked going out to lunch every day and occasionally, to a nearby Indian casino to play the slot machines.
OK, said the Case Manger – Ed doesn’t want a caregiver, but how about a security guard, would he accept that?
Together, daughter and our Home Care Assistance Case Manager convinced Ed that he would be a lot safer with a security guard – and he agreed.
One of Home Care Assistance best male caregivers (aka Security Guard Jim), took care of Ed in his home – and made sure that he was safe when they went out to lunch – and occasionally, to play the slots at the nearby casino!
“No way, I’ll throw her out of the house – I don’t need and I don’t want a caregiver,” Ed yelled at his daughter.
Linda knew her Father needed help — his Alzheimer’s was progressing and he was getting very forgetful of important things – like turning off the stove.
But he was adamant about not having help. Linda was getting desperate, afraid for her Father’s safety and health since he lived alone in a home that he didn’t want to leave.
Fortunately, Linda called Home Care Assistance and talked with a Case Manager familiar with the problem. They discussed her Father’s habits and enjoyments and found that Ed liked going out to lunch every day and occasionally, to a nearby Indian casino to play the slot machines.
OK, said the Case Manger – Ed doesn’t want a caregiver, but how about a security guard, would he accept that?
Together, daughter and our Home Care Assistance Case Manager convinced Ed that he would be a lot safer with a security guard – and he agreed.
One of Home Care Assistance best male caregivers (aka Security Guard Jim), took care of Ed in his home – and made sure that he was safe when they went out to lunch – and occasionally, to play the slots at the nearby casino!
Wednesday, February 23, 2011
Caregiver Interventions Can Help Treat Those With Alzheimer’s and Dementia
With a new year, comes new innovations in the healthcare industry. The New York Times reports that recent research is stressing the importance of caregiving to those with Alzheimer’s. With no effective treatment for Alzheimer’s, dementia therapy is the caregiving performed by families, agencies or at assisted living facilities.
“There’s actually better evidence and more significant results in caregiver interventions than there is in anything to treat this disease so far,” says Lisa P. Gwyther, Education Director for the Bryan Alzheimer’s Disease Research Center at Duke University.
Research suggests that creating positive emotional experiences for Alzheimer’s patients reduces distress and behavior problems. Emotions exist even after cognition deteriorates, so changing things like food, art, exercise, or the aesthetics of a room can generate positive emotions. The Journal of the American Medical Association found that brightening lights in dementia facilities decreased depression and cognitive deterioration.
Additionally, the research is stressing the importance of a caregiver’s emotional state, so much that agencies are developing programs to provide caregivers with education and emotional support. This type of support is not only beneficial to the caregivers themselves, but to their patients as well.
Home Care Assistance similarly stresses the importance of emotional support to both the patient and the caregiver. This type of innovative research is an exciting start to 2011. Hopefully we will continue to see even greater breakthroughs in the treatment of those with Alzheimer’s and dementia.
“There’s actually better evidence and more significant results in caregiver interventions than there is in anything to treat this disease so far,” says Lisa P. Gwyther, Education Director for the Bryan Alzheimer’s Disease Research Center at Duke University.
Research suggests that creating positive emotional experiences for Alzheimer’s patients reduces distress and behavior problems. Emotions exist even after cognition deteriorates, so changing things like food, art, exercise, or the aesthetics of a room can generate positive emotions. The Journal of the American Medical Association found that brightening lights in dementia facilities decreased depression and cognitive deterioration.
Additionally, the research is stressing the importance of a caregiver’s emotional state, so much that agencies are developing programs to provide caregivers with education and emotional support. This type of support is not only beneficial to the caregivers themselves, but to their patients as well.
Home Care Assistance similarly stresses the importance of emotional support to both the patient and the caregiver. This type of innovative research is an exciting start to 2011. Hopefully we will continue to see even greater breakthroughs in the treatment of those with Alzheimer’s and dementia.
Saturday, February 12, 2011
Report Calls Alzheimer's the Defining Disease of Baby Boomer Generation
According to Generation Alzheimer’s, a new report released by the Alzheimer’s Association on Jan. 27, one in eight baby boomers will develop Alzheimer’s, a devastating, heartbreaking, costly disease. It’s no longer their grandparents and parents who have Alzheimer’s – it’s the baby boomers themselves.
A rapidly aging population and dramatic increases in the number of Alzheimer cases in the coming years underscores the urgency in dealing with a crisis that is no longer emerging, but here.
Generation Alzheimer’s also describes the effect Alzheimer’s has on families and friends. Beyond the 10 million baby boomers who will either die with or from Alzheimer’s, millions of caregivers will be devastated, not only by the progressive loss of their loved one, but also by the care they will provide – care that could negatively affect their health, financial security and their future.
Most people survive an average of four to six years after a diagnosis of Alzheimer’s, but many live for as long as 20 years with the disease. This often long duration places increasingly intensive care demands on Alzheimer and dementia caregivers – as many as 11 million nationwide.
Alzheimer’s disease will also have a profound effect on our nation, killing more than diabetes and more than breast cancer and prostate cancer combined. According to preliminary data from National Center for Health Statistics, the number of Americans that die each year from Alzheimer’s disease has risen 66 percent since 2000. In 2010, Alzheimer’s and other dementias cost American society – families, insurers and the government - $172 billion; during the next 40 years it will cost more than $20 trillion, enough to pay of the national debt today and still send a $20,000 check to every man, woman and child in America.
Generation Alzheimer’s calls for a federal government committed to a thorough, aggressive and innovative approach to ending Alzheimer’s.
For more information about Generation Alzheimer’s, Alzheimer’s disease or resources to help, visit the Alzheimer’s Association at alz.org. To read the report, please click here: Generation Alzheimer's.
A rapidly aging population and dramatic increases in the number of Alzheimer cases in the coming years underscores the urgency in dealing with a crisis that is no longer emerging, but here.
Generation Alzheimer’s also describes the effect Alzheimer’s has on families and friends. Beyond the 10 million baby boomers who will either die with or from Alzheimer’s, millions of caregivers will be devastated, not only by the progressive loss of their loved one, but also by the care they will provide – care that could negatively affect their health, financial security and their future.
Most people survive an average of four to six years after a diagnosis of Alzheimer’s, but many live for as long as 20 years with the disease. This often long duration places increasingly intensive care demands on Alzheimer and dementia caregivers – as many as 11 million nationwide.
Alzheimer’s disease will also have a profound effect on our nation, killing more than diabetes and more than breast cancer and prostate cancer combined. According to preliminary data from National Center for Health Statistics, the number of Americans that die each year from Alzheimer’s disease has risen 66 percent since 2000. In 2010, Alzheimer’s and other dementias cost American society – families, insurers and the government - $172 billion; during the next 40 years it will cost more than $20 trillion, enough to pay of the national debt today and still send a $20,000 check to every man, woman and child in America.
Generation Alzheimer’s calls for a federal government committed to a thorough, aggressive and innovative approach to ending Alzheimer’s.
For more information about Generation Alzheimer’s, Alzheimer’s disease or resources to help, visit the Alzheimer’s Association at alz.org. To read the report, please click here: Generation Alzheimer's.
Somebody's Sweetheart
by Anne Pagnoni
The month of February and Valentine’s Day brings a celebration of love and stirs couples to rekindle feelings of romance and devotion. Not so different from young couples are aging seniors, celebrating memories of sweethearts and romance in days gone by. Sit a while with a senior couple and they will soon be telling you their romance story or listen to a widow or widower as they sing their favorite love song from their youth.
Dementia and Alzheimer’s can rob senior minds of many of these treasured memories, changing their personality and life style. Because of these and other illnesses, many seniors end up in nursing homes or care facilities where only their basic physical needs are cared for by the facility staff. To these seniors, Valentine’s Day becomes no different from every other day. They often find it difficult to relive memories of the past. In one care facility a sign placed lovingly over a patient’s bed reads, “I Am Somebody’s Sweetheart,” as if to say I once dreamed, lived and loved, please treat me kindly.
When asked how she relates to those she cares for, nurse assistant Karen W. replies that most of the time it's those patients who are causing a disturbance or may be in danger of harming themselves who are the ones that get her attention. Even then she can only take care of the immediate problem. Very seldom has she time to personally get to know well all the elderly people she cares for.
Although this is true with many facilities, the need for more personalized care is, in some cases, being recognized. Assisted living facilities with specialized memory care programs -- some using art, music and dance or physical activities -- are finding great success with increasing the quality of life for those suffering from dementia and Alzheimer’s. Many care facilities across the nation are adding these programs to better serve their residents.
If you cannot find a facility in your area that provides this special attention, home care may be a better option. Consider this real experience. When Nora would visit her father in the nursing home she would find him sitting, slumped over and disinterested in his surroundings. By the time she and her young children finished their visit, he was alert and talking to them. Feeling he would do better in her home environment, Nora enlisted the services of a Geriatric Care Manager to evaluate her father and determine what would be needed for his care at home so that he could get the social stimulation that he needed.
A Geriatric Care Manager can be a valuable asset to family members when it becomes necessary to look at alternatives for their loved one's long term care. They work with all members of the family in educating about resources and making decisions. Some services provided are:
With help from her Geriatric Care Manager, Nora brought her father to her home for his care. The care manager worked with her father’s doctor, prescribing a physical therapist and nurse's aide to come to the home. A non-medical home care company was employed to help with daily bathing and dressing.
Another resource available to families, which is not used as often as it should be, is hospice. Hospice care is provided in the home or in a hospice facility, hospital or nursing home. When illness is terminal, hospice service is provided by a team which includes doctors, nurses, grief counselors, aides and social workers as needed. These services can be provided at no out-of-pocket cost by Medicare.
In her internet article Naomi Naierman, President and CEO of the American Hospice Foundation states: “As a Medicare beneficiary, you are entitled to the Medicare Hospice Benefit without additional premiums. If you are enrolled in a managed care organization (MCO) you have access to this benefit, even if the MCO does not cover hospice services. The Medicare Hospice Benefit covers the following hospice services in full:
"Somebody’s Sweetheart" may be in need of your loving care someday and help is available to reduce your burden and ease the journey.
The month of February and Valentine’s Day brings a celebration of love and stirs couples to rekindle feelings of romance and devotion. Not so different from young couples are aging seniors, celebrating memories of sweethearts and romance in days gone by. Sit a while with a senior couple and they will soon be telling you their romance story or listen to a widow or widower as they sing their favorite love song from their youth.
Dementia and Alzheimer’s can rob senior minds of many of these treasured memories, changing their personality and life style. Because of these and other illnesses, many seniors end up in nursing homes or care facilities where only their basic physical needs are cared for by the facility staff. To these seniors, Valentine’s Day becomes no different from every other day. They often find it difficult to relive memories of the past. In one care facility a sign placed lovingly over a patient’s bed reads, “I Am Somebody’s Sweetheart,” as if to say I once dreamed, lived and loved, please treat me kindly.
When asked how she relates to those she cares for, nurse assistant Karen W. replies that most of the time it's those patients who are causing a disturbance or may be in danger of harming themselves who are the ones that get her attention. Even then she can only take care of the immediate problem. Very seldom has she time to personally get to know well all the elderly people she cares for.
Although this is true with many facilities, the need for more personalized care is, in some cases, being recognized. Assisted living facilities with specialized memory care programs -- some using art, music and dance or physical activities -- are finding great success with increasing the quality of life for those suffering from dementia and Alzheimer’s. Many care facilities across the nation are adding these programs to better serve their residents.
If you cannot find a facility in your area that provides this special attention, home care may be a better option. Consider this real experience. When Nora would visit her father in the nursing home she would find him sitting, slumped over and disinterested in his surroundings. By the time she and her young children finished their visit, he was alert and talking to them. Feeling he would do better in her home environment, Nora enlisted the services of a Geriatric Care Manager to evaluate her father and determine what would be needed for his care at home so that he could get the social stimulation that he needed.
A Geriatric Care Manager can be a valuable asset to family members when it becomes necessary to look at alternatives for their loved one's long term care. They work with all members of the family in educating about resources and making decisions. Some services provided are:
- Make an assessment about the type of care need
- Develop a care plan for care both current and future care
- Work with physicians in getting medical support
- Find home care services that work with the families’ needs
- Provide assistance with legal and financial issues
- Home health care companies: provide nurses, physical therapists, social workers and aides that assist with basic health care such as changing bandages, taking vital signs and helping with medication as well as a host of other skilled needs.
- Non-medical home providers: help with bathing, dressing, meals, ambulating, chores, errands, housekeeping and much, much more.
With help from her Geriatric Care Manager, Nora brought her father to her home for his care. The care manager worked with her father’s doctor, prescribing a physical therapist and nurse's aide to come to the home. A non-medical home care company was employed to help with daily bathing and dressing.
Another resource available to families, which is not used as often as it should be, is hospice. Hospice care is provided in the home or in a hospice facility, hospital or nursing home. When illness is terminal, hospice service is provided by a team which includes doctors, nurses, grief counselors, aides and social workers as needed. These services can be provided at no out-of-pocket cost by Medicare.
In her internet article Naomi Naierman, President and CEO of the American Hospice Foundation states: “As a Medicare beneficiary, you are entitled to the Medicare Hospice Benefit without additional premiums. If you are enrolled in a managed care organization (MCO) you have access to this benefit, even if the MCO does not cover hospice services. The Medicare Hospice Benefit covers the following hospice services in full:
- Skilled nursing services
- Volunteer Services
- Physician visits
- Skilled therapy
- Home health aide visits
- Medical social services
- Spiritual counseling
- Nutrition counseling
- Bereavement support for the family”
"Somebody’s Sweetheart" may be in need of your loving care someday and help is available to reduce your burden and ease the journey.
Wednesday, February 2, 2011
How to Choose Homecare
By Kathryn Zakskorn
One of most difficult decisions adult children make when caring for aging parents is where to turn for in-home care. The myriad of choices can be overwhelming. Essentially, there are three choices: private hire, Domestic Referral Agencies and full service companies.
With a private hire caregiver, the family or older adult becomes responsible for all steps of the hiring process. They must advertise, interview, and conduct background checks. Once a caregiver is selected, the older adult or family member must negotiate schedule, salary and benefits. A written contract, signed by both parties, clearly outlining all of the duties and expectations, is imperative. Liability normally falls on the client’s lap when it comes to payroll taxes, social security, unemployment taxes and workers compensation cost. It is imperative to get a rider on your homeowners insurance policy to protect your assets if anything should happen to the private hire in your home. Even though a private hire may be cost effective, the safety risk is the greatest especially when the older adult lives alone without supportive family available or there is impaired judgment on the part of the older adult. The risk is greatly reduced when a family member is able to supervise the caregiver. Professional geriatric care managers are also excellent supervisors when family is not available (more on that next issue).
Domestic referral agencies are essentially registries. A client calls for service and a caregiver is placed in a home for a placement fee and sometimes an ongoing management fee. The referral agencies do not employ the caregiver. The client becomes the employer, and similar to a private hire is responsible for payroll taxes, social security, and unemployment insurance and workers compensation. Some referral agencies have trust accounts where the client pays the agency and the agency then pays the caregiver, and sometimes sets up a tax service for the client, but the client is still considered the employer. Since referral agencies are not employers, they do not supervise the caregiver. This increases the safety risk. Like a private hire, it is important that a family members or geriatric care manager supervise and oversee the care.
Full service agencies employ the caregivers. They hire, screen, train and supervise the employees and place them in the older adult’s home. As the employer, the full service agency is responsible for all payroll taxes, social security, worker compensation, and unemployment insurance. A good full service agency should be able to produce a copy of their liability insurance and carry some sort of bond. Supervision is done by the agency, with some agencies providing care managers who directly oversee client cases, thereby lowering the risk to the consumer. The cost of a full service agency is normally higher than a private duty hire or a domestic referral agency due to these factors, however the risk is essentially lower.
When choosing homecare for yourself or an older adult, remember to take into consideration the risk level of the older adult and the familial involvement. Educate yourself on what service is best for your situation and then interview several potential individuals or agencies. Finally, think ahead. Don’t wait for a crisis to begin searching for the best care for you or your loved one.
One of most difficult decisions adult children make when caring for aging parents is where to turn for in-home care. The myriad of choices can be overwhelming. Essentially, there are three choices: private hire, Domestic Referral Agencies and full service companies.
With a private hire caregiver, the family or older adult becomes responsible for all steps of the hiring process. They must advertise, interview, and conduct background checks. Once a caregiver is selected, the older adult or family member must negotiate schedule, salary and benefits. A written contract, signed by both parties, clearly outlining all of the duties and expectations, is imperative. Liability normally falls on the client’s lap when it comes to payroll taxes, social security, unemployment taxes and workers compensation cost. It is imperative to get a rider on your homeowners insurance policy to protect your assets if anything should happen to the private hire in your home. Even though a private hire may be cost effective, the safety risk is the greatest especially when the older adult lives alone without supportive family available or there is impaired judgment on the part of the older adult. The risk is greatly reduced when a family member is able to supervise the caregiver. Professional geriatric care managers are also excellent supervisors when family is not available (more on that next issue).
Domestic referral agencies are essentially registries. A client calls for service and a caregiver is placed in a home for a placement fee and sometimes an ongoing management fee. The referral agencies do not employ the caregiver. The client becomes the employer, and similar to a private hire is responsible for payroll taxes, social security, and unemployment insurance and workers compensation. Some referral agencies have trust accounts where the client pays the agency and the agency then pays the caregiver, and sometimes sets up a tax service for the client, but the client is still considered the employer. Since referral agencies are not employers, they do not supervise the caregiver. This increases the safety risk. Like a private hire, it is important that a family members or geriatric care manager supervise and oversee the care.
Full service agencies employ the caregivers. They hire, screen, train and supervise the employees and place them in the older adult’s home. As the employer, the full service agency is responsible for all payroll taxes, social security, worker compensation, and unemployment insurance. A good full service agency should be able to produce a copy of their liability insurance and carry some sort of bond. Supervision is done by the agency, with some agencies providing care managers who directly oversee client cases, thereby lowering the risk to the consumer. The cost of a full service agency is normally higher than a private duty hire or a domestic referral agency due to these factors, however the risk is essentially lower.
When choosing homecare for yourself or an older adult, remember to take into consideration the risk level of the older adult and the familial involvement. Educate yourself on what service is best for your situation and then interview several potential individuals or agencies. Finally, think ahead. Don’t wait for a crisis to begin searching for the best care for you or your loved one.
Monday, January 24, 2011
Take Care of Your Eyes: They're the Only Two You've Got!
January is National Glaucoma Awareness Month. Glaucoma is a word that we hear often, but what is it and how can we prevent it? If you or someone you know has been diagnosed with glaucoma, then what should you expect?
Glaucoma is an eye disease affecting nearly 2.2 million people aged 40 and older. If left untreated, then it can lead to blindness. The eye produces a watery substance that easily drains out of the eye and into the bloodstream. However, in someone with glaucoma, the fluid isn't able to properly drain out of the eye, which results in an increase of pressure inside the eye. Doctors believe that this increase in eye pressure results in damage to the optic nerve, which can inevitably lead to blindness.
Treatment for glaucoma can range from medications to surgery. Medication is typically the first line of defense and can consist of either drops, pills, or ointments. Prescription drugs can either work to reduce the amount of fluid that is produced by the eye or to improve the drainage system in the eye. Laser surgery is another option whereby a doctor uses a laser to make anywhere from 50-100 tiny burns in the eye to open up the drainage system, which reduces pressure inside the eye. In some cases, glaucoma surgery, which is more intense than laser surgery, becomes necessary. In glaucoma surgery, the surgeon either makes a small opening in the white part of the eye to create a new path for the fluid to flow out or inserts an implant to serve as the eye's new drainage system.
If you have been diagnosed with glaucoma, it is important to keep an optimistic outlook. Treatment can allow you to live a normal life. If, however, you are experiencing low vision as a result of glaucoma, there are some things that you can do to make things easier for you. Read large-print books. Use a computer with a large screen. Maintain a well-lit environment. Invest in magnifying lenses.
Most of the risk factors (i.e. age, race, and family history) for glaucoma are outside of your control. However, yearly eye exams are important. For high risk individuals, glaucoma screenings are covered at 80% by Medicare. If you are unable to afford a vision screening, there are a number of organizations that can assist you in getting the eye care that you need. Please visit The Glaucoma Learning Center for available resources.
For more information about glaucoma and other eye diseases, please visit Prevent Blindness America or the Glaucoma Research Foundation.
Glaucoma is an eye disease affecting nearly 2.2 million people aged 40 and older. If left untreated, then it can lead to blindness. The eye produces a watery substance that easily drains out of the eye and into the bloodstream. However, in someone with glaucoma, the fluid isn't able to properly drain out of the eye, which results in an increase of pressure inside the eye. Doctors believe that this increase in eye pressure results in damage to the optic nerve, which can inevitably lead to blindness.
Treatment for glaucoma can range from medications to surgery. Medication is typically the first line of defense and can consist of either drops, pills, or ointments. Prescription drugs can either work to reduce the amount of fluid that is produced by the eye or to improve the drainage system in the eye. Laser surgery is another option whereby a doctor uses a laser to make anywhere from 50-100 tiny burns in the eye to open up the drainage system, which reduces pressure inside the eye. In some cases, glaucoma surgery, which is more intense than laser surgery, becomes necessary. In glaucoma surgery, the surgeon either makes a small opening in the white part of the eye to create a new path for the fluid to flow out or inserts an implant to serve as the eye's new drainage system.
If you have been diagnosed with glaucoma, it is important to keep an optimistic outlook. Treatment can allow you to live a normal life. If, however, you are experiencing low vision as a result of glaucoma, there are some things that you can do to make things easier for you. Read large-print books. Use a computer with a large screen. Maintain a well-lit environment. Invest in magnifying lenses.
Most of the risk factors (i.e. age, race, and family history) for glaucoma are outside of your control. However, yearly eye exams are important. For high risk individuals, glaucoma screenings are covered at 80% by Medicare. If you are unable to afford a vision screening, there are a number of organizations that can assist you in getting the eye care that you need. Please visit The Glaucoma Learning Center for available resources.
For more information about glaucoma and other eye diseases, please visit Prevent Blindness America or the Glaucoma Research Foundation.
Thursday, January 6, 2011
We’re Making Progress in the Fight Against Alzheimer’s Disease
By Anne Pagnoni
On January 4, 2011, President Obama signed the National Alzheimer's Project Act (NAPA) in to law making this the largest legislative victory in the fight against Alzheimer's. The passing of the bill will lead to the creation of the National Alzheimer's Project within the Department of Health and Human Services. The overall goal of NAPA is to create a national strategic plan to improve treatments, prevent, and ultimately find a cure for Alzheimer's Disease. What a giant step in the battle against Alzheimer's!
For more information, please visit the Alzheimer's Association at www.alz.org.
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