Letting Go of Clutter: Why Many Seniors Struggle

Learn how Minnesota family members may be able to receive payment for caring for an aging parent through self-directed care and how PICS helps families manage the process. For many Minnesota families, caring for an aging parent begins gradually.Maybe you start by picking up groceries once a week. Then you begin driving Mom to medical appointments, organizing medications or helping with laundry. Before long, you may be preparing meals, helping with personal care, checking in every day and rearranging your own work schedule around your parent's needs.At some point, many families ask an important question:Can a family member actually get paid for providing this care?In Minnesota, the answer may be yes.Depending on your loved one's needs, financial eligibility and the program they qualify for, certain self-directed care programs can allow family members or other trusted individuals to be paid for providing approved caregiving services.For families trying to help an older adult remain safely at home, understanding these options can make a significant difference.What Is Self-Directed Care?Traditional home care usually involves an agency hiring caregivers and determining who will provide services.Self-directed care works differently.It gives the person receiving services or an authorized representative greater control over how care is provided. Depending on the program, participants may be able to select their caregivers, help determine schedules and decide how approved funds are used to meet their individual needs.That caregiver might be someone the older adult already knows and trusts.In some situations, it can be an adult child, grandchild, spouse, other relative, friend or neighbor.For an older adult who wants to remain in familiar surroundings, receiving help from someone they already know can provide both practical assistance and peace of mind.Minnesota Programs Can Help Seniors Remain at HomeMinnesota offers several programs designed to help eligible older adults and people with disabilities receive services in their homes and communities rather than moving into institutional care.One important option is Consumer Directed Community Supports (CDCS).CDCS is available through certain Minnesota Home and Community-Based Services waiver programs. It allows participants to develop an individualized plan for using an approved budget to support their independence at home and in the community.For adults age 65 and older, CDCS may be available through programs such as Minnesota's Elderly Waiver (EW) and Alternative Care (AC) programs.Both EW and AC are designed for adults 65 and older who meet a nursing-home level of care but want to continue living in their homes and communities.Depending upon the individual's approved plan, services may include caregiving, homemaking, meals, respite, transportation, personal emergency response systems, chore services, certain home modifications and other supports.Most importantly for many families, CDCS may allow approved funds to be used to pay certain family members or other trusted individuals for caregiving.Could an Adult Child Be Paid to Care for a Parent?Potentially, yes.Under CDCS, approved caregivers can include adult children and grandchildren who provide care for an aging family member. Other trusted people, including friends and neighbors, may also be eligible to become paid caregivers.Spouses may also be able to provide paid caregiving under applicable self-directed programs, although specific rules depend on the program and circumstances.Another Minnesota program families may encounter is Community First Services and Supports (CFSS).CFSS is Minnesota's newer home-care program that is replacing Personal Care Assistance (PCA) and Consumer Support Grant (CSG) services as participants transition through their annual assessments.CFSS provides additional self-directed options, and under certain circumstances spouses can provide paid caregiving services.Because every person's eligibility and service plan are different, families should not assume that caregiving will automatically qualify for payment. An assessment and approved service plan are required.Why Paying Family Caregivers Can MatterFamily caregivers often provide an enormous amount of unpaid assistance.A daughter may reduce her hours at work so she can help her father several afternoons each week. A son may drive across town every morning to prepare breakfast and make sure medications are taken. A spouse may spend much of the day helping with dressing, bathing, meals and mobility.Families frequently do these things because they love the person they're caring for.But caregiving also has a financial impact.Work hours may be reduced. Careers can be interrupted. Transportation costs increase. Caregivers may find themselves balancing their own children, household responsibilities and finances while also caring for an aging parent.When an eligible program allows a family member to become a paid caregiver, it recognizes that caregiving is real work.It can also make it more realistic for a family to continue supporting a loved one at home.Where Does PICS Fit Into This?This is where PICS Partners in Community Supports can help.PICS is a Minnesota nonprofit organization and a subsidiary of Lutheran Social Service of Minnesota. It has provided self-directed care support to Minnesota individuals and families since 1999.PICS serves as a Financial Management Service (FMS) provider.That sounds complicated, but the idea is fairly simple.When a family chooses a self-directed program, someone still needs to handle the administrative and financial responsibilities associated with employing caregivers and using government-approved funds.PICS helps participants with responsibilities such as:Hiring and staffingProcessing caregiver payrollProcessing approved expense reimbursementsAccounting and financial reportingTax and revenue informationBudget trackingTraining and other employment-related requirementsInstead of families trying to figure out payroll, taxes, reporting requirements and reimbursement procedures themselves, PICS helps manage those details.That allows families to spend more time focused on what matters most supporting the person they love.Choice Can Be an Important Part of Aging in PlaceFor many older adults, remaining at home isn't simply about staying in a particular house.It's about maintaining independence, routine, dignity and connection to their community.Being able to choose who comes into the home can be especially important.Some seniors may be uncomfortable having an unfamiliar caregiver assist with personal tasks. Others may have language, cultural or communication preferences. And some simply feel safer receiving help from someone they've known for years.Self-directed services can give eligible individuals more control over these decisions.Instead of fitting the person into a predetermined care arrangement, the goal is to build supports around the person's individual needs.How Does a Minnesota Family Get Started?The first step is determining whether the person needing care qualifies for an applicable Minnesota program.For older adults, this may involve eligibility for Minnesota Medical Assistance and the Elderly Waiver or determining whether the individual qualifies for the Alternative Care program.An assessment is generally required to determine the person's needs and eligibility.Families can begin by contacting their county or Minnesota's Senior LinkAge Line to learn about available programs and the assessment process.If a self-directed program such as CDCS or CFSS is appropriate, the participant will work with the necessary care professionals to develop an approved service plan and select service providers.PICS can then help families navigate the financial-management side of self-directed services.Don't Assume Your Family Doesn't QualifyOne of the biggest mistakes families can make is assuming these programs aren't available to them.If you're already spending significant time caring for a parent, spouse or other loved one, it is worth asking what Minnesota programs may be available.You may discover options that help your loved one remain at home while providing additional support for the people who are already helping them.Every situation is different, and eligibility is never automatic. But asking the question is an important first step.Frequently Asked QuestionsCan I get paid to take care of my elderly parent in Minnesota?Possibly. Certain Minnesota self-directed programs may allow eligible family members, including adult children, to be paid for approved caregiving services. The person receiving care must qualify for the applicable program, and the services must be part of an approved plan.Can a senior choose his or her own caregiver?Self-directed programs are designed to give participants greater choice and control over their services. Depending on the program, participants may be able to select family members, friends or other trusted individuals as caregivers.Does PICS determine whether my parent qualifies for Medicaid or an Elderly Waiver?No. Program eligibility is determined through Minnesota's applicable state, county and assessment processes. PICS serves as a Financial Management Service provider for people participating in eligible self-directed programs.What does PICS do once a family is enrolled?Depending upon the program, PICS can assist with caregiver hiring and staffing, payroll, reimbursements, accounting, reporting, taxes, training and budget management.Where can families learn more?Minnesota families interested in self-directed care can contact their county, Senior LinkAge Line or appropriate care coordinator to learn about eligibility and available programs. Families can also contact PICS to learn more about the self-directed programs and Financial Management Services they support.More Choice. More Support. More Independence.Caring for an aging loved one can be rewarding, but it can also require an enormous commitment of time, energy and financial resources.Minnesota families may have more options than they realize.For eligible older adults, self-directed care can provide greater choice over who provides assistance and how approved services are delivered. For family caregivers, it may also create an opportunity to receive compensation for caregiving they are already providing.PICS Partners in Community Supports helps Minnesota families manage the financial and administrative details of self-directed care so they can focus on helping their loved ones live safely and independently at home.Learn more about PICS and explore resources for Minnesota seniors and caregivers through Seniors Blue Book.  For more information contact us at  888.874.7427 or visit our website at  https://pics.lssmn.org/

Learn how personalized in-home care can help Minnesota seniors stay safe, connected and independent while continuing to live in the homes they love.  For many older adults, home is more than four walls and an address. It is the place where children were raised, holidays were celebrated, neighbors became friends and familiar routines were built over many years.That is why the idea of leaving home can be difficult, even when everyday tasks are starting to become a little harder.The good news is that needing help does not automatically mean a senior has to move. With the right support, many older adults are able to remain in their own homes safely and comfortably while continuing to make their own choices and live life on their terms.For families in Osseo, Maple Grove, Plymouth, Brooklyn Park and surrounding northwest Twin Cities communities, in-home care can provide that extra layer of support.Independence Can Look Different as We AgeWe often think of independence as doing everything ourselves.But as we get older, independence may simply mean being able to stay involved in the decisions that matter.Maybe Mom still enjoys choosing her own meals, but standing at the kitchen counter for an hour has become tiring. Dad may still want to run errands and visit friends, but he no longer feels comfortable driving.A little help can fill those gaps.Someone might assist with meal preparation, transportation, light household tasks or personal care while still encouraging the older adult to participate as much as possible.That approach can preserve a person's confidence instead of taking over.Comfort Keepers calls this Interactive Caregiving, which focuses on keeping seniors engaged in their own lives rather than simply doing everything for them.That might mean preparing lunch together, taking a short walk, folding laundry while visiting or heading out for an afternoon errand.These may seem like small things, but they can help an older adult continue to feel useful, involved and connected.Often, Families Notice the Little Things FirstThere usually isn't one moment when a family suddenly knows that a parent needs help.More often, it happens gradually.Perhaps the refrigerator isn't as well stocked as it used to be. Mom seems to be eating cereal for dinner more often. Dad has stopped going to the coffee shop because driving feels stressful.You may notice unopened mail, laundry piling up or appointments being missed.Maybe the house just doesn't look quite the way it normally does.None of these things necessarily mean that a senior can no longer live alone. They may simply be signs that certain parts of everyday life have become more difficult.And that is often the best time to talk about help before there is a fall, hospitalization or other crisis.Home Care Can Start SmallOne of the things families sometimes misunderstand about home care is that it does not have to begin with someone in the house all day.Some older adults may only need a few hours of help each week.Maybe a caregiver stops by to help with groceries, prepare a few meals and spend some time visiting.Someone else may need help with bathing, dressing and getting ready for the day.Needs can also change over time.A person who begins with occasional companionship may later benefit from more regular assistance. Another senior may only need short-term help after surgery or a hospital stay.The goal is to find the amount of support that makes sense for that particular person.Companionship Matters More Than We Sometimes RealizeOne of the biggest challenges of aging at home can be loneliness.As people get older, their social circles may become smaller. A spouse may pass away. Friends may move. Driving may become more difficult. Health issues can make it harder to get out.Before long, days that used to be filled with people and activities can become very quiet.That is one reason companionship is such an important part of home care.A caregiver might share coffee and conversation, take a walk together, look through family photos, play cards or simply sit and talk.Those interactions can mean a great deal, especially for someone who lives alone.For adult children who live across town or across the country it can also bring peace of mind knowing that someone is regularly checking in and spending meaningful time with Mom or Dad.Familiar Surroundings Can Be ComfortingThere is something reassuring about waking up in your own bedroom and knowing exactly where everything is.For older adults, familiar surroundings can provide a sense of stability that is difficult to replace.Their favorite chair is there.The neighbor they have known for 20 years is next door.The family pictures are on the walls.For someone experiencing memory changes, that familiarity can be especially comforting.Home care allows an older adult to stay in the environment they know while receiving additional support with the things that have become challenging.Home Care Can Help the Whole FamilyWhen a parent begins needing help, adult children often step in without thinking twice.At first, it may be picking up groceries or driving to a doctor appointment.Then there are meals, medications, laundry, household chores and more frequent visits.Over time, one family member can find themselves carrying most of the responsibility.Professional home care can take some of that pressure off.It does not replace family involvement. It can actually make family time better.Instead of spending every visit cleaning the house or running errands, an adult daughter may finally have time to sit and have lunch with her mother. A son can visit his father without feeling like every conversation is about what still needs to be done.Sometimes that shift alone can help families feel like families again.The Right Support Should Feel PersonalNo two seniors need exactly the same kind of help.One person may need transportation and companionship.Another may need assistance with bathing and meals.Someone else may need more extensive support throughout the day.That is why in-home care should be built around the individual rather than forcing every client into the same routine.Comfort Keepers of Osseo provides personalized care based on each person's needs, preferences and daily habits.For older adults throughout Osseo, Maple Grove, Plymouth, Brooklyn Park and nearby communities, the right support can make staying at home more realistic and more comfortable.Aging at home is not about proving you can do everything by yourself.Sometimes, the most independent choice a person can make is accepting just enough help to continue living the life they want.Frequently Asked QuestionsWhat does aging in place mean?Aging in place generally means continuing to live in your own home or chosen residence as you get older, even if you begin needing some additional support.Can home care start with just a few hours a week?Yes. Care plans can often be designed around the individual's needs and may begin with limited assistance.What can an in-home caregiver help with?Depending on the care plan, assistance may include companionship, meal preparation, transportation, personal care, mobility support and everyday household routines.Can care increase if a senior's needs change?Yes. Home-care needs can be reassessed as circumstances change.How do families learn more about care options?Families can contact Comfort Keepers of Osseo to discuss their specific situation and the type of support that may be appropriate.  Call us today at  (763) 273-4207.  

Bringing an aging parent home from the hospital? Learn how in-home care can support a safer, less stressful recovery with personal care, meals, companionship, skilled nursing and caregiver support.Leaving the hospital is usually a welcome milestone. After daysor sometimes weeksof medical care, most older adults are eager to return to their own bed, familiar surroundings and normal routines.But for many Minnesota families, the transition from hospital to home is also when a new set of challenges begins.A senior may technically be well enough to leave the hospital but still be weaker than usual, unsteady on their feet or unable to manage everyday activities independently. New medications, follow-up appointments, dietary instructions and mobility limitations can make the first days and weeks at home especially challenging.Family members may suddenly find themselves asking an important question:How are we going to manage all of this at home?Planning for the right support before or immediately after discharge can make the transition less stressful for both the older adult and the people who care about them.Why the First Days at Home Can Be DifficultHospital stays can take a toll on older adults.Even someone who was relatively independent before hospitalization may return home with less strength and stamina. Activities that once seemed simpletaking a shower, preparing breakfast, getting dressed or walking from one room to anothermay suddenly require much more effort.At the same time, the senior may be dealing with new instructions from doctors and therapists.Families may need to coordinate:New or changed medicationsFollow-up medical appointmentsPhysical or occupational therapyDietary recommendationsWound care or other nursing needsMobility restrictionsPersonal careMeal preparationHousehold responsibilitiesIt can be a lot to manage at once.This is where planning for in-home support can become an important part of the recovery process.1. Assistance With Everyday ActivitiesOne of the first things families may notice after a hospitalization is that Mom or Dad needs help with activities they previously handled independently.Bathing, dressing, grooming, toileting, transferring and walking may all be more difficult during recovery.A Home Health Aide or other appropriate caregiver can provide assistance based on the individual's needs and care plan.This type of help isn't about taking over everything.The goal is to provide assistance where it is needed while encouraging the older adult to remain as independent as safely possible.2. Help With Meals and Household TasksRecovery requires energy, and good nutrition can be an important part of regaining strength.Unfortunately, cooking can also be one of the first things that becomes difficult after a hospital stay.Think about everything involved in preparing even a simple dinner: deciding what to make, checking ingredients, shopping, standing at the counter, cooking and cleaning afterward.For an older adult who is tired or physically limited, that can feel overwhelming.Homemaking services may help with meal preparation, shopping, light housekeeping and laundry.Keeping the home functioning normally can also reduce stress and allow the individual to focus more attention on recovery.3. Supporting Medication RoutinesHospitalization frequently results in changes to medications.A senior may return home with a new prescription, a different dosage or instructions to stop taking a medication they previously used.That can become confusing quickly, especially when several medications are involved.Families should carefully review discharge instructions and contact the appropriate physician, pharmacist or healthcare professional whenever they have questions.Depending on the services ordered and the individual's care plan, skilled nursing can also play an important role.4U Home Health Care's skilled nursing services include medication setup and other nursing care. A Home Health Aide may provide certain assistance and reminders within the appropriate scope of care, while medication setup itself is handled by a registered nurse.4. Paying Extra Attention to Fall RisksA senior who was steady before entering the hospital may be weaker afterward.Medication changes, reduced activity, pain, surgery or simply spending several days in a hospital bed can affect mobility.Before your loved one returns home, look at the environment with fresh eyes.Are there loose rugs?Is there clutter in walking areas?Is the pathway from the bedroom to the bathroom well lit?Can the senior safely get in and out of the shower?Can they rise from their favorite chair without struggling?Families may also want to discuss mobility concerns with the senior's physician, physical therapist or other healthcare professional.The goal is to identify potential problems before they lead to an injury.5. Making Sure Follow-Up Care Doesn't Get LostDischarge day can be overwhelming.Families may receive pages of instructions while simultaneously gathering belongings, arranging transportation, picking up prescriptions and trying to get their loved one comfortably settled at home.Important follow-up information can easily get buried.Before leaving the hospital, make sure someone understands:Which medications should be takenWhich previous medications have changed or stoppedWhen follow-up appointments are scheduledWho to call with questionsWhat symptoms should prompt a call to the doctorWhat activity restrictions are in placeWhether home health or other services have been orderedConsider keeping everything together in one folder or notebook so family members aren't searching for paperwork later.6. Providing Companionship During RecoveryRecovery isn't only physical.After the constant activity of a hospital, returning to an empty home can feel surprisingly isolating.This can be particularly difficult for someone who lives alone.Companion care provides social interaction along with practical support. A caregiver can spend time talking, sharing meals, participating in activities or simply being present.For family members who cannot be there throughout the day, knowing that someone is checking in can provide valuable reassurance.7. Giving Family Caregivers Some Breathing RoomWhen a parent comes home from the hospital, adult children often jump immediately into caregiving mode.Someone handles meals.Someone else manages appointments.Another family member picks up prescriptions.Before long, family caregivers may find themselves trying to balance caregiving with jobs, children and their own households.Professional home care can supplementnot replacethe support family members provide.Respite care can also give a primary caregiver scheduled time away while ensuring that their loved one continues receiving appropriate assistance. 4U describes its respite service as providing family caregivers with either one-time or regularly scheduled relief, including Companion Care, Homemaking and Home Health Aide services for an established period of time.Start Planning Before Discharge When PossibleFamilies don't necessarily have to wait until their loved one is already home to begin thinking about care.If you know Mom or Dad will need assistance, start the conversation with the hospital discharge planner, social worker or care coordinator.Ask:What will they realistically be able to do when they get home?That question is important.A senior may be medically ready for discharge while still needing assistance with the practical realities of daily life.Think beyond the ride home from the hospital.Consider what the first morning, first shower, first meal and first night at home will look like.Every Recovery Is DifferentThere is no single home-care plan that works for everyone.One person may need help with meals and household tasks for a short period.Another may need assistance with bathing, dressing and mobility.Someone with more complex medical needs may require skilled or private duty nursing services as ordered and appropriate.4U Home Health Care provides services for individuals of all ages and currently lists Personal Care Assistant/CFSS, Home Health Aide, Homemaker, Companion Care, Respite, Skilled Nursing and Private Duty Nursing among its services. The organization serves Minnesota through locations including Grand Rapids, Hermantown, International Falls, Savage and Mankato.Helping Minnesota Families Make the Transition HomeComing home from the hospital should feel like progressnot the beginning of a new crisis.A little planning and the right amount of support can help make those first days at home more manageable.For Minnesota families, 4U Home Health Care can help families understand available services and navigate the process of arranging care. The company also works with several payment sources, including the Veterans Administration, Minnesota county/DHS programs, private pay and select insurance plans, depending on the service and eligibility.Most importantly, families don't have to wait until they are completely overwhelmed to ask questions.Sometimes the best time to arrange help is before you desperately need it.Because a successful transition home isn't simply about leaving the hospital.It's about helping your loved one continue recovering in the place they most want to behome.Frequently Asked QuestionsWhen should we arrange home care after a hospital stay?If possible, begin discussing your loved one's needs before hospital discharge. This gives the family time to determine what assistance may be needed when the senior arrives home.Can home care help with bathing and dressing after hospitalization?Depending on the individual's care plan and services authorized, a Home Health Aide may assist with activities of daily living such as bathing, grooming, dressing, transferring and mobility.Can someone help with meals and housekeeping?Yes. Homemaking services may include meal preparation, shopping, light housekeeping and laundry.Can home care help with medications?The type of medication assistance depends on the caregiver's role and scope of service. 4U states that registered nurses can provide medication setup, while other caregivers may provide appropriate assistance or reminders according to their role and the care plan.Does 4U Home Health Care provide respite care for family caregivers?Yes. 4U offers respite care designed to give a primary caregiver or family member a one-time or regularly scheduled break while the individual continues receiving support.  Call us for more information at 952-693-0545 and visit our website at  www.4UHHC.com.