Every year in the fall and all around the country seniors are on the move to their favorite warm weather winter destinations. The majority of the seniors traveling to Florida, Texas and Arizona for the cold winter months are renters and they are finding availability is becoming harder and harder to come by as our senior population grows larger every year. Starting in 2030, when all baby boomers will be older than 65, that senior citizen population will make up 21 percent of the population, up from 15 percent today.. The demand for short term rentals in Florida for seniors who snowbird is growing faster than they can build appropriate housing to meet the demand. Senior living communities in Florida have noticed the short fall and some are taking the appropriate actions to meet the demand. Seniors looking to escape the brutal winter months and enjoy a short term lease with an easy carefree affordable lifestyle are finding senior living communities are the affordable answer. Senior living communities have changed so drastically over the past 20 years and they are nothing like the depressing senior homes of the past. The new styles of senior living being offered today are a far cry from what was offered just a short time ago. Senior living communities are now offering spacious furnished and unfurnished apartments, villas and cottage style living with A La Carte amenities and food plans to suit your personal lifestyle. PROBLEM: There are so many communities and options to choose from! Where do I begin?SOLUTION: Use a Senior Living Referral Agencies and Senior Living Advocacy  like  The Right Senior Living Solution. They have the local knowledge and expertise of the senior living options being offered in your area. They have agreements with communities and will most likely get you the best deal and options available.1. Things to consider!While some people know right away where they'll snowbird, for many, choosing where they'll stay (and for how long) during the winter months can be challenging and time consuming.If you're planning on moving to a different climate than what you're used to, it's essential to do your homework first. This includes researching states and towns, deciding to rent or buy, and planning how you'll get back and forth, among other things.When exploring areas, you need to find out what access you'll have to what matters most to you.Before you decide on a location or snowbird community, consider if you'll have quick access to health care, banking services, educational opportunities, entertainment, grocery stores, restaurants, shopping malls, fitness options, and more.2. The costLiving in a different location for part of the year means you'll likely have a bigger budget. Besides housing costs, you may also spend more money on clothing, transportation, food, and entertainment. Still, there are ways to control the cost of living like snowbirding in an all-inclusive senior living community where your total monthly cost for housing, food, transportation and daily living activities is fixed. But it's essential to thoroughly explore the additional cost of the snowbirding lifestyle so you don't face any surprises that could derail your retirement plans.3. The travelSnowbirds often choose locations based on the ease with which they can drive from one place to another.That's why many choose popular snowbird destinations in places like Florida, Arizona, New Mexico, California, Texas, the Carolinas, and Louisiana.But driving isn't always an option. If you plan on flying to your snowbird destination, you'll need to factor in flight and other transportation costs. And if you want to explore international destinations in the winter months, you'll be adding additional expenses and complexity to your new lifestyle. 4. Missing familyOne of the biggest challenges for snowbirds is missing family and friends back home. While you might enjoy sunny days in your winter location, it's still easy to feel isolated when you're far away from loved ones.You might even miss holidays, birthdays, graduations, weddings, funerals, and other special events.Joining an active community of snowbirds in the same situation as you can help alleviate some of the homesickness by keeping yourself social and busy.So make sure you plan for these occasions and set up a schedule to have fun and avoid feeling lonely.You can always invite loved ones to your winter home and head north to visit for special events too. Just make sure you add trips home to your snowbirding budget.5. Handling healthcareOne of the significant concerns of snowbirding is managing your medical needs.In addition to your routine medical issues, you may have to deal with seasonal allergies and other illnesses that aren't common in your home climate. Plus, with a new routine, you may experience changes in diet and exercise habits that could impact your health. So it's important to research local hospitals, doctors, dentists, pharmacies, and other providers to ensure you can receive quality care when you need it.Don't make the mistake of assuming your health insurance coverage will travel with you. Before making any plans, check with your insurance company to ensure you have the coverage you need when you're living in another state or country during the snowbird season. 6. Managing homes from afarWhen you're snowbirding in the south but keeping a primary residence up north, you'll face managing a house long distance.That means ensuring everything runs smoothly, from regular maintenance and repairs to getting your mail and paying the bills.It also means finding someone trustworthy to check on and take care of your property.And if you're a pet owner and your pet isn't traveling with you, you'll also need to consider how you'll manage pet care from afar too.Related: 11 Checklists to Help Manage Snowbird Living7. Changing environmentsIf you've lived in a particular environment all your life, moving to a new location may require adjusting to a new culture, language, and weather.This includes learning tasks such as how to navigate unfamiliar streets, shopping for groceries in different stores than you're used to, and dealing with cultural differences.Moving to a different area for an extended period isn't something you do every day, and you're not on vacation when you snowbird. If you're not the adventurous type, it's natural to feel nervous and anxious about adapting to a new lifestyle.8. Safety & securitySnowbirds face unique safety and security risks because they are away from their home(s) more frequently than most people.Securing your home and belongings, including monitoring utilities and staying safe on the road, are things you don't want to take lightly.As long as you follow basic precautions, you should be able to enjoy your snowbird adventure without any major issues.9. Financial planningAs mentioned above, snowbirds will spend more time away from home than usual, which can also present financial challenges.You will need to budget money wisely so you don't overextend yourself and cause potential problems in your later retirement years. You'll also need to keep money saved for emergencies and future inflation or stock market volatility.Many snowbirds find ways to earn extra income to help their finances go further while providing some socialization and mental stimulation.10. Additional estate planning needsWhile snowbirds may be planning for an active lifestyle, they still need to consider what happens if they die unexpectedly, especially away from their primary home.You may need additional tools in your estate plan if you plan to own homes in two different states, will be traveling extensively, have complicated assets, or have challenging family dynamics.The Good NewsLiving the snowbird lifestyle is not without its challenges, but the benefits can far outweigh the cons of snowbirding.So if you're on the fence about becoming a snowbird, here are several reasons for becoming one this winter season:Sunny days and warmer temperaturesLiving a healthier lifestyleExploring new areas and culturesMeeting new friends and interesting peopleExperiencing new activities and hobbiesOutdoor entertainment and adventuresHaving fun and making memoriesVery little to no cold weatherNo snow shoveling!No ice to worry about slipping and sliding onIncreased odds of a long and enjoyable retirementNew job or volunteer opportunitiesYOU ARE NOT ALONE www.therightseniorlivingsolution.com All in all, there are many good reasons to become a snowbird, and we hope that our list has helped you decide whether or not you'd like to make the move.We would love to hear from you. George & Adele Smith(941) 705-0293(570) 848-2507

Seniors Blue Book interviews Dr. Nancy Oppenheimer-Marks with Home Instead for a Senior Care Spotlight.Dr. Nancy Oppenheimer-Marks - Owner, Home InsteadAs an associate professor at the University of Texas Southwestern Medical School, Dr. Nancy Oppenheimer-Marks was conducting research in rheumatic disease in the Department of Internal Medicine when she chose a new career path."Following the death of my parents and after serious consideration, I decided to make it my priority to help provide quality care and compassion to our senior population", said Nancy. She found that the mission of Home Instead Senior Care was much like her own and opened the Dallas franchise in 1999."The rewards are immeasurable",she said. "I get personal pleasure from helping clients and their families, and from employing great people."Learn more about Home Instead.

For more information on Senior Housing Solutions,Click Here.COVID-19 How are Assisted Living communities adapting?Theres been a number of local and national news stories covering virus concerns at Nursing Homes. For the most part, these stories deal with issues at skilled nursing facilities. Still, this has prompted a number of calls asking about the status of Assisted Living properties.First, lets do a quick refresher lesson on two types of licensed senior living.SKILLED NURSING SNFSkilled Nursing Facilities (SNFs) provide medical care and employ nurses 24/7. Many of these SNFs house residents and, generally, accommodate the most frail of our senior population. A typical arrangement in skilled nursing is a shared room with at least two patients per room. SNFs are often referred to as long term care facilities. The majority of Covid19 cases are occurring in SNFs.ASSISTED LIVING ALFAssisted Living communities and homes are licensed as Assisted Living Facilities (ALFs) . Heavy medical care is not provided in Assisted Living, although some companies do offer some nurse coverage. In fact, ALF licensing requirements restrict residents who require substantial medical care. In larger communities, a typical living arrangement is a single resident apartment, although sometimes the apartment is shared by a spouse. In smaller facilities and memory care, shared rooms are more common.SO WHAT IS HAPPENING AT ASSISTED LIVING PROPERTIES?No part of our world has gone untouched by the virus including Assisted Living. But, the good news here is that Assisted Living providers recognized in early March that significant protection strategies needed to be put into place. The Florida Department of Health Services(http://www.floridahealth.gov)has put out special COVID-19 Guidelines that all ALF facilities must adhere to. In both small homes and large communities, visitation has been strictly controlled. Except for staff, you wont see many people coming and going. In a way, just like our homes, each property has become an island. Obviously, where possible, social distancing and curtailing of activities has become the norm. Meals delivered to rooms, allows large dining areas to go unused.New residents are being considered by many of the properties, now. Virtual Tours are common. Of course, there will be questions about exposure and other scrutiny to try to prevent any new infection from entering. A physicians report and thorough assessment will be required. But, even with expected virus-free residents, they may move into their apartment directly on a quarantine. Visitations will remain restricted for a while.It is important to know the Assisted Living professionals are taking the safety of residents very seriously.Please contact Senior Housing Solutions if you are ready to start exploring the move or just want to start the conversation.

The best way to protect ourselves and our loved ones is through social distancing, mask wearing and practicing good hand hygiene. Select the mask that works best for you and the circumstances and stay safe!Types of masks for COVID-19 protection:Homemade Cotton Face Masks This kind of mask offers a very low level of protection, but it helps remind you not to touch your face. As a reusable option, it is important to keep it clean and regularly wash your face mask in a 140194 F hot machine wash with laundry detergent. One more thing to remember: shape matters! Your mask protects you better when it fits your face perfectly.N95 Respirator Mask N95 respirators are designed to create a tight seal around the nose and mouth. When worn correctly, they can block over 95% of small airborne particles. Some even have as much as a 99% bacterial filtration efficiency (BFE). Respirators are the best at protecting both the wearer and the people around them. N95s are made of layers of polypropylene fibers, which is what makes them so effective. The N95 is regulated by the CDC and NIOSH unless it is marketed for medical use, at which point the FDA will approve them as well. In response to the Coronavirus pandemic, the FDA changed their guidelines with an emergency use authorization (EUA) to allow NIOSH approved respirators to be used in healthcare circumstances.KN95 Mask KN95 particulate masks are also rated to filter 95% of particles and are regulated by the Chinese government. The FDA also issued an emergency use authorization (EUA) authorizing the use of KN95s as a valid alternative to NIOSH approved masks. Another difference between KN95s and N95s is that the KN95s often use ear loops rather than an over the top of the head and behind the neck two strap configuration like the N95.3-Ply Disposable Masks 3-ply disposable masks are fluid resistant and provide the wearer protection against large droplets, splashes, or sprays of bodily or other hazardous fluids. They also protect others from the wearers respiratory emissions. They are more loose fitting than either N95 or KN95s, so provide a less reliable level of protection from inhaling smaller airborne particles. When marketed for use in healthcare scenarios, as a surgical or medical 3-ply mask, they are regulated by the FDA and therefore provide better protection than a homemade mask.Editors Note: This article was submitted by Chris Myers, Partner at Community Attire, an organization dedicated to providing protective supplies to help keep people safe and businesses running. Chris can be reached at chris@communityattire.com or +1-213-761-4229. More safety articles are available at communityattire.com.

A few weeks ago I was having lunch with friends and talking about my job at a retirement and assisted living facility. One of the women said, It must be so sad when children bring their parents and theyre just not ready to be there. I thought a minute and said, That never happens. If they're not ready, they get in their car, drive back to their home, call the movers to have the furniture put back, and then they get in their car and go play golf. People never come too early. On the flip side, they wait too long all the time. So when is the right time to come? she asked. That made me think for a while, and these are, in David Letterman's vernacular, the top ten reasons you know its time to move to an assisted living or retirement community.1. You are isolated. For whatever reason you are not getting out of your house, are not spending time with other people, and are spending almost all of your time by yourself.2. Your house or apartment has become dangerous, either because of the way the house is built, or because of your ability to maneuver around the house. In other words, the house has become a trap, waiting to make you fall.3. Caring for you has become such a burden to family or friends, that it has started to seriously disrupt all of their lives.4. You are not able to make or obtain nourishing meals for yourself.5. You are not able to keep up your house and don't feel comfortable having people come in regularly, and you are unable to find someone who can help.6. You are not able to do bathing, dressing, or basic grooming, and you are unable to find someone who can help with this.7. You are not able to take your medications, even after all possible systems have been tried.8. Your over-all quality of life is deteriorating and could be made better with more help.9. You can feel yourself going downhill and want to move to a community where there is help before something happens and while you still have choices.10. You have friends who love it, you have visited them, and it seems like a great lifestyle for you.Editors Note: This article was submitted by Ginny E. Echevarria, Marketing Director at Highland Cove Retirement. During the 10 years she has been there, she estimates she's worked with close to 9,000 families. Ginny may be reached at 801.272.8226, by email at gechevarria@centurypa.com or visit the website www.highlandcove.com

Its not easy to choose your incontinence product that fits you best; it may not be a good idea to pick up a product by brand name only. Instead, choose the product that will work best for you. The important features of an incontinence product are leak protection, comfortable fit and absorbency. Find a well-balanced product. Not all incontinence products are created equal!Keys to finding the perfect productfor you or for your loved one:Avoid chain storesChain stores have limited brands on the shelf and dont provide a good amount of choices. They often exclude certainsizes and/or types. Avoid choosing one based solely on appearance of package. Visit web sites and do your research; educate yourself on all the available options. This is crucial to picking the correct product!Dont just assume the brands you are familiar with will provide the best value. Know all your options!Unfortunately, mass marketed national brands are not always the best products for your incontinence needs. You deserve the highest quality products available to you. Often, youll find a better-quality product with better cost effective-ness.Ask for free samplesMany incontinence product manufactures and providers will give you samples for free trials. Contact them, and ask for free samples! Dont hesitate to ask for 2 different sizes if you are in between the sizes, because the proper fit and size matters!Check if it has leak protectionFind out what kind of leak protection the product pro-vides. For example, some products have built in leakage barrier leg cuffs that provide the best leak protection!Products that only advertise excellent absorbency are usually lacking a leak protection system; and often this excellent absorbency claim turns out to be unsatisfactory. Those claiming only good absorbency performance from lab-oratory tests can mean inadequate performance.Choose the correct sizeChoosing the correct size is very important. It has a lottoo tight, it is uncomfortable; while if too loose, it may not give you proper leak protection as intended. For a product to perform at its best, you need to choose the right size. Good manufactures provide a variety of sizes for this reason. Wear as instructedAdult incontinence products are not difficult to use; how-ever, please read the instructions on the products package or the product brochures. Usually, you can find some helpful information.Ask for a better option for a better solutionDo not hesitate to reach out to customer service with the incontinence product providers for consultation. Ask for other options. They will usually provide you with solutions, and with free samples for you to try! Make sure of a comfortable fitIncontinence products are worn every day. If its uncomfortable, you may want to look for a better one. If you are taking care of those who use incontinence products, please ask how the product feels when wearing.Choose the best quality product, usually it ends up with less cost/wasteIn many cases, one consumes a lot of incontinence products a day; such as 5 or 7 pieces a day. A cheap product re-quires more changes and creates more waste. In contrast, a high-quality product requires less change and less waste. As a result, you would spend a lot less money on the high-er-quality incontinence products. In this way, a high-quality product is deemed cost effective as well. Dont be deceived by cheap price tags; you may want to evaluate your cost per day to be cost effective.Dont stay in a conventional wayThere are more incontinence solutions than you know. So many advances have been made in incontinence products! Try a new and advanced approach; the 2-piece system* for example, because it might be a better solution to your incontinenceissues.* The 2-piece system uses 2 pieces, such as an insert pad and a brief, or an insert pad and a protective underwear. It is very convenient because it allows you to change the pad multiple times throughout the day without changing the brief or protective underwear. For example: instead of going through 5 briefs a day, you may only use 1 brief and 4 pads in a day. This way you can avoid waste and save money by purchasing the less expensive insert pads versus the more expensive briefs or protective underwear.

Recent research has found important connections between cardiovascular wellness and brain health. So important are these links that the Center for Disease Control and the National Alzheimer's Association has launched Maintain Your Brain initiatives. A daily walk can benefit both physical and mental health for all ages and provide powerful benefits for your brain according to the 2005 Sept 22/29 issue of JAMA, the Journal of American Medical Association. The article notes that older adults who walk the most have lower risk of dementia and intellectual decline.We all know the obvious benefits of exercise but knowing the statistics of what happens to your body if you are not active may be motivating, because every system of the body is affected, according to the Journal of Neuroscience, Sept. 2005. Immobility affects strength, which decreases 10-20% per week of immobility. Meanwhile muscle strength decreases 15% per decade from age 50-70 and at a rate of 30% after the age of 70. Bone density - of particular concern for women - can decrease 1-2% for every week of immobility. Cardiovascular resting heart rate increases 1 beat for every 2 days of immobility. The respiratory system is affected with mechanical restriction of breathing, building up mucus secretions. A general lack of flexibility causes muscle contractures. And skin is affected with decreased immobility causing edema or fluid retention and general breakdown of the skin. Knowing this, it's time to get up off the couch!Exercise derives its meaning from a Latin root meaning to maintain, to keep, to ward off. In order for exercise to be successful, according to medical professionals, exercise should be planned, structured and repetitive to improve or maintain physical fitness - even a simple walk 30 minutes a day will be helpful.Every year there are a multitude of walking events that offer walk opportunities to raise awareness of health issues and provide fun ways to stretch your walking goals. Examples include the Alzheimer's Memory Walk, see www.alz.org/memory walk, or for a bigger challenge check out the breast cancer 3 day walk at www.the3day.org. Beginners should review www.thewalkingsite.com, which offers advice on how to begin a walking program. The journey of a thousand miles begins with a single step start now.Editor's Note: This information was submitted by Emma Justice, MSA, Marketing Director at Senior Care & Activities Center Adult Day Care. She can be reached at 973-783-5589.

According to Wikipedia Caregiving Syndrome is a condition of exhaustion, anger, rage or guilt that results from unrelieved caring for a chronically ill dependent. As noble and sincere our concern is for our loved ones well-being, very rare is the caretaker that doesnt experience one or more of the aforementioned emotion at one time or another. Also referred to as Caregiver burnout, the range and increased frequency of these emotions - often kept bottled up-may be understandable but no less dangerous to your, the caretakers, own physical and emotional health.Chronic stress depletes essential immune regulating hormones that help keep colds at bay. Lack of sleep, poor eating habits, and negatively affected job/social obligations are the main ingredients of whats also known as Caregiver Fatigue. According to an AARP study, 1 in 3 caregivers reports suffering from depression and isolation, as well as lack of understanding social interactions... Just as we, the caretakers, would relentlessly advocate for and pursue avenues that would alleviate the negative stressors in our loved ones day, we should heed our own example and elevate our own quality of life to the same level.Take advantage of your nearby adult day care center. They dont exist to only provide structured, often medically supervised activities for their participants, but provide caretakers with 6 hours of ME TIME for whatever you decide-leisurely shopping, uncomplicated doctor visits, spa day, long overdue visits, even more overdue sleep-its self structured time for YOU to recharge.Join a support group. Area senior centers and elder service agencies have the contact information for a wide variety of support groups. Commiserating with kindred souls that provide support, similar experiences, or possible advice can help with feelings of emotional isolation, especially for those dealing with a spouse with progressive memory loss.Take up a hobby. A Zumba class. Redecorating the attic. Recording your family history. Find something that is an extension of YOUR desire or passion. Something that is all your own that brings you a sense of accomplishment. Refer back to that mentally when the stress begins to creep back in.Whatever the avenue thats successful for you, make sure to take care of yourself. Not only do you have loved ones depending on it, but you DESERVE it.Submitted by Denise Thorud, Marketing and Outreach Coordinator for Windsor House Adult Day Health Care Centers

Located on 14 wooded acres in suburban North Haledon, the Holland Christian Home is a Continuing Care Retirement Community licensed for 118 residential beds and 52 skilled nursing beds. With a staff of approximately 150, the Home offers professional care and modern amenities in a warm, homelike environment. Applicants must be at least 75 years of age and in relatively good health.At the Holland Christian Home we provide a tiered approach to healthcare. With graduated levels of care including Independent Living, Extra Care, and Skilled Nursing all in the same building, residents of the Home have the comfort of aging in place and never need to worry about moving to a different facility should their healthcare needs change.Even more exciting is the Homes Life Care program our contractual arrangement where a residents one-time entrance fee and monthly Social Security or pension contribution secure lifetime residency at the Home. Life Care residents enter the Home at the Independent Living level, however should a change in health require fulltime nursing care you will receive quality professional nursing care in our nursing unit at no additional cost. For our residents and their families, that means peace of mind. It also means over the average length of stay at the Home, our costs are significantly lower than similar facilities in our area.Life Care services (as needed) include: Private room with bath 3 delicious, nutritious meals daily Professional medication management Access to our skilled nursing unit and a qualified physician always on call Choice of multiple daily activities Access to limited on-site bank services Enjoyment of all public areas: spacious grounds, manicured gardens, chapel, library, resident computer room, equipped exercise room, woodworking shop, coffee shops and special occasion rooms. Cable television Laundry services $50 monthly cash payment for personal needsIn addition to Life Care, we also offer nursing home beds at a daily rate. Our Skilled Nursing Unit can provide the following: Short term respite care Observation Stays Long term care no longer feasible in a home settingHolland Christian Home. Retirement Living with Peace of Mind.For more information call 973-427-4087.

Q: What is urinary incontinence?A: Urinary incontinence is any involuntary leakage of urine. This is most often caused by physical activity, sudden urge to urinate or both.Q: What if I also leak stool?A: Involuntary leakage of stool (fecal incontinence) often accompanies urinary incontinence and can cause significant embarrassment to women of all ages. Fortunately for many patients, the FDA has recently approved the use of a neuro-stimulator (Interstim) to treat fecal incontinence. This has been used in over 100,000 patients for treatment of urinary incontinence, urgency and urinary retention with great success in the United States. Neurostimulation has been used in Europe for fecal incontinence with success for many years as well and now women with incontinence of all types are able to benefit from this technology. It is especially exciting to think that one treatment may solve two different problems.Q: What would an evaluation for this involve?A: Most women find this is a very embarrassing problem that can be difficult to discuss. It is important to feel comfortable with your doctor and their staff. I find it helpful, in my office, to have patients work exclusively with female staff throughout their care. This starts with a thorough one on one discussion about the exact nature of the problem. Once this is established a physical exam is performed. This includes a pelvic exam which should be carried out in a gentle and dignified manner. Some testing may be necessary to evaluate the exact cause of your leakage. This may include a cystoscopy (a small camera inserted into the bladder through the urethra to evaluate anatomy), as well as a urodynamics test (insertion of a small catheter in the bladder to assess function). These should all be performed in the most comfortable environment possible and cause minimal if any discomfort.Q: What can I do to treat urinary incontinence?A: There are many options for treatment which range from simple exercises, medications, injectionsand many very minimally invasive procedures. These can include Kegel exercises, biofeedback, anti-cholinergic medications, slings and neurostimulation. These can all be performed in an outpatient setting and often have minimal, if any, recovery time.Q: Who should I see for these problems?A: I recommend that you seek outa specialty trained physician who specializes in incontinence and pelvic floor dysfunction. Fellowship trained urologists and urogynecologists are the most qualified to deal with incontinence issues. You should not hesitate to ask your doctor if they have completed specialized training and how many of these procedures they have performed in the past. In the hands of an expert these procedures have significantly higher success rates and less complications. Most importantly you should feel comfortable with your doctor and that your treatment plan is tailored to your individual needs.Editors Note: This article was submitted by Dr. John Tillett, MD, Specialists in Urology.

In June 2011, the 3rd Annual Elder Abuse Prevention Summit was held. It has had a profound effect on professionals and elders alike. Community leaders and government met to make a difference. In partnership with the 2011 Utah Elder Abuse Prevention Coalition, Utah's Governor Gary R. Herbert made the following declaration:Whereas, nearly one-quarter of a million Utahans are over 65 the age of sixty-five;Whereas, Utah Adult Protective Services received 3351 reports of elder abuse, neglect and exploitation in 2010, an increase of more than two hundred cases from the previous year;Whereas, elder abuse occurs in families and communities of all social, economic, and racial backgrounds; andWhereas, individuals, civic organizations, and government plays a critical role in preventing elder abuse through education, support groups, training, assistance to those at risk, and treatment for victims; and,Whereas, Elder Abuse Prevention Month affords all Utahans the opportunity to remember victims of elder abuse and their families, promote the programs and organizations that serve them, and participate in community efforts to improve the safety and well-being of all people in Utah.Now, Therefore, I Gary R. Herbert, Governor of the State of Utah, do declare June 2011 as ELDER ABUSE PREVENTION MONTHIn addition to the above declaration, the following sponsors were recognized for the provision of education and resources for seniors in their communities:Seniors Blue Book Legacy Retirement CommunitiesDignity Home Health & HospiceSenior Care AssociatesNeighborhood HouseComfort Keepers Mountainland PharmacyEden AlternativeEnsign GroupOrbit MedicalVital Signs StaffingFurthermore Utah Non-Profit Housing Organization was honored with the Caring Communities Award and Hazel Bibles was celebrated with the Life Celebration Award.Our distinguished list of presenters included Governor Herberts Chief of Staff Paul Neuenschwander, Director of Division of Aging, Nels Holmgren, Director of the Medicaid Fraud Unit at the Utah Attorney Generals Office, Robert Steed, Salt Lake County Sherriff, Jim Winder, Coalition Chair, Diedra Kearney, Dignity Home Health & Hospice CEO, Brice Wilson, and Director of Caregiver Support at Division of Aging, Sonni YudellThis years theme was Everyone deserves to be treated with dignity and for those who presented, it was a powerful reminder that regardless of age, socio-economic status, race, gender, or health; we have a common need; to be regarded as important and treated with compassion and dignity. Abuse and neglect have no place in our society, and most especially among our most vulnerable citizens!There was a common message from each of these outstanding speakers; it will take a collaborative effort from Government, Civic Organizations, the Private Sector, and Individuals to stomp out abuse and neglect!An added feature this year was the Art for Awareness Silent Auction. Senior artists from around the state donated pieces of art for auction! There were beautiful examples of workmanship, dedication, and creativityand all were sold to help stomp out abuse and neglect!If you are /interested in helping, please contact The Utah Elder Abuse Prevention Coalition at 801-860-3801.Elder Abuse Prevention SummitSave the Date: June 15th, 2012Grand America. For more information call 801-860-3801To report Elder Abuse: in Salt Lake call (801) 264-7669; Statewide call (800) 371-7897.

Protect Wealth Academy offers reliable asset protection and wealth creation plans for your estate. Whether your attorney has helped protect you against lawsuits and your accountant has helped reduce your taxes, are you certain that you are maximizing both strategies without overpaying? Our webinars let you learn hard-earned asset protection by holding a discussion to help determine if you are truly well-protected. Let yourself be totally guilt-free when it comes to worrying over being financially wiped out in the event of being slapped with a lawsuit. Call us at 800-276-1430 to protect your wealth today!Learn more:Asset Protection TeamAsset Protection Live EventsAsset Protection WebinarsAsset Protection TestimonialsMore Informations!Business Email: support@protectwealth.comBusiness Phone Number: (800) 276-1430Hours of Operation: 8AM-6PM MSTSocial Media Profiles:Facebook - Instagram - LinkedIn - YouTube

To learn more aboutBrightStar Care,CLICK HERE.In home care is a great solution for many situations that may arise. It can be used in both short- and long-term circumstances, and can relieve the stress and difficulties that may arise without it.Whether its when caring for a child or an elderly loved one, sometimes we all need a little additional help. Before automatically opting for a nursing home or full-time daycare, consider the option of in-home healthcare that allows your loved one to receive treatment and care within the comfort of her or his own home. With the full continuum ofhomecareavailable from newborn care and nanny services to companion care to skilled medical care for the elderly, there is a wide array of situations where in-home caregivers can ease everyday stressors.Top reasons to utilize in-home caregivers:Old Age & Related Issues With old age comes an array of physical and emotional challenges. In-home caregivers can help assist elderly loved ones on a full-time basis or periodically throughout the week. This helps loved ones enjoy the comfort of their own homes and in many situations it allows them to hold on to their independence.Personal Care In-home care providers can take care of bathing, nail trimming, dressing, and toileting. In-home care providers are trained to provide professional service for demands ranging from simple to delicate tasks.Companionship Having someone you trust to spend time with is vital for happiness, and with a capable and kind provider, your loved one will receive consistent companionship with loving care.When a Nurse is Necessary Whether its a broken ankle or hip or a long-term illness, sometimes a regular nurse is necessary. To help keep yourself or loved ones on track with medications and check-ups, an in-home nurse can be very beneficial.Non-Ambulatory Situations Often times our loved ones fall into situations where assistance is required, but an ambulance or hospital is not necessary. In-home caregivers help keep worry at bay and ensure safety for your loved ones who can still be independent, but need someone who is qualified and supportive.When Parents are Sick Sometimes parents get sick and are temporarily unable to care for their young children. Whether its a debilitating illness or temporary illness like the flu, homecare agencies can help provide qualified babysitters on a temporary or long-term basis if the parents do not have the necessary resources.Too Sick for Work From a strong strain of the flu to work-related injuries, sometimes youre too sick for work but that doesnt mean you require hospital care. In situations where a little extra help is necessary, temporary in-home caregivers can provide relief and assistance in a comforting place without being deserted in a hospital setting.Meal Preparation An in-home caregiver can ensure your loved one receives balanced, nutritious meals every day. Plus, they can keep your loved one company while they eat. They are also prepared to meet any dietary restrictions.Errand Running An in-home caregiver can run errands for your loved one, or even bring them along. Grocery shopping can be an enjoyable outing for many seniors if they have a companion.Benefits of Home Care for Elderly PatientsMany doctors feel that a patient best recovers in a clinical, sterile environment. However, this has since been shown to be wrong and it may actually increase the risk of developing a hospital-acquired infection that can be deadly for some people and elderly people are particularly vulnerable, especially when recovering from an illness or injury. Providing care to patients in their homes with an in-home care provider can be helpful and it may also encourage better and faster healing because the patient will be more comfortable in a familiar environment.Elderly people will be able to be around family and friends so that they have the support and socialization necessary for a speedy recovery. Being able to recover at home also offers a degree of dignity and independence that is not usually present in a hospital setting.

To learn more aboutOasis Senior Advisors in Ogden,CLICK HERE.Sleep Awareness Week, March 14-20, highlights new findings and research to help those battling a variety of sleep disorders. As youve likely experienced within your community, studies show that older adults arecommonlyaffected by difficulties and interruptions in their nightly sleep. The most frequently reported issues are:Having trouble falling asleepSleeping fewer hoursWaking frequently in the night or early morningDifficulty getting quality sleepDisrupted or restless sleep can lead to greater health concerns for seniors including increased risk for falling, daytime fatigue, and even cognitive impairments.Sleep disorders in the elderly generally fall into two categories: Primary sleep disorders and sleep issues caused by other medical conditions. A primary sleep disorder means there isnt another medical or psychiatric cause that creates the sleep issue.Primary sleep disordersCommon primary sleep disorders in older adults can be:Insomnia or difficulty falling asleep, staying asleep, or restless sleepSleep apnea or brief interruptions in breathing during sleepRestless leg syndromean overwhelming need to move your legs during sleepPeriodic limb movement disorder, or involuntary movement of the limbs during sleepCircadian rhythm sleep disorders or a disrupted sleep-wake cycleREM behavior disorder or the vivid acting out of dreams during sleepInsomnia is both a symptom and disorder. Conditions like depression, anxiety, and dementia can also increase risk for sleep disorders, especially insomnia. However, there are many other medical conditions that can cause sleep disruptions.Medical Conditions That May Disrupt Sleep:Parkinsons DiseaseAlzheimers DiseaseChronic pain such as arthritis painCardiovascular DiseaseNeurological conditionsGastrointestinal conditionsLung or respiratory conditionsPoor bladder controlMany older adults are also on medications that can disrupt sleep. Antidepressants, H2 blockers and adrenergic drugs are leading causes of interrupted sleep or difficulty in maintaining consistent restful sleep for weeks at a time. Of course, outside of a controlled medical or care environment, substances like caffeine, alcohol, and smoking may also contribute to sleep problems.Managing sleep issues in seniorsIn contrast to most younger people, many older people report having troublemaintaininga good nights rest, but not so much falling asleep. These ongoing sleep disorders can lead to larger concerns like depression and risk of falling. Most studies conclude that behavioral therapies for better sleep are preferable to medications, which can have unwanted side effects. This means developing good sleeping habits through sleep education, stimulus control, and time in bed restrictions. Changes can take up to six weeks or more.If behavior therapies dont work, then a doctor may prescribe medication or other treatments. However, the medical community advises that sleep medication isnt a long-term solution. The best therapies and strategies for your sleepless residents include:Going to bed and waking up at the same time each dayUsing the bed only for sleep, not other activities like reading or watching TVDoing quiet activities, like reading, before bedAvoiding bright lights before bedKeeping a soothing and comfortable bedroom environmentAvoiding napsA study about managing sleep disorders in older adults also suggests limiting liquid before bed, avoiding caffeine and alcohol, eating three to four hours before bedtime, and exercising regularly (but not right before bedtime).Getting an adequate amount of quality sleep is important to maintaining the health of your residents. Further information and ideas for helping those in your care can be found on theCenters for Disease Control and Prevention website.Oasis Senior Advisors refers older adults to communities like yours that will meet their care needs, budget and geographical preferences every day. To learn more about how a partnership with your local Oasis advisor can benefit your community, call us at (888) 455-5838.

Florida Medicaid BenefitsAt Senior Medicaid Solutions we provide you with all the facts and information you need to file an application for skilled nursing or assisted - living facility Medicaid benefits.Our knowledgeable staff can guide you through preparing for and filing your Medicaid application. Senior Medicaid Solutions is here to guide you through the entire filing process. We can reduce your stress, knowing that all of the details along the way are taken care of properly.Not only can we help guide individuals and families when dealing with the Medicaid filing process, but we offer case management, and professional guardianship services as well. Guardianship services are typically utilized when a person can no longer express safe and secure decisions about their self and/or property. They may be susceptible to misinformation or fraud with their lack of knowledge or assistance. Our initial consultation is always free and well explain how we can help you with these services.Editors Note: This article was provided by Senior Medicaid Solutions. They can be reached at 941-201-5871 to answer all of your Medicaid Questions

To learn more about Utah Senior Care Advisors, CLICK HERE.Independent Senior Living- These apartment setting communities for people 55+ are generally for those who do not require assistance with activities of daily living. Most of these residents maintain their drivers license and care for pets. All Independent livings communities offer different amenities and programs. Many include an activities program or socials and meals in a dining room. Some may have laundry services, transportation, housekeeping and other amenities such as a pool or gym. Larger companies may have Independent living, assisted living and skilled nursing communities on one campus, so your loved one can graduate to a high care community as their needs progress.When my grandmother could no longer keep her home in order, Independent living was the perfect fit for her. She was able to maintain her dignity, her dog and her car. There were plenty of social programs and we were comforted knowing she wasnt making herself the same peanut butter toast for every meal of the day. The community was essentially an apartment complex with socials and a dining room. We paid for a housekeeper to clean her apartment once a week and resident were supposed to use their own vehicles for transportation. The common areas were maintained, however a resident had to submit a request for apartment repairs.Assisted Living- Apartment setting communities that assist with activities of daily living including hygiene, prepared meal, and laundry and medication assistance. There is generally a full time activities program, a hair salon and other amenities for the residents to enjoy. These communities have an RN available, but not on staff around the clock.Memory Care-These communities provide all of the same services that an assisted living provides, but specialize in caring for resident with dementia. The communities are generally smaller and have a higher staff to resident ratio. A good activities program is based on sensory stimulation.Skilled Nursing- Hospital setting communities that employ doctors and have around the clock registered nurses on staff. This type of community assists those that need attention that only an around the clock nursing staff can provide.Respite Care- This service if for caregivers that need temporary care for their loved one. A person may stay at an assisted living for up to fourteen days, before actually having to move into the community permanently. This service is great for spouses acting as primary caregivers and need a vacation etcRegulations may vary state to state. Some assisted living communities specializing in memory care often offer some type of adult day care programs as well.Home Health and Hospice agencies- These agencies offer additional caregiver support, at home or at an assisted living community. These services may be covered by Medicaid. Home health allows people to prolong their move to an assisted living and helps residents that need additional care at an assisted living prolong their move to a skilled nursing community. Hospice agencies focus on care for residents that are actively dying or near the end of life. Their focus is on palliative care such as pain management and comfort. They are also a great resource, helping families prepare for the loss of their loved one.CCRC- Continuing Care Retirement Communities. These are communities that offer assisted living, memory care and skilled nursing at one location or campus.

Chronic, custodial care provided on an on-going basis. Long-term care involves a variety of services designed to meet a person's health or personal care needs during a short or long period of time. These services help people live as independently and safely as possible when they can no longer perform everyday activities on their own.#listing_mgr{1 basic_search}#

A Little Bit of Planning Goes a Long WayWeve heard that quote our entire lives, and in the area of Long Term Care, a little bit of planning. Even in a crisis goes a long way. It is estimated that over 40% of people over 65 will need some type of Long Term Care(LTC). Terms like Medicare, Medicaid, long term care insurance, trusts, life estates, transfers, gifts, annuities, and other strategies come to mind but having a qualified professional who can navigate a pathway to assistance based on your familys situation is critical. Its confusing, and to make matters worse, most of us dont address long term care issues until it is fully upon us either as a caregiver for a parent, or a caregiver of a spouse.Colorado has many resources for help. One such resource for financial help is Health First Colorado. This is Colorados Medicaid Program. Most Colorado elderly feel that they dont qualify for Medicaid because they have too much income or too many assets. In reality, many could qualify if they would engage a qualified Medicaid Planner, holding a Certified Medicaid Planner (CMP) designation. The role of a CMP is to help an applicant identify problems in obtaining eligibility and solve them. The goal of the CMP is to build certainty around how assistance with paying for LTC. This valuable planning can alleviate the stress of financial uncertainty.The rules around Medicaid eligibility are readily available on line. However, it is the proper application of the guidelines that is difficult causing most to think they dont qualify and therefore, overlook this valuable resource to assist in the costs of LTC.Planning will identify a legitimate means of preserving valuable or sentimental assets and income. Here in Colorado, to the surprise of many, Medicaid guidelines afford numerous opportunities to protect income and assets. Consulting with a CMP who specializes in LTC will help you and your family develop a successful pathway to LTC financial assistance.Editors note: This article was submitted by Stacy Osborne and Michael Sapp, CMP with Medicaid Consulting Group. They can be reached at 719-645-8350 or by email at info@medicaidconsultant.org.

At Independent Dental Care, we believe in providing high quality dental care at an affordable price.Many of our patients are seniors or those with very limited healthcare policies that give few benefits and charge more for their other needs. We understand this and go out of our way to make sure that patients receive quality dental care at a fair price.After watching the dental profession change, we felt it had to be done a different way (A Non Insured Way). Dental insurance itself is a huge clerical expense for a dental office. If we worked with insurance companies, we would have to hire more people just to process claims as the insurance companies decide the best treatment for the patient.Patients often remark they find our office to be a breath of fresh air in an age where big corporations and insurance agencies are invading every aspect of our lives, including our healthcare. Here at Independent Dental Care, we treat all patients like we would our own family and friends.We offer no gimmicks just to get you in the office. We offer only modern quality dental treatment at an affordable cost.Editors Note: Call us today 239.738.3523 or visit us online at www.independentdentalcare.com.

Bonded means that a bonding company has secured money that is available to the consumer in the event they file a claim against the company. Insured refers to what happens if someone gets hurt on the job. If the company isn't insured, then the claim gets filed against the homeowner's insurance. If the company is insured, then the claim gets filed against the company's insurance. Workers' compensation laws are designed to ensure payment by employers for some part of the cost of injuries, or in some cases of occupational diseases, received by employees in the course of their work.#listing_mgr{8 basic_search}#

To learn more aboutHome Care Assistance of Utah, CLICK HERE.Make clothes and personal items easy to access.If your loved one needs support getting dressed, they can still choose what to wear. Open wardrobes allow all clothes to be visible. This allows your loved one to see their options and make choices. If you dont have an open wardrobe, present a few choices for your loved one to choose from. Do the same for other personal items. Make sure your loved one can see or easily access things such as jewelry, money, and other items they like to have on hand.Ensure that clothes are easy to put on.If your loved one can pull up their pants but has difficulty with buttons or zippers, consider pants with elastic waistbands. Some things are easier to put on than others. If your loved one is more independent with certain clothing styles, it is worth investing in them. Getting dressed with less support may give your loved one a confidence boost as they start their day.Invest in voice-activated technology.There are several voice-activated home devices on the market, made by companies like Amazon and Google. These devices are a great resource for people with disabilities. Theyre great for those with low vision, difficulty with fine motor tasks, or mobility challenges. Voice-activated devices can do a lot of things, including:Play musicOperate the televisionLock and unlock doorsControl the thermostatControl lightsTell the time, date, and weatherMake phone callsSmart devices empower some people to live independently for longer. They allow people who cant use smartphones or computers to access information. Plus, new uses for these technologies come out all the time.Use adaptive equipment throughout the house.Age-friendly home improvementscan enable older adults to be independent for longer. In the bathroom, you can install grab bars in the shower and near the toilet. You can add a shower chair and an elevated toilet seat. In the kitchen, you can store items on the counter or at eye level so your loved one doesnt have to bend or reach. You can also buy weighted utensils to make meal times easier. As you make changes to your loved ones home, think through their daily routine. What challenges are they facing throughout the day? What tasks do they receive support with? Is there any equipment that would make things easier? Are there changes that you could make that would empower them to need less direct support? If you dont know where to start, you may want to consult an occupational therapist. They can offer ideas of changes you can make to the home.Community Independence for Aging Loved OnesFind a weekly activity for your loved one.Older retired adults dont get out of the house as often as people who are still in the workforce. This can become lonely and boring. Many elders report feeling isolated, which can lead to depression. Hobbies in the community are a great way to prevent isolation. Most communities have senior centers or senior-oriented events. There are events appropriate for all interests, such as:BingoExercise classesOutings to museumsSightseeing tripsThese events are often accessible to people who use wheelchairs and walkers. Ask your loved one if they want to sign up for a few activities. If possible, encourage them to attend a weekly event. This will give them something to look forward to each week, and they may even make some new friends.Encourage physical activity and exercise.Exercise is good for the body and mind. Regular physical activity can help prevent Alzheimers and dementia plus improve strength and mobility. Daily walks, exercise classes, and day trips are all great options. They all encourage movement and will get your loved one out of the house.Legal Independence for Older AdultsConsider alternatives to guardianship.When older adults experience cognitive decline, their caregivers often have to make decisions for them. Many caregivers pursue guardianship. Judges appoint guardians for those they deem incompetent to make decisions. Guardians have the power to make decisions on the persons behalf. Guardianship can be expensive and severely limits your loved ones rights. If you pursue guardianship, you will need to hire a lawyer and prove your case in court. Alternatives to guardianship exist, such as Power of Attorney (POA) and Medical Proxy. These options do not cost money and you can complete them under the witness of a notary. POA and Medical Proxy are agreements made between you and your loved one. Theyre completed while your loved one can still make decisions. Then, in the event that they need you to make decisions on their behalf, you will not have to pursue guardianship. These alternatives empower your loved one to decide who will speak on their behalf if they arent able to do so.Draft an Advance Directive.End-of-life decisions are emotionally charged and personal. Theyre difficult to discuss, especially when your loved one is relatively healthy. However, discussing end-of-life care is one of the most meaningful ways you can empower your loved one to be independent. An advance directive is documentation of your loved ones wishes about the end of life medical care they will receive. You can keep a copy for yourself and share one with your loved ones doctors. If you ever have to make difficult decisions, you will know that youre acting according to your loved ones wishes.Tips to Keep in Mind to Promote Independence for SeniorsEveryone has a right to make mistakes.As family caregivers, we want to protect our loved ones from everything that might harm them. From an unhealthy meal to a decision to keep living alone, our loved ones often make decisions that worry us. If we want to empower those we care for, we need to allow them the space to make decisions that we disagree with. Nobody can be safe all the time. Caregivers must balance safety with autonomy. For example, maybe your mother is adamant about living at home. She might also be willing to allow a paid caregiver to come each evening for a few hours to prepare dinner and clean. While this may not be your preferred solution, it empowers your mom to live the way she wants to live. It can bring you peace of mind knowing that someone is checking on her each day. A caregiver cankeep your parent safe at homeby making sure she gets any assistance she might need.Encourage choices whenever possible.Sometimes we take decisions for granted. The choices we make every day such as the clothes we wear, the food we eat, and the movies we watch seem small. While theyre small individually, together they add meaning and joy to our lives. Choices, whether theyre small or large, are empowering. Older adults dont always feel in control of their lives. Their bodies are changing and they may be losing abilities that they used to have. Those changes can be scary and disempowering. As caregivers, we can offer choices and listen to our loved ones opinions. We can remind them that they have power in their own lives.Provide the care your loved one wants.As caregivers, we provide the best support when we know what our loved one wants. If you take the time to listen to your loved one, they will tell you how to best support them. Many older adults have strong opinions about the support they will accept. Some people refuse to let others help them use the restroom. As a caregiver, you can use creativity to ensure that you meet both their needs and desires. Maybe you can install a grab bar near the toilet and an elevated toilet seat.Keep an open dialogue with your loved one.Some older adults dont like to say anything when they need help. If youre encouraging independence, check in often. Make sure your loved one doesnt need more support than theyre currently receiving. Take time to notice how theyre doing. Offer different levels of support so they can choose what theyre comfortable with. For example, maybe your mom is comfortable sweeping her kitchen, but mopping makes her nervous because the floors are slippery. If you keep an open dialogue, she will feel comfortable sharing these details with you. This will enable you to help while supporting independence. Youll see several benefits if you show your loved one that you value their independence. Your loved one will be less likely to experience depression. They will be more likely to find meaning and joy in their daily life and will trust you to support them. As a caregiver, youll put less pressure on yourself to do everything. Enjoy a more open and empowering relationship with the person you support.

When caring for your own or for a loved ones wound, it is important to understand at-home treatment methods as well as symptoms that require professional medical attention. Wounds can be caused by injury, disease (such as diabetes), a surgical incision, poor circulation, poor nutrition or other factors. Most wounds heal naturally over time, but sometimes this process does not happen as it should.Acute wounds are injuries that occur on the skin suddenly rather than over time. These wounds can be painful and exposure to air can lead to infection as well as further damage of vessels, nerves and muscle tissue. General symptoms include pain, bleeding and swelling and treatment must be provided as quickly as possible. Basic steps toward acute wound healing include: Apply pressure and control the bleeding Clean the wound area with soap or saline solution If possible, remove debris from the wound Keep the wound moist and covered to prevent infection. A moist wound heals twice as quickly as a dry one. Maintain proper nutrition including quality proteinWounds should show signs of healing within two weeks and be largely healed in four weeks. Wounds that do not respond in this manner should be seen by a medical provider. Additional signs to seek medical attention for a wound include: Bleeding cannot be stopped or blood is soaking through the outside of the dressing The wound is very deep or has jagged edges The dressing becomes wet or falls off Pain from the wound continues to increase Signs of infection are present such as increased redness and warmth, increased drainage and odor, increased pain, swelling, and feverIf an acute wound fails to heal properly, it can progress into a chronic wound. Generally, this is the worst scenario for a wound because failure to heal properly has led to an abandonment of blood, oxygen and nutrients being administered by the body to the injury.When a wound progresses to a chronic phase, at-home healing becomes out of the question. Professional medical attention is now the only option to properly treat the wound and prevent complications and potential amputations. Addressing a wounds underlying causes, such as diabetes, tissue ischemia, and/or venous insufficiency, is an essential treatment component.download Before I Fall 2017 movie nowEditors Note: This article was submitted by Linda S. Meola, MBA.Linda is a Program Director with the Stamford Health Wound Care, Ostomy, and Hyperbaric Center and may be reached at 203-276-2486 or by email at LMeola@stamhealth.org

Motivated by heart-breaking stories her own mother told about growing up in foster homes and determined to protect children in that situation now, Elaine Ellis became a Guardian ad Litem volunteer six years ago. Mom wasnt abused like many were back then, but she wasnt loved either, Elaine recalls. Now, shes working to make sure children in state custody, like 7-year-old Sarah and her 8-year-old brother, Elijah, are treated the way she wishes her Mom had been. Twice last year Sarah and Elijah needed someone in their corner, and both times Elaine was ready to stick up for them. The childrens father disappeared years ago and their mother, Linda, fell and hit her head while working in Lewiston. Her injuries required a long hospital stay and months of rehabilitation. Doctors said it would be at least a year before she could care for herself and the children. With no one to care for them, Sarah and Elijah were placed in a foster home to wait for Linda to recover. Sarah and Elijah were devastated when I met them, Elaine said. Ive never seen two sadder kids. Elaine visited them regularly - working hard to earn their trust in the months that followed. She took them books and blankets, checked on their grades, and listened to their stories about their Mother and all the things they would do when she was well. It was two months later that Sarah shared a secret with Elaine - a teenager in the foster home was abusing her brother, she confided. Elaine reported the abuse and Sarah and Elijah were immediately moved to another foster home. In the meantime, Lindas therapy progressed. Her condition improved enough to have visitors, and Sarah and Elijah were ecstatic to learn they would be able to see their mother over the Holiday break. Every time Elaine visited they were making plans for the visit. It was only four days before Christmas when Elaine got a frantic phone call from Carrie, the foster mom. Carrie told Elaine the arrangements for the childrens Christmas visit with their mother hadnt been finalized, and no one at the Department of Health and Welfare had given approval for the trip. The person with the authority had left town, Elaine said. I just couldnt stand for them to have that kind of disappointment. It took dozens of calls and three trips to state offices but Elaine finally found someone with the authority and willingness to approve the trip, but there were still no travel arrangements. Finally, on Christmas Eve, Elaine found friends from church, foster parents, who were traveling to Lewiston and had room for two more passengers ensuring Sarah and Elijah would spend Christmas with their Mom as promised. There wasnt anyone to watch out for my Mom, Elaine said, Im happy to be part of a program that watches out for kids like her now. Names changed to protect the identities of those we serve. This year over 1,100 children in the Treasure Valley were placed in foster care because of abuse or neglect. Family Advocates has trained over 350 volunteers to provide a voice to children in foster care through the Guardian ad Litem program. Family Advocates is in need of 120 additional volunteers to help meet demand and ensure all children have someone to stand up for them in times of need. If you are interested in becoming a Guardian ad Litem and making a difference in a childs life contact Brad Talbutt at 345-3344 or email bradt@familyadvocate.org. No experience is required. Family Advocates provides all volunteers with training and supervision by experienced staff.

For more information on the author Good Life Healing Center, CLICK HERE.In the United States, an estimated 300,000 people a year die from obesity.In several studies over the last five years, researchers have shown patients who receive regular acupuncture treatments see faster weight loss results than those who do not. In each case, the acupuncture treatments were combined with dietary and lifestyle changes also aimed at weight loss, but the patients who got acupuncture saw better results than those who focused on dietary and lifestyle changes alone.In traditional Chinese medicine, obesity is linked to energy or qi stagnation, especially around the stomach and spleen. TCM teaches that the energy imbalance caused by stomach and spleen qi stagnation affects digestion, the function of the pancreas, and the insulin-glucagon pathway. Each of these mechanisms is an important part of our bodys ability to take in nutrients, cycle them through our body, and get rid of unneeded waste.There are many acupoints and combinations of acupoints that have proven successful for people who are trying to lose weight. It depends on the particular qi stagnation they are exhibiting and other body type characteristics.Clinical research has shown acupuncture treatments have the ability to restore bodily balance, improve physical well-being and promote healthy weight loss. In one study in Taiwan, researchers conducted a trial of 100 patients. Each patient received three months of acupuncture treatments, after which their body mass index (BMI) was an average of three points lower than before the treatments.The researchers highlighted they saw the most success when they selected personalized acupuncture points based on each patients individual needs.It can be frustrating and challenging to complete a weight loss regime, and there are so many kinds, each telling you theirs will be different and bring you success.In TCM, any dietary or lifestyle change is recommended based on underlying causes, not surface symptoms, and with a well-rounded view of your health in mind. An acupuncturist will never analyze your health solely based on the reading of a bathroom scale. However, if you are looking for support on your weight loss journey, acupuncture may be a great thing to add to your routine.

Can one stay actively healthy while on vacation? The answer: Yes, with5 exercisesfrom Coastal Orthopedics, even vacationerscan stay on top of their health too.For many Florida travelers, exercise is out of sight, out of mind. But, following these quick and easy exercise tips can keep you healthy and happy all summer long.You dont want to gain that extra vacation weight. With these exercises you can still enjoy your vacation but not regret it when you get home.1) Just Keep Swimming-Swimming is a great way to maintain cardiovascular health and is a preferred exercise for people with severe osteoporosis. Swimming is also the only exercise the works out every muscle group.2) Its All About Balance-Maintaining balance is important to avoid dangerous falls. In between commercial breaks of your favorite TV programs get up and position the heel of one foot directly in front of the toes of your opposite foot. Alternate each time you take a step. Balance is also important to work on during vacation if youre a big partier.3) Walk the Line-Walking is a perfect way to start exercising and it can be done anywhere. Pick your favorite spot and get stepping. It is also a great way to check out some of the great vacation scenery or meet some of the locals.4) Thats so Zen-Yoga, Tai Chi, and other calming exercising can not only wipe the stress away but they also works on strength, flexibility and balance. Vacations should most definitely be a stress-free time for you.5) Strength in Numbers-Strength training is necessary to maintain cardiovascular and muscular health. While sitting, you can use light free dumbbells to do repetitive sets of arm curls. No hand weights? Soup cans easily do the job too. The best part about this exercise is that you dont even have to get up.Written By:Mark GardnerSubmitted By: Coastal Orthopedics- click here for more information*

Facility is contracted to accept this Medicaid based program. New Choice Waiver is designed to help nursing home residents move to more independent community settings.#listing_mgr{1 basic_search}#

Two types of little-known Veterans Benefits may provide critical benefits to those who need assistance with health care costs: Housebound benefits and Aid & Attendance benefits. Eligibility rules for these benefits are more flexible than those for Medicaid or other public benefits, and are also available to qualified surviving spouses and dependents of a veteran.In addition to meeting requirements regarding active duty service and disability, an applicant must meet medical and financial criteria:DETERMINING ELIGIBILITYMedical Criteria:Housebound benefits are available to a veteran or widow(er) of a veteran who meets certain conditions of disability and is confined to the home. People age 65 or older are presumed to be disabled, and simply must meet financial and military service eligibility requirements.Aid & Attendance benefits are available to a veteran or widow(er) of a veteran who meets certain disability conditions. Notably, the applicant is presumed to need Aid and Attendance if living in an assisted living facility.Financial Criteria:IncomeThe 2008 permissible family income limits range from $763 to $1,427 (for Housebound benefits) and $998 to $1,842 (for Aid & Attendance benefits), depending on whether benefits are for a widow(er) and whether there are dependents.Unreimbursed medical expenses (including home health care, assisted living facility, or skilled nursing home costs) may be used to reduce countable income.Assuming the applicant is eligible, the VA uses a formula to determine the amount of the monthly benefit, based on the sources of income and out-of-pocket medical expenses.AssetsThe VA considers an individuals net worth, excluding his/her home, to determine whether the person has sufficient means to pay for his/her own care. There is no specified resource limit; however, a commonly used resource limit is $80,000 or less in assets, whether married or single. Nevertheless, because the VA now uses age analysis to determine financial need, a 98-year old who has $75,000 may not be eligible, whereas a 78-year old who has $75,000 may be considered eligible.There is no look-back period in determining financial eligibility for applicants of these VA benefit programs. Therefore, excess resources can be gifted to family members and an application filed immediately thereafter with no effect on eligibility.*Donald D. Vanarelli is a Certified Elder Law Attorney by the National Elder Law Foundation, accredited by the ABA and an Accredited Veterans Administration Attorney. For more information, see his ad on page _____or visit his website at www.dvanarelli.com

When is the best time to consider adult day care services for someone I care about? That is a question often asked by caregivers and family members who are concerned about someones safety and well-being. The answer is simple: If you are concerned, then the time is now.If you find yourself asking if its time for additional caregiving services, then generally the answer leads to yes. A comprehensive health care plan for someone who needs additional support during the day should include a day program that provides both mental and physical activities. Evidence shows that attending a day service and engaging with others, eating nutritious, well-balanced meals, and participating in physical and mental activities can sometimes help slow memory loss. Some programs are designed specifically for those with dementia or other cognitive impairments. Other adult day programs provide structured activities for impaired older persons or disabled individuals of all ages. Such structured programs can help the person with the disability or disease maintain abilities that would otherwise deteriorate more rapidly. A person can locate a program that provides more specialized social work, nursing or physical and occupational therapy services.By utilizing adult day care, family members can remain employed, do errands, rest, and be involved in other important areas of their lives. As with any service, the best time to start exploring whats available is before you need it. According to Eldercare Online, you should consider using adult day services when your loved one: Can no longer structure his or her own daily activities Is isolated or at risk for social isolation Cannot be safely left alone at home or theres little supervision at homeIt is beneficial to enroll someone in a day program at least one year before you believe they need the service, so that they can fully enjoy the many benefits the center offers. Spend a day at an adult day center, check out references and talk with geriatric professionals to determine if the center meets your needs.Editors Note: This article was submitted by Marie Johnson, MA, Social Services Coordinator , River House Adult Day Center. She can be reached at 203-629-0079.

Traditionally, people expected to live in their homes until they could no longer do so, then either stayed with a relative or moved to a nursing home situation. These days, some seniors are looking to alternative ideas, such as community-style arrangements, to help meet the challenges associated with aging. Weve sorted out what this might entail so you candecide if aging in community might be right for you.Weigh your priorities Hand-in-hand with growing older, our needs tend to shift. Our bodies and minds arent what they used to be, and as a result, we sometimes need to rethink our priorities. That being said, some surveys indicate three quarters of older adults prefer aging in place for their golden years. They also prefer to remain connected with their current community, and about a third would consider sharing their home with someone else. Adding all that up, many seniors are redefining their home environments. When faced with their choices, some seniors are electing to go with community-type living arrangements to address both their needs and their wants. In these situations, seniors collect into one village so they can support each other in all respects - sharing grounds, duties, friendships, and so forth. As Women Living in Community explains, aging in community is a solution that nicely complements aging in place, since seniors can fill in any gaps aging in place might leave.Building an ideal community What would an ideal aging in place community look like? According to some research, a few key aspects should be in place. Senior-friendly communities include things like transportation options, age-appropriate housing, safe common areas, and social inclusion.Transportation Options As Huffington Post explains, seniors who no longer drive, or who drive on a limited basis, still have ample ways to get around town. There are taxi cabs or ride-sharing services they can call, and providers like Uber even offer seniors two free trips on the first day of each month. If a senior needs to visit a doctor, Medicare Advantage plans often help with transportation using those same ride-sharing services. And if there is an emergency or near emergency, Original Medicare itself will typically take care of transport. Dont rule out public transportation, either. Many locations offer discounted programs to seniors, and some even allow them to ride for free. Similarly, some medical centers and hospitals offer their own shuttle services, so seniors considering building a community will find its worth checking around to see whats available.Age-appropriate structureThere are some basic design elements that can help make a home more senior-friendly, and housing in your community should reflect somebasic principles. For instance, all essential rooms should be located on the ground floor, including the bedroom, kitchen, laundry, and bathroom. Throughout the home, flooring should be easy to clean but soft in the event of falls, and lighting should be upgraded throughout the home. Doorways and hallways should be wider than in traditional houses, and every property should boast at least one zero-step entryway. Lever-style door knobs benefit aging hands, and there should be at least one work zone in the kitchen that allows for seated food prep. The primary bathroom deserves extra attention, with things like grab bars, a comfort-height toilet, and a walk-in shower or tub for washing. Common grounds Communities should be in safe neighborhoods, and also include even, level walkways and ample lighting for nighttime outings. Benches throughout the area allow seniors to take breaks, lounge, and interact. Staying social One of the biggest benefits seniors can gain from aging in community is remaining socially connected. By the nature of the beast, they can avoid isolation, which appears to have a detrimental effect on health.Seniors who become isolated are more apt to experience memory problems, reduced wellness, mental health issues, and shortened life expectancy. In a community, peers are close, and interaction is convenient and accessible. Aging in community offers a world of possibilities to seniors.Its a chance to stay active, live a healthy life, and remain connected. When evaluating your future housing options, its worth considering.' Editors Note: This article was submitted by Seniors Blue Book reader Hazel Bridges. Hazel is the creator of agingWellness.org.

Dealing with the symptoms of any painful or serious illness is difficult. However, special care is available to make you more comfortable right now. Its called palliative (pal-lee-uh-tiv) care. You receive palliative care at the same time that youre receiving treatments for your illness. Its primary purpose is to relieve the pain and other symptoms you are experiencing and improve your quality of life.Palliative care is comprehensive treatment of the discomfort, symptoms and stress of serious illness. It does not replace your primary treatment; palliative care works together with the primary treatment youre receiving. The goal is to prevent and ease suffering and improve your quality of life.Palliative care is different from hospice care.Palliative care is available to you at any time during your illness. Remember that you can receive palliative care at the same time you receive treatments that are meant to cure your illness. Its availability does not depend upon whether or not your condition can be cured. The goal is to make you as comfortable as possible and improve your quality of life. You dont have to be in hospice or at the end of life to receive palliative care. People in hospice always receive palliative care, but hospice focuses on a persons ?nal months of life.Palliative care gives you a chance to live your life more comfortably.Palliative care provides relief from distressing symptoms including pain, shortness of breath, fatigue, constipation, nausea, loss of appetite, problems with sleep and many other symptoms. It can also help you deal with the side effects of the medical treatments youre receiving. Perhaps, most important, palliative care can help improve your quality of life.Palliative care can improve your quality of life in a variety of ways.Together with your primary health care provider, your palliative care team combines vigorous pain and symptom control into every part of your treatment. Team members spend as much time with you and your family as it takes to help you fully understand your condition, care options and other needs. They also make sure you experience a smooth transition between the hospital and other services, such as home care or nursing facilities. This results in well-planned, complete treatment for all of your symptoms throughout your illness treatment that takes care of you in your present condition and anticipates your future needs.For more information: Please see the NHPCO websiteEditors Note: This article was submitted by Kimberly Ware with excerpts taken from the NHPCO website. Kimberly is an Administrator with Dignity Home Health & Hospice and may be reached at 801-934-6279 or by email at kware@dignityhlth.com

To learn more aboutGood Shepherd Home Care & Hospice,CLICK HERE.The month of September brings a welcome relief from the hot summer days. Cool breezes and colorful foliage appearing on the trees entice one to walk and bask in healthy fresh air.September has also been designated as Healthy Aging Month with encouragement to seniors to renew their attitudes towards better eating, exercise, and mental stability. With the nation's senior population growing there is more focus on programs to help seniors remain healthy and active as they age physically, mentally and emotionally.WebMD's online magazine's featurearticlebyMatt McMillenfocuses on the "September National Theme" with tips to stay at your peak!"1.Get movingExercise regularly to maintain a healthy body and brain.2.Stay socialTake a class, volunteer, play games, see old friends, and make new ones.3.Bulk upEat beans and other high-fiber foods for digestive and heart health.4.Add some spiceAdd herbs and spices to your meals if medications dull your taste buds.5.Stay balancedPractice yoga or tai chi to improve agility and prevent falls.6.Take a hikeBrisk daily walks this September can bolster both your heart and lungs.7.Sleep wellTalk to a sleep specialist if you dont sleep soundly through the night.8.Beat the bluesIf youve been down for a while, see a doctor. Depression can be treated.9.Dont forgetTo aid your memory, make lists, follow routines, slow down, and organizeOpportunities for seniors to use their work experience and talents in volunteer work benefit not only them but their communities as well. Many seniors take educational courses to improve their minds and seek out opportunities to use this newfound knowledge in productive ways. In another direction, senior sport programs have been developed that encourage those who miss their days on the basketball court or playing other sports to take it up again. The National Senior Games Associations sponsors a competitive Senior Olympics.There is no limit to what a healthy attitude can accomplish.

So often today, we are reminded of the importance to take care of ourselves and plan me time each day to refresh and recharge. However, many people caring for a senior loved one feel unable to find much alone time and risk feeling emotionally burned out from caregiving. Combine that with the heavy strain on their physical and financial well-being, and its easy to see why caregivers often struggle. Research has shown that caregivers frequently deal with feelings of anger, guilt and isolation from family and friends. They also may experience physical symptoms, including exhaustion, loss of appetite, weight loss/gain, heartburn, suppressed immune system and more. Numerous studies have shown that increased levels of stress can lead to high blood pressure, which could ultimately lead to a stroke or heart attack."Caregiving is one of the most difficult challenges that families will face. It affects a family physically, emotionally, and spiritually. It is important to notify your healthcare provider of any caregiver challenges that you face," said Dr. R. Scott DeLong, Geriatrician with LGHP Geriatrics and the Medical Director at Spang Crest, a Luthercare community.The good news is that there are ways to combat the stress of caregiving. Knowing youre not alone is very important. Joining a local support group and becoming part of a community of people going through shared experiences can offer you encouragement, information and optimism and combat feelings of isolation. Many senior living communities, including Spang Crest, hold monthly support groups. Look for one near you.Its OK to ask for help from other family members and friends. They may not realize the responsibilities you are carrying. By scheduling caregiving assistance from others, you can run errands, socialize or simply take a walk around the neighborhood to return feeling renewed and better able to care for your loved one. Additionally, reaching out to a trusted friend, neighbor, relative, or clergy member for emotional support can be a much-needed resource. Finally, reach out to a local senior living community or a senior advisor for suggestions on where to turn for additional help.Editors Note: This article was contributed by Nicole Lithgow, Admissions & Marketing Coordinator at Spang Crest, a Luthercare senior living community in Lebanon, PA and Amy Kenn, Luthercares Communications Director.

For More Information on the Author Paul Andrews, ERA Advantage Reality, CLICK HERE!In the olden days, when someone wanted a home loan they walked downtown to the neighborhood bank or savings & loan. If the bank had extra funds lying around and considered you a good credit risk, they would lend you the money from their own funds.It doesnt generally work like that anymore. Most of the money for home loans comes from three major institutions:Fannie Mae (FNMA - Federal National Mortgage Association)Freddie Mac (FHLMC - Federal Home Loan Mortgage Corporation)Ginnie Mae (GNMA - Government National Mortgage Association)This is how it works:You talk to practically any lender and apply for a loan. They do all the processing and verifications and finally, you own the house with a home loan and regular mortgage payments. You might be making payments to the company who originated your loan, or your loan might have been transferred to another institution. The institution where you mail your payments is called the servicer, but most likely they do not own your loan. They are simply servicing your loan for the institution that does own it.What happens behind the scenes is that your loan got packaged into a pool with a lot of other loans and sold off to one of the three institutions listed above. The servicer of your loan gets a monthly fee from the investor for servicing your loan. This fee is usually only 3/8ths of a percent or so, but the amount adds up. There are companies that service over a billion dollars of home loans and it is a tidy income.At the same time, whichever institution packaged your loan into the pool for Fannie Mae, Freddie Mac, or Ginnie Mae, has received additional funds with which to make more loans to other borrowers. This is the cycle that allows institutions to lend you money.What Freddie Mac, Ginnie Mae, and Fannie Mae may do after they purchase the pools is break them down into smaller increments of $1,000 or so, called mortgage-backed securities. They sell these mortgage-backed securities to individuals or institutions on Wall Street. If you have a 401K or mutual fund, you may even own some. Perhaps you have heard of Ginnie Mae bonds? Those are securities backed by the mortgages on FHA and VA loans.These bonds are not ownership in your loan specifically, but a piece of ownership in the entire pool of loans, of which your loan is only one among many. By selling the bonds, Ginnie Mae, Freddie Mac, and Fannie Mae obtain new funds to buy new pools so lenders can get more money to lend to new borrowers.And that is how the cycle works.So when you make your payment, the servicer gets to keep their tiny part and the majority is passed on to the investor. Then the investor passes on the majority of it to the individual or institutional investor in the mortgage backed securities.From time to time your loan may be transferred from the company where you have been making your payment to another company. They arent selling your loan again, just the right to service your loan.There are exceptions.Loans above $333,700 do not conform to Fannie Mae and Freddie Mac guidelines, which is why they are called non-conforming loans, or jumbo loans. These loans are packaged into different pools and sold to different investors, not Freddie Mac or Fannie Mae. Then they are securitized and for the most part, sold as mortgage backed securities as well.This buying and selling of mortgages and mortgage-backed securities is called mortgage banking, and it is the backbone of the mortgage business.

While hospice care for people who are nearing the end of life is fairly well known, palliative care remains a mystery. Because palliative care is one of the fastest growing areas of service in the healthcare spectrum, it is important to understand what it involves.Palliative care is derived from the term palliation, which Dictionary.com defines as to relieve or lessen without curing; (to) mitigate; (to) alleviate. While the relief provided by a palliative care team is often pain related, other symptoms such as labored breathing, nausea, anxiety or bleeding can be the presenting problem. The goal is to provide comfort, support and practical assistance in finding needed services for those with chronic illnesses, frail health or post-surgical problems that are not yet end-of-life issues. The most common conditions seen in palliative care are cancer, COPD and congestive heart failure.Hospice always includes palliative care, but palliative care does not always include hospice, because the patient does not have to be near death to receive palliative services. Palliative care teams emerged first in hospitals, but more recently, services are being provided in private homes, clinics and long term care facilities in an effort to provide comfort while keeping people out of emergency rooms and hospital beds. The palliative care team usually includes a doctor, nurse and social worker, although in recent years, Navigators have been added, to help patients navigate the maze of healthcare services in the community.Unfortunately, palliative care is not well supported by private insurance or government programs such as Medicare and Medicaid. Because of the lack of reimbursement, most hospices cant afford to provide non-hospice palliative care services, so many patients are left to live with their symptoms until they reach hospice-eligible status - meaning six or less months to live. Medicare is beginning to embrace the inherent value of palliative care, recognizing the need for services during the gap that exists between hospitalization and hospice. Older patients in particular leave the hospital and become depressed, confused or ineffective in managing their own medications, only to escalate back to the hospital, or on to hospice.The frail elderly and those with chronic health conditions should contact their family doctor for a referral to a palliative care provider. A determination of eligibility can be provided quickly, and the care team works in conjunction with the patients personal physician to assure a coordinated approach to symptom management.Editors Note: This article was submitted by Gary Morse. Gary is President and Chief Executive Officer with Sangre de Cristo Hospice & Palliative Care and may be reached at 719-542-0032 or by email at gary.morse@socohospice.org

No one wakes up in the morning with a deliberate plan to fail, but I do believe many of us plan for failure by simply procrastinating because while we all know we will die it all seems so far off. Unfortunately, too often the unexpected arises, and families are left scrambling to figure out what to do for those they love. When my mothers health became such that my father had to place her in long-term care I remember telling him how much the planning to care for her might cost. He told then he would gladly pay more than that for the problem to just go away.My parents had basic estate planning in place, but what they did not have was a plan for life and a plan for death. What is a plan for life? Well, it involves basic estate planning such as a will and powers of attorney, but it also includes contingency planning for the unexpected. For example, what is the plan if one spouse needs long-term care and the other does not? What happens if both require it? What happens if one spouse is in long-term care and the stay at home spouse dies. What happens if in a situation such as the ones Ive named the families are blended; who makes what decisions for whom?A plan for death is easier, but often neglected. We found out at my mothers death that we did not have the first idea how to have my mom interred in the local VA cemetery, and we had to wade through a lot of misinformation until we got the right information.What to do then? Plan for the unexpected. Consult with the necessary professionals today so that the unexpected does not catch you unawares. The decisions you make today will affect your family tomorrow; help them to enact your wishes by giving them the tools they need to implement your plans for both life and death. The problems will not just go away.Editors Note: This article was submitted by William H. Moller, Attorney and Counselor at Law, The Moller Law Group, LLC. He may be reached at 719-694-1284, or by email at whmoller@mollerlawgroup.com.

Long-term chronic care is a higher level of medical care not found in traditional long-term care settings. It combines comprehensive therapeutic programs and clinical services for seniors with chronic and sometimes complex diagnoses.#listing_mgr{1 basic_search}#

Transitions Hospice was founded with a very simple and basic philosophy- Keep People at Home. The concept of hospice care is a mystery to many. It is something no one wants to think about until they have to. However, people do have basic expectations about the type of service they would want to receive from hospice care. Being able to stay at home, surrounded by loved ones, having nurses, aides, social workers and spiritual counselors present at the times that they need them to be there, hospice staff being present when a person passes are just a few examples. Many hospices dont live up to those basic expectations. Research has shown that the national average for hospice staff being present when someone passes in a home setting is under 18%. That means 82% of families handle this delicate and emotional situation without the support of the team that was hired to do just that.At Transitions, every day is focused on helping patients and families live life to the fullest. We have nurses and support staff available 24/7 365 days per year because we know that health care is not a convenient 9 to 5 service. It is individualized around the clock care, meeting patients and families whenever and wherever they need it most. Jim Palazzo (founder of Transitions Hospice) puts it this way Most people working in health care are compassionate. But we have people that are passionate. They come to work every day with one goal in mind- making every patient feel like they are the only patient youll visit that day. At Transitions, we have a core belief that no one should die alone. Weve translated that belief into action by being present at over 90% of patient deaths last year. We know that this layer of support and comfort is what families expected when they sought out hospice care. Transitions offers a wide array of community based services, including home health, palliative care, physician services and private duty caregivers.Our philosophy is to empower patients and families by providing medical, emotional, and social service support that is necessary to embrace life. That philosophy fuels all the services that we provide and guides our company mission. Transitions operates under three fundamental principles (Our Commandments):Commit to CaringEach Patient Is UniqueAlways Do the Right ThingIts About LivingEditors Note: This article was submitted by Jim Palazzo. Jim is founder and owner of Transitions, a community based health care organization providing services throughout the states of IL and IN. He can be reached at 847-515-1505 or by email at info@transitionshospice.com

Ever struggle to remember what day it is? It happens to all of us and some types of memory loss is perfectly normal. Yet, some types are early signs of dementia and possibly mild to moderate Alzheimers Disease. What signs do we look for? Lets compare normal age-related memory changes and dementia symptoms. And how you can be pro-active in your brain health.NORMAL AGE RELEATED MEMORY CHANGES:Able to function independently and pursue normal activities, despite occasional memory lapsesMay pause to remember directions, but does not get lost in familiar placesJudgment and decision-making ability the same as alwaysSYMPTOMS THAT MAY INDICATE DEMENTIA:Difficulty performing simple tasks (paying bills, dressing appropriately, washing up); forgetting how to do things you have done many timesGets lost or disoriented even in familiar places; unable to follow directionsTrouble making choices; May show poor judgment or behave in socially inappropriate wayKEEP YOUR BRAIN HEALTHY EIGHT PILLARS OF BRAIN HEALTH:Stay Active take the stairs instead of the elevator Eat Well choose brain healthy foods such as: dark leafy vegetables, berries, dark chocolate Sleep Well establish a regular, relaxing bedtime routine, limit daytime napping, avoid caffeine, nicotine, and alcohol close to bedtime Exercise Your Brain try learning a new language or volunteer Connect invite friends for coffee, go dancing, use social media to stay connected Relax & Reduce Stress learn how to say no, set clear boundaries with others Control Risk Factors get regular check-ups, know your family medical history, be more active Get Involved with Research speak with a research volunteer about his/her experience, contact your local research centerHAVE A HEALTHY BRIAN CHECK-UP:Research clinics like ClinCloud provide memory assessments and are administered in the clinic by a certified memory assessor or from the comfort of your own home via telehealth. Amemory assessmentinvolves general questions around personal, social, and work life as well as specific questions concentrating onmemoryand mood. A cognitive assessment provides a baseline of your cognitive health in order to track your brain functioning over time and personalized recommendations on ways to optimize cognitive functioning, over time. It is your choice, so why not give it a try!This article was submitted by Jessica Branning, Chief Executive Officer, ClinCloud Clinical Research and may be reached at 407.636.4031 or jbranning@myclincloud.com

We understand that budget is a primary consideration when you are making arrangements for home care and it is our expectation that you will shop around to find the best provider at a manageable cost. As you do, please consider the following points in order to ensure that you and your loved ones are protected and receive the best care possible.Do your homework.Before you make your first phone call, thoroughly consider what your care needs are. Make sure that you paint an accurate picture of the patients needs so that the right caregiver match can be made. *Do you a need a companion, or someone who can provide hands-on care? *Do you need assistance with cooking and light housework? *Do you need skilled medical assistance for things like blood pressure, blood sugar testing? Medication administration, wound care, tube maintenance? *Do you need a caregiver who can drive you to social events or appointments? *Is a memory loss diagnoses a factor or is the patient becoming confused? *Do you need a caregiver trained in a specialization such as hospice care or mobility needs? *Do you need a caregiver that speaks a particular language or is versed in sign language?Interview the agency.-In order to protect yourself and your loved ones from potential liability, be sure to consider the following when selecting a home care agency: *What levels of care are available? Are you licensed for medical care or only companion care? *Are your caregivers supervised by an RN? *Are all caregivers employees that are licensed, bonded, and insured? What happens if a Worker is injured in my home? *If there is a personality conflict or other problems, can a change be made? *What are your rates? Is there a minimum number of hours that I have to commit to each day/week/month? *What happens if my caregiver calls out sick or has an emergency? Will you send another caregiver of equal skill and experience? *Can I interview the caregiver before I commit to using your agency? Do you check references and can I get details of the caregivers experience and background? Can I get someone that has worked on similar cases? *What happens in case of an emergency? Can your caregiver provide hands-on help or do they need to wait for emergency services?Helpful Hints.*Before a new caregiver starts, write out a basic daily and weekly schedule. Include a list of likes and dislikes for food and activities. *Remember that you are the customer, do not hesitate to express your needs and give feedback, especially if you are dissatisfied or concerned. Caroline Moore, owner BrightStar of Boise.

For older Americans especially those experiencing memory loss, hiring a stranger to enter their home can be frightening. Even with another loved one living at home, the thought of someone new and unknown visiting them for a few hours a day can haunt their thoughts and make them uneasy about accepting in-home care services. From the beginning, the home care agencys representative must be empathetic to the clients concerns and respectful of their wishes before they provide them with the home care services they need. How does this happen? It all starts at Hello!5When a family member or the prospective client makes the first inquiry of a home care agency, being treated with respect by the person on the other end of the phone line or answering email is critical for the conversation to continue. Listening to their story unfold and following up with appropriate questions to gain more insight and understanding helps build the bonds of trust needed for a healthy client-agency relationship. Such information is integral in matching the clients needs with the agencys qualified caregivers which further strengthens their trust.For many adults the benefits of aging in place in their homes amid familiar surroundings and routines far outweighs the other care alternatives. When needing assistance in their homes, hiring a home care agency is a safe, affordable way to ensure your loved ones activities of daily living and needs for socialization are consistently met and your family does not become the employer by hiring someone privately.Agency-based caregivers provide everything from a few hours of companionship per week to 24/7 live-in care, and everything in between. Home care services include companionship, housekeeping, and assistance with errands, shopping, doctors appointments, and other activities plus assistance with dressing and personal care, and medication reminders.Did you know Home Care Agencies are? Registered and overseen by the CT Department of Consumer Services. Hint: The lower the license number, the longer the agency has been providing services to clients. Engaged in rigorous vetting process when hiring caregivers that includes background and reference checks. Responsible for paying workers compensation and general liability insurance for their caregivers as well as payroll taxes. Experienced at hiring and finding just the right caregiver for your loved one. Able to provide a substitute caregiver when your scheduled caregiver is unable to work.Families considering home care will benefit from an agencys years of experience and its partnership to develop the right plan of care, find the right caregiver(s) to provide the care, adjust the ongoing care plan as the clients condition changes, and address issues and challenges that often bewilder inexperienced families. It starts with Hello!Editors Note: This article was submitted by Companions & Homemakers, Inc., Connecticuts oldest and most trusted home care agency.

If your children are grown and your mortgage is paid off, do you still need to carry life insurance? It depends on your situation, but for many people, a cash-value life insurance policy, such as whole life or universal life, can be a valuable, tax-efficient source of retirement income.And by drawing on the cash value of your policy, you might be able to temporarily reduce the amount you take out from your retirement accounts, such as your IRA and 401(k). This ability could be especially important when the financial markets are down youd probably like to avoid liquidating your assets when their prices have dropped.  Basically, you can use the cash in your policy in these ways: Withdrawals You can typically withdraw part of the cash value of your life insurance without losing coverage. You generally wont incur income taxes on these withdrawals, up to the amount youve put into the policy that is, the premiums youve paid. Once your withdrawals exceed this amount, you would generally owe taxes. Also, keep in mind that any withdrawals will reduce your policys death benefit and the available cash surrender value. Policy loans  Rather than taking a withdrawal from your policy, you could take out a loan. You wont have to go through an approval process or income verification, and policy loans typically have lower interest rates than bank loans and dont assess closing costs. Plus, because your insurer will be lending you the money and using the cash in your policy as collateral, your policys cash value can remain intact and still potentially grow. However, policy loans do carry some issues of which you should be aware. For one thing, while a loan usually isnt taxable, you could end up owing taxes on any unpaid loan balance, including interest. And if this balance exceeds the policys cash value, it could cause your policy to lapse. Also, outstanding loans can reduce your death benefit. Cashing out If you cash out, or surrender, your policy, you can receive the entire cash value, plus any accrued interest. You will have to subtract any money needed to pay policy loans, along with unpaid premiums and surrender fees, which can be significant. Also, any amount you receive over the policys cash basis the total of premiums youve paid will be taxed as regular income. 1035 Exchange Through whats known as a Section 1035 Exchange, you can transfer your life insurance policy to an annuity, which can be structured to pay you a lifetime income stream. The exchange wont be taxable but surrender charges may still apply.  Given the potential tax implications of the above options, you may want to consult with your tax advisor before making any moves. Also, be sure you are comfortable with a reduced or eliminated death benefit. Specifically, youll want to be confident that your spouse or other family members dont need the proceeds of your policy. This may require some discussions about your loved ones plans and needs. And dont forget that life insurance can help your family pay for final expenses, such as funeral costs and unpaid medical bills.Whether its providing you with needed retirement income or helping your family meet future needs, your cash value life insurance policy is a valuable asset so try to put it to the best use possible.   Chad Choate III, AAMS828 3rd Avenue WestBradenton, FL  34205941-462-2445chad.choate@edwardjones.com This article was written by Edward Jones for use by your local Edward Jones Financial Advisor.  Edward Jones, Member SIPC

Big discussions now save bigger headaches later.Last Will and Testament, Power of Attorney, Advance Directives these are all intimidating concepts. Its no wonder many people avoid, or put off for too long, the execution of these important legal documents. These are necessary items for folks of any age, but even more so it is important to keep them current in the age of a global pandemic. Yes, COVID-19 has brought along new considerations for people facing severe complications. Lets break it down.End-of-life guidance protocols are set forth in an Advance Directives document, aiding care providers and family members in implementing your final wishes. You write your directives consistent with your beliefs and values, your ethics, and your desires for care in your final phase of life. Topics such as when to administer or stop life support, heart resuscitation, respirator use, or coma-care management are examples of what is included. Selecting a health proxy is part of it. This is someone who can act on your behalf when you are not able to make decisions on care. This is someone who knows you and your preferences and, ideally, with whom you have discussed your advance directives wishes.You can see how the onset of COVID-19 would impact such decisions in ways you may not have previously considered. Going to the hospital is a typical reaction to severe illness. However, during the time of COVID, this results in certain isolation and the inability to be with family during what may be your last days. Where do you stand on that balance of seeking potentially lifesaving care, and dying peacefully amongst loved ones?We know that COVID-19 effects people of age more severely, and people with underlying health disorders are at higher risk of extreme cases or death. These are all components to factor into your decision making.If you have a current Advance Directives in place, it is recommended that you create a COVID-19 specific addendum to address the progression of care that may occur with this virus. This is a new virus, so there is not much clinical outcome data to guide your decisions. We know that it may present more severely than acute respiratory distress syndrome, making the time on a ventilator longer, and recovery more difficult. But with COVID-19, recovery is possible, possibly more so than with other causes of ventilator use. You may want to schedule a tele-consult with your physician to discuss any underlying health concerns and how it might impact your end-of-life decisions should you contract the coronavirus.Check your insurance for coverage of such discussions. Medicare does provide for two advance care planning telehealth session of up to 30 minutes each. Reimbursement codes are 99497 and 99498. For patients with cognitive impairment the reimbursement code is 99483 (1). Also, be sure to check your state laws to see what they require as each state has different guidelines and terminology.In addition to your Advance Directives, you need to put into place your Power of Attorney. This goes above and beyond your health proxy. Your Power of Attorney has the ability to make transactions, on your behalf, of a health and/or financial nature. There are several types of Power of Attorney. In case of medical incapacitation, you will want a Durable Medical Power of Attorney, which remains in effect even if you become incapacitated. You can download a free form at Law Depot:https://www.lawdepot.com/contracts/power-of-attorney-form/?loc=US#.Xw3aUUVKhPZ. And having a Last Will and Testament in place is always a good idea. Without one, you leave your assets to the courts to distribute as they see fit. Law Depot also offers free forms for this or to be sure you have factored in all considerations for your family, consult with a legal professional.Aside from all the legal documentation, a good place to start is with your family plan (2). The CDC offers some tips to help families establish a plan for the situation where one of your family members contracts COVID-19. Take steps such as identifying an isolation room in the house for anyone who gets sick, putting preventative measures in place to protect everyone, especially members at a higher risk, such as disinfecting common areas and frequently touched items like refrigerator doors, microwaves and faucets regularly.In the time of COVID, making tough decisions now, with a clear mind, not in the hour of need, is the best path to take. There are many resources available and we are here to help should you need long term care or rehab options for someone in your family. Submitted By: Care Patrol- click for more information*For Original Blog Link Click Here*

During World War II, the United States Merchant Marines and their ships lent their support by delivering cargo and providing logistical assistance while their ships were under enemy attacks. The Mariners also transported innumerable loads of wounded American Marines to off-shore hospital ships. Thousands of Merchant Marines died in assaults during the war, but they were never recognized as Veterans until 1988, almost forty-five years after their service in World War II.Increased awareness amongst Americans had been a very long and slow process, especially after World War II when the Merchant Marines were not considered Veterans. Thousands of hours were spent and thousands of letters were written to Congressmen and Senators, seeking fairness and just compensation for these World War II heroes. Magazine, newspaper articles and books were published and there was public radio and television coverage that increased awareness around the nation. Over $2 million was spent on these efforts through the years, and eventually they paid off for the American Merchant Marines.The AMMV (American Merchant Marine Veterans) organization celebrated its 25th anniversary in 2011 and continues to be an influential group for Merchant Marine Veterans who served in war zones during World War II, the Korean, Vietnam, Gulf War and other conflicts where Mariners went into harms way.To this day, efforts continue toward educating the public, and in the true spirit of the American Merchant Marine Veterans, they must continue to expand their reach. There are still many Americans who do not understand what an integral part the AMMV have played during war and peace times.Editors Note: This article was submitted by The Colorado State Veterans Home in Rifle. Lisa Adams, Marketing and Jessica Strong, Admissions, can be reached at the Colorado State Veterans Home in Rifle 800-828-4580 or by email Jessica.strong@state.co.us lisa.adams@state.co.us.

The Shoulder JointA ball-and-socket joint, your shoulder gives you the ability to reach high and low, behind and in front of you, throw, catch, and perform an innumerable number of other tasks. It is the most flexible and mobile joint in your body, which also makes it more susceptible to injury or dislocation. Injuries to the shoulder joint or disease, like osteoarthritis, can cause mild to severe shoulder pain and limited flexibility. There are effective non-surgical remedies for shoulder pain, but if none of those are working for you, then it may be time to consider shoulder replacement surgery for pain relief and restoration of mobility.Main Causes of Shoulder PainShoulder pain could be the result of several underlying causes, but the most common reasons for shoulder pain are:Osteoarthritis:A degenerative joint disease, osteoarthritis typically occurs in people over the age of 50 and causes the cartilage around the bones of the shoulder to degrade and wear away. Without the cushioning of cartilage, the bones begin to rub together, causing pain and stiffness in the shoulder.Rotator Cuff Tear:The rotator cuff is a group of muscles and tendons that support and stabilize your shoulder joint. When one of these muscles or tendons is torn, either through a sudden injury or from everyday wear-and-tear, pain, weakness, and loss of full range of motion can result.Fractures:Fractures occur when one of the bones that make up your shoulder becomes broken causing pain and limited flexibility. Depending on the severity of the injury will determine the best treatment.Non-Surgical Remedies for Shoulder PainThe best non-surgical treatment options for shoulder pain include rest, application of ice, over-the-counter pain medication, steroid injections, and physical therapy to help improve flexibility and relieve pain. After about eight weeks of physical therapy, your shoulder pain should be reduced and range of motion mostly restored. If you are still experiencing pain and discomfort, though, then it may be time to consider shoulder replacement surgery.CHow to Determine If You Need Full Shoulder Replacement SurgeryIf nonsurgical treatments are not doing enough to alleviate your shoulder pain and improve shoulder function, then surgery may be the best option for you. Other determining factors that make you a good candidate for shoulder replacement surgery include your inability to perform normal everyday activities due to pain and limited shoulder function, and if the pain is severe enough to keep you up at night.Shoulder Replacement Surgery What to ExpectIn the last 15 years, shoulder replacement surgery has skyrocketed due to technological advancements in implant design and improved outcomes in helping patients alleviate pain and regain mobility in their shoulders. It is the fastest-growing joint replacement surgery in the U.S. and an effective way to reduce pain, restore flexibility, and get you back to enjoying activities you used to do.Shoulder replacement surgery involves replacing the damaged parts of the shoulder with artificial components. Reconstructing the anatomy of the shoulder joint, a polished, metal ball and plastic socket are put in place to prevent bone-on-bone rubbing. Typically, patients can go home the day after surgery.After SurgeryPost-surgery, youll likely experience some pain that can be managed by over the counter medication, but by the second week, your shoulder pain should be significantly diminished. With physical therapy and strengthening exercises, you will have improved range of motion by three months after the surgery. After a year, youre likely to not even think about your shoulder replacement but will just go about your tasks pain-free.If you are tired of suffering from shoulder pain and limited shoulder mobility, then contact the orthopedic surgeons atCoastal Orthopedics. Experts in pain management, they can help you with pain relief and improved shoulder mobility. Click here for more information!Submitted & Written By: Coastal Orthopedics

To learn more aboutNeil O'Donnell Funeral Home, CLICK HERE.When a death occurs, the order in which things need to be done often depends on where the death occurred. But, one thing should always be remembered: your heightened emotional state upon the death of a loved one. That's why we suggest that you ask a friend for help - someone who is more able to think clearly, and give you the support you need.At Home or at WorkWhen a death occurs at home or in the workplace, a family member or co-worker should contact emergency personnel and the person's physician if he or she was under a doctor's care. If the death occurs at home with family or friends present, and the person is under a physician's care, the family will want to call us directly.However, if the death occurs in a residence and no one is there at the time of death, the police will need to be notified and respond to the residence before the deceased is removed from their home.If in any case you are not sure of who to notify or what to do, you may call (801) 363-6641, and we'll assist you in notifying the proper agencies.While Under Supervised CareWhen a death occurs in a care facility, such as a hospital or nursing home, the professional staff will notify you and the necessary authorities. If the name of the funeral home has been left with them, the institution will notify the funeral home at the time of the death. The funeral director will contact you immediately following their notification to help you proceed. (However, we suggest you contact the funeral home immediately, so you've got the reassurance you need that all is taken care of properly.)If a loved one was in the care of a hospice program, a hospice representative will give family members instructions and procedures to follow. The coroner/medical examiner will be notified by hospice. Following their release the hospice will contact the funeral home. It is always a good idea for the family to contact us immediately so that we will be aware of the pending call from hospice.Widening the CircleOur staff members are experienced professionals who can provide much of the information you need, emotional support and compassionate guidance.While you may ask the director any questions at this time, you will be able to discuss the arrangements in detail later when you meet in person. During this initial call, the funeral director will gather information to be able to transport your loved one to the funeral home.The funeral director may ask you several questions, including whether your loved one made any pre-arrangements. The director will also schedule a date and time for you to meet at the funeral home and will let you know what you should bring with you. Others you will need to call are:- Family members and friends- Clergy or other spiritual advisorsThose Important QuestionsIf there is no pre-plan in place, there are several other questions that you may have to have answered in regards to the death of your loved one:- Do I have to have embalming?- Do I need to purchase a casket?- What about cemetery arrangements?- Does the family have to engage the services of a minister?- What type of service should we have?By contacting our staff, we'll be able to help answer your questions and assist in making the appropriate plans. You can reach us at (801) 363-6641.However, as weve said before, one of the best ways to make sure that all of your questions and desires are taken care of is to make pre-arrangements. This is as simple as outlining your wishes to having all of the details written down and the financial arrangements prepaid. Please contact one of our staff at (801) 363-6641 to learn more about pre-arrangement.What to Expect When You Arrive at the Funeral HomeOne of the first things the funeral arranger will do is to provide you with our general price list. He or she will then guide you through the entire arrangement process, explaining how you can create a memorable personal celebration of your loved one's life. This is not a one-way conversation; we want to hear your ideas and desires, and use them as the foundation for the arrangement process.This process may include:- Preparing and filing the official death certificate- Scheduling the location, date and time of services or events- Selecting a casket, urn or other items- Preparing an obituary notice- Scheduling vehicles- Selecting pallbearersYou may also sign necessary authorizations or make arrangements to have them signed by the appropriate family members.Wed like you to bring any photos, a favorite song, or memorabilia so that you and your funeral arranger can better discuss how you would like your loved one to be remembered. Having these things, and knowing their favorite song or favorite gathering place even their favorite activity will help us create a truly fitting memorial service.Our funeral arrangers will assist you in planning a loving tribute that captures the spirit of the person whose life you wish to honor. To learn more about personalizing the service, please read the Honoring Life section of this Web site. The funeral arranger will discuss personalization with you during your arrangement conference.The following checklist will help you remember what information about the decedent and items will be needed when meeting with a funeral arranger.- Full legal name- Home address- Social Security number- Date of birth- Place of birth- Father's name- Mother's maiden name- Veteran's discharge papers (DD-214)- Recent Photograph- Highest education- Occupation- Place of burial (if applicable)- Clothing- Clergy name and phone number- Survivors (name and relationship)- Insurance policies (if applicable)A staff member of Neil O'Donnell Funeral Home will be honored to explain all of the options available to you.

Change is hard. Making a move in uncertain times can be scary; navigating all your options can be downright confusing.Assisted living communities are supportive environments meant to help prolong the independence of you or your loved one. This housing option is often overlooked because many dont realize it is a viable option until there is an emergency. There is often resistance because there are many misconceptions surrounding this senior living option, including affordability, access and services provided.Once you start to look around, comparing the various communities is no simple task; from giant continuums of care to very small specialty units, and your job as the consumer is to find which place suits your needs as close as possible for as long as possible. One very important factor for most people when researching communities, besides the quality of care and location, is cost. Do I rent or join a community with a buy-in? Is an all-inclusive program better, or does the a la cart pricing structure work better for me? Looking at your finances is the first step to determine which option is right for you.If you have a long-term care insurance policy, for instance, you want to go to a licensed assisted living facility for your services so you can utilize those funds for your care. If you are a wartime veteran or spouse, you would want to make sure that the community you choose supports the Aid & Attendance benefit.One thing that can very easily get overlooked in the decision-making process, especially if it is an emergency, is what happens if/when the money runs out?In many cases, the options are very limited and it is your responsibility to find your next home. Some communities, however, have financial programs available that allow the resident to age in place through subsidy programs such as a SCO or PACE program, or in some cases GAFC. These programs are a great way to keep your loved one in their assisted living if the community offers it. At the end of the day, knowing your options will help you find the best place for your needs and a wonderful new home for you or your loved one. Written by Stephanie Nordstrom, Director of Admissions & Marketing at Christopher Heights of Marlborough, an Assisted Living Community. She can be reached out 508-281-8001 or snordstrom@christopherheights.com. 

More than 65 million Americans nearly 1/3 of the adult population - will care for an elderly, disabled or chronically ill family member or friend this year.Caring for a loved one can be exhausting. Frequent trips back and forth to doctors appointments, cooking, cleaning, assisting with bathing and toileting, and managing a confusing array of medications can take a toll on a caregivers mental and physical health. Caring for someone elses needs often involves sacrificing your own, and most caregivers will tell you that the first thing to go is a good nights sleep. A full 90% of caregivers surveyed reported suffering from chronic sleep deprivation. Add the physical and emotional stress of caring for another person, and youve got a recipe for disaster, often resulting in a condition commonly referred to as caregiver burnout or compassion fatigue.Defined as a debilitating psychological condition brought about by unrelieved stress, caregiver burnout can result in feelings of hopelessness, anxiety, mood swings, loss of appetite, fatigue and a host of physical ailments. Prolonged unrelieved stress can also lead to more serious conditions, so its vitally important for a caregiver to practice self-care in order to avoid burnout. The first step in self-care is taking periodic breaks from caregiving. In addition to eating well, getting sufficient sleep and keeping an active lookout for signs of depression, its important to get out of the house daily for fresh air, exercise and social connection. Caring for yourself also requires having the courage to ask for and accept help when necessary. If friends or family members are not available to lend a hand, consider calling a caregiving service to provide daytime or overnight assistance so you can leave the house or get a good nights sleep, knowing that your loved one is in good hands. Caregiving services play a vital role in preventing caregiver fatigue by providing the help you need to care for your loved one and the time you need to care for yourself.Editorial Note: This article was submitted by Stephanie Rosuck, JD, Director of Marketing and Community Outreach for Cambridge Caregivers, a locally owned and operated caregiving service. Stephanie can be reached at 214-789-6546 or stephanie@cambridgecaregivers.com.

Health care costs have been on the rise over the past few years, with health spending for Americans costing more than $8,680 per person, according to 2011 data from the Centers for Medicare and Medicaid Services.1 Making matters worse, about 80 percent of older adults have at least one chronic condition, such as heart disease, cancer or diabetes, driving up the need for prescriptions and treatments that can add up over time.2 However, saving money on your medicine and your overall wellness doesn't have to be a pain-staking endeavor. Here are some tips you can use to help lower your health care costs while still maintaining your health. Ask your physician if there is a generic version of your medication, said Dr. Richard Smith, Medical Director of Senior Products for Humana's Intermountain Region. Generics, which are typically 30-80 percent less expensive than brand name drugs, are equivalent in dosage, form, safety and strength.3, 4 Each year, generic alternatives for top-selling brand name drugs go off patent, helping you save money on common medications, including blood thinners and cholesterol fighters. Another way to cut costs is to see if your health plans pharmacy benefit manager offers a mail-order pharmacy service. An alternative to traditional community pharmacies, mail-order prescription delivery provides 30, 60 and 90-day supplies of your medications shipped directly to your home, usually with significant savings off the regular retail price. The Centers for Disease Control and Prevention (CDC) estimates health care costs for chronic disease treatment account for more than 75 percent of national health expenditures.5 Be proactive and get regular checkups and screenings from your physician, Dr. Smith said. These visits are usually covered by most health insurance plans, which can help monitor for and prevent chronic conditions before they become too serious and require treatment. In fact, the Patient Protection and Affordable Care Act has made preventive screenings more available and more affordable than before. Under the act, Medicare and new private-insurance policies are required to either completely or significantly cover the cost of 45 medical tests and services currently shown to be most effective in early disease detection and prevention, such as mammograms, diabetes, colon cancer, prostate cancer and cardiovascular issues. For a complete list covered by Medicare, visit http://www.medicare.gov/coverage/preventive-and-screening-services.html. Health care plans often provide a number of health and wellness discounts from deals on nutritional supplements to discounts on vision care to help members keep their costs down. For instance, health benefits company Humana Inc. offers its members various deals through its online Savings Center, including discounts for everything from colds to heartburn medications. The key to saving on health care costs and using these tips effectively is planning, Dr. Smith said. It might take a little bit of scheduling to order your medications ahead of time or make an appointment for a screening; however, the payoff, in terms of the impact on both your health and wallet, is worth it. Editors Note: This article was submitted by Humana. For more information on Humana's senior products in Idaho call 1-800-884-8328. 1 https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsHistorical.html 2 http://www.cdc.gov/chronicdisease/resources/publications/AAG/aging.htm 3 http://www.gphaonline.org/about/generic-medicines/ 4 http://www.fda.gov/drugs/resourcesforyou/consumers/questionsanswers/ucm100100.htm 5 http://www.cdc.gov/workplacehealthpromotion/businesscase/reasons/rising.html

Elder law is a legal term coined to cover an area of legal practice that places an emphasis on those issues that affect the growing aging population.The purpose ofelder lawplanning is to prepare theelderlyperson for financial freedom and autonomy through proper financial planning and long-term care options.#listing_mgr{7 basic_search}#

Qigong (pronounced Chee Gung) and Tai Chi are internal Chinese meditative practices which use slow gentle movements and controlled breathing techniques that strengthen the mind-body connection, reduce stress, promote serenity and improve circulation thereby enhancing the practitioners overall health. -- Dr. Roger Jahnke, OMDQigong - which means Energy Cultivation - is a restorative exercise which involves gentle movement/stretching, breathing, self-massage and meditation. Sometimes called Dao Yin Yoga, the exercise helps to improve the circulation of Chi (bio energy or Life Energy as well as bring balance and harmony to the body, mind and spirit.Tai Chi - which means supreme ultimate balance and harmony - is a type of Qigong. It is a moving meditation usually performed in a series of movements connected together called a form. Although the movements are the same, this is not to be confused with Tai Chi Chuan which is a form of kung fu or martial art.The self-care practices of Qigong and Tai Chi are known to trigger numerous health and fitness benefits:The gentle, easy to perform exercises help to improve balance, coordination, strength, flexibility, energy and mobility.They initiate the relaxation response, which is when the mind is freed of its many distractions. This reduces heart rate and blood pressure, and optimizes the delivery of oxygen and nutrition to the cells.They alter the neurochemistry profile toward accelerated inner healing function. This helps to manage pain and mood, reduce anxiety or depression and neutralize addictive cravings.They enhance the efficiency of the immune system through increased rate and flow of the lymphatic fluid and activation of immune cells.They increase the efficiency of cell metabolism which can assist with weight management.They coordinate and balance right/left brain hemisphere dominance promoting deeper sleep, reduced anxiety and mental clarity.They induce alpha, and , in some cases, theta brain waves; this optimizes the bodys self-regulative mechanisms by decreasing the activity of the sympathetic nervous system (stress response or fight or flight).As a fitness professional for 25 years, I have tried almost every type of exercise. I have experienced such amazing benefits from Tai Chi and Qigong since I began practicing over 10 years ago - it is the ONE exercise I do Everyday.Editors Note: This article was submitted by Scott White, B.S. in Exercise Sports Science & Health Education. Certified Integral Qigong & Tai Chi Teacher and Owner of Qigong & Tai Chi Utah.He may be reached at 801-556-5964 or by email at:taichiutah@gmail.com

The novelist and poet George Eliot wrote, Our dead are never dead to us, until we have forgotten them. In todays modern era of digital media, cloud computing, social networks, and mobile devices, we see no reason why anyone should ever be forgotten.Video InterviewsWritten family histories are invaluable but who and how many family members have The Book? Genealogy services are great for discovering your lineage, but viewing names on a screen cant convey the stories, laughter, or the personalities of the people that lived those lives.Conducting video interviews and recording the stories and memories that emerge as result of that effort, is the perfect solution for capturing your familys history.Advance PreparationAdvance preparation is helpful before you ever marshal your parent in front of a camera:Willingness Confirm your parent is willing and positive with respect to being interviewed. If they are not, the result is unlikely to generate the video you hoped for. You may need to frequently assure them this is something you and their loved ones want.Preparation Diligently consider your interview questions in advance. Topics may include places lived, family tree, education, career, military service, hobbies and interests, and a wide range of personal matters including romance, epic deeds, words of wisdom, feelings of happiness, joy, grief, regret, and more.Conducting the InterviewA video-story professional understands ways to help to conduct successful interviews. Here are a few that are especially important with respect to older adults:Dont exhaust your parent for hours on end. Pick a time of day they are most energetic and take frequent breaks.Use prompts such as family photos, mementos, and such. Bear in mind these can elicit strong emotions so be sensitive to their wishes.The interview may likely go off topic. Its okay, with open ended questions and follow up, more details will be obtained.The video interview process can be an immensely rewarding and joyful time for you and your parent. The completed video is a wonderful family gift and is something the entire family will cherish for the rest of their lives and for generations to come.Editors Note: This article was submitted by Steve Crane, President of Memorial Masters, a visual story-telling company. To preserve your family stories and experiences in a professional manner, contact Steve at (800) 474-5056, info@memorial-masters.com, www.memorial-masters.com. Read article on page 98-99

A common challenge that many seniors face is getting a good nights sleep. As you age, you may notice that you nap more during the day, feel tired earlier at night, have trouble falling asleep, or wake up in the middle of the night and have a hard time getting back to sleep quickly. All of these issues can interfere with your quality of life and your energy levels.There can be many different factors that contribute to poor sleep. Trying to identify what specifically is plaguing you can help you come up with more effective solutions for feeling rested. Common causes include:Side effects of medicationsSleep apneaRestless leg syndromeNocturia (waking in the middle of the night to use the restroom)PainYou should talk to your healthcare provider if you feel that any of these issues are negatively impacting your sleep or life. However, there are many strategies that you can try on your own to overcome sleep difficulties and get yourself back into a healthy sleep pattern.Strategies for Improving SleepCreate a Routine.Try to go to bed and wake up at the same time each day, even if you dont have plans and could stay up or sleep in later. You want to get your body in a consistent wake and sleep routine and support your bodys circadian rhythm. Avoid taking long (or multiple) naps during the day if possible so youre more tired come nighttime.Stay active.Another way to feel more tired at night is to burn off excess energy during the day. Go for a long walk, do some cardio exercises, take a bike ride, dance to your favorite songs, or sign up for an exercise class. There are tons of online programs available, some for free. When you spend too much time being sedentary, your body isnt ready for sleep.Reduce distractions.Put down your phone, tablet, or e-reader at least an hour before bedtime. Turn off the television as well. Make sure that your room is cool, quiet, and dark when youre ready to go to sleep. If you tend to have a lot on your mind that keeps you from drifting off, put a journal next to your bed and write down everything youre thinking about so you can clear your mind.Limit fluid intake.Focus on getting most of your fluids in the morning and afternoon. Give yourself a cutoff time at night, such as after dinner, or at 7 p.m. Dont drink anything after that time, except maybe a sip or two of water right before bed. This will help to keep you from waking up to go to the bathroom as frequently.Promote relaxation.Engage in activities to calm your mind and relax your body before you go to bed. This could include things such as meditating, listening to soft music, reading a book (hard copy, not digital), doing some gentle stretches, or taking a warm bath. Find what soothes you.Implementing these changes in your day can have a positive impact on your sleep. Anin-home care provider in Boulder, COcan help you stick with bedtime routines and assist with keeping you busy and active during the day, rather than napping. Remember that it can take some time to get your body readjusted to a healthy sleep schedule and overcome issues such as insomnia. Talk to your caregiver about how they can support you in improving your sleep.Always Best Care provides quality senior services tailored to your specific needs and abilities. Contact us today to schedule a free consultation and learn more about how we can assist you in safely and comfortably aging in place.

To learn more about Highland Glen - MBK,CLICK HERE.Puzzle me this. What utilizes both sides of your brain, improves your memory, increases your cognitive function and problem-skills, and is celebrated on January 29th?Puzzles. Thats right, puzzles! From a crossword and word searches, to picturesque jig-saw to complex Sudoku squares, puzzles offer a wealth of benefits to all ages.According to medical professionals around the world, puzzles exercise your brain in a variety of ways that can lead a happier, healthy you. In addition to reinforcing existing brain cell connections, completing puzzles can improve you mental speed, thought process, attention to detail, and short-term memory.By constructing a jigsaw puzzle, you not only increase your problem-solving ability, you also improve your hand-to-eye coordination, enhance visual-spatial skills and can enjoy a genuine sense of accomplishment. Enjoying a daily crossword puzzle builds vocabulary and spelling skills, as well as increasing memory and reasoning abilities.If that wasnt enough to have you reaching for the Sunday paper or picking up the latest 1,000- piece puzzle, theres more. Scientists have found that keeping your brain engaged and active with puzzles can delay the symptom associated with dementia, Alzheimers lower stress levels and improve your mood. Studies have found that activities like puzzles that engage the brain can support the growth of new nerve cells and increase the brains production of dopamine. Those who regularly complete puzzles have greater self-confidence, an optimistic mindset, were more relaxed and felt more accomplished.And its something were seeing first hand in our communities. In Loveland, Colorado at our Seven Lake Memory Care community, resident Darleen Mihulka is known throughout the community as the crossword and word search queen. She spends hours completing puzzles, and has a huge stack of completed books that stands like a trophy in her room.Im constantly replenishing her book supply because she goes through them so quickly, said Jacob Lapp, Director of Resident Enrichment at Seven Lakes Memory Care.At our Muirwoods Memory Care in Petaluma, California, resident Bettie Krambs is found daily working through a crossword or Sudoku puzzle during meals and in between activities. She relishes her daily puzzle so much that every few months team members have to clear out finished puzzle books from her room.An active mind means a long life, said Bettie, who will turn 91 next month. In honor of National Puzzle Day, why not pick up a crossword and discover a seven-letter word for good brain health (hint: its puzzles).

Monitoring Solutions of SWFL provides GPS monitoring to the memory impaired, and those with other medical conditions. Services are available throughout the State of Florida, utilizing the S-911 bracelet - the most comprehensive tool available for caregivers and family members.The S-911 is a watch-style bracelet which tracks location via satellite and cell phone signal. The S-911 software also has geo-fencing capability. This means the caregiver is able to create both inclusion and exclusion zones for the person wearing the device. If the wearer needs to stay within a certain area, the instant the boundary is crossed a text message is sent. Conversely, if there is a danger area such as a lake, a text will be sent when the wearer gets too close.The S-911 is the only bracelet on the market featuring a built in cell phone. This is excellent for those in the early stages of memory impairment who find themselves lost, or when a fall occurs. The wearer presses the panic button & the bracelet will call for assistance right from their wrist. The S-911 also has an impact detector so that if the wearer falls, or is in an auto accident and is incapable of pressing the panic button, an alert is still sent & their caregiver will be instantly notified. We offer a solution to anyone who has an illness where precious seconds can determine whether someone receives the help they need quickly enough to save their lives, reports Zodia King, President of the company.The S-911 bracelet is available for purchase or can be leased. There is a monthly service fee for access to the tracking website and data transmission. Monitoring Solutions also offers monitoring service for families whose loved ones are local but live out of state.The highest level of service offered, which includes lease, website/voice and monitoring service is still less than $5/day making it a very affordable solution for many applications.At Monitoring Solutions our mission is to assist families and caregivers by providing a dignified method of constant contact which enables prolonged independence at a low cost.Editor's Note: This article was submitted by Monitoring Solutions of SWFL. For more information contact them at 239-738-6857

It has always been my belief that in order to fully take care of a patient, a comprehensive plan and resources need to be in place.While there are many aspects of good patient care, access to services is vitally important along with those resources communicating with each other to coordinate that care. Having medical services, such as a pharmacy, a medical clinic, and a home health and hospice working jointly together provides a higher level of care rather than have a patient go to several different locations that are unconnected. Amphex Medical has seen this trend coming and has taken steps to provide this level of care. For example, the services of, Adult Care Clinic, specializing in pain and addiction management. Amphex Pharmacy, a locally owned and operated compounding pharmacy with home delivery, and Creekside Home Health and Hospice provide an exceptional level of service. Having this integration, not only, allows the patient to benefit by having these resources at their disposal, but also allows for a better understanding of the patients medical needs and to respond appropriately to changes in their condition. A fully integrated staff of medical doctors, nurses and pharmacists review patients needs weekly, and care is tailored to provide safe and effective therapy. Many patients unfortunately fall through the cracks, or care is below average resulting in increased hospital visits, which causes undue stress on patients and family members. Having this integrated level of care allows us to set up goals to reduce hospital admissions and help family members become less burdened knowing that several areas of services can work closely together to best manage care. Integrated care also allows for a more holistic approach to getting better. Not only managing the symptoms but finding the root cause of problems and working together to fix, heal and prevent them from happening or getting worse. An increased quality of life for our patients and their families is a goal we all strive for. We do not rest until we feel as caregivers have made a significant contribution to family wellness and health.Editors Note: This article was submitted by Rajiv R. Sharma, Pharm.D., a Clinical Pharmacist owner/CEO of Amphex Pharmacy and Amphex Medical, he may be reached at his Creekside Home Health and Hospice office at 801-810-2122 or by email at rajivrx@gmail.com

Weatherization Programs for Seniors in IdahoEnjoy a Healthier, More Comfortable Home At No Cost to YouIdaho Power offers two weatherization programs to help you use less energy and make your home more comfortable. Both of these programs provide free energy efficiency improvements to customers who own or rent[i] electrically heated homes, apartments and manufactured homes.Free home efficiency improvements for both programs may include:Vinyl windowsExterior door replacement and weather strippingAttic, floor and wall insulationBathroom/kitchen fansInsulating and sealing air ductsNew furnace and/or water heaterNew light bulbsBenefits Youll AppreciateThese upgrades help keep cold air out during the winter and hot air out during the summer. Trained and certified weatherization crews ensure improvements are installed effectively.These weatherization programs focus on the entire house. When a home is weatherized, it is weatherized with all cost-effective improvements possible to save energy and provide a healthy and comfortable living environment for eligible customers.Through these weatherization programs, customers learn how to use energy wisely, where they might save additional energy to help reduce their heating costs, and how to use new equipment such as a digital thermostat in their home. This one-on-one education is a good time to have questions about energy efficiency answered by professionals.These home improvements make a real difference in the lives of Idaho Powers customers. Donna Blay, a participant in Idaho Powers Weatherization Solutions program, said We dont get cold, and we dont hear the wind blowing through the house like we did before.The primary difference between these two programs is the amount of a customers annual household income.Weatherization Assistance for Qualified CustomersFamily sizeMonthly income range1$0 to $1,9622$0 to $2,6553$0 to $3,3484$0 to $4,0425$0 to $4,7352016 GuildelinesTo see if you qualify for this program, call these contractors in your area: El Ada Community Action Partnership (serving Ada, Elmore and Owyhee counties) at 208-322-1242 or CCOA Aging, Weatherization and Human Services (serving Adams, Boise, Canyon, Gem, Payette, Valley and Washington counties) at 208-459-0065.Weatherization Solutions for Eligible CustomersFamily sizeMonthly income range1$1,716 to $2,4522$2,323 to $3,3193$2,930 to $4,1854$3,536 to $5,0525$4,143 to $5,9192016 GuildelinesTo see if you qualify for this program, call these contractors in your area: Power Savers (serving Ada, Elmore and Owyhee counties) at 208-377-0700 or Energy Zone, LLC (serving Adams, Boise, Canyon, Gem, Idaho, Payette, Valley and Washington counties) at 208-459-0066.Help us, help you save energy and feel warm, comfortable and safe in your home. Were sure youll be glad you did!Learn more at idahopower.com/weatherization.[i] If you are participating in Weatherization Solutions and your home is a rental, the landlord must pay a small portion of the total cost of improvements.

or more information on Comfort Keepers,CLICK HERE.Many people worry that their senior loved ones spend too much time alone, and may be suffering from isolation. But there are many ways for people to stay connected to the older adults in their lives. And, studies show that seniors are physically and mentally healthier when they maintain social connection and foster relationships.Its important to remember that it takes a team to ensure the highest quality physical and mental care for a senior. According to the CARP, nearly one in five family caregivers is providing unpaid care for an adult with health or functional needs. There are many ways that other family and friends can provide social support and create meaningful interactions with their senior loved one.For those trying to connect with a senior in their life, they can consider the following options:Teach them something new while many seniors are adept at using technology, some could use extra help getting set up for video chats or finding sources of online connection. Helping a senior learn to use new technology can be a fun bonding experience and pays off in continued contact! And if the family member or friend isnt an expert, they can consider taking a class together.A study by William Chopik, a professor at Michigan State University, found greater technology use was associated with better self-rated health, fewer chronic conditions, higher subjective well-being and lower depression.Involve others Group video chats have never been easier to set up, and there are free options that are great for small groups or paid options for larger gatherings of friends and families. Seeing each others faces and sharing stories is a great way to stay connected.Play together online Popular board games have gone virtual! Classics like Monopoly, Scattergories and Scrabble can be played online together, and there are a host of sites with card games, trivia and other fun activities to do together. Sometimes, a game night is all it takes to make people feel closer.About one-third of Canadians 65 and older dont use the internet. Even among those who use it, roughly one-third arent confident when performing tasks online.Spend time in-person when possible While it may not always be possible, its great to see loved ones when the situation permits. Families should take some time out of their week when possible to take their senior loved ones to community events, or plan special meals at home. This can be especially important for seniors with mobility issues that can keep them from doing the activities they love outside of the home.Become pen pals The art of writing letters may be rare today, but everyone still loves to receive notes in the mail. Send letters with updates, drawings, photos and other small mementos, and encourage the recipient to reply. Letters and cards will quickly become cherished memories that can be shared and revisited in times of separation.Consider hiring an in-home caregiver For seniors that need a little extra help around the house, a caregiver not only provides assistance with daily living, but companionship and conversation too. And, a caregiver can facilitate calls and video chats with loved ones. Caregivers are also trained to keep seniors safe in their home, and can be a great option to provide companionship during periods of illness or isolation.Comfort KeepersCan HelpFor seniors that need companionship or help fighting loneliness, Comfort Keepers caregivers can help with encouragement, support and assistance with daily living. And, caregivers can encourage overall health through meal planning, grocery shopping, meal preparation and activities. Our custom care plans focus on physical and mental health and wellness activities. Our goal is to see that clients have the means to find the joy and happiness in each day, regardless of age or acuity.References:AARP. Tech Training Builds Connection and Confidence for Older Adults. Web. 2018.Statistics Canada. Study: Evolving Internet Use Among Canadian Seniors. Web. 2019Forbes. More Seniors Are Embracing Technology. But Can They Use It? UCSD Researchers Suggest Asking Them. Web. 2019.Psychology Today. How to Help Older Adults Fight Loneliness During COVID-19. Web. 2020.Thrive Global. How Technology can Help Seniors. Web. 2019.AARP and National Alliance for Caregiving.Caregiving in the United States 2020. Web. 2020.

Palliative care is patient andfamily-centered care optimizingquality of life by anticipating,preventing and treating suffering.It is for people of any age, at anystage of a serious illness, whoare seeking relief from pain andsymptoms. Individuals may receivepalliative and curative treatments atthe same time. A Nurse Practitionerand Licensed Clinical Social Workerwill collaborate with the patientsdoctor to alleviate symptoms ofserious and chronic illnessesincluding:- treating pain- managing chronic illnesssymptoms- education on diagnosis anddisease process management- clarifying treatment goals andoptions- assisting with navigating thehealthcare systemPalliative care can occur inhospitals, nursing homes, assistedliving facilities and at the patientsresidence reducing unnecessarytrips to the hospital. Services arepaid for through Medicare (PartB), Medicaid and many private insurances.Hospice is patient and family centered care optimizing qualityof life for individuals who havea life-limiting illness and are nolonger seeking curative, but rathercomfort measures. Hospice is trulyfocused on maintaining qualityof life, dignity and comfort forthe remainder of a persons life.Services are provided wherever aperson calls home and are coveredunder Medicare, Medicaid, privateinsurance or Veterans benefits.Hospice services include: Skilled Nursing weekly/daily/continuous care dependent uponclinical need for the managementof pain, physical/emotionaldistress or symptom management Certified Nursing Assistantservices twice a week to assistwith bathing and personal cares Social Work services to advocatefor patient wishes, helpindividuals address emotionalaspects of illnesses and assistfamilies in identifying additionalresources Chaplain services for spiritualsupport Durable Medical Equipment- items like a hospital bed,wheelchair, walker, oxygen, andmore Medications - any medicationdeemed necessary to managesymptoms/provide comfortmeasures Incontinence Supplies - diapers,bed-covers, gloves, rash creamsand more Bereavement services availableto family members for up to 13months after the loss of a lovedoneHospice services are by choiceand can be elected or cancelledat any time. Hospice is the onlyMedicare benefit that neverexpires. Individuals can useit for as long as they qualifyand continue to show signs ofincremental decline.By keeping the focus on thewishes of the patient, Hospiceservices afford patients to liveout the remainder of their livesknowing their symptoms anddiscomfort will be managed, theywill receive quality care in theirhome, and their families will haveresources after their passing.Editors Note: This article was submittedby Katie Monahan. Katie is the Director ofCommunity Relations at Transitions Hospiceand can be reached at 847-515-1505 or atkmonahan@transitionshospice.com.

More seniors are spending time online than ever before. Technology can benefit seniors in so many ways it can help them connect with loved ones, get essential goods and services without leaving their home, and provides opportunities to stay in contact with their communities.Like all powerful tools, the internet and mobile technologies come with some risks. These risks can be managed if users follow some basic rules: Here are five ways that seniors can stay safe online:Security software There are a variety of anti-virus and anti-spyware software options that can help protect a senior online. Ensuring the program is installed properly is critical and running updates on a regular basis ensures that new threats are mitigated.Limit access to accounts Scammers often try to steal the personal and financial information that seniors access online. To keep this data secure, users should enable two-factor authentication where it is offered and never send personal information to those they dont know. Most importantly, users need to be mindful about creating smart, strong p@$$w0rdz!.Evaluate emails Email is one of the primary tools that people use to steal information from older people online. Remember that financial institutions will never ask for account information through email, and sending account numbers,Shop online and access social media safely One common way that information can be stolen online is through fake shopping sites. Shopping trusted vendors is helpful and there are often online reviews for merchants that will alert shoppers to potential scams. Seniors should also remember to use a credit card instead of a debit card when possible, and monitor accounts regularly for fraudulent activity.Ask for help Seniors should not be afraid to reach out to their trusted loved ones or friends if they feel uncomfortable online or need help navigating security measures. For those concerned about the seniors in their life, they can help educate them about known scams and tactics for staying vigilant, and can help with software updates.Written By: Nathan MillerSubmitted By: Comfort Keepers Centennial- click for more information*

For more information on the author, The Sheridan at Lakewood Ranch, CLICK HERE!When youre ready to tour a senior living community, its important to prepare yourself. Although your senior living professional will be able to show you around the community, they may not address all of your questions unless you ask them.You should be prepared with questions to ask on your visit about staffing, living spaces, activities, health care, nutrition, and whatever else may come to mind.Weve put together a list of 32 questions in several categories that you might find helpful while visiting a senior living community. Take these with you and ask them if they havent already been answered for you. That way, you can make your final decision with confidence.StaffingAre staff members onsite 24/7?Are staff members subjected to background checks?Is the staff trained on elder abuse and neglect?Does the community have a policy to report suspected abuse?Living SpacesWhat floor plans do you offer?Are your residences furnished or unfurnished?Can residents decorate and personalize their own spaces?Is internet access provided? Wi-Fi?What is your pet policy?Is housekeeping included?ActivitiesWhat types of activities are available to residents, and how often do they occur?Is there a posted schedule of events and activities?Are residents actively encouraged to participate?Do you provide transportation to the grocery store?Are there opportunities to interact with the surrounding community, such as scheduled outings or volunteering opportunities?Is live entertainment part of the activities schedule? If so, what kind, and how often?Health CareDo you have nurses on staff?Do you have an in-house physician?Does someone on staff coordinate home health care visits if needed?Are services such as hospice and physical therapy available?Are incontinence supplies included?Is there a written plan of care for each resident?Do you have transportation for doctors appointments?NutritionHow many meals are provided per day?Are there snacks available for residents?Can meals be provided at varied times, or are there set times for meals?Can meals be tailored to a residents specific needs or special requests?Are residents allowed to take food back to their rooms?MiscellaneousAre overnight guests allowed?Are visitors allowed at any time, or are there specific visiting hours?Are religious services provided onsite or available nearby?Are there any other extra fees? If so, what are they?Of course, if you have more questions, feel free to ask. Senior communities should be happy to accommodate you and make your visit more enjoyable.

Everyone worries that long-term care costs from a stroke or major illness can deplete their life savings. What should you do? Most people don't like to think about the financial and emotional toll that can happen when a terrible illness occurs. Or about how they'll pay for it or what the effects will be for themselves and their loved ones. Many don't plan ahead.There are things that you can proactively do to prepare for long-term care expenses. Solutions range from purchasing long-term care insurance to engaging a qualified attorney to help you with a special type of estate plan designed to save as much of your assets and income as legally possible. If you set up your legal and financial affairs ahead of a major illness or stroke, chances are your plan will preserve that much more of your assets and income than you would have if you had waited.Your attorney will need a complete list of your current assets and income to help you plan. Gather copies of bank and brokerage statements, deeds and other documents, as well as a copy of your last two income tax returns. Also list all of your liabilities, such as home mortgages and car payments. From there, the attorney will review whether and how you might qualify for government benefits that can help pay for nursing expenses associated with serious illnesses and disabilities.Editors Note: This article was submitted by Michael B. Hill, Board Certified Wills, Trusts & Estate Planning Attorney. Contact him at www.sbshlaw.com or hill@sbshlaw.com. 2011 Michael B. Hill.

Refers to "round the clock treatment" in a home environment. The care may be shared by multiple caregivers or a single caregiver.#listing_mgr{8 basic_search}#

If you have been the primary caregiver for a family member or friend, you have probably been given a lot of information, with numerous choices. You have more than likely met the primary physician, with referrals to a specialist, perhaps with numerous hospital visits. Perhaps your loved one has been in rehab, or has received Medicare home health services. Maybe you have moved him or her to assisted living or to a nursing facility. With each change, you had to meet a new group of healthcare professionals, and made the necessary adjustments to new routines.Even though you have been through lots of transition, now you are faced with more decisions. Your loved one is declining. Treatments intended to improve his life are no longer effective, possibly causing more pain and suffering. You are now having to make an even more difficult decisionis it time for hospice care? Hospice can be such a scary word for the patient and family member. One can feel a tremendous responsibility when making these difficult decisions.When is it right to begin hospice care? Optimally, when there are no more curative treatment options, and the focus becomes comfort and quality of life. Sometime curative treatment causes more suffering than benefit, with the patient and family member electing to stop aggressive measures. However, Hospice patients can often continue to receive additional services to help improve their quality of life.What is palliative care? Palliative Care is a specialized form of medical care that helps patients feel relief from pain, symptoms, and emotional distress caused by a serious illness or its treatment. Unlike Hospice, it is much more than just comfort care. The goal of palliative care is to improve a patients quality of life throughout the course of a serious illness. Palliative Care can be used along with treatments meant to cure.Palliative Care can be helpful at any time during a persons illness. Most palliative care services are given in the hospital, and sometimes in outpatient clinics. Talk with your physician if you feel that palliative care might be helpful. There are palliative nursing services that can provide weekly home visits at a private pay basis. 'Editors Note: This article was submitted by Jo Alch, R.N, founder of Acappella in Home Care and Palliative Nursing Partners. She may be reached at joalch@acappellainhomecare.com.

When you sell, you want to sell for the best price, with the most favorable terms, in the shortest amount of time.Your broker should understand the importance of this sale in your retirement portfolio and beyond. Retaining and preserving your equity is a must!Marketing and internet presence are also important. Your broker should have current market knowledge and access to world class marketing.Your safety and security must come first! A safe showings plan will keep you safe during showings while electronic lockboxes keep track of all showings, notifying your agent when it is safe for you to return after a showing.Most importantly make sure you are working with a trusted advisor, someone that is looking out for you and your future!Editors Note: Jennifer Cuningham and Sarah Schilz are Realtors with Windermere Real Estate they can be reached at 970-817-0906 or JennC@Windermere.com

I am Kim Tucker, a local Kansas City Metro Home Buyer.  I am also a Mom's House Senior Transition Specialist . . . When you put those two together it gives me the unique ability to help seniors and their families who are transitioning to a new living arrangement and are left with a home they no longer need.With my Certification and my partnership with Mom's House, I am getting a lot of referrals from people who are transitioning into a new home and reaching out for help with their home here and all the stuff left in it here in the Kansas City Metro.  I recently recorded a video to tell you a little bit more about me, Kim Tucker.  Our company, kcmoHomeBuyer.com.  And how we might be able to help you.At the end of the video, we share how you can request a free digital copy of my book "Paying for Long-Term Care - The Essential Guide to Understanding and Funding Senior Care"Having helped my Mother at the end of her life, my Mother In Law navigating Alzheimer's, my Brother In Law with Dementia, and my Father In Law moving to assisted living and sell his home in a whirlwind month . . . plus several others, we have been through what many reading this article have been through and we are here ready to help.Grab a cup of coffee and take about 13 minutes to watch my video.

Therapeutic Rehabilitation is treating and repairing the whole person, to create a balanced mind, body, spirit, environment, and emotions. All elements of a persons life need to be brought into balance for recovery and success.Many therapeutic rehabilitation centers focus on the physical ailments, making it difficult to achieve a more functional level of independence. Therapeutic rehabilitation has incredible success when combined with the Eden Alternative philosophy which addresses the 3 plagues of aging: boredom, loneliness and helplessness. Search for a rehabilitation philosophy that builds on strengths.When looking for a rehabilitation community for physical, occupational, and/or speech and language therapy, check to make sure the community is not only focusing on a physical injury but on the how, why and where the injury occurred. Are they asking about you, your ideas of success and your goals? Treating the whole person results in meaningful outcomes.Understanding the interaction and balance between mind, body, spirit, emotions and environment is the key to a positive outcome.Continuing to Empower YOU!Editors Note: This article was submitted by Karen Gates. Karen is the Director of Admissions/Guest Services at Shalom Park and may be reached at 303-680-5000 or by email at Karen.Gates@ShalomPark.net.

Being bonded means that a bonding company has secured money that is available to the consumer in the event they file a claim against the company.#listing_mgr{8 basic_search}#

If you had an opportunity to visit with your friends, have lunch together and maybe even travel together, why wouldnt you?Perhaps find an opportunity to learn something new or see a site that you might not go to on your own? Maybe you recently moved to the area, lost your spouse/partner or are recently retired?We, as humans, are designed for interaction and socialization with others, even if we are introverts. In addition, as we age, we have an ability to learn new things. So, while it is true that old brains can learn new things, where can these opportunities be found?Support from others can also be important in reducing stress, increasing physical health and defeating psychological problems such as depression and anxiety. In addition, says John Feather, PhD, What we know is that lonely hearts are hearts at risk, because social isolation is a killer. Specifically, social isolation is associated with, and a powerful predictor of cardiovascular disease,cognitive decline, institutionalization, stroke, re-hospitalization, depression, and increased risk of suicide, just to name a few. It is linked to everything from a higher risk of contracting the common cold to faster tumor growthin cancer patients. All in all, socially isolated people aretwice as likely to die prematurely(even controlling for other relevant factors) than are people with many strong social relationships.When we think of Seniors Centers, sometimes we dont realize the impact they can have on a seniors life. Providing an opportunity for socialization, and new learning, has been found to increase our overall self-awareness and in turn, increase our well-being. In fact, studies show that lack of social support is related to negative impacts on health and well-being.So, what can you find at your local Senior Center? You may find opportunities to socialize, including meals, socials, concerts, day trips and classes. Perhaps you had to lay down that paint brush as your career or family took over your life? You can find these opportunities at Senior Centers near you. Have you wanted to learn more about that computer or want to email friends or family members? You can find those types of classes too.Senior Centers and Active Adult programs are focused on the well-being of adults, age 55+, so there are always opportunities to do and learn more.Look for a Senior Center or Active Adult program near you today to get engaged and increase your quality of life!watch Get Out movie online nowEditors Note: This article was submitted by Submitted by Jody Barker, Executive Director of Aging Initiatives of the YMCA of the Pikes Peak Region and Director of the Colorado Springs Senior Center. She may be reached at 719-955-3401 or by email at: jbarker@ppymca.org

When or if people prepare for their death or disability, they often are unaware of the five common mistakes people generally make. A well-written estate plan helps you avoid those five mistakes. What are they?Mistake 1. Loss of control. Surprisingly, disability is more likely in the short term than death, so you also need to address what happens if you become disabled and cannot make medical or financial decisions. Do not assume that your spouse can make all of those decisions for you; your spouse cannot access your retirement accounts or any assets just in your name. Thus, you need to have appropriate documents in place.Mistake 2. Loss of access. When you die, at what age will your children get their inheritance, and who will control it? Without a plan, your family must follow the governments rule book, not yours.Mistake 3. Loss of assets. People often say they were told to give their assets away to family members, for tax reasons or Medicaid reasons. However, that strategy can be a disaster. What if those family members get divorced, go into a nursing home, or are in a car accident? Tax laws are not the only things to consider. Long-term care planning, paying for long-term care, and Medicaid qualification are major threats. It is critical to understand how tax and asset protection laws integrate.Mistake 4. Unqualified professionals. Just as you would go to a cardiologist for a heart condition, it is important to work with a Certified Elder Law Attorney certified by the National Elder Law Foundation to plan your financial future. Certified Elder Law Attorneys have undertaken hundreds of hours of specialized training in numerous elder law areas, and have passed an extremely difficult exam. Many professionals, while believing that they are acting in your best interest, are often not aware of the intricacies of elder law. Certified Elder Law Attorneys are trained to deal with the complexities of aging and protecting your assets.Mistake 5. Increased cost without pre-planning. Often people focus on the short-term cost of preparing documents, but ignore the additional cost at death. Understanding the cost of not doing something properly now, and how much it can affect your family, should weigh heavily in your decision-making. The law is complicated, but working with qualified professionals does not have to be.__________________________________Editors Note: This article was submitted by Jeffrey R. Bellomo, Esquire, CELA

All moves share some common elements including why move, when to move, where to move and how to move. The answers depend on individual circumstances and ones age. Well consider moves from the viewpoint of a senior. Why and when often can be addressed together.The motivation for a senior to move can be initiated by needs related to physical health, social activity, memory support. Some people anticipate their needs and tour senior communities and get on waiting lists. Others wait to make a decision until they are forced to, which is usually the result of a health crisis and they are told by a doctor that they can no longer live in their home. Where to move includes decisions that must be made about the type of living situation one desires. Options include everything from a condo, to independent senior living communities, assisted living, and memory care. Those who plan in advance will have more options regarding location, amenities, etc. Those who move in crisis mode generally have fewer options as they must settle for what is available at the moment. How to move also has options: you can pack and move yourself, hire a moving company to move your things, or hire a move management company to plan your move, pack and move your things, and unpack everything for you. Whether or not you have planned your move or are moving in crisis mode, hiring a move management expert will greatly reduce the stress of the situation and get you settled quickly in your new home; usually within 1 3 days, depending on the size and scope of your move. Some companies also will help you downsize and conduct a clean out of your old home to get it ready for sale. What may have seemed overwhelming and impossible can be managed by the experts, leaving you and your family to focus on your new home and future.Editors Note: This article was submitted by Holly Hansen, Owner - Brilliant Moves

If your parents forced you to eat healthy foods when you were a kid, kept an eye on your finances and wanted to know that you were safe, get ready for a "Freaky Friday"switcheroo.As parent and child age, the roles are often reversed. Before your mom or dad reaches senior citizen status, you need to be prepared for some changes. A study by Pew Research Center found that the older people get, the younger they feel, so while you and your parents might feel like you can hold off the inevitable till they actually do feel old, here are some important things to keep in mind. 1. Scammers prey on everyone, but some target seniors.Make sure your parents are tech savvy enough to be suspicious about requests for money or information. AARP suggests talking to your folks to explain why the IRS would never call and ask for your personal information or how you can't win a contest you didn't enter. They also suggest getting rid of the landline or putting your parents onthe "do not call" list.2. Lack of appetite.Loss of appetite can be a warning sign for some diseases. It is also a normal process of aging. Most people eat less as they get older. Their sense of smell is not as acute, which affects their appetite. Also, production of the hormone cholecystokinin the one responsible for making us feel full increases as we age. If the doctor rules outdisease as a cause of a lessening appetite, just make sure that the calories they do eat are nutritious.3. Don't take the fall.Falls are the leading cause of injury death among older Utahns, but most of them are preventable. Precautions like exercising regularly to improve strength and balance will keep people on their feet longer. So will removing obstacles and tripping hazards. The Utah Department of Health offers falls prevention classes that teach the elderly, andthose who love them, how to keep the luster on the Golden Years.4. Declaring independence.From toddlers to teenagers, we all crave some freedom. The same is true for your parents. Letting people do what they can for themselves, for as long as they can, helps them mentally and physically. Perhaps the best tool here is communication. Build trust with your parents with they still have their independence so when it's time to make some of those harder decisions, they will have faith in your judgment. While you are building that trust, actively listen, ask questions about their concerns and provide workable options. Don't avoid the tough subjects or feel like you need to cover every topic in one sitting.5. Seize the day.While many only see the downside to aging, there is plenty to look forward to as well. The Huffington Post listed 19 of them, including maturity and wisdom, more stable friendships, senior discounts, etc. Many aging adults find relaxation in their older years that they might have never known while in a career or raising a family. As their child,remind them of these daily.Be respectful of your parents, especially if you have children.Whether or not it's intentional, you will be modeling for your children how they should care for you when the "Freaky Friday" plot twist takes one more turn in just a few years.Editors Note: This article was submitted by the Violence and Injury Prevention Program,with the Utah Department of Health and may be reached at 801-538-6864or by email atvipp@utah.gov.

With the holidays approaching, if your senior loved one wants to travel, get them where they need to go safely, and with minimal stress.  Below are a few tips to make holiday travel a seamless process that will keep them comfortable, relaxed and arriving at their destination with ease.Prepare documents and medicationsWhen booking flights, get as much information as possible. Having an informational packet put together will help everyone know what to expect and feel prepared.Your packet should include:       Flight departure / arrival times       Transportation options to and from the airport       Terminal maps and gate locations       Medication regulations and necessary documents       TSA safety check processLook through the TSA website to learn about which medications are allowed and how to communicate with an officer about medically necessary bottles or containers. Request copies of prescriptions and statements of medical conditions from each physician and medical center for verification. Make photocopies of passports, drivers license, insurance cards, travel tickets and the trips itinerary provides a backup in case of any unforeseen emergencies. Many seniors no longer have a drivers license, which can present a problem when going through airport security. Be sure that the individual has state ID, military ID, passport, or similar credential. Keep one set of copies with you, place a set of the documents in your seniors carry-on bag and forward a set of the documents to the destination. Consider insuranceWhen traveling, seniors are at greatest risk of being in need of a health care emergency.  The right insurance package for ones age group can protect their health and give you peace of mind.Health Insurance: If traveling within the United States, be sure to look up what hospitals accept your health insurance and if there is coverage during travel. If going abroad, look at buying a travel medical plan or vacation plan that includes medical emergencies.Trip Insurance: There are a few different options when choosing trip insurance. For seniors, there can be unexpected delays due to appointments, or medical clearance delays. Therefore, it is ideal that trip cancellation protection is provided.If your loved one is nervous about the upcoming trip, let them vent and answer their concerns.  Be calm and optimistic.  Remember that all of this preparation is worthwhile.    Editors Note:  This article was submitted by Apryl Garrett, Publisher of the Seniors Blue Book of Greater Pittsburgh.  She can be reached at 412-551-5951 or by email at Apryl@SeniorsBlueBook.com. 

Joliet Area Community Hospice Considered the model for quality compassionate care for people facing end of life, hospice provides expert medical care, pain management, and emotional and spiritual support expressly tailored to each patients individual needs and wishes.Hospice can improve a persons quality of life when curative treatments and technology are no longer effective or desired. Like various sectors of the medical community, Joliet Area Community Hospice (JACH) includes complementary therapies in patient care plans and with family bereavement. Currently music, art, pet, massage, Reiki and aroma therapies are offered to our patients. These non-invasive therapies promote comfort and well-being and complement the medical and social support they already receive from their interdisciplinary care teams. Complementary therapies promote relaxation and rest, minimize anxiety and stress, release tension, reduce pain, helps with agitation and improve functional status and quality of life.Aromatherapy has minimal side effects and is ideal in hospice care. Not only does it benefit the patient but also family members and caregivers. Our trained staff choose the right essential oils and method of application. They incorporate aromatherapy through touch and massage or through diffusers. Massage in itself is beneficial and when paired with aromatherapy, canboost the mood and ease the tension many hospice patients experience.Reiki treats the whole person. It is a Japanese therapy for stress reduction and relaxation. Reiki is a popular and beneficial healing modality that is utilized for health and wellness. It is based on energetic principles and is practiced in many hospitals, medical settings, and in private practice all around the world.Music can be a powerful tool at end of life by bringing peace and harmony to a hospice patient. Studies have shown that patients at end of life engage more easily when music is playing. Music therapy has always proven to enhance verbal and motor abilities for adults, teenagers and children.Pet therapy promotes conversation, activity and emotional connections during a visit. Some patients enjoy petting the animal and having them lay by them to cuddle. Others like to throw a ball and play fetch, while some give the dog commands to do. People who love animals and have had pets of their own can feel a sense of normalcy from a pet therapy visit.Art therapy is also beneficial to hospice patients as well as their family member and can help when dealing with anticipatory grief. Art is a perfect outlet to express feelings and in turn reducing anxiety. Adults, teenagers and children benefit from art therapy as a means of relaxation and stress relief. Therapies offered to JACH patients and families are administered wherever home is and by licensed staff or volunteers as required. Editors Note: As a hospice patient or family member, ask your care team about these additional therapies that may provide additional bene?ts to you. Submitted by Joliet Area Community Hospice, 250 Water Stone Circle, Joliet, IL 815.740.4104.

Western Pennsylvania is like the perfect storm in terms of risk factors for developing Parkinsons disease. There are three primary risk factors that have been associated with PD:1.Age (older persons at a higher risk)2.Genetic Factors (mutations on certain genes which are common in two particular ethnic backgrounds may account for as many as 15%-20% of the cases of Parkinsons disease, 1.5 2 times greater than in other populations)3.Environmental factors that are associated with agriculture and industry (particularly in the midwest northeast regions) have been associated with a higher risk.Age is considered the primary risk factor in idiopathic PD. The prevalence rate in US residents over the age of 65 approximately 1.6%. This rate goes up to about 3% for people over the age of 80 and continues to increase with age without signs of plateau. Allegheny County has one of the oldest populations per capita in the US. As the demographics continue to shift to a more senior population, the number of people diagnosed with PD will grow accordingly.The genetic indicator most commonly associated with PD is LRRK2. It is thought to be the cause in about 2% of the total cases of PD. However, this mutation is 10 time more prevalent in Ashkenazi Jews than in the general population and it is believed to increase their risk factor accordingly. Ashkenazi Jews are at a 6 10 times higher risk of developing PD as a result. Allegheny County (Pittsburgh) has a significant Jewish community.There are an increasing number of environmental toxins which contribute to developing the disease such as chemicals used as herbicides and pesticides in agriculture and certain heavy metals (pollutants) that are associated with industrial manufacturing. Although our region is less dependent on agriculture and industry now, steel and farming were a big force in the regions economy as recently as 40 50 years ago.Luckily, the region has the Parkinson Foundation Western Pennsylvania as a resource. The Foundation serves primarily people living in Pittsburgh and many surrounding communities. The Parkinson Foundation Western Pennsylvania was formed by volunteers in 1995 with the purpose of supporting research efforts to find a cure and provide support for those with PD and their familiesEditors Note: This article was submitted by David Von Hofen, Director of Programs and Outreach, Parkinson Foundation Western Pennsylvania. If you would like more information about PD and the Foundation, please call 412.837.2542 or visit pfwpa.org.

For centuries, we've known that the health of the brain and the body are connected. But now, science is able to provide insights into how to make lifestyle choices that may help you keep your brain and body healthy as you age.Join SBB University and the Alzheimer's Association of Greater PA to learn about research in the areas of diet and nutrition, exercise, cognitive activity and social engagement, and use hands-on-tools to help you incorporate these recommendations into a plan for healthy aging.Presenters:Deb Schleh, Volunteer, Alzheimer's Association of Greater PA and Seniors Blue Book of South Central PASara Murphy, VP of Programs & Services, Alzheimer's Association of Greater PA24/7 Helpline: 800.272.3900 www.alz.org

An entire branch of the National Institutes of Health is dedicated to complementary and integrative health.This field offers treatments and therapies that do not require surgery or medication, allowing a more holistic and gentler approach. Many are quite effective, and for certain people they can be more effective without the side effects of more traditional treatments. The National Center for Complementary and Integrative Health, abbreviated as NCCIH has great resources. Their main website is https://nccih.nih.gov/When deciding whether to use a complementary product or practice, it is important to be informed of the risks. While we may know someone who tried a certain approach or supplement and it worked, everyone is different. We may have a different chronic condition or be taking a different prescription that could interact, or it may be the perfect thing for our situation. But how do we know what is safe?According to the NCCIH, mind and body practices like meditation and yoga are typically considered safe. Nutritional supplements may be a little more difficult to evaluate, since manufacturers do not have to prove their safety. One concern is the possibility of the supplement interacting negatively with a prescribed medication, so neither pill works well and may in fact cause dangerous side effects. Another is that the product may be contaminated, especially in the cases of supplements marketed for weight loss, sexual health, or physical performance.It is worth doing the homework before trying something new. The NCCIH website has a helpful link entitled, How Safe Is This Product or Practice, https://nccih.nih.gov/health/safety/topics.htm which lists every treatment from A to Z. Wondering about Acupuncture or Zinc supplements, or anything in between? The site has evidence-based research answers.Complementary and integrative practices and products can improve and have improved health related quality of life and better management of health conditions for millions of people. It is important to research for ourselves and speak with trusted providers so our choices to improve our lives are based on facts and more likely to give us the outcome we seek.Editors Note: This article was submitted by Dr. Katarina Felsted, Assistant Professor with the Gerontology Interdisciplinary Program at the University of Utah. You may reach Dr. Felsted at 801.585.7438 or katarina.felsted@nurs.utah.edu

For more information on the author, Transition Rehabilitation, CLICK HERE!Use it or lose it! According to the National Institute of Aging, exercise may not only delay or help to prevent strokes, cancer, heart disease, and diabetes; it also helps to improve mental health and increases happiness and mood.The benefits of being active with exercise are endless. Exercise helps to improve and maintain mobility, flexibility, strength, and balance which can also decrease your risk of falls. As a local expert in rehabilitation services, falls are the #1 cause of injury among seniors. If you suffer an injury from a fall, recovery will be much easier and quicker if you are in better physical condition.At Transitions Rehabilitation, we have taken a unique approach to wellness and improving the quality of life of our patients with programs like Rock Steady Boxing for Parkinsons, Aquatic Zumba, and Aqua Flex. Our licensed therapists offer physical, occupational, and speech therapy services. Our programs are perfect for taking control of your health and easing back into a fitness routine. Most services are covered by Medi-care, managed care plans, private insurances, and some Medicaid plans.

If given directions and a plan that resulted in a high level of success what outcome might you experience? Consumers rely on physicians and pharmaceutical companies to improve health. Humans want and demand choice in all aspects of life yet plea to the effects of outside conditions when health fails. The act of caregiving arises from a need for care based on a foundation of poor or declining health of a loved one, yet research proves caregivers health fails as the result of the act of caregiving. If individuals acknowledged that actions today result in care needs of the future how might this affect the aspect of willpower versus wishful thinking in the area of health?Modern medicine treats and minimizes symptoms not the root cause of disease. Does illness have the opportunity to provide insight into life regarding aspects that require change? Is it possible to heal illness by recognizing and changing aspects in life that pose health risks? Perspectives posed by German physician Rudiger Dahlke, holistic experts Andrew Weil and Deepak Chopra and energy healers Barbara Brennan and Donna Eden teach that the body can heal itself.The idea of self -healing poses the conflict between will and desire. If permanently giving up sugar, white flour, processed and fried foods, alcohol, vinegar and tomatoes would result in remission of cancer and eventual cure, how many would follow this diet for a lifetime? If meditating twenty minutes twice a day resulted in lowered blood pressure, improved sleep and less stress how many would follow this daily regimen? Self-healing results from the actions of individuals willing to examine aspects of life and to make difficult changes.When a health diagnosis interrupts your life will you give into relying and hoping that modern medicine will provide a cure? Will you take matters into your own hands and make necessary changes placing willpower ahead of desire rather than hoping for an easy fix? The act of caregiving poses similar questions? Will you allow a less than ideal caregiving situation to continue? Will you take action to find balance to ensure that caregiving does not negatively affect your health and wellbeing?Editors Note: This article was submitted by Pamela D. Wilson, CSA, MS, BS/BA, CG, owner of The Care Navigator. Pamela may be reached at 303-810-1816 or by email at pamela@thecarenavigator.com.

There are 24 million people in the U.S. who are morbidly obese; 72.5 million people meet the criteria for obesity.With bariatric surgery, a single intervention can change the lives of many of thesepeople. Cape Coral resident Bill Reese was one of them (shown on cover). He had high blood pressure, took 16 pills a day and was about to need daily shots to keep his Type 2 diabetes in check.Obesity is an epidemic, and not enough is being done nationwide to eliminate it. The condition is tied to a host of metabolic disorders. Like Bill, obese people can suffer from issues such as Type 2 diabetes, urinary disorders, high blood pressure, heart failure, digestive disorders, gallbladder disease, gastroesophageal reflux disease (GERD), sleep apnea, liver problems, depression and a shortened life expectancy. Bariatric surgery can help alleviate or reverse many of these problems. A pleasant side effect is an improved appearance, although it should not be confused with cosmetic surgery.Bill was always active and loved deep sea fishing, but when his diabetes began to get out of hand, enough was enough. When Bill was ready to make a healthy lifestyle change, he went to Venice Regional Bayfront Health because of its excellent reputation. The doctors and nurses are by your side all the way, he said.Joseph Chebli, M.D. has personally performed more than 1,000 bariatric surgeries. All procedures are performed laparoscopically and include the Roux-en-Y gastric bypass, sleeve gastrectomy, adjustable gastric banding and revision procedures. Dr. Chebli focuses on his patients complete picture of health, specifically improvements in Type 2 diabetes, high blood pressure, sleep apnea and lipid disorders.He is the only Surgeon of Excellence and Venice Regional Bayfront Health is the only designated Center of Excellence in Metabolic and Bariatric Surgery by Surgical Review Corporation (SRC) and the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program in Sarasota, Charlotte and Manatee County.Today, Bill is 180 pounds lighter and his only pill is a vitamin. Weight is still a concernbut not his ownhes looking to catch 20-30 pound grouper.

To learn more about Harmony Home Health and Hospice,CLICK HERE.A visit with mom recently uncovered several unsettling signs. Even though shes always been awake and out of bed by 8 a.m., now its difficult to wake her before lunchtime. Rather than preparing an elaborate home-cooked meal, she prefers to merely warm up a can of soup; and can barely finish a small bowlful. Not only that, but she has lost interest in spending time with her best friends from book club. Could she be suffering from depression and dementia?There are a number of similarities between the two, including:Sleeping and eating pattern changesReduced interest in previously enjoyed activities and hobbies, and spending time with othersA decrease in memory and the ability to focusHowever, there are also a number of distinguishing differences to help discern whether depression or dementia could be at play:Dementia:A slow, progressive decline in mental functioningNoticeable impairment with motor and/or language skillsProblems with memory, without being aware of these problemsConfusion in knowing the correct date, time, and surroundingsDepression:A faster decline in mental functioningProblems with concentrationSomewhat slower, but still normal motor and language functioningProblems with memory issues, but being aware of the challengesAware of present date, time and environmentSometimes, both conditions can affect a person simultaneously.Brent Forester, MD, director of the mood disorders division in the geriatric psychiatry research program at McLean Hospital in Belmont, MA, shares, 40 to 50% of people with Alzheimers disease get depression, but depression also may be a risk factor for Alzheimers.If you suspect either depression or dementia in a senior you love, schedule an appointment as soon as possible with the persons doctor. Receiving a correct diagnosis and beginning a treatment plan is imperative.

A geriatric assessment is a multidimensional assessment which is designed to evaluate an individuals or couples current functional ability, physical health, cognition and mental health, social environment, legal, financial status and environmental safety. Information is gathered from the individuals themselves and may be solicited from family and other key members in the persons life. The goals of the assessment are to maintain, improve, and enhance those areas which can be affected, and to minimize risk and potential harm to the individuals under assessment. Additional goals are to reduce the burden on the family caregiver(s) and provide support for the family.The Care Manager gathers the information needed for the geriatric assessment in the home of the individual or couple over several meetings. The assessment begins with comprehensive data gathering using interviews, screening techniques and instruments, data review and observation. The starting point is the gathering of personal information, medical history, review of medications, current medical concerns, including cognition, and client goals. The Care Manager also conducts functional assessments such as the ability to bath, dress, shop, prepare meals, handle finances, and live at home safely. They review the presence and completeness of advanced directives and powers of attorney as well as financial data; i.e., income, expenses, and assets.The initial meeting with the client(s) and whomever they would like present last 1.5 to 2 hours. We review our services, sign contract document and conduct the initial interview to get to know the client a bit. There are 2 to 3 additional meetings of 1.5 to 2 hours each to cover the topics outlined above. With couples, we may need an additional meeting. We can meet once or twice a week depending upon the clients schedule and energy level.After the assessment, the Care Manager organizes and documents all key information and identifies those areas that are going well and those that that needs to be addressed, or shored up. A plan is then developed in each area that needs to be addressed with goals, priorities, recommendations and potential resources.The final meeting of the assessment and care plan is with the client(s) and whomever they would like to attend to hear the summary and recommendations of our assessment; typically, 1 to 1.5 hours per person assessed.The Care Manager is available to implement or assist in the implementation of the recommendations agreed upon by the client. The care plan provides a roadmap for the caregiver and family about what needs to be done next and in the near future. When clients are working with a Care Manager, the assessment and care plan evolves over time as client needs change.At Life Changes, we provide exceptional care management services.LET US HELP YOU BE PROACTIVE!See ad on page 21

Is it any wonder that the Mature Adults of today are choosing Maintenance-Free Living Communities? The over 55 population is staggering at a whopping 78 million individuals in the United States alone! And, as they have reached their prime age for travel, they have also reached their peak earning years, and now consider travel a necessity and no longer an anticipated luxury. The parents of the so called Baby-Boomers often saved their pennies and waited for retirement to travel, but todays travelers are well-seasoned decades before retirement age has arrived. At this point in life, they are travelers looking for a very specific type of experience as they ready themselves for their next excursion. Some are looking for adventure, others simply want to have fun, and yet many seek the more sophisticated venue in their destinations. Either way, theyre all looking for the same thing; immediate gratification! Its important to understand that Mature Travelers are not the passive travelers of yesterday. And, being technically savvy in researching the internet for information, they want to be involved with planning their destinations. They typically have no interest in package deals where they have to visit A, B and C, as theyre likely to have already chosen D, E and F. Another commonality is theyre after creature comforts. And, no surprise, theyre not shy about demanding their version of luxury, be it a quaint and private mountain cabin, the bright lights and sensory stimulation of the Vegas Strip, or the slow, gentle sway of a 2000-passenger ocean liner. They anticipate great food, great views, and, in a nutshell, an all-around great experience. For the majority of them, because they are so interactively minded, the idea of sitting in a tour bus while someone points and describes their current destination, is a complete turn-off to them. This generation of traveler wants the actual experience of feeling, touching and tasting. For this reason, many of the Tour Operators of yesterday have dropped the word Tour from their title and are now promoting themselves as Travel operators. Those once known as Tour Guides are now Destination Experts! My, how things have changed! So, why not choose Maintenance-Free Living Communities, where all you have to do is lock the door behind you while venturing out to your next travel destination!Editors Note: This article was submitted by Water Valley Good Samaritan Community. For more information call 970-674-5529 or email: audreythrash@good-sam.com

"If I insure myself against the minimal risks affecting my home, my car, and my overall acute health needs issues, why haven't I insured against this far greater risk of an eventual Long Term Care event?"Seven out of ten of us are going to require a period of extended care before we die. At present, this risk statically spans an average of three years with the cost of care ranging from $92,000, to $276,000 annually! For couples, this number rises to nine in ten that at least one person will be impacted by the need for custodial or skilled care, ranging from assistance with activities of daily living (bathing, dressing, toileting, eating, transferring, and incontinence) or some form of cognitive impairment such as dementia or Alzheimers care. Medicare does not cover the costs of Long Term Care.Greater longevity, advances in medicine and medical science, means that our society will continue to age. Baby Boomers are now turning 65 at the rate of 10,000 per day.Many have already lived this nightmare with parents and other family members, often having to place beloved family members in facilities funded by Medicaid but onlyafter having to spend down their assets to a poverty level and relinquish their independence. More than ever, there is now a choice to be had; an insurance policy that guards against families losing their hard saved earnings, and individuals losing their independence, dignity, and access to quality care.The long term care industry has been around since 1974, and several of the major carriers are launching some very creative solutions that address this pandemic issue as well as providing the public with choices that include linking long term care insurance benefits with those of life insurance and annuities.Since health qualification is a hurdle that confounds a good number of applicants, it is best to look at this coverage as early as age 40. Younger ages not only bode well with passing underwriting criteria, but also keeps premiums at a very modest level.So ask yourself, "If I insure myself against the minimal risks affecting my home, my car, and my overall acute health needs issues, why haven't I insured against this far greater risk of an eventual Long Term Care event?"Editors Note: This article was submitted by Western Slope Long Term Care Solutions. You may reach Phyllis Hoffman CLTC at 970-675-5029 or phoffman@pnwis.com and Scharee Atchison LTCi at 719-640-1300 or satchison@pnwis.com. Both Phyllis and Scharee manage their business from Cedaredge, CO.

Older adults fear the possibility of developing Alzheimer's disease even more than death and with good reason: five million Americans have Alzheimer's disease, approximately 350,000 are diagnosed with the condition each year and it leads to death more often than heart disease, stroke, HIV and breast and prostate cancers combined! In the next 13 years, the number of Utahans with Alzheimer's disease will increase 127 percent making it the state with the fastest growing incidence of Alzheimer's.These startling statistics lead one to ask: Can Alzheimer's disease be prevented or delayed? Here is the good news yes. A new study shows that half of the cases might be caused by factors people can control: exercise, smoking, obesity, diabetes, high blood pressure and high cholesterol. Additionally, advanced imaging techniques now can diagnose Alzheimer's years before symptoms are noticed giving people a jump start on a treatment plan.What is Alzheimer's Disease?Alzheimer's disease is a progressive, degenerative disease of the brain that causes dementia. Dementia is the deterioration of memory, language, personality and the ability to process information. Other conditions that also lead to dementia include stroke, chronic alcohol abuse, vitamin deficiencies, and Parkinson's disease.What Causes Alzheimer's Disease?When we are younger, the body makes amyloid plaques (clumps of protein, like a goo) that surround the brain cells but the brain is able to clear it out. As we grow older, oxidative stress on the brain cells increases inflammation which contributes to making too much amyloid plaques and to the inability to clear it away. Additionally, patients develop neurofibrillary tangles (nerve cells that become tangled and dysfunctional). The tangles and goo prevent brain cells from communicating with each other which creates the forgetting in Alzheimer's.What are the symptoms?Alzheimer's disease usually comes on slowly, with a gradual loss of memory and difficulty learning new information. The patient develops problems in carrying out familiar tasks, understanding concepts, and taking care of grooming and household chores. Depression may also be one of the early symptoms. Personality changes, restlessness, and disorientation may also occur, and as the disease progresses, these symptoms become more pronounced. In later stages, there is a characteristic lack of concern for appearance or body function, significant sleep disturbances, extreme irritability, and loss of the ability to speak. Gradually, the patient stops eating or drinking regularly.What Can Be Done?The closest we have to a cure for Alzheimer's is prevention. But this is good news. This means that people have control over their chances of developing this deadly disease with exercise, a diet high in omega 3 fatty acids, colorful fruits and vegetables, spices such as turmeric, oregano and garlic, vanilla beans, and a moderate amount of caffeine. New imaging technology now allows people to get screened decades before any symptoms begin, enabling early intervention to protect the healthy brain and a delay in the onset of the disease. Drugs are being tested that may someday offer even more hope for patients and families, especially for the one percent that may be genetically at greater risk.Editors Note: This article was submitted by Denae Bybee, LPN and owner of Senior Helpers Utah and may be reached at 801-912-8400 or by e-mail at dbybee@seniorhelpers.com. For more information visit www.seniorhelpersutah.com.

Jane Silverstain is enjoying the caressing rays of the morning sun. Her husband, Benjamin is seated next to her helping to hold her favorite coffee cup and steady her tremulous hands. Jane has Parkinsons disease as well as dementia. Benjamin, also in his late 80s had a recent heart attack and his chronic diabetes has decreased the sensation in his feet.A knock at the door by Mary, their caregiver, is a welcome interruption to their morning quiet time. It is time for their medications, assisting Jane with bathing and dressing the wounds from the ulcers on Benjamins feet.Oh Mary, good to see you! Mrs. Silverstain responds, acknowledging her with a big smile and recognizing Mary who has been her care giver for the last year. Jane will now accept assistance with activities of daily living and is cooperative. Benjamin can go grocery shopping after Mary dresses his wounds.Dementia is a subject that most people try to avoid but as the fastest growing disease worldwide each of us will be confronted by it directly or indirectly. In the United States there are already an estimated five million suffering from Alzheimers, the seventh leading cause of death.Home Health Agencies in their efforts to provide comprehensive skilled nursing care must also be well versed in addressing dementia cases. The fundamental principle is to set daily routines. In the case of Jane small details such as a favorite cup, while it may not matter to the caregiver, may be crucial for the assisted person.Routines provide maximum independence with minimal assistance while maintaining the dignity of the individual by:Maintaining functionality though daily exercise (mental and physical)Reducing anxiety for the caregiver and the person with dementiaGiving the person with dementia the comfort needed to accomplish their daily tasksOrganizing the delivery of care by the caregiverDecreasing the chance of challenging behaviorsFostering independenceIncreasing self-esteem and confidenceAdjusting routines as dementia progresses by simplifying complexAs dementia cases are expected to increase, competency in caring for the individual with dementia is a big challenge. Family members and Home Health Agencies need to place emphasis on understanding the complex nature of dementia. It is easy to dress a wound or administer medications, but behind these needs is a person whose dignity and independence should be valued and upheld.By Moses Wananu, MD, Medical Director Golden Age Home Health LLC.

Home health care is provided by skilled medical professionals, such as registered nurses, physical and occupational therapists and medical social workers, and includes a wide range of services that are provided in your home to treat an illness or injury. The focus of home health care is to help you get better, regain your independence and become as self-sufficient as possible.Many times, home health care is less expensive, more convenient than and as effective as the care you would receive in a hospital or a skilled nursing facility. It often follows a doctors visit or a stay at a hospital or rehabilitation facility.According to Theresa Santoro, president and CEO of Ridgefield Visiting Nurse Association (RVNA), For Medicare beneficiaries, doctors orders are needed to initiate home health care, and you must be considered temporarily homebound. If your doctor or referring health care provider determines that you are a candidate for home health care, they should give you a list of agencies that offer these services and allow you to choose the one you would like to use.Home care services are the non-medical services that can help maintain your quality of life while living at home in a comfortable environment. Assistance can range from companionship to hands-on care, depending on the need. This can be accomplished by regular weekly visits or by a 24/7 live-in caregiver. Help can include assistance with dressing, bathing, mobility, feeding or meal preparation, medication reminders, light housekeeping, shopping and errands.Often non-medical home care services are the kind of personal assistance that allows a person to remain in their own home instead of relocating to a residential facility, Santoro says.Some home health care agencies can provide both medical care and non-medical home care services for their clients. Other agencies offer non-medical home care services exclusively. Both home health care and home care agencies have the goal of keeping you safe, comfortable and healthy at home.Editors Note: This article was submitted by Heather McGhie, director of Home Care by RVNA. She may be reached at 203-894-5000 or customercare@hcrvna.com.

Youve been on a waiting list for a senior living facility for years. In the meantime, your dream cruise is planned and that familyreunionis around the corner...then you get the call."If youre like many downsizing Seniors the question echoing in your mindis; What do I doabout the house? Here is a quick guide that can give you the confidence and structure that you need.First, take a breathyou can do this! Next, identify a trusted Realtor who has genuine experience helping Seniors. Start by looking forRealtors that have the Senior Real Estate Specialist (SRES) designation. Seniors and their families need a Realtor to help navigate the maze of financial, legal, and emotional issues accompanying the sale of your memory filled home. Im a longtime SRES and still depend on this special training to helpSeniorsthrough the process. It may sound old school, but a Realtor who listens deeply and communicates with a smile, handshake, and a visit is a must. Skills like patience, planning, and guiding are critical.Inviteyour Realtor in as early as possible towalk through the home to learn its unique character and story!Look for a Realtor who can translatethe story intoaplan to market that uniqueness. Part of their role will be to help you understand how to prepare your home for the marketwhat projects to tackle, which ones to ignore, and how to not go overboard as you prepare to sell.Like all top Realtors,we have a handy list of trusted resources to help tackle agreed upon projects. Pricing should be based on reality and facts, not hopes and dreams. Location, size, and amenities are part of the equation as are market activity, market trends, and area competition. Over the years, weve developed a very customized, yet simple, tool to accurately forecast list and sale prices. All top Realtors will have something similar in their tool belt.Be comfortable asking questionsworking with a Realtor should be a collaboration, not a dictatorship.Using a professional stagerand photographer is another must do in todays market. Digital marketing demands high quality, properly lit, compelling photosof an expertly staged homed so that it shines and tells its story clearly. Every Realtor handles this differently,but we believe in this concept so strongly that we provideboth astagerand photographerat no cost to our listing clientsit is just too important to skip.These are the steps that lead to the For Sale signand hopefully the ability to breathe a bit easier._________________________________This article was written by Mike Julian, in collaboration with Eric J. Gearhart. Both are agents with Realty One Group Unlimited and are Directors of theCertain SaleRetirementLiving Program.

A Good Listener:  When youre shopping around for health insurance, you want your agent to be dialed in to what youre saying about your past medical history. Weve all heard that the number one cause of bankruptcy in the US is medical expenses. So, your agent needs to respect the 75% listening, 25% talking rule when communicating with you. Its paramount that your agent asks the right questions to cover all potential exposure points. Youll know that you have an insurance agent that values you when theyre asking thoughtful questions and focused on your responses. Pinpointing a plan across many carriers takes great listening skills; your agent has a responsibility to ensure that the coverage you have will mitigate the most out-of-pocket exposure for your family if something does happen to you.Clarity and Knowledge:  An insurance agent that values you will master their product knowledge because theyre aware of the fiduciary responsibility to their clients. The purpose of having an agent is for them to explain your policy options clearly and concisely. As a potential client, make sure youre asking questions if anything is confusing. An agent that values you will be more than happy to give you the answers you seek. If they are not, they most likely are more worried about the sale and not your needs. Whatever the budget for health insurance, a knowledgeable agent should find some form of coverage for you. Theyre genuine in their approach when explaining your policy options. If youre speaking with an agent who wont take the time to help you personally or at least refer you to someone who can, theyre limited in their knowledge and most likely commission-minded. Furthermore, you may want to inquire into finding an independent broker. These agents are appointed with dozens of insurance carriers and can build policy options based on your needs and not one companys products. In this manner, you are exposed to greater clarity through options and choice. An agent who provides value in these ways is friendly, non-combative, and committed to helping you.Staying Connected:  If your agent has met the above two criteria, its most likely a good idea to keep them around. They are now aware of your medical history, and you have both established mutual trust and understanding. An agent that values this long-term relationship will reach out to you periodically throughout the year. Their purpose should be to review the policy and make adjustments if necessary. Your agent should want to know whether or not the policy has provided value. This is also a great time for you to ask any questions. Additionally, if you currently have an agent who issued you a policy but hasnt contacted you since, you may want to reach out or consider getting a new agent. Your agent should demonstrate these qualities so that you know your familys health is covered to the fullest extent.

When you or your loved one is having difficulty with memory, it can feel overwhelming and trigger fear about what will happen and how will we cope. Here is a quick guide to match what support you need during the changes that occur over time with memory care.Getting the DiagnosisThe primary care MD can provide initial testing, such as a Mini-Mental Status Test, and may refer to a neurologist or gerontologist. The goal of the evaluation is to rule out any medical concern that affects memory. We are fortunate to have Rocky Mountain Alzheimers Disease Center nearby for comprehensive evaluations and the potential to participate in research.Initial SupportThe Alzheimers Association offers education and support groups, and a helpline you can call anytime day or night. The Office of Aging, as well as Senior Centers can guide you to local services and help you plan for future needs. Some faith-based organizations have programs to assist families with respite caregiving, such as Stephen Ministries.How Will Care Needs Change?Visualize a Care TeamA single caregiver cant do it alone through every stage of the illness. The person with memory loss, even if they say they dont, also needs social outlets and breaks. If you are losing your patience, feel constantly tired and overwhelmed, and cant find your sense of humor, these are the red flags of caregiver burnout and you need to get more help. There are many creative ways to build respite and care services, pulling a competent and caring team together. It can be done!Author: Megan Carnarius, Memory Care Consulting 2017

To learn more about Senior Care Associates, CLICK HERE.If you are living at home in need ofcare from your family, a home careagency, independent living, assistedliving or private paying in a skillednursing facility you may be eligiblefor up to $2,295 per month to coverthose expenses.This is a tax-free VA pensioncalled Aid and Attendance whichwas put into place in 1952. It isdirectly deposited into your bankaccount such as social security.This additional money can be usedto cover your care expenditures asyou are aging. This is NOT a welfareprogram like Medicaid. You can owna home and have significant moneyin your assets to still qualify.Areas of Eligibility:90 days active duty, one day ofservice during war time and notdishonorably discharged.Care being provided from family,home care, independent living,assisted living and private pay ina nursing home.Care includes dressing assistance, bathing, medicationreminders, walking assistance,transfers, toileting, and mealpreparation. Custodial Care dueto frailness or memory loss.Income would include socialsecurity, pension, retirement,rental income etc.Assets in your checking, savings, cds, stocks/bonds, mutualfunds, IRAs, and 401ks.Your home is not included as anasset unless it is sold.How long does it take to get approved? It is taking 1-3 months toget approved.The VA has a 3 year look back intoany asset transfers such as movingmoney into a trust, annuity, or gifting money to family.Please call Dennis Autrey tosee if you may be eligible. 'Editors Note: This article was submitted by Dennis Autrey, Marketing Director for Senior Care Associates, LLC He may be reached at 801-424-1444 orby email at: dennis@scaiusa.com www.seniorcareassociates.com

Physical Medicine and RehabilitationImproving the health and function of seniors with disabilities can facilitate levels of participation in all aspects of society and can enhance health-related quality of life on a very personal level. For individuals recovering from a serious illness or disabling event, after their initial rehabilitation, the gains made in restoring function can be lost after returning home unless a community-based health and wellness program can be tailored to the individuals unique circumstances. Traditional definitions of health often described health and disability on opposite ends of the health spectrum. Fortunately, newer definitions, supported by the Department of Health and Human Services, acknowledge that health is multidimensional. Health promotion after disability therefore involves optimizing ones potential in the dynamic interplay of the physical, social, emotional, spiritual, and intellectual elements of being.An important first step in the process of designing a plan of self-care after a disabling event, is for seniors, health care professionals, and community service providers to collaboratively identify the many barriers that seniors with disabilities encounter when seeking to enhance their wellness and physical activity levels. Armed with a shared understanding of an individuals functional limitations, health status , and resources can allow for partnerships and networks of support that create opportunity for customized, adapted health promotion strategies. Physicians specialized in Physical Medicine and Rehabilitation (PM&R) are uniquely trained to facilitate and collaborate with other disciplines to address health related quality of life issues for persons with temporary or permanent disabilities. Self-advocacy therefore often includes the consultative involvement of rehabilitation specialists the in ones core team of health care providers helping to optimize ones health after injury or illness.Editors Note: This article was submitted by Indira S. Lanig MD, Medical Director at Northern Colorado Rehabilitation Hospital, in Johnstown, CO. The NCRH team of wellness-oriented physicians and therapists can be reached at 970-619-3454.

This is a common question from clients, especially from baby boomer and senior clients. When I ask them why, they usually say they were told that is the best way to protect the house and stuff from the nursing home. As an elder law attorney, I always answer that doing so is very risky, and rarely worth the potential benefit. Often, people get confused with what they can, vs. what they should do. The tax laws allow a person to give away $14,000 a year to every family member. The same family could also give away $5.49 million from each spouse. Essentially, most of us could give our assets away without owing any tax. (You might have to file a gift tax return if over $14,000, but owe no taxes). However, should you?Consider these points.First, a gift is non-taka-backable. You may chuckle, but it is true. Once the gift is made, it is irreversible. What if you and your child don't see eye to eye in the future, or your child gets divorced, has a stroke and needs a nursing home, or is responsible for a horrific car accident? These are real-life occurrences, with significant consequences for the property you gave them. Also, a gift can result in significant capital gains if the child sells the property later.The better path is for the parents to retain the asset in their names, or have them in a trust that they control, which will give a stepped-up basis on the propertys value at their deaths. Although the children will pay 4.5% inheritance tax, with a stepped-up basis they will avoid a 15% or 23.5% capital gains tax. Also, what if your child dies before you? The childs Will probably leaves all assets to the childs spouse, your in-law, who will certainly take care of you. What happens if the spouse remarries? Are you still as confident? Further, if you or your spouse apply for Medicaid, there is a five-year lookback penalty period for all gifts you made. These situations may not occur, but the risk is not worth taaking when there are ways parents can largely control their assets and still receive asset protection and a stepped-up basis. It is important to talk to a certified elder law attorney to help you weigh the risks. Editors Note: This article was contributed by Jeffrey Bellomo, a Certified Elder Law Attorney and Principal of the law firm of Bellomo & Associates, LLC.

After Jimmy Zollos grandmother fell one too many times despite in-home care, his family made the decision to move her into an assisted-living community. That evening, as his family navigated their new world, they were approached by Joe and Bella, two other new residents. With a touch of humor, they warmly introduced themselves and offered a helping hand.As it turned out, Joe and Bella were widowed Holocaust survivors who found each other later in life. Two weeks later, Jimmy's grandfather, who was suffering from Parkinson's, moved into the same community. Joe and Bella were there again, offering reassuring smiles, plenty of advice, and some much-needed company. From that day on, and for the many months that followed, Joe and Bella ate every meal with Jimmys grandparents and quickly became a part of the extended Zollo family, joining them for holidays and special occasions.As Jimmy explains, his family quickly realized that they needed all sorts of new things for his grandparents, but lacked a good understanding of what to buy and where to buy it. Coincidentally, his marketing-insights firm was in the midst of conducting a large-scale project for AARP, Procter & Gamble, and other clients to deeply understand caregivers needs.Jimmys personal and professional lives intersected. So, together with a host of caregiving experts, Jimmys family launched JoeAndBella.com as the first one-stop shopping site for older adults and those who care for them.Joe & Bella offers everything from comfortable clothes to creative gifts, and from personal-care essentials to new tech that allows for safer and more effective caregiving. The shopping site features brands that understand the distinct needs of care recipients and caregivers.Joe & Bella partners with care communities by donating a percentage of each purchase made by family members to their communitys Employee Appreciation Fund to recognize and reward their frontline workers.Heres more information about how Joe & Bella partners directly with care communities.Noted aging expert Lori Bitter, president of the Business of Aging, explained that until Joe &Bella, there was no single retailer that offered pretty much everything a familycaregiver needs.As a reader of this newsletter, youre invited to use promo code QUIRKFIRST10 to receive 10% off your first purchase at JoeAndBella.com including sharing this code with somebody special.This article was submitted by Jimmy Zollo. Jimmy is the Founder of Joe & Bella and Collaborata and may be reached at jimmy@joeandbella.com

Serenity at Home Companion Care has a number of years experience in the field of affordable healthcare.What sets us apart is our commitment to introducing clients and caregivers before we finalize ones care plan. We have found that competitors send a hired companion to ones home without prior knowledge of their comfortability with each other. At Serenity we have found that this process limits families options when making this critical decision that they may feel stuck with whatever caregiver is available on that particular day/time.At Serenity we empower our clients to choose their caregiver after an extensive interview process. By doing this we are often referred to as the Matchmakers of the Companion Care Industry. This unique concept allows us to experience less turn over with our caregivers creating better customer satisfaction. If/when we experience a caregiver needing to be moved or a client requesting a new caregiver, the process starts over and we assist our customers in seeking a new match.At Serenity we are committed to focusing on the 4Cs: Custom Care (No Minimum Hours), Consistent Care (Same Caregivers), Compassionate Care (Care on your terms), and finally Care (Only the Care you require). Companion Care Rates Starting as low as $15/hr.

For more information on A Call to Order, Click Here!Decluttering is a prime subject of conversation on talk shows, in books, and across social media. What are the best benefits of decluttering? We know by now that tidying up our living space feels great. But what other benefits does it offer? And are there enough of them to make decluttering worth the effort?You Always Know What to WearIf everything in your closet is something you know you love and it fits, putting together an outfit takes much less time. The added benefit? You know youre always going to look fabulous.You Can Quickly Identify Items to Put on Your Shopping ListShopping becomes much more straightforward when you exactly know what you have. At a glance, you can see what you are missing, whether from your wardrobe or household goods. That means you already know what youre looking for before you leave the house and will wind up making a lot fewer impulse buys that youll later regret.You Get Pickier About What You BuyIn taking the time to decide what matters within your household, you get used to asking those same questions when considering purchasing new items.Questions like:Will I love this in a couple of months?Will I use it often?Am I willing to give up something else to make room for this?Do I truly need it?Will it bring me happiness when I see or use it?Taking Care of Treasured Things Makes Them Last LongerWhen you keep only things you love, you will find youre treating those items with more respect. Possessions managed well tend to wear better and will last much longer than belongings handled carelessly.Clean Up Takes No Time at AllWith fewer items cluttering up your life, making a room tidy requires much less time and effort. You will also find it easier to put things away and have a clearer idea of where things belong.Decision-Making is EasierYouve already decided which movies and books to keep based on what is important to you and what is worth saving. That means that making decisions about what to read or watch becomes easier. You already know whatever you still have is a winner.Is it any wonder decluttering is good for us? Remember, a home that consists only of the essentials and those things you love is a peaceful home and one you can enjoy when youre there.

To learn more aboutCarePatrol of Utah, CLICK HERE.In helping over 1,000 families findsafe care options, one of the firstquestions families ask about assisted living is how much does it cost?Many people are surprised at how affordable it is when given specificinformation about whats included.Such as utilities, food, cooking,cleaning, entertainment, transportation and 24/7 nursing care.What does Assisted Living cost inUtah? Communities charge anywherefrom $2,000 a month to as muchas $6,500, but the average is about$3,500. This amount largely depends on 3 factors. 1 How much care does the resident require? For individualsthat need help with a lot of activitiesof daily living (ADLs), the cost canbe more. This is important to keep in mind and understand that the cost may increase over time as careneeds increase. 2 Location. As will any real estate, location affects the cost. 3 Size of the room. Most communities have different sizerooms from small studio apartmentsto 2 bedroom suites. Most individuals are completely comfortable in astudio or 1 bedroom.Most assisted livings have a rentplus level of care pricing model.Which mean you have a flat baseprice for the rent of the apartmentand then added charges based on the level of care required. SomeCommunities have a flat rate all-inclusive pricing model, meaningyour price is the same every monthregardless of the care provided. In addition to the monthly cost forAssisted Living, most communitiescharge a move-in or communityfee for new residents. Make sure youunderstand all the costs associated with moving before you sign theagreement and move in. There aregreat communities at every pricelevel.Does Medicare or Medicaidpay for it?Traditionally Medicare does NOTpay for Assisted Living. It can, insome cases, pay for a short-termnursing home stay or for in-homecare. Medicaid can be used to payfor some of the costs associatedwith Assisted Living. In Utah theMedicaid program that helps payfor some assisted living charges iscalled the New Choices Waiver.Long Term Care InsuranceLong term care insurance is agreat way to help pay for some or allof assisting living costs. Some lifeinsurance policies have a long termcare rider.VA Aid and AttendanceThe VA Aid and AttendancePension is a great benefit for manyveterans. It can pay up to $2,295(2020 amount) to a married veteranand their spouse. The veteran musthave served 90 days active duty andat least 1 day during wartime. Thiscan also be an eligibly benefit for asurviving spouse.Private PayThe most common way residentspay for assisted living is with theirincome, savings, and retirement.If you have any questions aboutassisted living costs or how to payfor it, CarePatrols Senior Advisorscan help. Please call 801-717-9328for more information or visit Utah.CarePatrol.com.'Editors Note: This article was submitted by Randy Chipman, Certified SeniorAdvisor, Certified Placement and ReferralSpecialist. He may be reached at 801-717-9328 or by email at Utah@CarePatrol.com

No one wakes up in the morning with a deliberate plan to fail, but I do believe many of us plan for failure by simply procrastinating because while we all know we will die it all seems so far off. Unfortunately, too often the unexpected arises, and families are left scrambling to figure out what to do for those they love. When my mothers health became such that my father had to place her in long-term care I remember telling him how much the planning to care for her might cost. He told then he would gladly pay more than that for the problem to just go away.My parents had basic estate planning in place, but what they did not have was a plan for life and a plan for death. What is a plan for life? Well, it involves basic estate planning such as a will and powers of attorney, but it also includes contingency planning for the unexpected. For example, what is the plan if one spouse needs long-term care and the other does not? What happens if both require it? What happens if one spouse is in long-term care and the stay at home spouse dies. What happens if in a situation such as the ones Ive named the families are blended; who makes what decisions for whom?A plan for death is easier, but often neglected. We found out at my mothers death that we did not have the first idea how to have my mom interred in the local VA cemetery, and we had to wade through a lot of misinformation until we got the right information.What to do then? Plan for the unexpected. Consult with the necessary professionals today so that the unexpected does not catch you unawares. The decisions you make today will affect your family tomorrow; help them to enact your wishes by giving them the tools they need to implement your plans for both life and death. The problems will not just go away.Editors Note: This article was submitted by William H. Moller, Attorney and Counselor at Law, The Moller Law Group, LLC. He may be reached at 719-694-1284, or by email at whmoller@mollerlawgroup.com.

Conflict is a normal, natural part of everyones life. Factors that can exacerbate conflict include the well-known things to avoid in polite conversation: religion, politics and money. For families, these big three topics quickly trigger emotions that can be difficult to defuse and when things go awry the aftermath can be felt for decades.According to a May 2018 AARP article Millennials: The Emerging Generation of Family Caregivers, there are 40 million family caregivers in the United States, a quarter of which are millennials. Millennials are loosely defined, but typically considered to be those born between the years 1980-1996. This means that 1 in 4 of the family caregivers are between the ages of 18-38; the same population that according to the Pew Research Center , made up 82% of US births in 2016. This sandwich generation is in charge of a maintaining a fine balance of taking care of their parents, their children and themselves.One woman in her early 30s called our office a few months ago sharing with us that her and her husband have their two children living with them along with both of her parents and it was becoming just too much to handle. She wanted to set-up a mediation with her brothers and parents (one of which has Alzheimers) to work out a better arrangement. Two of our trained mediators took on the case and starting their job of being neutral, confidential facilitators. The mediators did individual prep phone calls or meetings with all the of the parties. When the day arrived, the mediation took place at the house where the elders lived to accommodate their needs and comfort. The mediators began the session by reviewing the agreement to mediate that includes ground rules and confidentiality of both the mediators and those at the mediation. Each party gets uninterrupted time to share their thoughts and feelings and then the conversation begins. The mediators are in the charge of the processmaking sure people are getting heard and understood, get to the underlying interests and issues at hand and finally, writing up a practical agreement that works for everyone involved. At the end of three hours the family learned just how afraid the dad was about going to a retirement community, how the mother needed additional care along with how all of the siblings felt about working together. The agreement included next steps on research for retirement home possibilities, along with medical and financial assistance. For this family, and many others, mediation provided an opportunity to open up and talk about difficult issues in a safe space. Their relationships were able to weather the storm of this life milestone because they chose to listen to each other and together create their own solution.Editors Note: This article was submitted by Mila Pilz, Executive Director, Program Operations of Lancaster-based Advoz Mediation and Restorative Practices.https://www.aarp.org/content/dam/aarp/ppi/2018/05/millennial-family-caregivers.pdfhttp://www.pewresearch.org/fact-tank/2018/05/04/more-than-a-million-millennials-are-becoming-moms-each-year/

You dont have to be a Cubs fan to understand the value of being safe at home. According to the AARP nearly 90% of older adults want to age-in-place and maintain independence. But heres the problem: 85% have done nothing to prepare their homes for aging. Approximately one-third of adults age 65 years or older fall each year; the majority of these falls occur in and around the home. Falls are the most common cause of traumatic brain injuries and fractures for older adults. Falls often result in seniors being institutionalized, losing their functional dependence, and/or developing a paralyzing fear of falling. The good news is that Age Safe America exists to help educate families and professionals on the serious issues of home safety, fall prevention, financial exploitation and personal safety. Many seniors who are still relatively active, lucid, and spry, tend to ignore the possibility that they could become a victim of an accident (at home, no less!). Family members tend to be more realistic about the need and benefits of accident-proofing a parents home. By having a caring and candid conversation about the likelihood of a fall, a son or daughter can demonstrate their concern as well as help arrange a comprehensive home safety assessment. There is truly no better time than NOW to consider home safety initiatives. Safety is a perpetual challenge that needs periodic management because of the dynamic nature of the home environment bulbs burn out, floor spills happen, throw rugs become disheveled, etc. The elimination of identifiable threats is relatively inexpensive. Solutions range from grab bars to non-slip surfaces, from motion detector lights to fire escape ladders, from security systems to monitoring devices and personal emergency response systems, and from easy-entry bathtubs to temporary ramps or simple threshold entry mats. The seniors in our community deserve to enjoy their golden years by safely aging-in-place, in their own homes. Risk reduction can keep them safe while delivering on their desire for independence.By John Burke, Senior Home Safety Specialist, contractor and Age Safe America Advisor Member. To learn more about Senior Home Safety visit: www.AgeSafeAmerica.com

It was 1970 and Ken and Sylvia Ringling embarked on a new adventure to Colorado Springs with their young sons Devin and Jeff. Sylvia was surprised and frustrated to find very few nursing jobs, and a pay rate of $1.75 for LPNs. After a few years, Sylvia answered an ad for as needed nurses through an agency called Medical Personnel Pool. This allowed Ken time to raise the boys while Sylvia worked nights and weekends. Because of their strong work ethic, it wasnt long before Ken and Sylvia took over operations of the agency, which at the time provided supplemental medical staffing and private duty home care, all with just 10 field employees and Ken and Sylvia. And the rest is history. Eventually, the Ringlings bought the agency and expanded service lines to include Medicare, Medicaid, and private insurance clients.Watching his parents build their agency, seeing their love of caring for others and providing jobs in the community, Devin couldnt help but start his journey into home care by working for his parents agency, of course starting at the bottom as a payroll and billing clerk. Eventually Devins wife Cynthia too worked for the agency as a home care nurse and supervisor. It was during these years that the company grew, adding multiple locations, service lines, and changing the name to Interim Healthcare.In 2011 and after a long succession plan, Devin and Cynthia bought the business from his parents. Interim Healthcare now provides both medical and non medical home care, Hospice, facility staffing and a CNA training school. Under Devins leadership, the agency now employs 82 office staff and over 200 professional and paraprofessional employees that care for over 500 people. And one of those office staff happen to be Devin and Cynthias oldest son Jeff, who shares in his dads vision for the future of Interim Healthcare and is working his way up the ranks in the office.We have been the longest family run home care agency in Colorado Springs for over 40 years, it has been a pleasure to take care of your family. We realize you have a choice when it comes to home care. We are honored you have entrusted your care to us and we look forward to continuing to provide quality care, from our family to yours, for generations to come.Editors Note: This article was written by Devin Ringling, CEO and can be reached at dringling@interimhealthcare.com or 719-632-9900

Government and non-profit agencies which advocate for or protect seniors from abuse in housing, financial matters, and physical harm.#listing_mgr{7 basic_search}#

Fighting off infections, germs and diseases like COVID-19 is the job of your immune system. Keeping your immune system strong is one of the main goals of food health and fitness.Your mouth is the gateway into the body and provides a point of entry for bacteria and germs to enter your respiratory system and blood stream. Therefore, maintain good oral health can help keep your immune system healthy and working properly, which is important during a global pandemic.Bacteria in your mouth can cause gum disease. That bacteria feed and grows on food debris that accumulates in and around the edges of your gums and between your teeth The early form of gum disease is called gingivitis and is easily reversed by removing the bacteria film, called plaque, with a toothbrush, floss and a professional cleaning by a dentist or dental hygienist. If your gums bleed when your brush or ear hard foods, you probably have gingivitis. The bleeding is caused by inflammation-redness and swelling- of the gums.More severe gum disease, called periodontitis, can only be treated by a dentist or dental hygienist. With periodontitis, the inflammation caused by the bacteria attacks not only the gums, but also the underlying bone that holds the teeth in place. The job of your immune system is to attack the bacteria that invades your body. Inflammation caused by the bacteria is the signal for your immune system to go into action. In healthy people, mild infections go unnoticed because the immune system does its job of getting rid of the bad bacteria. However, when a person is not healthy, the immune system cannot keep up and disease takes over.Editors Note: This article was written by Dr Donald Couchman, with Couchman Center for Complete Dentistry. He may be reached at 719-593-0263

A new Medicare billing code (G0505) now allows clinicians treating Medicare beneficiaries to be reimbursed for providing care planning to those experiencing cognitive impairment (memory loss), including Alzheimers disease.This is a very important change in the billing system as it will allow physicians, physician assistants, nurse practitioners, clinical nurse specialists and certified nurse midwives to offer assessment and care planning services beyond the scope of the Annual Wellness visit and receive reimbursement from the Physician Fee Schedule. What does this mean for the patient? Better and more comprehensive discussion and strategies to deal with memory loss and Alzheimers related issues.Care planning allows newly-diagnosed individuals and their caregiver to learn more about medical and non-medical treatments, clinical trials and support services available in their community. All of this results in a better quality of life for those that maximize the information and support. Individuals receiving care planning support specific to dementia concerns typically have fewer hospitalizations, fewer emergency room visits and better medication management. Care planning is the key to care coordination and management for those experiencing Alzheimers and other chronic conditions. With this code, clinicians will have the time and resources to provide a comprehensive set of care planning services which may improve quality of life and reduce caregiver stress. Alzheimer's caregivers frequently report experiencing high levels of stress due to the overwhelming needs that are associated with taking care of loved ones. Too much stress is harmful to both the caregiver and those to whom they are providing care. Additionally, care planning promotes putting legal and financial plans in place which can provide comfort to the entire family thereby reducing the stress associated with future decisions.Good health care requires a partnership between the patient, family and physician. Ask about the new care planning code options available through CMS Code G0505. Your physician may not yet be familiar with this new code. Share the information and plan ahead to get the most out of your medical appointments. When visiting your doctor, bring medications, provide good records, ask questions and offer honest answers. At the end of your appointment, ask the doctor to recap the most important points. Write them down. Note any follow-up steps needed (such as scheduling the next appointment or having tests done).most of all leave with a plan.For more information go to the Caregiver Center at www.alz.org or call the 24/7 Helpline at 1.800.272.3900.Editorial Note: Debra Adams, Director Community Relations, Alzheimers Association Greater Dallas Chapter. Read more from the February 2017 Fact Sheet and at www.alz.org

What if you could stay in your home, enjoying independence and comforts of home longer? Do you have a family Realtor who will advise you to not sell unless necessary? Do you have a realtor who has resources for medical needs, for VA assistance benefits, to give you financial options and resources to speak to when you have questions regarding whether to sell or not?Seniors Real Estate Specialists (SRES) do more than just sell homes. We are a resource for families under stress during times of medical need for, or loss of, a loved one. We are here to be a calming agent during very emotional times.SRSEs know that selling the home is not always the first or even best option. Because of this, we have access to in-home care resources to let you or your loved ones stay in their home longer. We understand VA benefits for care, how to keep eligibility when you do need to sell, and the grief that comes with an actual move out. If you have a reverse mortgage, an SRES is your best choice when you decide to sell, because of the special rules surrounding these mortgages! We have your trusts reviewed by Title company attorneys to make sure you have corrected wording to sell and close. Did you know that some trusts are not written right, and the seller cannot close? What if you were counting on that sale for medical bills, but no-one had taken the time to review the trust? Did you know that not all Power of Attorneys allow real estate sales even when they say they do? An SRES can review those as well.SRESs usually have teams to help you clean, pack, do light painting, some moving and run yard sales when you are ready to move. What could be better than having a team to help?As your family SRES, we help you stay in your home longer, providing you with tools to make comfortable decisions. Always call on an SRES when you have real estate questions!This article was submitted by Gina Gonzales SRES, she can be reached at 801-544-6829.

Serenity at Home Companion Care has a number of years experience in the field of affordable healthcare.What sets us apart is our commitment to introducing clients and caregivers before we finalize ones care plan. We have found that competitors send a hired companion to ones home without prior knowledge of their comfort-ability with each other. At Serenity we have found that this process limits families options when making this critical decision that they may feel stuck with whatever caregiver is available on that particular day/time.At Serenity we empower our clients to choose their caregiver after an extensive interview process. By doing this we are often referred to as the Matchmakers of the Companion Care Industry. This unique concept allows us to experience less turn over with our caregivers creating better customer satisfaction. If/when we experience a caregiver needing to be moved or a client requesting a new caregiver, the process starts over and we assist our customers in seeking a new match.At Serenity we are committed to focusing on the 4Cs: Custom Care (No Minimum Hours), Consistent Care (Same Caregivers), Compassionate Care (Care on your terms), and finally Care (Only the Care you require). Companion Care Rates Starting as low as $15/hr.

To update, or not to update: that is the question.The question real estate agents repeatedly hear from homeowners is, Why would I do anything to my house if Im going to sell it anyway? Conventional wisdom tells us that we should avoid doing anything to our homes that the new owners may not like and will change the moment they move in. The reality is much different, however. Because home prices have risen so dramatically over the past five years, homebuyers have little to no money to improve the home they just purchased. With the cost of borrowing money currently so low, buyers dont mind spending more if the home is move-in ready.When evaluating where to spend the money, assign your projects into two categories: 1) deferred maintenance and 2) cosmetic improvements. Deferred maintenance should take priority: a furnace that is on its last leg, a leaky faucet, or a deck with peeling paint are some examples. Addressing these will not precipitate a high return on investment (ROI), but ignoring them will significantly decrease your sales price, and may even turn away buyers from considering your home. Once priority items are completed, consider budgeting for cosmetic items, which will bring the highest ROI. Home design trends are cyclical and what was in style last year may not be next year. Focus on updating the appearance of your flooring and paint. Your current carpet may last you another 10 years, but nothing transforms a space more effectively than new carpet. Carpets that are a mix of neutral beiges and creams are the most appealing to the buying public. Be careful not to spend more than $5 per square foot for carpet, pad, and installation. The cost to replace carpet typically brings a three-to-one ROI at the time of sale. When combined with new paint, new flooring gives a property a new home smell, neutralizing the evidence of years of living, cooking, and even smoking. Fresh, neutral paint also enhances the appearance of a home, providing a blank canvas that allows a homebuyer to easily visualize their own dcor and furniture in the home.Editors Note: This article was submitted by Blair Bryant of The Steller Group at Keller Williams Realty. He may be reached at 720-593-9355

Elder Hostel is a not-for-profit organization that provides exceptional learning adventures to nearly 250,000 older adults each year. Elderhostel offers over 10,000 programs a year in more than 100 countries. The philosophy is that learning is a lifelong pursuit that opens minds and enriches lives. Participants come from every walk of life to learn together, to exchange ideas and to explore the world. For more information please call 877-426-8056.#listing_mgr{7 basic_search}#

For More Information on VITAS Healthcare inCollier County, CLICK HERE!ByBob Johnson,RN,general manager for VITAS Healthcare inCollier CountyAs the family of patient Jos Pacheco gathered at his home for a veterans recognition ceremony, the elderly veteran began talking about his service during World War II.Some ofMr.Pacheco's family members had never heard his stories, including a grandson who had asked to be excused from school that day to be at his grandfathers side.Everybody knows how few and far between our WWII veterans are, VITAS nurse Nancy explains. "Its almost like youre witnessing something indescribable. You know each veterans time will be short, yet here we are in the presence of an American hero. It makes everyone really emotional.Driven bydutyVITAS Healthcare, the nations leading provider of end-of-life care, honors veterans every day. Driven by a sense of duty and empowered by veteran-specific care, we help Americas treasured servicemembers navigate their final days, weeks, and months in comfort and dignity.With over 40 years of experience providing hospice and palliative care to the nations veterans, VITAS has the expertise to guide dying servicemembers toward closure and peace of mind.Bedside salutes, Veterans Day ceremonies,and individualized care plans that honor veterans unique experiences and needs near the end of life are core components of VITAS hospice care.VITAS also supports the families of veterans by helping them secure benefits from the Department ofVeterans Affairs, arranging military funerals and burials, and recording the details of their loved ones lives in touching Life Biographies.Well-deserved honorsTo recognizeMr.Pacheco and his family,Nancypresented the veteran with a certificate of appreciation, a pin, and a red-white-and-blue volunteer-crochetedafghan. She read lines from one of her favorite poems, It Is a Soldier.It is the soldier, not the minister, who has given us freedom of religion...It is the soldier, not the reporter, who has given us freedom of the press...It is the soldier, not the lawyer, who has given us the right to a fair trial...It is the soldier, not the politician, who has given us the right to vote...Then she saluted her patient, gave him permission to stand down, and thanked him for his service.His family kept saying that no one ever honored him the way we did,Nancysays, and that always makes me feel good.

Transportation to medical appointments can be difficult to find, especially if the appointment requires a friend or family member to pick you up after the procedure. With transportation becoming an increasingly prevalent issue for older adults, RSVP of Boulder County has created a program, in conjunction with Special Transit, to provide volunteer drivers and escorts to medical appointments.What is Medical Mobility?Medical Mobility is a new transportation program within RSVP of Boulder County that provides rides to doctors appointments for ambulatory seniors and adults with disabilities. RSVPs program allows clients to stay secure, comfortable, independent and living in their homes for as long as possible.How does it work?Volunteer drivers use their own cars to transport the clients to their appointments and can wait for the duration of procedure before taking them home. The service is offered throughout Boulder County and clients that RSVP cannot serve are referred to Special Transit or other local transportation services that provide a broader range of services that we cannot provide, such as assistance with wheelchairs. Rides can be scheduled on weekdays from 8:30am-5pm with the RSVP Transportation Coordinator, and at least 24 hours notice is requested, but rides cannot be guaranteed as they depend on the availability of the volunteer drivers. The service is cost-effective and is based on an affordable sliding scale in compliance with our partner agency, Special Transit, which is $2 each way within the city or $4 each way between cities. Please call for more details and schedule your ride today!Allison Dellwo, RSVP Transportation Coordinator, 303-443-1933 ext. 407, allisondellwo@rsvpboulder.orgAuthor:Allison Dellwo

Today more and more seniors are using the NEW reverse mortgage product as a key piece of their retirement planning.The US Department of Housing and Urban Development (HUD) has implemented several consumer protection pieces in the last two years that have enhanced the NEW reverse mortgage product. These pieces include: consumer counseling from a third-party HUD approved agency; protection for the non-borrowing spouse (when one of the couple is less than 62 years old); and decreasing closing costs.Many in the reverse mortgage industry remember in years past when the average client was a widow about 75 years young. In the last several years the reverse mortgage has become incredibly more popular among the baby boomer generation. Today the average age of the reverse mortgage borrower is getting younger and younger.With the changes over the last couple years, the NEW reverse mortgage is no longer a loan of last resort but a viable tool for retirement planning.This article was submitted by Kent Montavon, Reverse Mortgage Planner, NMLS #390242. Kent works at Fairway Independent Mortgage Corporation, NMLS Entity# 2289. This information does not constitute financial planning advice. Please consult a financial planner regarding your specific situation. One person on deed must be at least 62 years old.

A person is subjected to the legal control of an external entity or organization, known as a conservator which is someone appointed by a court to assume responsibility for the interests of a minor or incompetent person.#listing_mgr{7 basic_search}#

The real estate market is always changing, and one of the largest recent shifts is the way in which homes are marketed! In the past, agents specialized in fairly small geographic areas, such as the Boise Bench or North End Boise exclusively. This was essential because there was no Internet, and new listing information came via the fax machine and weekly or biweekly paper copy updates. Today, listings are put on the local Intermountain Multiple Listing Service (IMLS) electronically with tons of information available to anyone with access. Millions of people can now view your listing! In the past, most sellers expected their listing agent to put ads in the local newspaper, host open houses & bring the buyer to their home. Today, an exceptional listing agent understands that although there are still great ways to market through print ads, statistically, OVER 90% of buyers look for homes online via their computer, smart phones, tablets, etc. Furthermore, 40% of buyers find the home by themselves online, compared to only 2% using print ads! Your agent must understand this statistic and market where buyers are looking!Preferably, the listing agent will have a Seniors Real Estate Specialist (SRES) designation as well. This designation means the agent understands the unique situations Seniors face in buying or selling their homes, including: loss of loved ones, trusts, 401Ks, IRAs, down-sizing or right-sizing, community requirements, emotional attachments to the home, etc.A great agent can also assist their clients in preparing their home for sale to maximize profits by helping the seller stage their home, make necessary repairs, take professional photos, create a website for the home, etc. A SRES agent understands that Seniors may want to buy in a community that features specific amenities that are most desirable to Seniors, and also may consider proximity to health care professionals. Being near a local hospital could mean the difference between life or death. Be sure your agent has the SRES designation and is FULL-time, and do not be afraid to ask how many homes they sell annually. Everyone knows someone who sells real estate, but having a professional & caring agent will make a huge difference.By Sean Taylor Boise SRES Realtor & Top Producer

In my past career as a Physical Therapist, I did a lot of Rehab on folks that had suffered a fall (or falls) at home.Many times, the falls could have been avoided by minimizing risk factors ahead of time. There are many causes of falls and many ways to minimize the risk. I want to cover just one of those risk minimizers in this short time we have: Down-sizingBy definition it means to simplify, de-clutter or take up less space. From the point of view of Rehab it might mean returning someone back to home to Age in Place. It may also encompass changing where you live.So, why Downsize?*Safety: de-cluttering your living space may reduce risk of falls. A more efficient living space may also help.*Accessibility: Modifying your current space might make it easier to move about in your daily activities OR rent/purchase something that suits your physical needs (i.e.: NO stairs; all living space on one level, etc.). A Physical or Occupational Therapist specializing in Accessibility is helpful.*Energy Conservation: less to clean. Focus on the want-tos vs. have-tos that come with a large house or tons of stuff. Spend more of your energy taking care of you (develop your hobbies, exercise, socialize, learn, travel) instead of spending most of your energy caring for your habitat.You have worked hard now, enjoy!Editors Note: This article was written by Dawn Mathis, SRES, GRI, ABR - Associate Broker @Coldwell Banker Residential Brokerage. She can be reached at 970-481-5263.

Nearly one million people in the United States are living with Parkinsons disease. The cause is unknown, and although there is presently no cure there are treatment options to manage the symptoms. Parkinsons disease is a chronic and progressive movement disorder, meaning that symptoms continue and worsen over time. Despite no cure for Parkinsons, symptoms can be helped by rehabilitative therapy based programs that improve the swallowing, speech and physical limitations.Did you know that swallowing problems are a major concern for Parkinsons patients? Problems swallowing are a major cause of aspiration pneumonia, which can lead to hospitalization and even death in this population. There is help. The benefits and positive outcomes that result from using the Synchrony Dysphagia Solutions Program include safer swallowing, reduced hospitalizations, drink and diet upgrades to consistencies that better enable ones dining experience and socialization, and an improved quality of life and self-image. To learn more, please watch this live demonstration video: https://youtu.be/eFI1QMbg_I4Another evidence-based, nationally recognized treatment approach is called LSVT BIG and LSVT LOUD. Patients who have undergone these therapies have shown excellent improvement in physical abilities and voice function and tremendous improvement in self-image, confidence, and social engagement. These benefits and positive outcomes result in using these programs for speech and physical therapy. The LSVT BIG program improves physical limitations such as balance, strength and walking skills, reduction in falls with resulting injury and hospitalization, greater confidence and self-image, and overall quality of life. To learn more, please watch this live demonstration video: https://youtu.be/9fUQ6jptaBYThe LSVT LOUD program improves voice quality and loudness, facial expressions, and communication with others. To learn more, please watch this live demonstration video: https://youtu.be/gNIdxYjGVV8Editors Note: Mary Wade offers all of the programs mentioned in this article. Our on-site team of therapists are trained and nationally certified in Synchrony, and LSVT BIG and LSVT LOUD. This article was submitted by Kara Hunter, Marketing Manager, Mary Wade. For more information, please contact Ms. Hunter at 203-562-7222.

As a nurse in the assisted living industry, one of the top questions I get from families is How do I know if my parent is doing OK at home alone? It is such an important question and one that often gets overlooked until there is a medical event or emergency that prompts families to make a quick decision. Recognizing the early signs that your loved one may need more help can help to preserve their independence for as long as possible. If you are concerned about the well being of an elderly parent or loved one, look for these signs on your next visit to determine whether its time to suggest a more supportive living arrangement:1. Signs of isolation or depression. Find out if they are spending time with friends, getting out of the house enough, still finding hobbies and activities to hold their interest.2. Noticeable weight loss, increased frailty, changes in appearance3. Expired, discontinued or duplicate medications and prescription bottles4. Expired food, signs of a kitchen fire, a freezer full of microwavable dinners, multiples of the same item, broken or unused appliances5. Excess clutter, grubby bathrooms, dried spills and other signs that housekeeping is becoming too much6. Lots of unopened mail, past due bills, letters from creditors, or evidence of donations to charities.7. Dashboard warning lights, dents in their car or signs of impaired drivingMost often, seniors and families feel the time is right for assisted living when there are signs of isolation or loneliness, if safety is an issue such as the potential for a medication error or a high risk of falling, or if proper nutrition becomes a concern.Assisted Living communities offer healthful homemade meals, medication management, daily entertainment, learning opportunities and events, 24-hour personal care assistance, an independent apartment, plus no more shoveling snow, no yard maintenance, no plumbers, electricians, or roofers. The safe, secure and social environment of assisted living can preserve a seniors independence and provide family members peace of mind.If you have questions about assisted living, Senior Living Residences offers a family resource guide that can aid in your research process, help sort out financial issues, and provide the information you need so that you can make the best decision for your family.________________________________________This article was written by Nancy Crowley, RN, BS, Director of Quality Improvement and Education at Senior Living Residences and former executive director at Concord Park Senior Living.

When an individual is diagnosed with dementia, the entire family is affected, from spouses and adult children who become their loved ones caregiver to grandchildren who notice the change in their grandparent but may not understand it. The diagnosis will inevitably lead to many questions, but learning what to expect will help families to better understand the changes your loved one is experiencing.There are many resources available, from the Alzheimers Association to local organizations, who can provide information on Alzheimers disease and other dementias so you have a good basis in understanding memory impairment.To start, learn the symptoms, and share them with other family members. Common symptoms like increased agitation and changes in personality can be very hurtful, particularly to children, but knowing these are typical changes can help to remind family and friends that the changes are a part of the disease, and are not personal.While its a difficult topic to discuss with children, its important they are included so they too can understand that their loved one is going through changes and may not always act in the same manner the child is used to. When discussing the topic with children, try to: be patient and explain in age-appropriate terms how the disease affects a person; reassure them that their loved one still cares for them; encourage them to ask questions; and, remind them that their loved one still needs the support of their family despite any changes in their mood and personality.Witnessing the onset of dementia is incredibly difficult and family members should know that emotions like grief, guilt and anger are perfectly normal and should not cause a person even more guilt for feeling them. To counteract these emotions, open communication is encouraged. Id also recommend attending support groups.Support groups are a wonderful way to meet other caregivers and families going through the same thing while also learning valuable tips on how other families work to support and provide the best of care for their loved one.Helping your family understand dementia is good for everyone and will help your loved one get the love, support and care they need to cope with their own journey with memory impairment.Editors Note: This article was submitted by Erik Hammerquist, Executive Director of Bridges by EPOCH Memory Care Assisted Living at Trumbull, who may be reached at 203-397-6800 or ehammerquist@bridgesbyepoch.com.

Have you made your funeral wishes known to those you leave behind? Have you determined who will pay your burial expenses?Funerals can be a difficult topic to discuss, but a fact all our families will face one day. If you take time to preplan your funeral, you will relieve your family of a great burden at a difficult time in their lives. They will not have to make important costly decisions at a time of great stress. This is a time when emotions run high and can lead to family conflicts about your funeral plans that can be made will in advance, thoughtfully and clearly, without family disagreements and with guaranteed costs. Remember, your funeral is for those you leave behind. It's a time for family unity and love, a time to openly grieve and support one another. It's part of your legacy; a gift you can give to those who love you.How can I pre-plan? It's simple and cost effective; a pre-need funeral plan can be made and paid for in advance. Your wishes are considered in detail, clearly thinking of and planning for this time. Funding has several options; your funeral pre-need planner will explain all this to you and answer all questions. You will have peace of mind and your family will no longer be burdened with this inevitable event. It's a gift they will always be thankful for.For further information contact Sheila Stewart, pre-need planner, 228-596-1848Author: Sheila Stewart

Its not about the destination Its all about the journey.A recent hospice patient was tired of being inside. He had cabin fever. During a visit by his nurse the patient was looking out his window admiring her Volkswagon convertible parked in the driveway. The last time he rode in a convertible, it was a VW, too. It was easy to read the memories on his face. One afternoon, on her own time, our nurse returned to the patients house. She helped him into the car and reclined the seat so that he could better see. She latched his seat belt and dropped the top on her VW. The day was sunny and the road filled with flashes from the past. They drove past places he had lived and churches he attended. They saw places his mother loved to visit. That day they drove back in time to recall a journey that had led to this very trip. After dinner out, our nurse took her patient home. He was exhausted, but the smile on his face after that ride will always be with her. Hospice is a journey through to the end of life. The goal is to treat patients with respect and allow them to live a full life during their last months. Hospice manages symptoms and pain. No hospitals, no beeping machines, no tubes. It is the end of life on the patients terms, with a helping hand to make the journey as fulfilling as possible. Hospice makes a difference in the lives of patients. A 2007 study that looked at Medicare beneficiaries with some of the most common diagnoses leading to death, found that patients who received hospice services lived on average, 29 days longer than those who did not receive hospice care. Hospice patients had 29 additional opportunities to enjoy their families, make a memory or share a smile. As hospice care providers, we strive to go the extra mile for our patients, in some cases literally. With deep roots in the Treasure Valley, we have served Idaho seniors for years and we understand they take personal responsibility seriously. We welcome your call to understand your family's unique needs and to help you make an informed decision for you and your loved one. Written by Devin Limb, Administrator United Hospice. dlimb@unitedhospiceidaho.com According to the National Hospice and Palliative Care Organization, the median length of service in 2011 was 19.1 days, a decrease from 19.7 in 2010.This means that half of hospice patients received care for less than three weeks and half received care for more than three weeks. The average length of service increased from 67.4 days in 2010 to 69.1 in 2011.

Learnmore about how HarborChase of Plano is keeping residents engaged.#assistedliving#seniorliving#seniorcare#sbbdfw#kathleenwarshawskyHarborChase of Plano

Find the Right Seniors Resources for You.Getting connected to the right information at the right time can be challenging when a major life event happens.Many people do not know where to begin. Some ask family members, a friend, or clergy. Others find it hard to admit they need help. Some people do not use computers. There are additional challenges. Each person has unique needs. Every community is different. Information must be tailored to each person and community.Where to begin? 2-1-1 and Elder Helpline services offer free, confidential community resource information and referral. Calls are answered by trained specialists that know what types of non-emergency local help is available and can access comprehensive resource databases.What is 2-1-1? It is a 3-digit local number that connects callers to information about social services that people of all ages may need in the county they live. For example, food, housing, affordable child or parent care, or short-term help for paying bills. 2-1-1 specialists offer information and referral to services a caller may not normally be aware of. Callers are responsible for making their own contacts with potential service providers. 2-1-1 services in SWFL are available 24 hours, daily to assist with non-emergency needs. Some 2-1-1 calls cannot be reached by mobile, pay or hotel phone lines. In this event, dial the alternate number provided.Lee County 2-1-1: Call 2-1-1 or (239) 433-3900. For Hendry and Glades County, call (800) 887-9234. United Way of Lee, Hendry, Glades and Okeechobee Counties.Collier County 2-1-1: Call 2-1-1 or (239) 263-4211. The provider is United Way of Collier County.How is Elder Helpline different? It provides information and referral about community resources for people age 60 and above and adults with disabilities. Certified specialists can direct callers to public and private community resources of their choice that are most capable of meeting their needs.Call (866) 413-5337 for Elder Helpline Services of the Area Agency of SWFL.Call (800) 963-5337 to access the Statewide Florida Elder Helpline.Editors Note: Dale Adler, MA, MSW is a gerontologist, program developer and consultant. She can be reached at dladler@lifecourseconcepts.com or (239) 466-7812.

You may have lived in your home for 50+ years.You may have raised your children in your home. You have worked your entire life to accumulate the items in your home. You wonder, how can I give up this home that is full of love and memories? Here are three questions youll want to ask yourself: Is home maintenance becoming a problem? Is it time to live closer to my children or grandchildren? Is the home becoming a financial burden?If you answered yes to any of these questions, it may be time to move on. Whether moving to another community or to a senior-supportive environment, you need Senior Real Estate Specialist (SRES) trusted in your corner. An SRES is qualified to assist seniors in housing sales and purchases. Their mission is to help seniors and their families navigate the maze of financial, legal and emotional issues that accompany the sale of a forever home.An SRES understands that this is a very stressful time for the family so they are patient and helpful during the process. Their decision to become an SRES is rooted in their desire to help others. It means that your Realtor has respect for seniors; has the ability to listen deeply and knows how to communicate the old fashioned way with a handshake, a smile and a visit.An SRES will help you properly price your home for maximum benefit. They will help you prepare to sell by recommending their team of trusted professionals in doing necessary repairs, to assist you with an estate sale or to help stage the home. Finally, your SRES will counsel you, and keep you involved and updated, making the transaction less stressful and more successful.Editors Note: This article was written by Caryn Becker, Realtor & SRES with Century 21 Curbow Realty. She can be reached at 719-233-2489 or by email at caryn@carynbecker.com

The mission of the PA Link to Aging and Disability Resources is to improve access to long term services and supports for individuals, their loved ones and caregivers, regardless of age, income, or ability, through an integrated network of partner agencies committed to expanding the use of community based solutions, promoting person centered decision making, and enhancing the quality of services. PA Link provides a myriad of services including:Person-Centered Counseling (PCC) - Is a program designed to guide Pennsylvanians on the wide range of public and private resources available, based on an individuals needs, preferences, values, and strengths with a focus on an individuals prioritized goals.Information + Referral/Assistance -No Wrong Door access ensuring that linkages to appropriate services and programs are provided with minimal confusion to the individual.Benefits Counseling and Application Assistance - Assisting with awareness, understanding and access to public and private resources to obtain services to remain as independent as possible in a chosen setting.Partnership Development and Trainings - Opportunity for professional networking to share ideas and best practices. Providing free or low-cost trainings to increase knowledge and skill sets of agency staff.Community Outreach and Education - Information and education provided to the general public to inform them of available resources, access to those resources and how to connect to long term services and supports.Person-Centered Transition Support - Transitions between systems, programs, settings and life stages, such as nursing home transition, youth transition and military reintegration.Quality Assurance - Collection of data vital for programming, grant preparation and service system improvements.To contact the PA Link just call 1-800-753-8827_______________________________________Editors Note: This article was submitted by Ginger Monsted. Ginger is the Link Cumberland Coordinator and Service Area 9 Coordinator.

Most of us are familiar with the term life span, which is a reference to how long a person will actually live. A newer and even more important term is health span, which means the length of time that a person is healthy and not just alive. Physical therapy can help with healthy aging by improving health span and assisting in a more successful aging process. We are all capable of successfully aging if we are intentional about the process. Successful aging has a different meaning for each of us, but commonalities exist in most scenarios. In order to age successfully and improve health span, you will need to fully embrace what it will take to accomplish this goal. To live safely, independently, and comfortably, consider your physical, mental, and emotional health as well as your community and any financial implications.Mobility isvitalto independence. Independent mobility is different for everyone. It may be through ambulation or use of an assistive device such as a cane, walker or wheelchair. You need to maintain the ability to be independently mobile regardless of utilizing a mobility or assistive device.Aspects of maintaining mobility include adequate balance, strength, and endurance. As a person ages, the likelihood that additional co-morbidities (other complicating medical conditions) is also likely higher. This means that addressing the foundations of mobility (such as balance, strength, and endurance) may not be a straight forward proposition.A physical therapist (PT) is uniquely qualified to understand your individual medical history as well as normal physiology. A PT can guide you on how to best and safely improve the foundations of mobility in the presence of complicating medical conditions.Increasing your lifespan without increasing your health span is basically a self-torturing program. We all want to have quality of life in our later years. A PT can help you to maintain your independence through mobility. Physical therapy can even be used as a preventative medicine to ward off many of the prominent illnesses attributed to aging. Humans were designed to move much more than our current lifestyles afford us. Maintaining your mobility is critical for all body functions and is fundamental in avoiding chronic illness.Editors Note: This article was written by Ben Shatto, PT, DPT, OCS, Director of Therapy Services at MultiCare Home Health, and author of the website www.thePysicalTherapyAdvisor.comPlease see ad on page 113

People often ask the question; Is it Alzheimer's or is it Dementia? The fact is; Dementia is the name that refers to all types of memory loss diseases, including Alzheimer's disease. In other words, Alzheimer's disease is a type of Dementia, the same as Vascular Dementia, Picks disease, Alcohol dementia, Lewy Body Disease, and the many other diseases that cause memory loss. Long ago, before these types of dementias had a name, it wasn't uncommon to hear families talk about their senile old grandma who just got crazy when she got old. Grandma probably suffered from one of these diseases and went undiagnosed and untreated. Fortunately, people started understanding the need for specialized care. Both Assisted Living and Memory Care communities started coming around. Families are usually distressed and at wits end by the time they realize there is help out there. Many people have a hard time moving a parent or loved one into a community. They feel an overwhelming amount of guilt. But families are usually surprised and relieved when they see their loved ones doing well in an environment that is tailored to their needs. Its usually not long before grandma is engaging in activities, both group and individual. She's eating nutritious meals, having personal care done by caregivers that specialize in dementia. These diseases don't reverse, so grandma will continue with this journey, but she will be in good hands and take each day as it comes. Often the families or caregivers say they wish they had done this sooner, but they had no idea that there were places available where grandma could still have a quality life. Here are some common tips when the time comes to look into getting help.First understand that the people caring for the person with dementia need help, guidance and reassurance as well.When visiting communities, look for happy employees that are engaged with the residents.Ensure the community is secure with outdoor spaces that allow residents to wander safely.Does it have the look and feel of a home?Are their odors?A Steinberg study shows that smaller homes, or clusters are the most desirable environment. Avoiding too much stimulation or confusion.And finally; does it feel good; is it right for you and your family?Being a caregiver for your loved one 24/7 can become exhausting and overwhelming. Just know you don't have to go through it alone. There are many free resources available to help you along the way. If you need help finding resources, give us a call and we will be happy to assist you. Authors Note: Written by JoAnne Mohrland/Executive Director Regency Columbia Village 208-344-2954

Diversity within the family unit today can cause much confusion over who is in charge when you die. Many believe a power of attorney will take care of everything when death occurs. But unfortunately the power of attorney ends with death. Therefore this can create challenges with family members who have the right for example to authorize cremation. The next of kin will be determined as the next living blood relative. This may be a long lost daughter you have not talked to for 20 years who is the only child or shares equal rights as the other children regarding your disposition and service arrangements. This can be avoided if you plan ahead of time. If a pre-arrangement with a funeral home is made, you can sign your own cremation authorization in the state of Florida, which authorizes the funeral home to move forward without the signature of a family member in the case where that person is estranged from the family. At Fuller we work with families ahead of time to plan their wishes for several reasons to ensure their wishes are met, to sign paperwork ahead of time ensuring this issue doesn't arise, relieving the emotional burden from their family which can cause overspending, and locking in todays price if they pre-pay for their services with the various payment plans available. As parents we have always planned and taken care of everything for our family why stop now?Editors Note: This article submitted by Jan Smith, Managing Partner of Fuller Funeral Homes-Cremation Service, 239-592-1611.

Patients with advanced cardiac disease and heart failureare living longer today because of new treatments and medications that better manage underlying symptoms, yet overall mortality from heart disease has not changed significantly in 30 years.This phenomenon of improved longevity and persistent mortality underscores the reality that many of the current treatments for severe heart disease are, in fact, palliative in nature. They modify the disease process and prolong life for patients with often severe symptoms and disease.Findings from the two studies inthis articlehighlight the need for our partner cardiologists and referring physicians to recognize when to refer their patients with advanced cardiac disease or heart failure to comfort-focused hospice careand why.When?Hospice is the logical next step in the care continuum when ongoing cardiac treatments are no longer effective, when worsening symptoms no longer respond, or when patients decide side effects, pain, and other symptoms are no longer tolerable.Why?Hospices clinical, emotional and spiritual approach to care allows patients to embrace quality of life for as long as possiblenot in outpatient or ICU settings but in the familiarity of home among family. Hospice clinicians titrate cardiac interventions to focus on comfort care, symptom management, and pain relief, while team memberseducate and support family members and caregivers who often bear the burden of caring for a seriously ill loved one.Quite simply, a hospice referral should never be perceived as giving up. Instead, it is the next logical step in the continuum of care.Submitted and Written By: Vitas Healthcare - click here for more information

For more information on Care Patrol, Click Here.While the holidays are an exciting time, they can also add stress for many family caregivers. With the COVID-19 pandemic, the coming months may be especially challenging, as they will include several challenges for caregivers of older adults.As we know, many family caregivers are also sandwiched between caring for their children and their parents, which only amplifies the stress surrounding holidays.Heres what you can do to help family caregivers this holiday season.Educate About SafetyOlder adultsare at high risk for developing complications from COVID-19. While most caregivers know this, the holidays are a very tempting time to neglect precautions. Remind family caregivers how important it is to keep their older loved ones safe. Older adults should stay within their households for the holidays, limiting exposure to crowds. Any time they must leave home, they should practice social distancing, and everyone should wear a mask. The caregiver must also take precautions to prevent exposing their seniors to illness.Provide Ideas for Staying Active InsideBoth older adults and caregivers need to stay active to stay mentally and physically healthy, but as the weather cools off, it can be hard to live an active lifestyle. Here are some options you can share with caregivers:Walking outdoors, when possible, or inside the home when the weather is badTaking part in seated stretches, possibly with light hand weights for some resistanceCleaningCookingSorting old photos, keepsakes or memorabiliaCompleting household projects (painting, reorganizing, rearranging, DIY projects)Dancing to musicDoing at-home workoutsCelebrate VirtuallyCaregivers want to find safe ways to celebrate the holidays. Give them some ideas for implementing new virtual traditions and connecting with family members online. Some options include:Virtual dinner partiesVirtual movie screeningsOnline gamesSending letters and cardsWindow visits with relativesProvide Caregivers Time for Self-CareMany times, what family caregivers really need is a break. By the time weve reached the holiday season, family caregivers will have had a very difficult year of caring for an older adult during COVID-19. Always remember, you must first care for yourself.CarePatrol can help you provide a break to family caregivers. Our experienced team can assist throughout the holiday season while family caregivers get a chance to practice self-care. Well help you find the safest senior housing option. Whether you need help finding a safer living option for an older adult or you need support after, CarePatrol is always here to help.

EXPLAINING NEURO/STROKE REHAB AND SHORT TERM/SKILLED NURSING CAREShort Term Rehab and Skilled Nursing Facilities Typically Provide The Following Types of CareTherapies for victims of brain or neurological trauma including rehabilitation from back surgery, spinal cord injury, stroke, Parkinsons Disease and multiple sclerosis. Patients sometimes spend months away from home and loved ones. Now, the transition from hospital to home can happen in just a matter of weeks.Comprehensive Neuro/Stroke Rehab begins with a thorough neurologic and physical evaluation of the individual. The evaluation should result in an individualized coordinated treatment plan geared to ensuring recovery and improvement with the skills needed for daily living and activity. A Neuro/Stroke Rehab program should incorporate intensive monitoring and therapies as recommended by consulting neurologist and therapists.Focusing on the transition between hospital and home requires a holistic approach to treatment planning. The treatment team evaluates the patients home and the other environments important to them, developing recommendations for adaptive equipment and the training of its use, and guidance/education for family members and caregivers. This person-centered approach focuses on adopting the environment to fit the person, thus making the person the most important member of the team process. In addition to Neuro/Stroke rehab mentioned above, short-term rehab facilities have comprehensive programs such as: Orthopedic (hip, knee, shoulder, amputations); Cardiac (heart surgery, valve replacement, heart transplant, heart attack, congestive heart failure, chronic obstructive pulmonary disease (COPD); General Medical (end-stage renal disease (ESRD), cancer recovery, medically deconditioned patients).Selecting a Short- Term Rehab or Skilled Nursing Care Facility can be a difficult process but there are many helpful guides available. The Center for Medicare and Medicaid Services publishes a rating system which evaluates every facility participating in the Medicare system. The system measures recent health inspections, nursing staff hours and clinical outcomes. You can find these ratings and more by visiting http://www.mediacre.gov/nursinghomecompare/search.htmlThe personal and professional care of most these facilities allows you and your loved ones to enjoy peace of mind.Editors note: This article was submitted by Notre Dame Convalescent Home- A CARING Place Between Hospital and Home Notre Dame Convalescent Homes, Inc.76 West Rocks Road, Norwalk, CT 06851203-847-5893email: www.ndch-sstv.orgwww.ndch-sstv.org

As our loved ones age, their health and well-being become paramount concerns. The complexities of managing their care, medical needs, and overall quality of life can be overwhelming for both seniors and their families. This is where the indispensable role of a geriatric care manager comes into play. Assisted Living Locators of North Pittsburgh understands the critical importance of these professionals in ensuring comprehensive and tailored care for seniors. In this article, we delve into the significant contributions of geriatric care managers and how they can make a positive impact on the lives of seniors and their families.The Multifaceted Role of a Geriatric Care Manager:A geriatric care manager is a seasoned professional with specialized training in gerontology, social work, nursing, or related fields. Their primary role is to act as a liaison between seniors, their families, and various healthcare providers, ensuring that the senior's needs are met holistically.Comprehensive Assessments:Geriatric care managers conduct thorough assessments of a senior's physical, emotional, and social well-being. By analyzing these aspects comprehensively, they create a personalized care plan that addresses the senior's unique needs and preferences.Expert Guidance:Navigating the intricate landscape of senior care services and resources can be daunting. Geriatric care managers serve as knowledgeable guides, offering insights into suitable care options, assisted living facilities, medical professionals, and more.Care Coordination:The coordination of medical appointments, therapies, and day-to-day care can become challenging as a senior's needs evolve. Geriatric care managers ensure seamless communication between various healthcare providers, streamlining the care process.Emotional Support:Geriatric care managers understand the emotional toll that aging can take on both seniors and their families. They provide compassionate emotional support and offer coping strategies for the inevitable transitions and changes that come with aging.Crisis Management:During emergencies or sudden changes in health, geriatric care managers act swiftly to address the situation. Their expertise helps mitigate crises and make informed decisions in high-stress situations.Advocacy:Advocacy is a crucial aspect of a geriatric care manager's role. They represent the senior's best interests, ensuring that they receive appropriate care, treatment, and support.The Assisted Living Locators Advantage:At Assisted Living Locators of North Pittsburgh, we recognize that geriatric care managers play an integral role in enhancing the lives of seniors and their families. Our team includes dedicated geriatric care managers who collaborate with families to create personalized care plans that prioritize the well-being of their loved ones. Here's how our approach sets us apart:Personalized Care: Our geriatric care managers take the time to understand each senior's unique needs and preferences, tailoring care plans accordingly.Vast Network: Leveraging our extensive network of trusted senior care providers, we connect families with the best possible resources, from medical professionals to assisted living facilities.Continued Support: We provide ongoing support, assisting families in navigating changes, adjustments, and any challenges that arise as a senior's care needs evolve.Geriatric care managers are invaluable allies in the journey of aging, offering expert guidance, compassionate support, and holistic care solutions. Assisted Living Locators of North Pittsburgh is proud to have a team of dedicated geriatric care managers who are committed to enhancing the lives of seniors and their families. Together, we strive to ensure that every senior receives the comprehensive care and support they deserve.

Are you one of the67%of Americans without an estate plan? If so, you may be wondering what happens to your estate when you die. Many people think that if you die without a will or other estate plan in place, the government will inherit all of your assets. While that may not actually be the case, there may be a variety of reasons why it can be wise to implement a customized estate plan so that you can have much more control over the distribution of your assets.When someone dies without a will, he or she is considered to have died intestate and his or her assets pass according to the states intestacy laws. This can be a fairly simple process if there are minimal assets and no reason for creditors or beneficiaries to fight. However, it can also be a complicated process if there are substantial assets, complicated relationships between beneficiaries, significant creditors, or assets in multiple states with conflicting laws. Depending on the size of the estate and the applicable state laws, there may be significant estate or inheritance taxes at play as well. Furthermore, when the assets of an estate are distributed according to state intestacy laws, the assets may be distributed much differently from how a person may have wanted them to be.Our office can discuss your options and develop a customized estate plan that meets the unique goals you have for yourself and your family. There may be many estate planning vehicles that can allow you to avoid or minimize some of the negative aspects that would otherwise result from having no estate plan in place.The firm of Britton G. Swank, P.A. is skilled at providing legal assistance to older adults and people of all ages preparing for the future. For more guidance on estate planning, pleasecontact our officeto schedule a time to meet.

To learn more aboutMacKenzie Place Senior Living, CLICK HERE.At Leisure Care, weve always prioritized the health and well-being of our residents. Its part of our commitment to doing the right thing. Its how we have operated for nearly 50 years, how we have navigated the past few months, and how we will manage the upcoming distribution of the COVID-19 vaccine.We are excited to announce thatLeisure Care communitieshave partnered with CVS pharmacies to administer the COVID-19 vaccine on-site in each of our communities for every resident, making the vaccine easy and convenient for those who need it most. CVS pharmacies are well equipped to provide appropriate temperature-controlled storage of the vaccine, meeting the manufacturers required temperature range.We know that people have strong feelings about this vaccine, and we want our residents and their families to have peace of mind, knowing that our team is trusting medical professionals and scientific data.WHAT TO KNOW ABOUT THE COVID-19 VACCINEThe COVID-19 vaccine will not cause COVID-19. The vaccine does not use a live virus.The vaccine is more effective than the seasonal flu vaccine and the chickenpox vaccine.Based on trials, approximately 10% of participants experienced side effects. Known side effects of the COVID-19 vaccine are short-term and mostly mild.The vaccine will not immediately eliminate the pandemic, but it is a powerful tool for better health.Contact a Leisure Care communitytoday to learn more about our commitment to doing the right thing.

To learn more aboutThe Charleston at Cedar Hills - MBK, CLICK HERE.According to the Alzheimers Association, every 65 seconds someone in the US develops Alzheimers Disease. That means the time it will take you to read this article; eight people in will develop this disease. 5.7 million Americans are living with Alzheimers, by 2050 that number is projected to rise to nearly 14 million if a cure is not found. The statistics are staggering.Alzheimers Disease is a progressive illness that increases in intensity and impact as time goes on. As Sir Francis Bacon said in 1597 (and was later oft-quoted by Thomas Jefferson), knowledge is power and knowing the Seven Stages of Alzheimers can empower you to adapt for yourself or your loved ones.While some Alzheimers experts break the disease into three stages (early, moderate and end), Dr. Barry Reisberg from New York University developed a much more specific identification model with seven distinct stages. While the speed of the progress through the stages is different for each patient, the stages are present for everyone with the disease. As shared onwww.alzheimers.net, the Seven Stages are:Stage 1: No ImpairmentDuring this stage, Alzheimers disease is not detectable, and no memory problems or other symptoms of dementia are evident.Stage 2: Very Mild DeclineThe senior may notice minor memory problems or lose things around the house, although not to the point where the memory loss can easily be distinguished from normal age-related memory loss. The person will still do well on memory tests, and the disease is unlikely to be detected by physicians or loved ones.Stage 3: Mild DeclineAt this stage, the friends and family members may notice, in the senior, memory and cognitive problems. Performance on memory and cognitive tests are affected, and physicians will be able to detect impaired cognitive function.Patients in Stage 3 will have difficulty in many areas including:finding the right word during conversationsremembering names of new acquaintancesplanning and organizingPeople with stage three Alzheimers may also frequently lose personal possessions, including valuables.Stage 4: Moderate DeclineIn stage four of Alzheimers disease, clear cut symptoms of Alzheimers disease are apparent. Patients with stage four of Alzheimers disease:Have difficulty with simple arithmeticMay forget details about their life historiesHave poor short-term memory (may not recall what they ate for breakfast, for example)Inability to manage finance and pay billsStage 5: Moderately Severe DeclineDuring the fifth stage of Alzheimers, patients begin to need help with many activities. People in stage five of the disease may experience:Significant confusionInability to recall simple details about themselves such as their phone numberDifficulty dressing appropriatelyOn the other hand, patients in stage five maintain a modicum of functionality. They typically can still bathe and toilet independently. They also usually still know their family members and some detail about their personal histories, especially their childhood and youth.Stage 6: Severe DeclinePatients with the sixth stage of Alzheimers disease need constant supervision and frequently require professional care. Symptoms include:Confusion or unawareness of environment and surroundingsMajor personality changes and potential behavior problemsThe need for assistance with activities of daily living such as toileting and bathingInability to recognize faces except for closest friends and relativesInability to remember most details of personal historyLoss of bowel and bladder controlWanderingStages 7: Very Severe DeclineStage seven is the final stage of Alzheimers disease. Because Alzheimers disease is a terminal illness, patients in stage seven are nearing death. In stage seven of the disease, patients lose the ability to respond to their environment or communicate. While they may still be able to utter words and phrases, they have no insight into their condition and need assistance with all activities of daily living. In the final stages of the illness, patients may lose their ability to swallow.

Lets start by reviewing the differences between agencies.Class A Agency (Medical and Non- Medical) - These agencies can provide Medical and Non-Medical services, as required. They can employ Registered Nurses (RN), Licensed Practical Nurses (LPN), Certified Nursing Assistants (CNA), and Caregivers. They usually accept different insurances, Private Pay, and Veterans Benefits. They can provide services that extend beyond what Medicare and Medicaid typically offer. These Agencies can start services in a non-medical capacity and move up to providing skilled medical services as the clients needs increase.Class B Agency (Non-Medical) - These agencies can only provide non-medical services. They employ Caregivers which cannot act as medical personnel even if the Caregiver has a medical background or licensure. They can only provide non- medical services such as household chores, companionship, transportation and medication reminders.Medicare/Medicaid Agencies - These agencies can provide short term help after you have been hospitalized or return home from a rehab facility. They do not provide any extended hours of care and only provide skilled services such as RNs, Physical Therapists (PT), Occupational Therapists (OT) and Speech Therapists (ST), depending on your individual situation. They do not provide any services that a family member or a Caregiver could perform. Most visits are one hour or less.Here are some simple questions to ask yourself and your family.Do I need short or long-term care?Will I have to change agencies or consider a facility as my needs increase?What are my goals for having home-care in place?Will I be able to stay at home till the end of my life?Does my family support my decision to stay at home and will they be able to help if needed?Can your home-care provide services in a facility or work with Hospice?This article should help you navigate between the different types of agencies in your community to help you choose the right home-care solution for your specific needs. Being informed helps to make the right choice and avoid having to change agencies and disrupt care for you or your loved ones.Editors note:This article was submitted by Theresa Poole LPN, Director of Community Relations with BrightStar Care.Theresa may be reached by email at Theresa.poole@brightstarcare.com or 970-667-7778

More than 150 million Americans already use social media and the number grows daily because it makes it so easy to keep up with friends, family and colleagues, share pictures and learn about great events.But, some people are sharing too much information and are not using privacy controls. According to Consumer Reports almost 13 million people have never set any kind of privacy controls on their Facebook site. When you share any information on Facebook or any social networking site, you are potentially sharing information with friends of friends making your exposure to thousands of people that you never even met.Set your wall settings for viewing only by friends or family and remember you dont have to share every wall post with every friend. Make yourself familiar with the privacy settings on your social networking site. Understand what you cant protect. Your name and profile picture are public. To protect your identity, dont use a photo or use one that doesnt show your face.A major way for your private information to be collected is through the free games and applications. Do you know that when you access a game or application, your name, gender and profile information as well as your list of friends and family is captured by the sponsoring application? And, if certain cautions are not applied, the sponsoring application can delve deeper into your data. While Bubble Witch Saga looks like a fun game to play, use extra caution before allowing that application into your private domain.For more information on social media privacy concerns, refer to www.OnGuardOnline.gov, the federal governments website to help you be safe, secure and responsible online. Remember, be safe, think before you type and post, and when all else fails, deactivate your social networking account.Editors Note: This article was submitted by Marilyn Gregory, the Elder Abuse Prevention Coordinator for Senior Choices, the state-designated aging and disability resource center in Southwest Florida. For more information, please contact the Senior Choices Helpline toll-free at 1-800-413-5337.

The 1965 hit by the Bryds, Turn, Turn, Turn - could not have said it better There is a season and a time to every purposeAlthough this folksy song was during a time of war - it was about inner peace and reflection. It poetically speaks to all of us at some point in our lives. Perhaps none more so then when we are approaching retirement and we decide where we should live as we age. This is not an easy decision for any of us as we do not have a crystal ball. Hence we are plagued by hesitation, and blocked by the questions of should I move, how can I move, can I afford to move and will I be happy if I move? All these unanswered question lead to analysis paralysis.SHOULD I MOVE? Create a 3, 5 and 10 year plan As adults, you have probably exercised the art of planning throughout your life. Why do we stop planning ahead as we reach our senior years? Everybodys plan and what they need to consider can be different. Brainstorm for an inclusive list and do your due diligence.HOW CAN I MOVE? When it comes to moving you must consider both the physical and emotional setbacks to moving. Physical The physical challenge of moving is easier to deal with than emotional. Start the sorting and packing yourself if able - if you are planning early enough start to siftthrough your items. Enlist Family Members to help - this is a good idea especially if family members are attached to the home or family items. Give them the opportunity to cherish the items and make collaborative decisions. Moving and Organizing Services - Organizing services are more than just how to organize your kitchen! In fact, a good organizer can help the senior with the physical aspects of moving as well as the emotional setbacks to moving. Emotional Emotional decisions can hold everyone back. Sometimes things happen to us that throws our plan out the window and we feel out of control. Feeling out of control can lead to hoarding behaviors, depression, seclusion or even risky behaviors. It is important to recognize when these things happen and seek the proper support. Know that there are social services, support groups, grief coaches, doctors and religious counseling services who are all trained and able to help.CAN WE AFFORD TO MOVE? Whether you have made your decision or you are defining your long term goals, check in with a qualified CSHP certified Realtor (Certified Senior Housing Professional). Realtors who choose to participate in this special education commit themselves to better serve, protect and address the issues of senior citizens - holding their best interest as paramount. ACSHP is prepared to do the following: Communicate effectively with their personal, professional, and public platforms about matters affecting seniors and the senior housing market. Use their unique zone of genius to grow a rewarding senior housing division. Assist older adults and families with the physical and emotional aspects of late-in-life moves. Assemble and leverage an extensive and powerful professional resource team. Modify, adjust, and create senior specific systems and procedures culminating in a highly sought after value proposition. Partner with senior living communities to better serve seniors and create lasting and mutually beneficial referral partnerships. Implement community education, seminars, and trainings as a means of expanding their reach. Differentiate themselves by committing to always working for the best interest of their client, by becoming an Advocate for them, even if it means they dont get paid. It is about doing the right thing, not a paycheck.WILL I BE HAPPY IF I MOVE? That is the Million Dollar question isnt it? Life is a Journey not a Destination. The sooner you consider your options and create a plan, the more choices you have.Editors Note: Article Provided by: Helen Morgan CSHP, SRES Resource 55. Author: Tonya Regiro.

Exploring the unique role of social workers in hospice.March is Social Work Month, a period for recognizing the 680,000 social workers who empower and advocate on the behalf of vulnerable individuals and communities all over the country. VITAS Healthcare understands the value of their contributions intimately, as each VITAS hospice team is staffed with a social worker to ensure that the needs of patients and families are meta model that has proved beneficial since our first patient over 40 years ago.Social workers are true jacks of all trades: They help patients navigate the complex healthcare system, offer supportive counseling and advocate for patient decisions. This doesnt mean employing a one-size-fits-all approach to patient carehospice social workers perform a complete assessment for each patient to develop an individualized care plan.Social workers are present in nearly every sector where social welfare is at stake, providing a combination of emotional support, resource management, community organizing and service coordination. VITAS social workers are no different, undertaking many roles to help patients and their families feel understood and respected.For instance, a VITAS social worker may help a new patient update their will and establish end-of-life care preferences, or meet with the family caregiver to gauge their stress level and determine if additional support if necessary. They can help align the patients end-of-life goals and the physicians plan of care, contact distant family members, or plan a party for a patient. Even seemingly small gestures go a long way in improving the patients quality of life.Hospice social workers can be a calming force for families as their loved one approaches death, offering supportive counseling and helping them through the process of anticipatory grief. They can also connect families with funeral, cremation and/or burial professionals.Countless patients and families can attest that social workers serve as the catalyst that makes good things happen. If you know a social worker, show them your appreciation during National Social Work Month. If youre a social worker, let VITAS be the first to thank you for everything you do.For more information about end-of-life care options, call VITAS Healthcare at 866.759.6695 or visit VITAS.com.Article written byBy Cathy Carlson, general manager for VITAS Healthcare in Chicago

Myers Mortuary Community Education Program was developed, implemented and is administered by a certified social worker with a masters degree. The focus is to provide education and information on the importance of drafting your Personalized Memorial Guide.Services are provided in the Davis, Weber and Box Elder Counties of Northern Utah.Much like the Healthcare Advance Directive that addresses a medical crisis, the PersonalizedMemorial Guide addresses ones death; both provide the needed direction for emotional family members. One goal of this community education program is to offer community members the option to complete aFREE Personalized Memorial Guide by educating healthcare professionals & staff to offer this invaluable resource to the those they help on a daily basis, much like the Healthcare Advance Directive.Personalized Memorial Guide education and information is provided via presentations to professional healthcare clinicians & staff; assisted living/independent retirement/nursing home staff, residents and family; caregivers, individuals, couples, families, employers & their employees, benefit administrators & community members to name a few.The benefits of a Personalized Memorial Guide include the following: Family does not have to handle urgent tasks & decisions during this emotional time. Family members have no doubts about your funeral wants. Peace of mind for you and your family. Eliminates stressful distractions of funeral details Vital Statistics Military Record Insurance Information Emergency Contacts Special Instructions Interment & Funeral Services Requests Provided in quality document formHow can you learn more, participate in or schedule a Personalized Memorial Guide CommunityEducation Program Presentation? Contact 503-481-3305 or valslifedestiny@gmail.comHow can you complete a Personalized Memorial Guide without attending a presentation?Call the funeral home of your choice ask to speak to a Family Service Counselor, an expert in helping develop your unique Personalized Memorial Guide. An appointment will be made at the funeral home or the privacy of your home.Editors Note: This article was submitted by Valerie Rios, MSW, CSW, Community Education Program Director for Myers Mortuary & Legacy Funeral Planning. She may be reached at503-481-3305 or by email at valslifedestiny@gmail.com

Senior Living and care is an extreme sport. Timely medication, good nutrition, discrete assistance, and new friends can breathe new life into. . . life. Finding and affording the right solution, however, is not easy. It can involve higher costs than home ownership, require as much trust as marriage, and have more murky complexity than a car lease. Fortunately, some helpful resources exist to help with costs.HOW MUCH DOES LONG-TERM CARE COST?In Dallas Fort-Worth, assisted living averages $3,700 per month and nursing home care roughly $4,600, according to Genworth's comprehensive annual study updated early 2016. Each is almost 40% higher than 10 years ago, outpacing national growth rates. Over the last three years, however, the story is different. Over that time, DFW nursing home costs are flat and assisted living costs are down.Most of 2015 saw an assisted living community open in DFW every 15 days accelerating to one every 6 days in 2016. Rapid inflation had pushed local prices well above the national average, but growing competition has nearly bridged this gap. For those able to afford care, there are a lot of options.WHO PAYS FOR LONG-TERM CARE?Medicare doesnt cover long-term care beyond a 100-day skilled nursing benefit. Medicaid is the primary payer for nursing homes, but is very limited for assisted living. For most families, assisted living costs are paid by a combination of the below: Long-term care insurance: Financial product protecting against long-term care costs. Benefits are generally triggered by qualifying care needs. Veterans Pension: Aid & Attendance and Housebound Benefits: Flexible monthly benefit for qualifying veterans that can exceed $2,000. Qualification is based on military service, income, assets, and care needs. Personal residence: Sale or rental of home, reverse mortgages, and equity loans Savings and income: Social security, pensions, retirement accounts, and other savings, including gifts from family members. Long-term care benefit plan:Converts life insurance into a special account to fund long-term care. Senior care bridge loans:Provides for care costs on a short-term basis until anticipated funds are available.Senior Placement Agents specialize in navigating these types of resources and care options. They meet in person with families to determine the best options for their unique needs.Editors Note: This article was submitted by John Alagood, CSA. John is the Area Owner of Senior Care Authority and may be reached at (469) 333-8833 or by email at john.alagood@seniorcareauthority.com

To learn more aboutChancellor Gardens at Clearfield - MBK, CLICK HERE.Moving in to Senior LivingWe understand the unique challenges that seniors and their families face as they weigh the pros and cons of moving into a senior living community. We also understand that there is so much more to senior living than what most people perceive and see in the news which, if were being honest, isnt evenabout senior living communities.What we do know is that older adults find independence and thrive in senior living environments. Isolation, the burden of home maintenance, the lack of connection during COVID-19 and more weighs heavy on seniors and their families. Inour communities, you or your loved one wont be alone. Youll find friendship, convenience, comradery and care.Here are some of the reasons why Chancellor Gardens is a great place to call home right now:Resident enrichment We are continuing to maintain a calendar full of events for our residents to partake in. Plus, we are creative when it comes to staying connected. Socially distanced events and games, outdoor activities, virtual activities all are enjoyed at our communities!Culinary experience Our residents get to choose from a menu of wonderful meal options that are prepared fresh for them, three times a day. What could be better than chef-prepared meals, delivered right to your door?Care The peace of mind and the security of knowing someone is available 24/7 to attend to the needs of your loved ones. While they enjoy the privacy of their own home, theyre never truly alone with 24/7 staffing and of course, neighbors to keep you company!Service-enriched lifestyle We are continuing to offer housekeeping/laundry services, maintenance requests, and can even accommodate special concierge requests for our residents so they can truly enjoy a maintenance-free lifestyle.Heightened protocols Our communities have more than 20 protocols in place to keep our residents and team members safe. To read a detailed list of these protocols, please visit ourCoronavirus information page.

The trouble is, old age is not interesting until one gets there. It is a foreign country with an unknown language to the young and even to the middle-aged. May Sarton, As We Are Now Just because we may lose some of our memory and our independence as we get older, this doesn't mean that we lose our intelligence or the desire and ability to socialize and truly enjoy the sunset years of our lives. We still have opinions and know what we want to include in our lives.A recent study by AARP found that 85% of older Americans want to age in the home they lived in before retiring. Experts in the field of geriatrics believe this percentage will increase as the baby-boomer generation reaches their senior years. Statistics also indicate that people actually live longer in their homes especially if they have the services they need, a caring community and friendships. We certainly don't want our seniors to be isolated or alone by choosing to live in their own home.As a nation we are not organized in a way that makes aging easy. But we can improve the dignity and quality of life of senior citizens in our communities by involving them in the choices that they can make on a daily basis. Seniors can learn about their community and what is happening in our world from others. Caregivers can also work with them to learn something new each day no matter how small that one thing is. Time should be scheduled daily to relieve stress by reducing noise, praying, meditating or just being quiet. Many studies have shown that movement and activity are important in maintaining mind and body. Seniors should move naturally in regular low-intensity physical activity on a daily basis. And we all know how important it is to enjoy our food and eat only until full. Most importantly one must be involved in community spiritual, friendship and family communities. In his book The Blue Zones, Dan Buettner details the importance of this through his studies of the four areas of the world where people live active lives into their 100s. Each of these areas has strong spiritual, family and community ties among their citizens. We all should take an active part in providing more than just services for the elderly but also friendship, companionship and in creating opportunities for interaction with others on a regular basis.Editors Note: This article was submitted by Linda Gabel of Seniors Helping Seniors. She may be reached at 970-631-8251 or www.seniorshelpingseniors.com/LarimerCountyCo

Individuals who can assist you with understanding the range of home care and housing options. They are prepared to ask you questions that help you narrow down your options and help you with resources that you can seek out prior to making decisions.#listing_mgr{7 basic_search}#

A major retirement wave began in 2011 when the rst of the Baby Boomers turned 65. The number of Americans aged 55 and older will almost double by 2030from 60 million in 2000 to 107 million. The number of Americans over 65 will more than double, from 34.8 million in 2000 to 70.3 million in 2030.With statistics like that, you would think only Baby Boomers would have hearing loss. Not true!While hearing loss is a normal part of aging, the largest age group with hearing loss is people between 18 and 64 about 19 million people compared to 14 million at retirement age!Regardless of your age, here are some things to think about when it comes to your hearing:Only about 15 percent of general practitioners routinely screen for hearing loss during a physical exam. If your practitioner does not test your hearing, there are hearing clinics that offer free screenings. You should consider getting an annual screening and evaluation. Hearing loss is an inevitable part of aging. Approximately 95% of people with hearing loss can be helped, usually with hearing aids. One of the main culprits causing hearing loss is damage from noise. In fact, more than 10 million Americans are experiencing hearing loss due to irreversible damage to their hearing from noise. Hearing aids can help even those people with mild hearing loss. If you are in a profession, such as a lawyer or teacher, where it is important to hear human conversation, be sure to get your hearing checked! Todays digital technology means hearing aids have gotten much smaller without sacrificing sound quality, and you can find hearing aids that fit within the ear canal or behind your ear making them virtually invisible. Bluetooth technology can turn your hearing aids into a wireless headset so you can hear TV, listen to music, and even take phone calls directly through your hearing devices!Whether you are part of the Baby Boomer generation now or will be in the not too distant future, plan on having a hearing screening as part of your overall health care. Taking control of your hearing means taking control of your life.Editors Note: This article was submitted by Shane Larkin, HEARING Life Regional Vice President. Shane is a board certified hearing instrument specialist. He may be reached at 801-525-5254 or by email at sbl@hearinglife.com.

Written and Submitted By: BrightStar Care of North Sarasota & Manatee - click here for more informationIf you have an elderly loved one, you may have been waiting anxiously for the COVID-19 vaccine. Because COVID-19 symptoms can be more dangerous for older people, its natural for you to want your loved one to receive a vaccine as quickly as possible. For some older people, however, getting the COVID-19 vaccine is an intimidating prospect. Because COVID-19 testing and approval took place at such an unprecedented pace, your seniors may have concerns, worries, or even fears about its safety. Here, we offer some suggestions for allaying those concerns and helping your seniors determine the best course of action for their health care. Start off with an open discussion.Acknowledge your loved ones worries with validating statements like I understand your concerns. Reiterate what the person says, to show that you hear whats being stated, in order to effectively communicate. Ask questions to better understand the others point of view. Offer information and provide reassurance.Talk about the efficacy rate of the vaccine.Seniors are at a greatly increased risk of serious consequences from COVID-19, which is why its important for them to get the vaccine. They should know that the vaccine is a powerful tool against the virus, with the Moderna COVID-19 vaccine at 94.1% efficacy and the Pfizer COVID-19 vaccine at 95%. The most recent vaccine, from Johnson and Johnson, has a 90% efficacy rate, but studies have shown that its 100% effective in reducing severe effects of COVID-19, like hospitalization and death.Acknowledge concerns about risks.The vaccines were approved very quickly, so its understandable that people might be worried about risks and side effects. However, theyve been thoroughly tested. Research indicates side effects of the COVID-19 vaccine are minimal, like a low-grade fever or pain at the injection site. Further, the information we have so far indicates that older adults may have a lower risk of side effects from the vaccine than younger people.Know who to trust. Theres so much informationand misinformationswirling around about the COVID-19 vaccine. Make sure to get your information from reliable, unbiased sources like theCenters for Disease Control and Prevention (CDC)or theNational Institutes of Health (NIH). Its also smart to talk to your doctor about the vaccine. A persons doctor can not only explain the most recent COVID-19 vaccine update, but can also discuss whether the vaccine is appropriate, considering the individuals allergies and medical conditions.Talk about the testing.While the process may have seemed rushed, the vaccine testing was actually quite rigorous. It might be helpful to share information about how the vaccines effectiveness and safety were established.The Pfizer COVID-19 vaccine was tested on 44,000 people, with 41% if the participants over 56 years of age.The Moderna COVID-19 vaccine trial had 30,351 participants, including older adults, 25% over the age of 65.The Johnson and Johnson COVID-19 vaccine clinical trials involved about 45,000 people, 34% of them over age 60.In trials for all three vaccines, scientists overseeing the studies observed participants after they received the vaccine and noted only minor side effects over the course of two months.Address the goal of a return to normalcy.The COVID-19 vaccine wont miraculously transport us all back to our pre-pandemic lives. However, seniors who receive the vaccine are taking the first step toward a less restricted lifestyle, a return to hobbies and in-person interaction with friends and loved ones.At BrightStar Care, we know that healthcare can sometimes be confusing, and caring for a family member can be challenging. Because we believe that caring is more than just a job, our nurses, therapists, CNAs, and caregivers offer the most professional compassionate care available, in the comforting, familiar surroundings of home. Further, because we have a Director of Nursing overseeing all care, at every level, whether personal or skilled, our patients and their family members have access to someone with insight regarding COVID-19 vaccination. If you have questions related to the vaccines, or any follow-up questions, feel free to ask and we'll offer expert advice, click here to contact us!

Our eyes change as we age, but knowing what to expect and when to seek professional care are important steps in safeguarding our vision. The American Optometric Association recommends a yearly comprehensive eye exam for everyone over the age of 60.Individuals who have difficulty leaving home often do not receive the eye care they require. The good news is that there are options available. Optometrists are doctors trained to detect and treat eye disorders and vision problems, and some of them examine patients on site at nursing facilities, assisted and independent living communities, and private residences. By using portable equipment they can provide most of the testing that is offered in the typical optometry office. Seniors need to be aware of the increasing risk of vision loss that occurs as they age. Optometrists can test for the full range of eye problems, including:Cataracts This is a clouding of the lens of the eye, causing vision to be blurry or foggy. Once cataracts begin obscuring normal vision, they need to be removed by an eye surgeon. Cataracts are replaced by synthetic lenses, and vision typically improves significantly with this procedure.Glaucoma This is a disease of the optic nerve that causes a gradual loss of side vision. Symptoms typically do not occur until the later stages of this condition, so it is important for seniors to be tested regularly.Macular degeneration This is a condition characterized by damage to the retina, the light sensitive tissue that lines the insides of our eyes. Central vision is lost slowly. Advanced macular degeneration leads to blindness.Diabetic retinopathy This is an eye disorder caused by diabetes. It is characterized by bleeding and swelling inside the eye. In severe cases, new blood vessels grow and then break in the eye, and this can lead to retinal detachment and glaucoma. Blindness can also result.If it has been a year or more since your last eye exam, its time to contact your optometrist. Ask if an on-site eye exam would be an option for you.Adapted from an article on the American Optometric Associations website at http://www.aoa.org/x9454.xmlEditors note: This article was submitted by Keith J. Castleton, OD. Dr. Castleton is an optometrist with On-Site Eye Care and may be reached at 801-768-9316 or by email at info@drcastleton.com.

To learn more aboutThe Auberge at Aspen Park,CLICK HERE.We know you want only the best for your loved one. That's why talking to a professional about ADLs can help you ensure your loved one experiences a higher quality of life.Getting out of bed, brushing teeth, showering, getting dressed While some people might not give a second thought to such routines,over 1 million peoplein the United States over the age of 50 require assistance performing these activities, according to AARP.Considering over 8 million adults in the United States are estimated to be caregivers to adult friends or family members, it pays to know a bit more about these activities of daily living (and whether or not your loved ones require assistance with them).What are Activities of Daily Living?Activities of daily living (ADLs), as the name implies, are activities necessary for maintaining an independent lifestyle with a high quality of life. Most younger people are perfectly capable of performing these activities on their own. Those with disabilities or older adults may have a harder time completing ADLs independently, though.While the exact number of ADLs varies based on who you ask, most authorities list six basic activities of daily living.What are the 6 Basic ADLs?The six basic ADLs, or physical ADLs that concern ones basic physical needs, are:Ambulating or functional mobility:To move about freely and safely.Feeding:To feed oneself.Dressing:To assemble an outfit and put clothes on properly.Personal hygiene:To manage aspects of personal hygiene, such as bathing, grooming, and brushing teeth.Continence:To control both bladder and bowel movements.Toileting:To get to and from the restroom, use the restroom properly, and clean the self properly.What are Instrumental Activities of Daily Living?While basic ADLs concern physical tasks,instrumental activities of daily living (IADLs)concern activities that require higher order, complex thinking. Like ADLs, the number of IADLs varies based on who you ask, with many experts listing between seven to twelve.What are the 12 Instrumental Activities of Daily Living?The American Occupational Therapy Association (AOTA) recognizes the following twelve IADLs:Care of othersCare of petsChild rearingCommunication managementCommunity mobilityFinancial managementHealth management and maintenanceHome establishment and maintenanceMeal preparation and cleanupReligious observancesSafety procedures and emergency responsesShoppingActivities of Daily Living ChecklistCare needs vary by individual, and some geriatric patients will require greater care assistance than others on a daily basis. Are youconsidering whether an aging loved onecan no longer live alone or otherwise requires the help of healthcare professionals in his or her day-to-day activities?If so, you should take a look at this activities of daily living checklist, created by Caring for Your Parents(a Kirk Documentary Group, Ltd., Production for WGBH Boston) as aprintable PDF. This worksheet can help you better determine the level of assistance your loved one needs.Other ADL AssessmentsOf course, the PBS checklist is just one way to measure how much help your friend or family member needs with activities of daily living. Other ADL / IADL metrics include the following:Lawton IADL Scale this scale is great for determining whether someone has higher or lower levels of functioning when performing IADLsKatz Index of Independence in ADLs this scale helps determine a persons ability to independently complete ADLsWhy Should You Care About ADLs and IADLs?Determining how much help your love one needs isnt necessary just for determining proper eldercare. Its also incredibly important for determining how much financial support your loved one is eligible for from programs like Medicare or Medicaid. Most insurance companies classify nursing homes and other types of assisted living communities as long-term care or custodial care.Unfortunately, Medicare typically does not cover long-term care services. However, older people may still qualify for certain Medicare benefits if they cannot perform a certain number of ADLs on their own.Either way, its advisable for the person requiring assistance to have a long-term care insurance policy in order to cover the greater costs associated with long-term care.Does Your Loved One Need Help with ADLs or IADLs?While many older adults crave the freedom that comes with independent living, the reality is that sometimes aging loved ones require some level of assistance on a daily basis. Impairment of ability to perform basic self-care activities like feeding oneself not only decreases quality of life, but also the safety of the individual. Familiarizing yourself with local Area Agencies on Aging (AAAs) which are organizations that can address regional eldercare concerns will help you better understand what options are available in your community.We know you want only the best for your loved one. Thats why talking to a healthcare provider or even AAAs about ADLs can help you ensure your loved one experiences a higher quality of life.

What is the Rotator Cuff?The rotator cuff is a group of four muscles and tendons that surround the shoulder. The rotator cuff assists in raising the arm away from the body and overhead. It also maintains proper position of the shoulder joint and provides stability to the shoulder joint. Rotator cuff tears are a common source of shoulder pain for many individuals.Rotator Cuff InjuriesThere is a spectrum of injuries that occur in the rotator cuff ranging from inflammation and tendonitis to a complete tear to the tendon. A rotator cuff tear can happen for a number of reasons. It can happen in older patients without an injury from wear and tear of the rotator cuff tendon. This comes as a result of years of overuse to include frequent reaching overhead or repetitive lifting. Rotator cuff tears can also occur secondary to a fall onto your arm, elbow or shoulder. Lifting something heavy can also cause a tear.SymptomsThe common symptoms patients experience with a rotator cuff are pain and weakness. Patients will notice the most pain and weakness in their shoulder when reaching overhead. A physician can usually tell if a patient has a rotator cuff tear just by examination. However, sometimes it is not so obvious on physical examination. An MRI provides accurate detail of the rotator cuff tendon and can tell if there is a rotator cuff tendon tear. It can also determine whether there is a partial or full thickness tear and which tendons are torn. X-rays do not show soft tissues so they do not diagnose rotator cuff tears.Treatment OptionsThere are non-operative and operative treatment options. Partial thickness rotator cuff tears mean that part of the tendon is torn but part of it remains attached. Most partial thickness tears can be treated without surgery. Complete or full-thickness rotator cuff tendon tears can also be treated with or without surgery. Often full-thickness rotator cuff tears that cause pain and weakness are treated with rotator cuff repair. I performed this arthroscopically, which is a surgery using a camera and small incisions. Rotator cuff repair requires physical therapy and extensive rehabilitation following surgery. There are many factors that go into the decision to perform surgery or conservative treatment for a complete rotator cuff tear.Who is at risk?Rotator cuff tears are more common in older patients, specifically older than 40 years old. The risk of rotator cuff tears increases as we age. Patients that do repetitive lifting or reaching overhead are at increased risk for rotator cuff tears. Unfortunately, rotator cuff tears are generally a part of the aging process and can occur without significant overuse or injury. The best way to lower your risk of rotator cuff injury or tears is to do rotator cuff and shoulder strengthening exercises 2-3 times per week. There are specific exercises that isolate the rotator cuff muscles and tendons. Generally, normal upper body workouts and strenuous work or labor do not strengthen the rotator cuff.Editors Note: This article was contributed by Dr. Scott King, an orthopaedic surgeon with OSS Health.

I spent January, February and early March helping many folks who were at different stages of downsizing. Some knew they had a home waiting for them in one of the Homestead Communities, while others were moving out of the area to be closer to grandchildren. None of them expected a moratorium on real estate activities.Those early days were filled with questions by my Sellers, leading me to research and uncover answers for what was essentially new territory in real estate...it was quite an adventure. It has led to much evolution and change in the buying and selling of homes. New technologies have emerged, new forms have been authored, new strategies have been adopted. Proactive agents have adapted and helped their buyers and sellers to do the same.So, where are we now? To start, as of Wednesday May 20th, real estate has been deemed essential by the Governor. This means that regardless of Red, Yellow, or Green designations, people across the State can buy and sell homeswith restrictions. These restrictions focus on the human interaction portion of the buying/selling process, and most elements will make sense. Lets touch on the highlights.The guidelines below apply to all business that support real estate. This means Realtors, appraisers, inspectors, notaries, title companies, etcshould operate by these standards.Showings are allowed no more than 3 people can be in attendance. Typically, this will be the realtor and 2 others. Social distancing protocols must to be followed.No Open Houses showings shall be by appointment only as per above.Visitors shall avoid touching surfaces, items in a home.Seller should have lights on, doors/cabinets open, to minimize the need to touch surfaces in the home.Anything touched during a showing must be sanitized before the next visit.Allow for 30 minutes between each showingAny in-person activity (showing, appraisal, inspection) shall require the use of a face maskVerbal screening of a visitors health must occur 24 hours prior to the visit.Name/Contact information must be gathered for each in-person visit (for purposes of contact tracing) and kept on file by the Realtor.When possible, viewing a home online first is recommendedWhen possible, the use of electronic signatures is recommendedNo materials to be left out (marketing materials) or left behind (business cards)A Property Access Notice (PAN) form must be signed by Seller and anyone doing in-person activity at the property. This is a new Pennsylvania Association of Realtors (PAR) form and is required.A Seller should be provided with CDC guidelines for cleaning and disinfecting a home by their Realtor.As you can see the State is taking this seriously, and so you and your realtor should too. What are the practical implications of this and what should you think through?First How strong is the virtual presentation of your home? Is the home staged? Professionally photographed? Is there a virtual tour? Is there a 3D tour (allowing you to move through the home and pan left or right at the click of the mouse)?With the emphasis on using an online viewing before visiting a home make sure your home shines and is fully marketed. From my own experience, Ive had my listings professionally photographed and staged for the last 10 yearsit makes a BIG difference. More recently Ive used virtual tours in the last few years, and have now begun to use the 3D tour for homes. As times change so should the tools your Realtor brings to the table.Second How will you handle the cleaning of a home post-showing? Will you return to do it after each showing? Will you expect the Buyers agent to clean? Who provides the cleaning materials? What happens with the trash produced as a result?None of these are difficult questions but it will be critical for Sellers and their Realtor to create a plan for the process. In my experience, I would have the home properly prepared so visitors will only need to touch surfaces minimally, if at all. To that end, if anything is touched I would ask the Buyers agent to clean those surfaces since they will have firsthand knowledge and know what specifically to clean. I do recommend that the Seller provide appropriate cleaning materials. As a Seller, you may have special cleaning solutions for different parts of your homea brass door knob for exampleand a disinfecting wipe with bleach may not be the best choice for every surface. I would also provide plastic bags (like the ones from the grocery store) that can be used to transport out of the home (by the person visiting) any trash that is generated.I have created simple document for my Sellers that allow them to indicate how they want showings handled, along with any special instructions on cleaning, where cleaning supplies will be located, and a place to indicate other concerns. I provide this completed form to all agents or other visitors so all parties can know the expectation. Again, as times change so must we and Ive found my Sellers have appreciated the forethought.Third Confirm that your Realtor will be asking the screening questions on the health of visitors, and will be gathering the name and contact of all visitors. This may seem obvious since it is a requirement issued by the Governor, but of all the guidelines issued regarding real estate this is the one Ive heard the most argument regarding. I wont debate the merits of these two guidelines, but would suggest that whether I agree or not I must abide by them.In closing, Ive heard the phrase the new normal used quite a bit during this pandemic. It is often said with a bit of sarcasm and regret for what weve lost over these months. There has indeed been loss weve experienced and there are changes we are learning to live with. I choose to use the phrase the current normal because circumstances will continue to cause us to adaptit is part of life. And in truth, not all change is bad. I trust you are well, adapting to the current normal and I wish you success in selling!_________________________________This article was written by Mike Julian. He is an agent with Realty One Group Unlimited and is a Director of theCertain SaleRetirementLiving Program.

To learn more about Secure Aging, CLICK HERE.One common problem with Alzheimers disease is diagnosing it. By the time many who have it are diagnosed, its too late to help.However, in the future, a certain type of eye exam may be able to detect Alzheimers disease even in its earliest stages, according to emerging research within ophthalmology.In one study published recently in the journalOphthalmology Retinathat included 200 people (some of whom had Alzheimers), the technology optical coherence tomography angiography (OCTA) found that those with Alzheimers disease showed a loss of small blood vessels in their retina.Although this study is not the first to find a link between OCTA imaging and signs of Alzheimers, its the largest study to date, according to researchers.Additionally, other research has found that retinal exams may be able to detect beta amyloidsa kind of plaque found in those with Alzheimersdecades before it is found elsewhere in the body.One major advantage of retinal testing is that it is less invasive and less costly than current tests for Alzheimers, which can include a spinal tap or a PET scan of the brain.Both of these kinds of detection are in early stages of research, but you likely will hear more about them in the future. Although there is no cure for Alzheimers disease yet, earlier detection give researchers more potential to study and understand Alzheimers. It also allows those with the disease to start on medications earlier to help manage symptoms.Call Secure Aging to Find Out How We Can Help Seniors With Care ManagementAt Secure Aging in Bradenton, we transform the weight of the world into a sigh of relief for our senior clients and their concerned family members. The mission ofSecure Agingis to protect and preserve our clients independence and dignity through careful and thoughtful financial and care management. As our clients age, it is their desire to remain independent and age with dignity. Our services protect our clients from talented con artists looking to exploit and deplete the financial resources of our vulnerable seniors. Secure Aging helps families inManatee County and Sarasota County and in and around the communities of Anna Maria, Bradenton, Bradenton Beach, Ellenton, Holmes Beach, Lakewood Ranch, Longboat Key, Myakka City, Palmetto, Parrish, and Sarasota. Call us at 941-761-9338, or visit us online at www.secureaging.com.

Learn from Devin what makes Family Home Health and Three Rivers Hospice unique and how they have been supporting their patients, patient families and employees during COVID-19.

I am often asked What is Medicaid Planning? Lets break that down.Medicaid is a government program that unlike Medicare will pay for long term care costs in a nursing home, however, it has strict financial limits. Medicaid planning is simply the process of acquiring Medicaid eligibility while preserving as many of your assets as possible.Id like to take this opportunity to answer a few of the most common questions that I get:How much money do I need to have to make Medicaid planning worth it?-Any assets above the Medicaid limit (currently $2,000 for a single applicant and $119,220 for the applicants spouse) are an opportunity for planning.Ive heard there is a five year look back but we dont have that long before we need Medicaid, is there anything we can do?-Yes, even within the five year look back you have planning options. For instance, you could purchase non-countable asset or buy a Medicaid compliant annuity.I talked to Medicaid and they didnt offer me any of the planning ideas that you have given me, is this even legal?-Talking to Medicaid about planning opportunities is like discussing tax deductions with the IRS; they wont deny you a legitimate one, but they certainly arent there to help you find one. And yes, Medicaid planning is perfectly legal, just like tax planning is perfectly legal.Do I need to sell my house to get on Medicaid?/Will Medicaid take my house?-No to both; at least while you are alive. Since your home is not a countable asset, it will not prevent you from receiving Medicaid. After you pass away though, Medicaid can put a lien on your home in the amount of the services they have provided you. The good news is that if the lien exceeds the value of your home, Medicaid will only take your home and your children will not owe the difference.As a final note, remember that no two situations are exactly the same and you should base your Medicaid decisions on a professionals guidance and not what happened to your grandmothers best friends cousin.Editors note: This article was submitted by Ryan N. Morey, Esq. an elder law attorney with Morey Law, P.C. and may be reached at (719) 465-4324 or ryan@moreylawpc.com.

An advance directive allows you to voice your choice about healthcare decisions in the event you cant speak for yourself. Only 20-30% of Americans report having an advance directive.You may think it is hard to plan how you want to live before you die. However, it can be empowering and help you make the right decisions for yourself.Lets say you were sick or injured today and couldnt speak for yourself. If youre thinking My spouse (or children) knows what I want, I dont need to write it down, you are incorrect. Your choices are not protected. It must be in writing. An advance directive has two major parts. The first is naming a power of attorney for healthcare and the second is the living will.Legally naming a power of attorney for healthcare allows an individual to speak for you, to make decisions for you, to act as you would for yourself if you were able to communicate. They can start or stop medical treatments, fill out forms necessary to obtain the care you require and even have you moved to facilities and apply for programs, if necessary.The living will portion allows you to tell the medical team what type of treatment you want in certain life-threatening situations. These situations arent often black and white and knowing your general ideas about what you value and how you want to live will set a course for the medical team and your family for making decisions on your behalf.When a medical condition worsens or an emergency happens, there isnt much time for your family and the medical team to talk about your preferences, especially if it is life-saving treatment. It takes time to think about choices, make decisions and have these conversations.Even if youve talked with your doctor and have it in writing, one thing to remember is that your family doctor wont be present in the hospital. You will have a medical team caring for you that you likely have never met before. They will rely on your family to provide your advance directive to guide treatment and life-sustaining efforts. The document should be easy to find and up to date with accurate contact information.Once your advance directives are completed, you can live your life, on your terms, knowing the responsibility of choices and decisions has been made by you, and not by someone guessing what they think you would want.Editors Note: This article was submitted by Karen Kopan. Karen is a Nurse Practitioner and Consultant with Intensive Karen, LLC and may be reached at 847-901-3888 or by email at karen@intensivekaren.com.

Why and When to Hire a MassNAELA Attorney?Rather than being defined by technical and legal distinctions, elder law and special needs planning attorneys are defined by the clients they serve. In other words, the attorney who practices in these areas works primarily with people as they age and people with disabilities.The Massachusetts Chapter of the National Academy of Elder Law Attorneys (or MassNAELA for short), is an organization of 450 Massachusetts Attorneys that specialize in the practice of Elder and Special Needs law. MassNAELA member attorneys are committed to continuing their legal education and enhancing the quality of services they provide to their clients. MassNAELA member attorneys also hold themselves to high ethical standards. All Massachusetts attorneys are required to follow the Rules of Professional Conduct, but MassNAELA attorneys also strive to follow Aspirational Standards created by the state chapter and national organization. These standards have created a collaborative and supportive practice among the members.Now that you know why to hire a MassNAELA attorney, here is a list of some of the things they can help you with:Medicaid applications and appealsMedicare claims and appealsSocial security and disability claims and appealsTax PlanningEstate Planning, including disability planningLong-Term Care planningConservatorship and guardianshipWills, Trusts, and Powers of AttorneyHealth Care ProxiesAssisted Living, Continuing Care Retirement Communities and Nursing Home applications and issuesProbate and Trust AdministrationFrom this list you can see that at some point in your life you may want to work with a MassNAELA, member whether it is for yourself or a loved one. Although MassNAELA members often help clients that are facing a crisis, they would love to be able to help you plan for the future to minimize the disruption that comes with a crisis in care. To find a MassNAELA member in your area please visit the website at www.MassNAELA.com and click on the Find An Elder Law Attorney tab. MassNAELA attorneys look forward to answering your questions and helping you at any age!Editors Note: This article was submitted by Clarence Richardson. Clarence is the Chapter Director of MassNAELA and may be reached at 617-566-5640 or by email at Clarence@MassNAELA.com.

Although the American family has always shown great resilience through the ups and downs of our dynamic economy, the slow recovery were experiencing now is compelling many to not only reconsider their priorities, but reevaluate the financial strategies they may have put in place only a few years ago. Families and Finances A recent study conducted by Forbes Consulting Group in 2013 titled, State of the American Family: Families, Financial Attitudes & Planning, found that families1 financial priorities are focused around 4 specific areas: Income, Savings, and Retirement.The challenge for many of us is determining which of the four areas should be our primary focus. Ultimately, only you can decide where to put the majority of your financial efforts. Factors such as age, marital status, number of dependents and short- and long-term goals all will play a part in your decision making. Thats the easy part. The hard part is trying to balance all four at the same time which you will have to do - along with the rest of your day-to-day life.Income Your income(s) is the source of funding for most everything you enjoy in life. In fact, when viewed over the span of your entire working life, your income may be your most valuable asset. For those whose priority is to use their income to build and accumulate assets for the future, your first step should be to protect your income (inquire with your employer regarding your Group Long Term Disability options), and, once secure, look for ways to increase or supplement it. What side hustle could you do in your free time to generate additional income?Savings If savings is your top priority (for the purchase of a home, a childs education, or other reason), view the sacrifices you make now as the foundation of building and accumulating wealth. First, create a budget that will identify how much, and for how long, you will need to save to reach your goal. Start your savings plan by creating an emergency fund (equal to six months of income), then investigate various savings vehicles available. Consider making arrangements to automatically withdraw money from your paycheck or checking account. Set it and forget it is an ideal way to save.Retirement Regardless of your age or situation, retirement planning should be a priority for everyone. Once you have an idea about how much income youll need in retirement (70% of current income is a good rule of thumb), the simplest way to save for retirementis through your employers 401(k) or similar plan. If your employer does not offer a qualified retirement plan (or you are self-employed), create your own by using an IRA (traditional or Roth) or Self Employed Pension plan. Also consider whole life insurance. While primarily purchased for its death benefit, the build-up of the cash value in a whole life insurance policy is guaranteed, and can help give you a reliable source of supplemental retirement income.Editors Note: This article was provided by Bradley Waller, a financial representative with MassMutual Financial Group; courtesy of Massachusetts Mutual Life Insurance Company (MassMutual). Local sales agencies are not subsidiaries of MassMutual or its affiliated companies.1. Access to cash values through borrowing or partial surrenders will reduce the policys cash value and death benefit, increase the chance the policy will lapse, and may result in a tax liability if the policy terminates before the death of the insured.

SBB University Caregiving Resources explores areas of ethical considerations for self-determination, risk of dignity, and safety in long-term care during COVID 19; to identify ways to advocate for the rights of older adults.Meet the panelists:Benjamin Surmi, MSG | Social Gerontologist with Koelsch CommunitiesSuzanna Sulfstede, LMSW | Long-Term Care Ombudsman with The Senior SourceMindy Kitchens, LMSW | Assisted Living Ombudsman with The Senior SourceLearn more:The Senior SourceKoelsch Communities | Arbor Hills Memory CareDownload theHandouts Here:Ombudsman ProgramView the video presentation hereSBB University Caregiving Resource programs are brought to you courtesy of Kathleen Warshawsky, BSN, RN and Seniors Blue Book.

Today, more adult children are keeping their aging parents or family members at home. This can be an especially difficult and costly task if their loved one is impaired with a physical or mental illness. Adult day care is a perfect solution and a win for both parties.What is Adult Day Care?Adult Day Care is a supportive environment for older adults who can no longer be independent in the community or are socially isolated. These centers offer mentally and physically stimulating activities. They give participants the opportunity to socialize with peers, as well as receive nutritionally sound meals. As participants enjoy their day and receive various services, the caregiver is able to get much needed respite time to take care of personal needs such as work or relaxation. Many adult day cares operate on a sliding scale which can also prove to be a more cost effective option for the caregiver.There are two types of facilities: the social model, which primarily focuses on social interaction, and the medical model which generally requires a physicians assessment before someone is admitted to the program. The medical model has registered nurse on duty who can monitor health issues, keep track of vital signs and administer medications.What are the benefits of attending Adult Day Care?Adult Day Care can provide: a safe, friendly environment during the day socialization and added structure to daily life physical, as well as mentally stimulating activities a nutritional lunch and snack assistance with eating, taking medication, toileting etc. health monitoring, podiatry care , as well as, hairdressing services transportation to and from the facility a sense of independence and lots of funHow does Adult Day Care benefit the caregiver??Adult Day Care can: give caregivers respite time to destress or to focus on their family or career offer caregivers peace of mind knowing that the care recipient is in a safe, stimulating environment provide one on one counseling or facilitate support groups offer referrals to a variety of community resources link caregivers to one another, creating a network of support help improve caregivers sleeping habits by giving their loved one a full day of activitiesAn Adult Day Care Center can improve the quality of life for both the older adult and the caregiver.Editors Note: This article was submitted by Jane Kramer, LCSW, Director of Social Services of River House Adult Day Center. Jane heads the Caregiver Information Center at River House and can be reached at 203-622-0079.

For more information on the author VITAS Healthcare, CLICK HERE.As efforts to improve and overhaul the US healthcare system focus on a concept called value-based care, what can other medical providers learn from the hospice professionparticularly with its 40-year focus on care that meets patients needs?And how are hospice providers themselves approaching value-based care?Value-based care is a model that emphasizes preventive health for patients and rewards for physicians who coordinate care, provide appropriate care based on each patients situation and improve actual health outcomes.Two VITAS executivesChief Medical Officer and Senior Vice President Dr. Joseph Shega, and Senior Vice President of Strategy and Innovation Brandon Stockrecently participated in a robust American Hospital Association panel discussion about value-based care.Participants tackled the cultural, operational and financial challenges facing hospitals and health systems as they help patients near the end of life choose and transition to end-of-life care settings.Following are what our experts said on leading topics:How Hospitals and Healthcare Providers Redefine the Value of the Care They ProvideShega says that hospitals need to be committed to serving patients from birth to death.Setting that standard as the philosophy of your hospital or health system is a powerful message to communicate to patients and families as well as healthcare professionals, he says. Life is a journey. Were never going to abandon you on that journey, and well help you through the whole process. I think thats a powerful way that health system leaders can leverage population health and support their communities. And they need to develop necessary partnerships with hospice providers to ensure the right care to patients at the end of their lives.When Costly, End-of-Life Care Collides with Patients Preferences for ComfortTo be covered under Medicare hospice benefits, patients have to sign a statement that they choose comfort care over care aimed at curing their illnesses, Shega says, describing the requirement as a big barrier.Patients receiving specialized treatment may worry about getting the support they need when curative measures cease, he says. Because of this, some patients hesitate to enroll in hospice. Even a lot of clinicians think that hospices will stop all supportive medications that patients are on... This isn't the case. Hospices are paid a daily rate per patients by Medicare. We only get a predetermined amount of money, and then weve got to make it work financially. For some hospices, that means turning down high-acuity patients who require specialized treatments. VITAS' for-profit status provides resources that allow us to take on any eligible patient, regardless of the severity of their illness or the treatments they require.(VITAS) recognizes that supportive treatments can improve the quality of life. Comfort care can include supportive treatments that aim to reduce disease symptoms or address short-term infections. These might include antibiotics, IV fluids, total parenteral nutrition and ACE inhibitors or inotropes (a heart pump medication) for heart failure. From a cancer perspective, it might be hormonal therapy, thermotherapy or radiation intended solely for symptom relief. These treatments can improve quality of life in a patients final months. Restorative treatments, such as physical and occupational therapy, also can be seen as supportive when they are intended to improve quality of life.The Need for Seamless Healthcare/Hospital Hospice PartnershipsStock says VITAS is evaluating many of the new value-based care models that the Center for Medicare and Medicaid Innovation is testing to understand how hospice and palliative care can fit into these innovative approaches.VITAS is looking at questions such as:What do these models look like from an operational and business perspective?How can hospice and palliative care align with hospitals, primary care and other providers?What changes would we have to make to be successful under these models?Were hoping to inform partnerships between hospice providers and hospitals by identifying performance metrics that are important to our referral sources and community partners, Stock says. For example, hospice helps decrease hospital re-admissions and overall Medicare spend per beneficiary, while improving the patient and family experience.In addition, we are developing an enterprise data warehouse which will be a single source of truth about our utilization patterns and other statistics. This is probably one of the largest, clinical data sets that exists for patients at the end of life, and we will be able to use that information to glean important insights.Shega believes thats where a partnership with a hospice or palliative care provider can make a difference.Hospitals can leverage their partners as a resource to identify when patients would benefit from hospice and for initiating discussions with patients and families about those services, Shega says. The hospice partner also can help clinicians and other staff to recognize when a hospice referral would be beneficial for patients. This might help to improve care team well-being. Studies show that nurses and doctors feel a lot of moral distress when they think that patients are receiving care that they dont think is right, such as intensive curative treatments that dont improve (patients) outcomes.

Person Direct Care meets the unique needs of individuals confronting Alzheimers/Dementia, as well as those of their loved ones. Person Direct Care practicing the Eden Alternative Philosophy is the method which develops strong, open, and transparent relationships for all concerned and provides individualized care. Standard institutional care approaches its delivery of care by strict adherence to processes, schedules, staff needs and relentless organizational rules and red tape.Many institutions are a form of what has been termed in the industry as warehousing. Institutions have a difficult time maintaining control of their patients care. This lack of individualized attention can cause their patients to experience: Premature Loss of Mental Capacity Physical Degradation Malnutrition: Poorly Prepared Meals Dehydration: Lack of Attention Over Sedation "Lock and Key" Syndrome Extreme Boredom Abuse: Staff-to-Resident/ Resident-to-Resident Neglect from constant changes in Management and Staff Lack of Long-term, LovingRelationships. Possible Outcome: Loss of self and the potential of early passing. In contrast to institutional care, Person Direct Care: Aims to see the person with dementia as an individual, rather than focusing on their illness or on abilities they may have lost Treats the whole person instead of a collection of symptoms and behaviors Takes into account residents unique qualities, abilities, interests, preferences and needs Is focused on treating residents with dignity and respect Outcome: Dignified Quality End of Life By employing a highly trained and monitored staff coupled with a high staff to resident ratio, our primary focus is to uphold the dignity and respect of our residents NOT patients. We find that the combined efforts between residents, family members and caregiving staff are essential to our residents' and their loved ones autonomy and life quality. What type of care suits your loved one best?Editors Note: This article was submitted by Becky Grindle, Owner/President of Aging Alternatives 

Your mouth is the gateway to your body. This being so, your overall health and well being depends largely on the quality of your dental health. Your teeth enable you to chew food, speak clearly and give you a winning smile. These are all things that can easily be taken for granted, until they are taken away. An active approach to oral hygiene can help you keep those things that you don't want to live without. Every day your teeth should be cleaned and protected from harm. Plaque is a filmy substance that accumulates on the teeth, which if not removed daily can soon harden and become tartar. Tartar can only be removed by a dental professional. Plaque and tartar buildup can cause cavities which erode teeth, and gingivitis, a gum disease that causes swelling and bleeding of the gums. The simple act of brushing and flossing your teeth will remove most plaque buildup; however, regular visits to the dentist are essential. The dentist can help you maintain good dental health by identifying problems and reducing the risk of them becoming worse. People should still regularly see a dentist even if they have no natural teeth and wear dentures. Dental health plans are designed to help people be proactive with their dental health. By identifying and dealing with dental problems before they start to cause pain, you will enjoy better dental health for a longer period of time. This article was written by Brian J. Anderson, Anderson Benefits. He can be reached at 801-363-9575

Non-medical assistance with; meal preparation, laundry, light housekeeping, errands, activities, outings, companionship and other household duties.These agencies are licensed by the state.AHomemaker/Companionis a person who helps clients to maintain the home, and who assumes the duties customarily undertaken by thehomemaker.#listing_mgr{8 basic_search}#

According to a recent study by Visiting Nurse Associations of America (VNAA), consumer choice---your choice---is now a primary force changing healthcare in America. Todays consumers are more savvy and skeptical. You want to know what youre getting for your money. You also expect user-friendly interfaces, plus a variety of provider and product options that best suit your needs.Perhaps the consumer choice trending with the broadest implications is home-based care. We all know that the "graying of America" is a very real phenomenon. Studies tell us that by 2019, people older than 65 years will outnumber those younger than five years and the population of people 80 and over will triple between 2010 and 2050.As Americans age and live longer, an increasing number of people will experience a chronic condition or, more likely, multiple ones. Many experts forecast dire fiscal implications as a result.There's very little doubt that in-home healthcare provides a cost-saving measure. One example is cited by Dr. Steven Landers, CEO of VNA Health Group, who says a person who undergoes surgery and is transitioned to home care for a month can expect a bill for about $1,200?as opposed to a $12,000 bill for a skilled nursing facility. While he notes that in some cases patients need a range of medical help that only a nursing home can provide, "more people can go home."There's a wealth of information available to help guide patients and loved ones in all aspects of the decision-making process. For the first time, Medicare officials have posted online quality scores for more than 3,800 hospice providers. These public rankings help you make informed choices about important aspects of hospice care, plus they encourage providers to improve their services. Comprehensive information on home health can also be found at www.medicare.gov, including a provider ratings guide, staffing and services, checklists and other helpful tips.Pennsylvania, along with thirty-six other states, has enacted the Caregiver Advice, Record, and Enable (CARE) Act, which requires hospitals to help designate a family caregiver, take steps to notify that person of discharge plans, and teach the caregiver how to perform follow-up in-home medical tasks.For most of us opting for home health or home-based hospice care services, the choice is a fulfillment of our heartfelt wishes. Older Americans overwhelmingly express a desire to age in place and receive care at home rather than in institutional settings. An AARP survey found that nearly three quarters of a survey population of those age 45-plus strongly agreed with the statement, What Id really like to do is stay in my current residence for as long as possible._________________________________________Editors Note: This article was contributed by Wendy Shumaker, Asst. Director of Marketing for Homeland Hospice, HomeHealth and HomeCare.

For long-term care providers who have been on the frontlines of the COVID-19 fight, its gratifying to be recognized among Americas highest priority for the vaccine.Long-term care employees have made it their personal responsibility, both at work and at home, to take the necessary precautions in order to safely care for Americas most vulnerable population and the many members of our Greatest Generation.The COVID-19 vaccine will be a welcome new tool in the fight against COVID-19 in long-term care communities. Based on whats known about vaccines for other diseases, experts believe that getting a COVID-19 vaccine may help keep individuals from getting seriously ill even if they do get COVID-19. This virus can have serious, life-threatening complications, and there is no way to know how it will affect each person. Whats more concerning is how people who are experiencing no symptoms could be silent carriers, spreading the disease to friends, family, and others unknowingly.Wearing masks and social distancing help reduce ones chance of being exposed to the virus or spreading it to others, but these measures are not enough. The COVID-19 vaccine will work to help an individuals immune system be ready to fight the virus if the person is exposed. For example, both the Pfizer and Moderna vaccines work similarly. Each requires two-doses given approximately 28 days apart. Both vaccines appear to be incredibly safe and effective with a 95% efficacy after taking the 2nd dose. These COVID-19 mRNA vaccines give instructions for a persons cells to make a harmless piece of what is called the spike protein. The spike protein is found on the surface of the virus that causes COVID-19. Keep in mind, these mRNA vaccines will not give someone COVID-19 since they do not use the live virus that causes COVID-19.According to the CDC, getting vaccinated yourself may also protect people around you. For more vaccine information, visit https://www.cdc.gov/coronavirus/2019-ncov/vaccines/index.html. Learn more about the multi-pronged efforts to protect against the virus in long-term care communities at www.SrCare.org/coronavirus-update.Editors Note: This article was submitted by Presbyterian SeniorCare Network. Contact us at 877-851-1440. See ad on page 153.

To learn more about AgeGuide Northeastern Illinois, Click HereBe Patient. Be Ready.Fighting the pandemic has been hard on everyone, especially older adults. With vaccines now available to those over 65, here is what you need to know to get your COVID-19 vaccine:Register with your local Health Department.Check local pharmacies (Walgreens, CVS and Walmart) for availabilityNo access to a computer? Call your local Health Department to register.Be patient and continue using the 3 Ws: wash your hands, wear a mask, and watch your distance.As the state of Illinois and the nation ramp up vaccine availability, older adults have many decisions to make and challenges to navigate. Here is a list of frequently asked questions to help you through the vaccine maze.Q: Is the COVID-19 vaccine safe?A: Yes. The COVID-19 vaccines currently available have Emergency Use Authorization (EUA) by the FDA. They have gone through the U.S. vaccine safety system which ensures all vaccines are as safe as possible.Q: Do I need a vaccine if I already had Covid-19?A:Yes. People who have already had COVID-19 should receive the vaccine. The science is currently inconclusive as to whether you will be naturally protected from a second COVID-19 infection in the future.Q: Will undocumented people be able to get the vaccineA:Yes. Everyone in Illinois, including individuals who are undocumented, can receive the vaccine. Editors Note: This article was submitted by AgeGuide, the Area Agency on Aging for Northeastern Illinois. Contact AgeGuide at 630-293-5990 or info@ageguide.org. Source: Illinois Department of Public Health

Finding the right setting for your loved one is a weighty decision. Sometimes you may find the perfect place but its only perfect for a few months. For some people, a large apartment setting is exactly what they want. They can take advantage of amenities like a swimming pool, theatre, beauty shop, and community room. However, as needs increase, a large setting isnt right for everyone. Here is a story of a life changed by a move to a smaller setting. Frank had lived in a large facility in the locked memory unit. He was an artist at escaping, telling unsuspecting family members can you hold that door? He didnt look or sound impaired in the least, and there was an endless supply of uninformed visitors. Frank was a generous and appreciative man. When someone served him a meal, he was so grateful that hed reach into his pocket for his wallet to give a tip. However, due to the risk of financial exploitation in the big facility, he was only allowed to carry a quarter. Every time he reached into his pocket, many times a day, he was humiliated. When he moved to our 6-person home with a 1:3 staff to client ratio, he was easily redirected when he didnt know what to do next or where to go. We discovered his love of counting coins, and we always needed his help to get our coins counted. We knew there was no exploitation going on, because his coin collection steadily grew as staff and families emptied their pockets into his container! For the bigger bills, we established a system whereby staff counted his money and at beginning and end of each shift, so he could carry a lot of money. He was able to give staff big tips, and he felt great about it. Sometimes wed get a $20 tip for serving him dinner. When Frank wasnt looking, wed slip the money back in his wallet. In spite of his memory loss, the positive feelings he gained from being a generous and needed person stayed with him all day. He was an absolute delight to serve, and like all of our clients, we came to cherish him. If you think your loved-one would benefit from a smaller setting, look into Residential Care Homes. They may be just the alternative for which youre looking.Written by Deb NygaardArthurs Senior CareAdmissions DirectorDeb.nygaard@arthursseniorcare.com651-294-4798www.arthursseniorcare.com

Assembling a care team or support team for an aging adult is a critical step in planning for wellness and longevity. The best time to assemble a team is when all is wellthis allows everyone to think and plan creatively and effectively. Since emergencies typically occur when we least expect them, proactively assembling reliable back-up is our assurance that our loved ones will be cared for when they most need help.Who should be on the care team? A care team consisting of experienced and knowledgeable professionals, family members and close friends can add much needed support during times when support from more than one person is needed. The team can consist of a circle of individuals who are supportive and understand that even if they provide one small contribution, the assistance is appreciated and makes a difference.Your care team should consist of individuals you and your family feel comfortable with. They can consist of many professionals including the staff at an adult day center, such as River House. The centers staff usually consists of health professionals, therapeutic recreation specialists and social workers who are experienced and can assist with support, recommendations and referrals. The staff then becomes an additional lifeline for you. Other valuable team members can include physicians, pharmacists, case managers, clergy or church members, volunteers, friends, or a home health aide.How do you get started? Plan a family meeting to talk about who is in your network. Who would you want to make decisions and advocate for you, your family members and loved ones? Evaluate your current situation and what you might anticipate moving forward. Most importantly, communicate with each member of the team to ensure continuity and shared goals. Each member of the team has a skill or ability to contribute. Discuss openly which member of the care team will be best equipped to handle specific needs as they arise. And finally, take a deep breath in knowing that you will be prepared and supported as needs and situations occur.Editors Note: This article was submitted by Marie Johnson, MA, Social Services Coordinator, River House Adult Day Center. She can be reached at 203-629-0079.

For more information on the author Paul Andrews - ERA Advantage Reality Inc., CLICK HERE.FSBO (pronounced fizz-bo), or For Sale By Owner, is a way of selling your home without the use of a professional real estate agent or broker. The idea behind FSBO is that by selling your home yourself, you save the approximate 6% that would be the agents commission.6% may not sound like a lot, but it can add up, especially on more expensive homes. But before you run off and decide to sell your home FSBO, you must remember that to get a savings like that, there must be a cost. So whats the catch? Selling FSBO is hard. A lot harder.Only about 10% of sellers that decide to do FSBO are successful at it. And not all of them end up saving themselves money. FSBO sellers often end up accepting a lower price for their home than they would with an agent.There are of course other issues as well. Can you afford to make selling your home your full-time job? Because for a lot of FSBO sellers, thats exactly what it is. Do you have the time and capital to spend on the marketing, advertising, inspections, paperwork, phone calls, showings, and problems that come up when any home is sold?Selling with a professional agent also has other advantages. An agent can get your home listed on the MLS (Multiple Listing Service) and other popular websites where not only homebuyers but also other agents can easily find it. Professional real estate agents also have an extensive network that allows them to more easily find a buyer.So before you decide to sell your home yourself, thoughtfully consider just how much time and effort you can spare for selling your home, as well as how important it is that your home sell sooner rather than later.

CareAparent honors and recognizes the work of Occupational Therapists. Each one of these therapists play a vital role in promoting independence through solutions and assistance to those in need. CareAparent is proud to offer Occupational Therapy as one of our interdisciplinary approaches to care in the home. Our goal is to help our clients remain as independent as possible for as long as possible by helping our clients continue to live safely in home.What is Occupational Therapy?A practicing Occupational Therapist is a licensed and registered medical personnel. When an Occupational Therapist is in the home, theyre focusing on an individuals ability to perform daily tasks.What are the benefits of Occupational Therapy?Home Safety AssessmentInconspicuous risks to your physical safety can go unnoticed in the home. After a home safety assessment, an Occupational Therapist can offer strategies for individuals to manage their daily activities while reducing the risk of an injury or further decline in health. By offering these strategies, Occupational Therapists can find the right fit between abilities needed and desired activities in the home.Cognitive and Memory FunctionsAlzheimers Disease, dementia, and other cognitive conditions can have a significant impact on a persons ability to perform basic functions in their everyday lives. Occupational Therapists evaluate individuals with cognitive impairments to determine their strengths, impairments, and performance areas. Once evaluated, a plan is created to assist clients in using tools for improvement which may include wellness programs, memory activities, routine exercises or modifications. Not only do Occupational Therapists provide support for their clients, they are also able to help educate family members through the process.Fall PreventionThe risk of falling is a serious concern as we age. If one falls, they risk a lengthy hospitalization and rehabilitation stay. Occupational Therapists can assess and analyze the potential risks that may lead to a fall. Providing potential solutions and identifying fall risk factors can allow individuals to feel comfortable and safe in their environment such as include improving balance with safety devices.CareAparents Occupational TherapistCareAparents Occupational Therapists can assess and focus on daily activities that could prevent an individual from aging in place. The ability to have an Occupational Therapist come into the home environment encourages and promotes staying healthy and active. If you or a loved one have any questions about our Occupational Therapy Program service,click here.To learn more about how CareAparent can help you or your loved one,please visit our website.

Caregiver staff is covered by workman's comp#listing_mgr{8 basic_search}#

Dental implants are artificial tooth roots used to support a restoration for a missing tooth or teeth, helping to stop or prevent jaw bone loss. The dental implant procedure is categorized as a form of prosthetic (artificial replacement) dentistry, but also is considered a form of cosmetic dentistry.People who have lost teeth might feel too self-conscious to smile or talk. Additionally, biting irregularities caused by tooth loss can have a negative effect on eating habits, leading to secondary health problems like malnutrition.By replacing missing teeth, dental implants provide people with the strength and stability required to eat all the foods they love, without struggling to chew. Additionally, dental implants stimulate and maintain jaw bone, preventing bone loss and helping to maintain facial features.There are many advantages to dental implants, including:Improved appearance. Dental implants look and feel like your own teeth. And because they are designed to fuse with bone, they become permanent.Improved speech. With poor-fitting dentures, the teeth can slip within the mouth causing you to mumble or slur your words. Dental implants allow you to speak without the worry that teeth might slip.Improved comfort. Because they become part of you, implants eliminate the discomfort of removable dentures.Easier eating. Sliding dentures can make chewing difficult. Dental implants function like your own teeth, allowing you to eat your favorite foods with confidence and without painImproved self-esteem. Dental implants can give you back your smile and help you feel better about yourself.Improved oral health. Dental implants don't require reducing other teeth, as a tooth-supported bridge does. Because nearby teeth are not altered to support the implant, more of your own teeth are left intact, improving long-term oral health. Individual implants also allow easier access between teeth, improving oral hygiene.Durability. Implants are very durable and will last many years. With good care, many implants last a lifetime.Convenience. Removable dentures are just that; removable. Dental implants eliminate the embarrassing inconvenience of removing dentures, as well as the need for messy adhesives to keep them in place.Editors note: Article submitted by Dr. V. H. Bashi a dentist in Colorado Springs who places implants. He may be contacted at vhbashi@qwestoffice.net or 719-528-8292

People often ask the question: is it Alzheimer's or is it dementia? The fact is that dementia is the name that refers to all types of memory loss diseases, including Alzheimer's disease. In other words, Alzheimer's disease is a type of dementia, the same as vascular dementia, Picks disease, alcohol dementia, Lewy Body disease, and the many other diseases that cause memory loss. Long ago, before these types of dementias had a name, it wasn't uncommon to hear families talk about their senile old grandma who just got crazy when she got old. Grandma probably suffered from one of these diseases and went undiagnosed and untreated.Finding An Alternate SolutionFortunately, people started understanding the need for specialized care. Both Assisted Living and Memory Care communities started coming around. Families are usually distressed and at wits end by the time they realize there is help out there. Many people have a hard time moving a parent or loved one into a community. They feel an overwhelming amount of guilt. But families are usually surprised and relieved when they see their loved ones doing well in an environment that is tailored to their needs. Its usually not long before grandma is engaging in activities, both group and individual. She's eating nutritious meals, having personal care done by caregivers that specialize in dementia. These diseases don't reverse, so grandma will continue with this journey, but she will be in good hands and take each day as it comes. Often the families or caregivers say they wish they had done this sooner, but they had no idea that there were places available where grandma could still have a quality life.Here are some common tips when the time comes to look into getting help:First understand that the people caring for the person with dementia need help, guidance and reassurance as well.When visiting communities, look for happy employees that are engaged with the residents.Ensure the community is secure with outdoor spaces that allow residents to wander safely.Does it have the look and feel of a home?Are their odors?A Steinberg study shows that smaller homes, or clusters are the most desirable environment. Avoiding too much stimulation or confusion.And finally; does it feel good; is it right for you and your family? Being a caregiver for your loved one 24/7 can become exhausting and overwhelming. Just know you don't have to go through it alone. There are many free resources available to help you along the way. If you need help finding resources, give us a call and we will be happy to assist you.Editors Note: This article written by JoAnne Mohrland, Executive Director, Regency Columbia Village, 208-344-2954.

In a typical day at InnovAge Colorado PACE - Lakewood, 87-year-old Katie looks forward to a day of activity.She enjoys arts and crafts, Bingo, crocheting, and most of all, chatting with staff members and fellow participants. PACE is a great fit for Katie, who is a self-proclaimed social butterfly. Katie appreciates the ability to get all the medical care she needs under one roof and the chance to socialize daily. Katie comes to InnovAge as a participant in the Program of All-inclusive Care for the Elderly (PACE), an alternative to nursing facilities that provides customized healthcare and social engagement to older adults to help them stay independent.After experiencing a heart attack on the day after Christmas three years ago, and as a 34-year breast cancer survivor, Katie is determined to make her health a priority. Katies team of InnovAge PACE doctors, nurses, psychiatrists, dentists, physical therapists, nutritionists, home health aides, and social workers provide her with medical care and social support at the Lakewood PACE center. They work together to address all of her healthcare needs. With their support, Katie continues to live independently and drives her own car. Since coming to InnovAge, Katie was nominated by her peers to serve as president of the PACE Participants Council. She has strong leadership, a skill she attributes to being the eldest of 10 children. PACE Participant Advisory Committee members are InnovAge PACE participants who represent their fellow participants perspectives about services at the center. They work with InnovAge leadership to continually improve the program. As Participants Council president, Katie encourages participants to voice their suggestions or concerns related to their PACE center, and concludes each meeting with employee praise. The InnovAge employees are so great to us, Katie says, They also deserve recognition. The Lakewood PACE center was recently renovated. The center includes a new rehabilitation gym, updated clinical and dental facilities, a beauty shop, and more. The mission of InnovAge is to sustain and enhance the independence and quality of life for those it serves.For more information, visit www.MyInnovAge.com. Editor's Note: This article was submitted by Emma Heirendt, marketing specialist at InnovAge. To talk with a senior care expert, call 844-704-9613. TTY:711.

Public Health Departments Serve Communities throughout Idaho Idahos seven Public Health Districts were established in 1970 under Idaho Code to ensure essential public health services were made available to the citizens of the State. The Public Health Districts are controlled and governed by a local Board of Health appointed by county commissioners from that district. In the Treasure Valley, Central District Health Department provides services to Ada, Boise, Elmore and Valley counties. Southwest District Health provides public health services to Canyon, Adams, Gem, Owyhee, Payette and Washington counties. While Public Health Districts serve the health needs of low-income families and individuals, they also provide a broader range of services that impact everyone. Food establishment and public swimming pool inspections are conducted by health department staff to ensure safety for all. Child care facilities are inspected for health and safety. Public Health Preparedness staff work closely with local emergency response organizations such as law enforcement agencies, fire departments, emergency medical services and health care facilities to plan and prepare for public health emergencies. Women, Infants and Children (WIC) clinics provide supplemental nutrition, breastfeeding information and support, and referrals to other health care services for women, infants and children up to the age of five. Limited clinical services such as reproductive health/family planning, sexually transmitted disease treatment, and oral health education and preventive services for uninsured and Medicaid-eligible children are offered. Free or low-cost community-based Fit and Fall Proof classes for older adults are organized and overseen by local public health departments. Fit and Fall Proof classes are led by volunteer peer-leaders and designed to focus on functional exercises that reduce the risk of falling. The Public Health Districts are playing an integral role in chronic disease prevention. Diseases such as diabetes, heart disease and stroke have risen dramatically over the past several decades due to tobacco use, physical inactivity and poor eating. The Public Health Districts work within their communities to convene and coordinate efforts to increase access to physical activity and healthy eating opportunities and decrease tobacco use within the various community settings such as worksites, child care facilities and schools. Reducing chronic disease is a complicated issue and requires the coordinated efforts of many community partners. Public Health is working to link nontraditional agencies to address the chronic disease epidemic. This is just a sampling of the vast number of services provided by local Public Health Districts to promote healthy people in healthy communities. Jaime Harding, MHS, CHES Program Manager, Health Promotion and Health Policy Central District Health Department Boise, Idaho

Many times after a serious injury or illness, the need for additional 24-hour medical assistance is needed to help a person heal, properly rehabilitate and ensure that he or she is in stable condition before returning home.What most people dont know is that there are different options when choosing a continued care provider after your primary acute hospital stay. Each organization can vary by the length of stay, therapy intensity and type of medical personnel.Your medical provider can help you choose, but it is also important for you to be informed of your options in order to determine what care is best for you.Long-Term Acute Care Hospital (LTAC)If a person is in need of intensive medical care for a longer period of time (an average of 25 days or more), they should consider a long-term acute care hospital. This facility is best for patients who have just been released from an intensive care unit, who need to be monitored closely and more frequently by nurses and doctors.Long-term acute care hospitals focus on stabilizing a patients medical condition rather than providing comprehensive rehabilitation.In-Patient Rehabilitation HospitalIn-patient rehabilitation hospitals focus on short intensive medical rehabilitation, with the goal of getting the patient home as soon as possible. Patients who choose an in-patient rehabilitation hospital have daily doctor visits, receive specialized rehab nursing care and undergo more significant rehabilitation.These facilities specialize in intensive rehabilitation teams to include physical therapists, occupational therapists, speech language pathologists, psychologists and more. Each patient receives at least three hours of rehab therapy per day, five days per week.The average length of stay at an in-patient rehabilitation hospital is 12-16 days.Skilled Nursing FacilityA skilled nursing facility offers long-term care for patients who are medically stable, but still need professional medical care and supervision. Although nurses are available 24 hours a day, doctors are only required to visit patients once each month.The skilled nursing facility requires that the patient stays at their primary acute hospital for three days to qualify for admission.Whatever your medical needs are, there is a 24-hour medical facility that is right for you. Always consult your family and medical provider to help you make the best possible choice for you.Editors Note: This article was submitted by Julia Cowan with Spalding Rehabilitation Hospital and may be reached at 303-367-1166

The Pennsylvania Treasury Department is currently holding more than $2.3 billion in unclaimed property, with about one in 10 residents eligible to recoup that property.Unclaimed property is any financial asset that has been left inactive by the owner for a period of seven years or more. If no lawful owner claims the property at that time, it is transferred to the Treasury.The most common kinds of unclaimed property include savings and checking accounts, uncashed checks, unclaimed insurance benefits and items abandoned in forgotten safe deposit boxes. The amounts can range from a few dollars to a few thousand dollars.To find out if you or a member of your family is entitled to unclaimed property, please visit www.patreasury.com. After proving ownership, the property will be returned to you free of charge.Please be advised that there has been a surge of unclaimed property scams targeting victims through fake letters and emails in which scammers portray themselves as National Association of Unclaimed Property Administrators (NAUPA) or state Treasury representatives.Instances have been reported where fraudulent communication uses NAUPA letterhead, and scammers request personal information and a small fee in exchange for the promise to obtain the unclaimed property, which they say may be worth hundreds of thousands of dollars.There is no need to pay a private service to submit a claim. If you need assistance pursuing your unclaimed property, please call my office at (717) 284-1965.This article was submitted by Pennsylvania State Rep. Bryan Cutler (R-Peach Bottom), who may be reached at bcutler@pahousegop.com. You may also view his website at www.RepCutler.com.

Lets say you experience a fall at home, resulting in a broken hip. You promptly have surgery, then spend the next few weeks at a short-term rehab facility, where you rest, heal and work to regain your physical functionality. What comes next? Should you return home immediately and resume your pre-surgery routine?Many seniors feel anxious about returning home immediately after rehab. They crave the independence and routine of their home life, but theyre worried about their health and safety. In rehab, they had the security of knowing that help was always available with a push of the buttonif something happened, they werent alone. Respite care can be an excellent solution for discharged rehab patients who feel they need a bit more support before heading home.Respite care is a service offered by many assisted living and senior healthcare communities. Think of a respite stay as a link between rehabilitation and your everyday life at home. In a respite stay, a certain level of independence is combined with readily available care and assistance from trained professionals, allowing you to ease back into your everyday life.In many respite care settings, youll have the privacy of your own apartment or room. You can socialize with other seniors in a pleasant, relaxed setting that will enable you to focus on healing. Its a less clinical experience than short-term rehab, but it provides you with the peace of mind that comes with round-the-clock care, making it a great transitional tool.Respite care serves a couple purposes. First, even after rehab you might not really feel like yourself, physically-speaking. You might have some lingering soreness or discomfort, or you might just have to get used to certain actions again, such as climbing the stairs or dressing yourself. Respite care gives you that opportunity.Second, even if youre 100 percent recovered physically, theres still the mental side of the equation. You need to gain back the confidence thats necessary to live independently. You need to get to a place where youre comfortable with your body and understand your limitations.A respite stay is relatively short term, usually no more than a month. And if you or someone you know is hesitant to return home immediately after a short-term rehab stay, its certainly an option worth considering.This article was submitted by Rodney Gonsalves, Regional Vice President of Operations at Wingate Healthcare.

Everyone has an estate plan eitherthe one you create yourself or the onethe state of Illinois creates for youunder state law.Without a written plan, you mayhave added expenses of probate,minor guardianship for children, oradult guardianship for yourself (if youbecome disabled). Estate planningshould be a priority for all adults, nomatter their age, income, or assets.Proper estate planning can protectnot only your wishes, but also theinterest of your loved ones.Without a written estate plan, yourestate is likely subject to probate.Probate refers to the court processfor establishing the validity of a will(when the deceased person executedone), appointing a representative (executor or administrator), paying thedeceased persons final debts, anddistributing the deceased personsremaining assets.If you are single and have no written estate plan, your closest familymembers will divide your remaining assets. If you are married withchildren without a written plan, yourspouse and children will divide yourassets equally. If you do not wantthis plan, you must create a writtenestate plan to make the arrangementsyou want.The best estate plans accomplishthe goals of the individual with minimal disruption or impact for his orher loved ones. Estate planning canbe as simple as creating a will, trust,and powers of attorney. But can alsoaddress more complex issues suchas tax planning, charitable planning,business succession planning, andspecial needs planning.Estate planning is also beneficialfor you during your lifetime, especially powers of attorney for health careand property. These documents putsomeone in place to make decisionsfor you in the event you become disabled or incapacitated. You can express your wishes now for your futuremedical care and designate someoneto handle your finances, if you no longer can. Planning for future disabilitynow protects you against guardianship and allows family or friends toavoid difficult decisions later.Editors Note: This article was submitted byJoseph T. Monahan (with assistance fromAmy E. Orlando). Joe is the founding partnerof Monahan Law Group, LLC and may bereached at 312-419-0252 or by email at jmonahan@monahanlawllc.com.

Grandparents definitely have an instinct to spoil their grandchildren. They can accomplish this by helping to build a legacy through learning and education with PA Treasurys PA 529 College and Career Savings Program.  PA Treasury offers two PA 529 plans to choose from the PA 529 Guaranteed Savings Plan, or GSP, and the PA 529 Investment Plan, or IP. Both offer the same tax benefits and can be used to pay for a wide variety of qualifying technical, collegiate, apprenticeship and K-12 expenses at schools nationwide.  A PA 529 GSP account grows based on college tuition inflation rates, no matter how much tuition rises.   The PA 529 IP is a Morningstar Silver-Rated plan meaning its among the very best 529 plans in the country. There are a number of investment options, and account earnings are driven by financial markets.PA 529 tax advantages include: PA state income tax deduction on contributions; Tax-free (federal and PA state) growth; No taxes paid on withdrawals for qualified expenses; and Gift and inheritance tax benefits.Also, PA 529 account assets dont affect PA state financial aid eligibility.  Before opening an account, check with your grandchilds parents to see if they already have a PA 529 account.  If you do decide to open a PA 529 account, youll need some information like the childs Social Security Number.The Pennsylvania 529 College and Career Savings Program sponsors two plans the PA 529 Guaranteed Savings Plan (GSP) and the PA 529 Investment Plan (IP).  The guarantee of the PA 529 Guaranteed Savings Plan is an obligation of the GSP Fund, not the Commonwealth of Penn-sylvania or any state agency. Before investing in either PA 529 plan, please carefully read that plans disclosure statement (available at www.PA529.com or by calling 1-800-440-4000) to learn more about that plan, including investment objectives, risks, fees, and tax implications. Before you invest, consider whether your or the beneficiarys home state offers any state tax or other state benefits such as financial aid, scholarship funds, and protection from creditors that are only available for investments in that states qualified tuition program. Editors Note:  This article was written by Stacy Garrity, Pennsylvania State Treasurer.  Learn more about the Pennsylvania Treasury Department at www.patreasury.gov.

With families having two wage earners, and facing tough decisions as to how to care for their aging parents, its important to understand the choices and the costs. Globally, according to a recent MetLife survey, some 10 million children providing care for their aging parents will lose some $3 Trillion dollars in lost wages, social security benefits, and pension funds. That's a lot of money. Now lets look closer at the issue.For those individuals 75+, the remaining mortgage amount as a percentage of the value of the home is low, usually less than 10%. In other words, if their house is valued at $100,000, they typically will owe less than $10,000 on it and have a 90% equity in it. That translates as $90,000 saved in their house. (Source: Capital Research Associates analysis of 1995 Survey of Income and Program Participation data) How long might that $90,000 last in a care community like assisted living or a nursing home?According to a most recent survey by Genworth, the average licensed Homemaker Service Provider makes $18/hour, which translates to $4,860 per month for a nine hour day while the children are at work. Home Health Aides are slightly higher at $19/hour. Adult Day Care averages $60/day or $1800/month, then there's the drop off, pick up and caring for the parent at home. The average assisted living rate is $3200/month, with the added benefit of being 24/7 care with a full complement of services such as meals, activities, assistance with bathing, dressing and security. Nursing homes, typically end of life care, in a semi-private setting cost nearly $6000, and a private room averages about $6400 (Source: CareScout has conducted the Genworth Cost of Care Survey annually since 2004. Located in Waltham, Massachusetts, CareScout has specialized in helping families find long term care providers nationwide since 1997.)So, lets look at the $90,000 that might be available to meet these costs. Under the Homemaker and Home Health scenarios, factoring in there will be income to supplement the home equity, the parents money will last two years. In the Adult Day Care scenario, the money will last about four years. In assisted living the money would last approximately three years. In the nursing home the money would last about one and a half years.In all instances, spend downs do happen, and the care security that comes from Medicaid becomes very important. As a society, it is important that we support Medicaid funding to address those situations when our parents outlive their money.Editors Note: This article was submitted by Robin Avery. Mr. Avery is a Colorado operator of with The Retreat Communities and may be reached at 303-847-2233 or by email at ravy2003@msn.com. For more information visit The Retreat Communities on the web at: www.theretreatcommunities.com.

The City of Dallas Senior Services Program is a project of Housing/Community Services. The Program focuses on persons 60 and older who reside in the City of Dallas. The goal is to provide information and education on issues which impact the quality of life for seniors. This is accomplished through community outreach activities in the form of educational seminars, community fairs/expos, and presentations. The small staff provides limited casework and benefits counseling. They pride themselves in knowledge of community services such as home repairs, housing options, elder abuse and health related concerns of seniors. The goals are accomplished through collaboration and coordination of services with other agencies and programs serving seniors.The Program also serves as staff for the Senior Affairs Commission. This is a 15 member commission appointed by the City of Dallas Council members respective to their district but not always correlated to each district. The Commission meets on the third Monday of each month excluding July. The commissioners are the voice of the community, bringing to light the issues pertinent to seniors in their district. Their role is to identify issues which could affect City policy and services to older residents. They are the driving force behind MayFair Senior Expo, luncheon and dance in celebration of Older Americans Month in May. The Commission advocates for budgetary items to improve the lives of seniors in the City of Dallas. Dallas is the only City in Texas to have such a viable and active senior community within City government. Dallas is fortunate to have City leaders who support the value of older citizens.Editorial: Article provided by Valencia Hooper-Alexander, LMSW, Manager, Senior Services Program, City of Dallas, Housing/Community Services.

The transition home after a health care stay can be exciting but also overwhelming and intimidating.When a person is at a health care facility, hospital, nursing home or rehab hospital, for rehabilitation or other skilled services, they have the security of knowing caregivers are there as are many other medical supports.The goal of most people is to go home!In order to do that it is helpful to have transition services in place. Going home on its own is a transition. There are obstacles that are unexpected and challenging. Beyond the physical challenges of readjusting to ones home environment, there is also the emotional side. Many people feel anxious at the thought of being home alone after a stay at a health care facility.There are services available for those first few days home. Some of the transition tasks that can be done by a caregiver are: picking up prescriptions, cleaning out the refrigerator, changing the bed, showering, toileting, doing laundry, preparing meals, providing medication reminders, transporting to follow up appointments and much more. Those are the physical tasks. The emotional security of having a caregiver available during the first few days at home can bring piece of mind and confidence. Having those supports decreases your risk for re-hospitalization.There is also technology available in the home. Telehealth is available by many providers. Telehealth allows for 7 days a week monitoring by a nurse. The telehealth monitors most commonly used offer: blood pressure, pulse oximetry, and weight readings. The vital signs are remotely transmitted daily to a nurse for review. Having the oversight of a nurse 7 days a week can be what makes the difference for a patient being able to stay in their home.Be informed about what services are available to help you go home and stay home successfully.Submitted by Brooke Erickson-Mignogna, VP of Strategic Development and Marketing at Care Solutions.

For more information on the authorPatricia Rockwood, Instructor and Staff Writer at Suncoast Technical College, CLICK HERE.This course was inspirational for a lifestyle/behavior change vs. just short-term actions to declutter.ACE student in Decluttering classTherearegood reasonswhy courses in decluttering elicit comments such as these on evaluation forms. People recognize the fact that decreasing the clutter in our liveswhether physical, digital, or emotionalcanhelp us to feel better. Why?Getting rid of clutter reduces stressIn 2015, fullya third of respondentsin a survey by the National Association of Professional Organizerssaid that they felt overwhelmed by the clutter in their livesand didnt know where to beginto remedy the situation.The unused software on your computer that makes itrunwaytoo slowly;the zillions of pictures on your phoneso many that youcan never find the one you wantto show a friend;the jammed closetsand drawers; the garage that is hopelessly piled with junkall ofthesesituationscause stresson our bodiesand minds, which can build up over the years.Thats not just a theory. Its backed up by research. For instance,a study published inPersonality and Social Psychology Bulletinfound that women who described theirhomesas cluttered had higher levels of the stress hormone cortisol in theirbloodstream, andwere more likely tobefatigued or depressed,thanwomen who described their homesasrestful andrestorative.A study by Indiana University found that cleaning can have a positive impact on physicalhealthbecause it increases the amount of physical activity a personregularlyengages in, andanother one by Connecticut University found thatduring times of high stress, people sometimes find relief by doing menial jobs such as cleaning.Declutteringhelps you feel better about yourselfEven small steps to start decluttering have a wonderful calming effect.Taking that first step to declutter is like a breath of fresh air.One woman said: I organized my sock drawer the other day, and now sometimes I open the drawerjustto look at it it just makes me feel good!Every small accomplishment is something that canbe celebrated, because its a step in the right direction.Its the glass half full attitude, rather than the glass half empty one.Decluttering improves focus and concentrationWithso muchstuffclamoringforyourattention from so many differentcornersof your home,it's hard to know where to start, and sometimes, its even hard to start, period.But according to astudypublished in theJournal of Neuroscience,people are more productive and better able to process informationin an uncluttered and organized space.Once you begin to declutter your environment, it will get easier to continue.Everysmall declutteredspace is a small oasis where you can breathe, relax, and focus on your next project.Have a planConsider beginning bythinkingabout how you want to organize the space youneedto tackle. Whether its digital or physical, and whether you need physicalcontainers or digital folders, draw a diagram of how you want to organize your material. For instance, considering your images, you might want to create albums by subject matter (e.g., family, vacations, animals, work). If youre lookingto declutteryour garage,you might need topurchase some sturdy shelving or cabinets, and you might organize items by type (e.g.tools, toys, lawn/garden, sports, pantry, car parts).Set up the folders on yourcomputer, ororder the shelves or cabinets as soon as possible so youll be ready to start.The Swiss cheeseconceptTake on decluttering piecemeal, a little at a time, likethe holes ina slice of Swiss cheese. The feeling thatyou dont have to tackle that entire folder of a thousand images and organize them all at once is reassuring, isnt it? Start with20, andorganize those today. Then organize another 20 tomorrow; or maybe 50. Its totally up to you.The idea is to be comfortable, to be easy on yourself so that you enjoy doing it. That way, youll be more likely to keep doing a little of it every day or so until the job is complete.Theres no time like the present. Start today!

Idaho Power offers two weatherization programs for our customers. Both of these programs provide energy efficiency improvements to customers electrically-heated homes, apartments and manufactured homes so less energy is used and homes stay more comfortable. If you own or rent your home, you may be eligible to participate for free. The primary difference between these two programs is the amount of a customers annual household income.Weatherization Assistance for Qualified Customers (WAQC)Through the WAQC program, Idaho Power partners with Idaho and Oregon Community Action Partnership (CAP) agencies to weatherize electrically-heated homes of income qualified customers.Upgrades to your home may include things like new insulation, furnace tune-ups, weather stripping and sealing air leaks. These upgrades help keep cold air out during the winter and hot air out during the summer. CAP agencies in Idaho and Oregon have trained and certified weatherization crews and contractors to ensure improvements meet standards set by the U.S. Dept. of Energy. To see if you qualify for this program, contact your local CAP agency.Weatherization Solutions for Eligible Customers ProgramCustomers whose income is slightly too high to qualify for WAQC, may qualify for Weatherization Solutions. The Weatherization Solutions program serves Idaho Power customers in Idaho who heat with electricity and meet the income guidelines below:Number of people in homeMonthly income range1$1,733 and $2,4752$2,336 and 3,3383$2,940 and $4,2004$3,544 and $5,0635$4,148 and $5,9252016-2017 GuidelinesIf you would like to see if you qualify for this program call these contractors in Idaho: Power Savers (serving Ada, Elmore and Owyhee counties) at 208-377-0700 or Metro Contractor Services (serving Adams, Boise, Canyon, Gem, Payette, Valley, Idaho and Washington counties) at 208-459-0066.Benefits Youll AppreciateThese weatherization programs focus on the entire house. When a home is weatherized, it is weatherized entirely to save energy and provide a healthy and comfortable living environment for eligible customers.Through these weatherization programs, customers learn how to use energy wisely, where they might save additional energy to help reduce their heating costs, and how to use new equipment such as a digital thermostat in their home. This one-on-one education is a good time to have questions about energy efficiency answered by professionals.These home improvements make a real difference in the lives of Idaho Powers customers. We dont get cold, and we dont hear the wind blowing through the house like we did before, said Donna Blay, a participant in Idaho Powers Weatherization Solutions program. Energy efficiency upgrades to her familys all-electric, manufactured home included: a new heat pump, new ductwork, a programmable thermostat, compact fluorescent lamps (CFLs), and ceiling, floor, and pipe insulation.We hope you take advantage of these no-cost programs. Were sure youll be glad you did!This article was written by Idaho Power.

You utter the words reverse mortgage and opinions will vary as much as when discussing politics. Reverse mortgages are nothing more than a government insured mortgage designed for seniors to retire and stay in their home as long as they desire and are capable. There are no monthly payments required on a reverse mortgage, and borrowers can receive lump sums and or monthly payments. Sounds good right? So why the bad rap? As with anything, one bad apple spoils the bunch. This is particularly magnified when seniors are involved. Abuses typically involve investing mortgage proceeds in financial products such as annuities or life insurance programs. In the past seniors were encouraged to take out lump sums of cash and invest in various financial products. We all know there is risk involved with investing, and you can probably see where many seniors were left. It is not uncommon for kids or other co-habitants to apply pressure to senior home owners to take out a reverse for other various reasons, such as living rent free, investing in businesses if you can think of it, it has been done. However with proper education and thorough planning, a reverse mortgage can be the answer that seniors have been looking for. It can mean that a grandmother can stay in the house that her kids were raised in. It can mean quitting a job when they otherwise couldn't. It can mean a huge sigh of relief because they can pay their bills. It can mean traveling the world. It can give them the lifestyle they deserve. Are reverse mortgages right or are they wrong? Only the home owner can decide.Editors note: This article was submitted by Kevin Mansouri, a local Certified Reverse Mortgage Specialist with Vintage Lending. He may be reached at 801-506-0307 or at kevin@better-homeloans.com

For more information on the author, Medical Guardian, CLICK HERE!Did you know what you eat plays a role in maintaining healthy joints? If youre part of the20% of the United States populationaffected by arthritis and joint pain, luckily, there are foods and supplements that can help you manage your arthritis at home.Add Cold-Water Fish to Your DietFish from the cold-water fish family help reduce inflammation, improve brain function, and lower the risk for heart disease because they have high quantities of omega-3 fatty acids. Opt for salmon, tuna, trout, halibut, or sardines, all of which high quantities of omega-3 fatty acids.If youre not a big fish eater, fish oil supplements can help. Fish oil has been shown to help increase HDL (good) cholesterol, reduce blood pressure, and prevent arterial plaque.In one study, the participants use of fish oilsignificantly reduced morning joint stiffness. Add fish oil to your daily supplement routine or try combining fish with any of the below foods for added omega-3 benefits.Add Nuts and Seeds to Your DietMany popular nuts and seeds help with joint pain management. Just as cold-water fish contains omega-3 fatty acids, so do walnuts, almonds, flaxseeds, hemp seeds, chia seeds, and pine nuts.Definitely try flaxseeds. These are some of themost healthful seeds that people can eat, as they contain high levels of fiber, protein, magnesium, and manganese.You can reduce inflammation and feel full by eating nuts and seeds on their own as a snack, sprinkling them on top of salads and yogurt, or adding them in a trail mix.Add Brassica Vegetables to Your DietEver heard of the brassica family? While you may be unfamiliar with the grouping, chances are youll recognize the two types of foods within itcabbage and mustard. Brassica vegetables have surprising, lesser-known benefits. These foods include mustard greens, cabbage, arugula, and kale.Brassica vegetables canhelp block enzymes that inflame joints. The brassica family has a unique component: sulfur-containing glucosinolates (GLSs). These secondary plant compounds make brassica vegetables some of the best foods to combat inflammation in the body.Add Garlic, Root Spices, and Herbs to Your DietGood news: you probably already have these anti-inflammatory spices in your pantry or on your spice rack. Adding garlic, ginger, or turmeric to your recipes can help you manage your joint pain. Garlic is not only common in cooking, but it is a popular anti-inflammatory. Garlic contains diallyl disulfide, an anti-inflammatory compound thathelps prevent cartilage damage from arthritis. Ginger helps block inflammation pathways in the body and in some cases, can reduce osteoarthritis symptoms. You can add ginger to soups, stir fry, or marinades. Turmeric contains curcumin, which blocks inflammatory cytokines and enzymes in two inflammatory pathways. Add turmeric to soups, stews, curries, or rice dishes.Add Blueberries to Your DietBlueberriesand related fruits like strawberries and cherriescontain flavonoids thathelp turn off inflammatory responses in the body. These petite berries are packed with compounds that regulate multiple systems in your body, including your bodys inflammatory and stress responses. Eat blueberries on their own, in a smoothie, or added to a bowl of yogurt and granola.ABOUT THE AUTHOR:Medical Guardian is a leading provider of innovative medical alert systems that empower people to live a life without limits.

Many retirement communities offer a continuum of care services to meet the varying needs of their residents. From maintenance, medications, meals, and more, there are many ways that communities serve their populations. But although services and amenities help us quantify the value of a retirement community residents most often choose a community based on the way they feel about it. This is often how we imagine that we will fit in with, and relate to, the other residents that live there. Why? A largely under-emphasized reason why people choose to move to a life-plan community is because of the social aspect that it offers. Its been proven that having friends, loved-ones, and companions that care about you increases overall satisfaction in life, and even increases longevity! A life-plan community offers an almost-instantaneous group of friends and neighbors who are in the same boat as you, and who become your new family to learn, grow, travel, and enjoy life with.Below are some common hesitations that people have, and some suggestions for how to think through these concerns as you consider your future:1. I love my house and Im never leaving it: As a veteran sales counselor, Ive heard many stories about how people are very attached to their house and the memories in it. However, the once beloved house becomes a major factor in that persons isolation whether its having to cancel plans with friends in order to mow the yard, shovel snow, or simply because the once familiar neighborhood is changing and new families are moving in to replace your long-time friends and neighbors. A transition to a life plan community is a time to make a new home and new memories and you are taking positive action to not allow your once-loved home to become your biggest burden.2. Thats where old people go: This comment always makes me smile because its usually coming from someone touring the community who is 99 years old, and cant imagine that they themselves are even remotely in that category. I always respond with age is just a number and quip that some 45-year-olds act like they are 100, and some 100-year-olds act like they are not a day over 30! Many life-plan communities have a minimum age of 62, and many people are choosing to move to the communities in their 60s because they can enjoy the services and amenities, and new friendships for a better-third of their life.3. I already have friends, how will I meet new ones?: A major aspect of most life plan communities is their life enrichment programming. There are often dozens of clubs, activities, trips, or interest groups that you can become part of. Like to sing? Join the chorale! Like to golf? Join the team! Like to volunteer at charitable organizations? Often communities will organize outreach programming. Becoming involved in your new community is a great way to meet new like-minded friends, and build your sense of belonging.If youve already made the decision to move to a life plan community congratulations! Your new adventure awaits you! If youre still on the fence, try to explore what hesitations are holding you back. Once you make the move, youll be glad you did! Your new friends are waiting for you!______________________________Editors Note: This article was submitted by Christina Gallagher. Christina is the Director of Marketing with Homestead Village Enhanced Senior Living.

Its All in the AttitudeA hospital stay may be necessary and beneficial. But if there are ways to safely avoid it, most seniors and their caregivers are all for it. To that end, some experts predict that 48.5% of senior hospitalizations could, in fact, be avoided if proper preventative steps are taken.Theres one powerful factor in helping keep seniors out of the hospital: support. According to a recent survey* of 400 North American nurses who specialize in senior care, nearly 100% of the nurses surveyed agreed that a familys role in keeping seniors healthy and out of the hospital is as important as that of the medical community.Prevention is PossibleThree-fourths of nurses surveyed (74.6%) ranked the issue of preventable hospitalization as a very to extremely serious problem. One of the most important reasons to keep seniors out of the hospital is because they can be at risk of hospital-acquired infections. Winter is the highest risk time of year for senior hospitalization, according to 82% of nurses surveyed.Family is KeyThe good news is, helping a senior with a little attitude adjustment can help them stay out of the hospital and thats where family can play a major role. In fact, three of the top reasons seniors dont comply with doctors orders unwillingness to change their ways, denial of health issues and apathy are attitudinal, according to the survey.(Not) Following Doctors OrdersSurveyed nurses estimate that 47% of seniors put off medical appointments or have problems accessing medical care. However, one of the most common barriers that prevents seniors from complying with doctors orders is their unwillingness to change their ways. So what can you do?5 Main Preventative Steps1.Follow doctors orders2.Dont ignore symptoms3.Reduce risks of falls and accidents4.Stay active physically and mentally5.Maintain a healthy dietWhether youre a family member or another advocate, like a professional caregiver, take time to become more aware of some of the warning signs, risks and preventative measures that could help keep a senior out of the hospital.*Editors Note: For the full report and more information and resources to help assess a seniors potential risk of hospitalization, go to PreventSeniorHospitalizations.com.This article was submitted by Colman Gately, Owner, Home Instead, Norwalk, CT. He can be reached at 203-853-0370 or colman.gately@homeinstead.com.

Parkinsons disease (PD) is the second-most-common neurodegenerative brain disorder after Alzheimers. In his 1817 Essay on Shaking Palsy, James Parkinson first described PD as a disease.Now, 200 years later, PD is known to affect an estimated one million people in the US, with about 60,000 new cases diagnosed each year. The cause of PD is still unknown, but genetic and environmental factors are thought to contribute. No test has yet been developed to diagnose PD. Instead, it is diagnosed clinically based on the patients history of symptoms and a physical exam conducted by a neurologist or movement disorder specialist. PD is a chronic and progressive illness, but patients can live long, meaningful, and happy lives if they exercise routinely and take their medications on schedule.PD seems to affect men more than women. Some studies have shown that African Americans and Asians are less likely than Caucasians to develop PD, although the reasons are not clear. Otherwise, the disease knows no social, ethnic, economic, or geographic boundaries. Many people live with symptoms of PD for several years and visit multiple physicians before a diagnosis is made. Early symptoms can be subtle and may even come and go. Frequently, a loved one is the first to notice subtle problems with movement.PD symptoms are due to a deficiency of dopamine, a neurochemical in the brain that is essential for initiating and executing fast and smooth muscle movements. Its also important in preserving mood, cognition, and energy. In PD patients, dopamine-generating neurons in the brain are dying at a much faster rate than the normal aging process. When 60-80% of dopamine-containing neurons have died, symptoms appear, including tremors, muscle rigidity or stiffness, slowness of movements, and shuffling when walking. Non-movement-related symptoms include smaller handwriting, less facial expression, acting out dreams, constipation, urinary incontinence, dizziness, depression, anxiety, hallucinations, delusions, and fatigue. The PD experience is unique to every patient, and no one ever develops all of the symptoms.Most PD medications temporarily replenish or mimic dopamine, so they are often called dopaminergic drugs. These medications improve speed and coordination of movement, reduce muscle rigidity, and reduce tremors. Although dopaminergic medications dont cure or slow the progression of PD, they are effective in treating the movement-related symptoms. Routine exercise is the only known method of slowing the progression of PD. Dallas Area Parkinsonism Society, a local nonprofit, offers over 30 exercise classes per week in various areas around the metroplex, as well as patient and caregiver support groups. Their monthly educational programs often feature academic and practicing physicians with topics of interest to people affected by PD. You can read their newsletter at daps.us/newsletters.Editorial Note: Article written by Drs. Nirav Pavasia, MD and Aashoo Mentreddi, MD. Movement disorder specialists at Neurology Consultants of Dallas and volunteer members of the Dallas Area Parkinsonism Society Medical Advisory Board.

Did you know that cannabis can be appreciated in more ways than combusting or vaporizing? In fact edible and topical use can provide consumers with optimal therapeutic value. Many patients and customers find comfort from day to day pain as well as relief from their daily pharmaceutical regimen using some of the innovative cannabis products on the market.Apothecanna specializes in cannabis infused lotions, salves, and lip-balm. The regular strength Pain Cream is a reasonably priced introductory product for the first time cannabis consumer. The Extra Strength Pain Cream is recommended for experienced cannabis users; it is described as soothing and comforting. The Lip Buzz lip balm, while not intoxicating to the lips, has a wonderful healing effect for those have been too exposed to sometimes intense Colorado wind, frigid and dry temperatures, and sun. Topicals are advantageous in alleviating a wide spectrum of physical ailments including arthritis, joint pain, aching muscles, painful muscle tensions, and a variety of skin conditions.Mary's Medicinals, has developed a wide variety of products promoting the therapeutic benefits of cannabinoids like CBC, CBD, THC, and CBN as well as many different delivery mediums with scalable dosage options. These cannabinoids are linked to relief from pain, cramps, spasms, and nausea with anti-inflammatory properties. Mary's Transdermal Patches have gained a reputation for long lasting relief. The dosing of the 10mg and 20mg patches can be scaled down by tailoring the patches to varying shapes and sizes. Mary's Transdermal Pens are dispensed in 2mg doses of cream. Pens are easily applied and stored and the effects match the qualities of the patches. Thus, this product is great for patients or customers who need a targeted dosage greater than the patches can provide. Mary's also packages their CBD and CBN extracts into 5mg capsules. Capsules are an excellent low dose, yet scalable, with similar effects as the patches and pens. Capsules can have a more immediate effect that transdermal application. Mary's Medicinal has great customer outreach through their webpage, customer surveys, and a toll-free 1-800 number that connects you to a registered nurse for guidance.Edible products are carried for a wide variety of ailments. The Dixie Elixir company markets elixirs, tinctures, mints, capsules, and chocolates. Their 50/50 CBD:THC Synergy Tincture has been a hit for customers who are seeking a controllable high CBD edible option. Many patients use a few doses of the Dixie Tinctures for sleep aid and pain relief. Dixie 10mg Mints are an excellent scalable option for customers who need a quick, discreet, and controllable product. Mints come in two varieties: Relaxing Mint, for pain relief and sleep aid and Awakening Mint, for pain relief.Editors Note: This article was written by Rich Fordham of Choice Organics and may be reached at 970-472-6337.

A Guardianship To Help Our Loved Ones All of us have family or friends who need assistance, whether financially, physically or, in the case of this article, mentally. In caring for our loved ones, it is important to know some legal guidelines to best serve them. When a person loses the ability to think clearly, it affects his or her ability to participate in meaningful decision-making. If that individual is unable to make rational, clear-headed decisions about health care, finances or other aspects of life, guardianship and/or conservatorship may be the next step if the person does not have power of attorney documents in place or if there is disagreement among family members about these issues. To appoint a guardian, a court must declare a person to be incapacitated based on findings where: A person who, due to his or her mental, physical and emotional status, prevents him or her from taking care of his/her own basic needs; and As a result, that person is in danger of substantial harm; and There is no one already legally authorized to make substitute decisions for the person. If the criteria are met, the court transfers the responsibility of determining living arrangements and medical decisions to the guardian and the responsibility for managing assets and finances to the conservator. Guardians and conservators have a duty to act in the best interest of the incapacitated person and in the least restrictive manner. Regular reports must be submitted to the court regarding the status of the incapacitated person and his or her finances and assets. Guardians - A guardianship is a legal right and duty given to a person to be responsible for managing the food, health care, housing, and other necessities of a person deemed fully or partially incapable of managing these necessities for him or herself. Conservators - A conservatorship is a legal right and duty given to a person to be responsible for managing the assets and finances of a person deemed fully or partially incapable of managing them for him or herself. Keep in mind it is possible to avoid the necessity of a guardianship and/or conservatorship through a good estate plan that includes both a medical power of attorney and a general durable power of attorney which permit trusted individuals to make health care decisions and manage financial affairs in the event of incapacity. This article was written by Donna A. Schuyler, Attorney, who practices in the areas of estate planning, elder law, guardianship and probate. Donna Schuyler Law, PLLC; elderlawboise.com; Phone 208-344-1947

It probably wont surprise you that Florence Nightingale was responsible for the first nurses uniform.At the time it was thought that long sleeves and full-length dresses and apron would prevent a nurse from falling ill to fever.At that time nurses were not wearing masks or gloves, but like so much in health care, they wouldnt understand proper protective precautions until later in the century.In Europe, where we first see the cap, nurses were called Sisters because most of them were nuns.If they werent nuns, they were asked to take on the same lifestyle; single and a lifetime of service.The cap was originally worn for sanitary purposes and holding hair in place.It was against decorum for proper women to be seen in a hospital otherwise.WWI brought about the first capes or tippets, giving the public a sense of service and honor to improve the concept of women seeking a nursing profession.The cape, like the dress, apron, and cap, were thought to be a sanitary measure.Soon the demand for better training swept through the country.In the early days of 20thCentury nursing in America, the schools were run by nurses and didnt offer degrees or any direct patient care experiences; it was all book training. Hospitals began to open nursing programs and the cap started to shake things up! In any profession, one would expect to see competition. For nursing, the cap became the first visible evidence of a nurses training.Each school had its own design that made their nurses recognizable.The capping ceremonies branded their students for life.Their graduates accepted positions in hospitals and it was that same cap they would wear every day.Not only did the caps identify education but also it identified student nurses versus graduated nurses.Military culture further left its mark on nursing, using stripes and symbols on caps and capes to identify levels of education. The iconic cap and cape struck a competitive cord in women and elevated their academic goals.Nursing schools began to raise their academic requirements and educational opportunities, improving curriculum and elevating the quality of graduates they produced. Although the look isnt seen on the hospital floors present day, they helped give rise to nursing as a profession and the quality care that nurses represent today.Editors Note: This article was written by Megan Kleiman, Administrator at Acappella In Home Care.

Every day patients are discharged to the home setting in need of additional supportive services to ensure a complete recovery from an illness, injury or surgery. Home health care agencies assist patients with understanding and complying with the medical treatment plan ordered by their physician. Patients who receive self-care management education along with involvement by family members and caregivers typically experience better health outcomes and greater satisfaction with their post-hospital care.Telehealth monitoring can improve the communication between patient, home health agency staff and the physician by collecting vital information and clinical data on a daily basis. Telehealth combines advanced communication technology and health monitoring equipment to gather and transmit patient data, such as blood pressure and heart rate from the patients home, allowing earlier intervention by health care providers when problems develop.Many older patients are confronted later in life with chronic medical conditions which can be challenging and sometimes unstable. Hospitalizations occur and patients are displaced from the familiar surroundings of their home when their chronic illness becomes unmanageable at home. Early discharge from the hospital and poor understanding of the discharge instructions for post-hospital care can precipitate another hospitalization or a visit to the emergency room. Telehealth monitoring can eliminate unnecessary and unscheduled visits to the doctors office or to the emergency room. The information is received daily and early warning signs are monitored by a nurse and addressed immediately. Daily monitoring and early intervention supports the patients desire to be cared for at home while maintaining control of their chronic illness and preventing adverse outcomes. Patients can actively participate in their plan of care and can check their vital signs are often as they desire. Patient compliance with their treatment plan improves and their physician can rely on objective clinical data to make adjustments in their treatment plan. Patients may discuss home monitoring with their physician.Which chronic illnesses can benefit from home Telehealth monitoring?Congestive Heart Failure Hypertension PneumoniaCoronary Artery Disease Coronary Bypass AnginaAngioplasty Stroke (CVA) DiabetesValve replacement Emphysema Heart blockNurses are specially trained in Telehealth monitoring and assessment of patients for appropriateness of Telehealth monitoring. Hospital grade equipment is used to gather clinical data to support patient care at home. Home health agencies which offer this sophisticated home monitoring system improve the quality of care their patients receive and decrease the likelihood the patient will experience an unnecessary re-admission to the hospital. Editors Note: This article was submitted by Mary Gardner, MPH, RN. Mary is the Vice President of Business Development for Community Nursing Services Home Health & Hospice and may be reached at (801) 233-6100 or at mary.gardner@cns-cares.org.

There really is no place like home. And that even goes for medical services your own living room is probably a lot more comfortable and accommodating than a hospital or doctors office. Thats where at-home health care comes into play.Individuals of many agesand with a variety of medical needs are recognizing the benefits home health care has to offer. If youre looking into this solution for yourself or your loved one, well cover what you need to know.What Are Home Care Services?Home care involvesa collection of health care services that dont require the patient to go to a health care provider. Instead, a nurse or other health care professional comes to the patients home. Medical procedures like vaccinations, wound care, physical therapy, occupational therapy, mental counseling, and more make up home health care.Governmental organizationslike Medicare, nongovernmental organizations, and private agencies are all entities that provide home health care. Its oftenmore convenient than receiving care from a traditional facility and just as effective.Who Are Home Care Services for?Some patientsuse at-home services because they have trouble leaving the house, others for hospice treatment, and still others simply because it is a more convenient solution than visiting a doctors office. More specifically, these services are a great fit for the following: Individuals who have just returned home from asurgical procedure or extended hospital stay Persons with physical or mental disabilities who may have trouble leaving their home Older patients who may have medical concerns but are still able to live in their own home Individuals receiving hospice careHome care services certainly arent limited to patients meeting these criteria. As long as an individualdoesnt need a procedure where theyre required to be in a traditional medical facility, he or she can hire a home care professional to perform the service.Editors Note: This article was submitted by Greg Kelley. Greg is a Home Care Consultant with Phoenix Home Care and may be reached at (970)270-1541 or by email at GKelley@PhoenixHomeHC.com with any questions regarding Home Health.

Retirement Communities typically offer Studio, 1 BR or 2 BR rental apartments with full kitchens, and private baths. Services can include meal plans, transportation, wellness clinics, housekeeping, laundry and maintenance. Amenities can be abundant and may include formal libraries, computer stations, swimming pools, gardens, indoor/outdoor bar areas and other social gathering spaces. Rates are monthly and based upon size, location and amenities offered.#listing_mgr{1 basic_search}#

There are many important considerations while doing your estate planning.Sometimes, it is difficult to understand the terms and language that are brought up during this time. Here is a breakdown of some of the most important aspects:Probate Defined:Probate is defined as the court process during which a deceased persons assets are transferred to their beneficiaries. During that time, there is a creditors claim period where we publish the proceedings in the newspaper and any legitimate creditors can make a claim on the estate within a specific timeframe.Power of Attorney defined:A Power of Attorney is a legal document delegating authority from one person to another. In the document, the principal of the Power of Attorney grants the right to act on the principals behalf as their agent. A typical Power of Attorney document gives the agent the right to make health care and financial decisions for the principal.Living Wills defined:The Living Will is a legal document which allows a person to place into writing their specific end of life desires with regard to their health care. The purpose of this document is to provide the principal the opportunity to direct a person to speak on their behalf for the withholding of, or withdrawal, of any life prolonging procedures in the event one should have a terminal condition that is unrecoverable.Last will and testament:A properly executed will allows you to specify exactly how you would like your estate handled upon your death, including how and to whom property should be divided and who should manage the administration of your estate. Certain specific formalities are required for execution of a valid will. When there is a will with no revocable living trust, there will be probate of a persons individual assets.Revocable Living Trust:In Florida, you can make a living trust to avoid probate. A trust document is similar to a will in that it names someone to take over as trustee after your death or disability. You must transfer ownership of your property to yourself as the trustee of the trust. Once all thats done, the property will be controlled by the terms of the trust during your lifetime and the successor trustee will be able to assist with financial affairs. At your death, your successor trustee will be able to transfer it to the trust beneficiaries without probate court proceedings.

Life Transitions, such as dealing with health issues, getting divorced, taking care of aging parents, and becoming widowed are part of all of our lives. Everyone is likely to go through at least one of these life changers. The real key to successfully navigating lifes transitions is being ready for them, and then understanding what is happening while its happening.Just like getting ready for a camping trip or a tour of Italy, getting ready for life means being prepared. Taking the time to think about things before they happen so you are ready for what might be is the most important step you can take. We all know that the root of most stress is feeling like we are out of control. Its the unknown that does us in. When we know what we are dealing with, or have thought about What happens if then we feel like were in charge. But, most of us tend to procrastinate and avoid preparing.Because we avoid preparing for life transitions in advance, we often feel overwhelmed as life happens. A family transition coach can be helpful whether you and your family are planning ahead or, as is so often the case, dealing with a transition as it is unfolding. As an objective third party, your coach will provide focus and have experience with others who have gone through similar transitions. Your coach will be knowledgeable about the many resources that are available to you. A family transition coach can be engaged by the family or by one family member, and coaching can occur by phone or in person.Some situations where a family transition coach can be of service include when an adult child realizes that his or her aging parent can no longer stay in his own home due to health and/or memory issues. Or, a coach can be helpful when a decision has been made to divorce and there are many decisions to be made in a short period of time. Often, when a spouse has died, the surviving spouse is serving as Personal Representative and is uncertain about the many steps and decisions required to settle the estate and move on with his or her life.LifeBridge Solutions provides family transition coaching, along with specific services including daily money management, insurance claims advocacy, senior move management, and estate administration support.For more information, visit www.LifeBridgeSolutions.com.

As our country continues to be challenged by the impact of COVID 19, it is apparent that the senior population has more at risk than their health. Many senior homeowners have suffered financial losses and now have real concerns about their ability remain in their homes. Seniors in search of stability and security can count on Independent Financial for assistance.The HECM loan is a Government guaranteed program that offers many remedies to seniors for the preservation, use and growth of the equity they have built up over the years. When a Reverse Mortgage is put in place, the senior has multiple options to utilize their available equity. In many instances, it could even involve using a HECM to purchase a home which better fits their needs.Seniors seeking peace of mind during these challenging times are encouraged to reach out to a trusted Reverse Mortgage specialist, and see if an FHA insured HECM offers a better quality of life. The same asset that keeps us safe and secure, holds locked-up equity that can provide peace of mind for a lifetime.Editors Note: This article was submitted by Peggy Sage, HECM Specialist, NMLS #322344. Peggy isaSenior Loan Originator with Independent Financial and may be reached at970-691-4648 or by email at psage@ibtx.com

Creating a stimulating and passionate environment. Take a moment to think about the various tasks that create meaning throughout our day. A typical morning may consist of dressing ourselves, making breakfast, whisking the kids off to school, grabbing a coffee and off to work. For lunch we may mingle with our co-workers in the break room or at the corner cafe, meet our spouse for a quick bite or perhaps run errands that just cannot wait until after the workday. After work, its all about kids activities, homework, dinner, bath time, and finally bedtime! Even if the aforementioned is not your typical day, we all have unique interests, hobbies, and talents that consume our day. Without these things to provide fulfillment within our lives we may feel bored, unsuccessful or a lack of self-worth.Now step into the day of someone living with Alzheimers disease. The disease has gradually robbed them of their hobbies, interests, likes/dislikes, and ultimately all familiarity. The day for these individuals can often times be filled with idle time which leads to boredom, confusion, and ultimately agitation. That is why having an activities program that brings passion back into their day is of the utmost importance.A stimulating and passionate activities program should be a seamless marriage of wellness, dietary, and administrative principals. Staff should celebrate stories, memories, and milestones while exceeding care expectations for daily health and wellness needs. The program should be stimulating, engaging, entertaining, and vital to the overall health and wellness of each resident. Mental and social stimulation are critical to a better quality of living. Each day should be an inviting atmosphere of fellowship, fun, and an exciting experience to life.Examples of stimulating and passionate activities for individuals with dementia include:Walking Club Therapeutic Exercise Tai Chi & Yoga Wii BowlingCompetition Chair Line Dance Class Bible Study Trivia Card Games Pool Competition Special MovieFeature Cooking Class WellnessChat Therapy Education Seminar Crafts Sewing Club InteractiveGames Community Choir Praiseand Worship Welcome CommitteeGathering Meet & Greet Horseshoes Picnic by the Tr CommunityMinistry Computer Class FamilySkype Time Scrapbook Club Photography Class Outside Entertainment Pet Therapy World NewsChat Card Club Gardening MensCoffee Sports Chat Ice Art PaintClass Bowling Volleyball Golf Decade Discussion Tea andFellowshipEditors Note: This article was written byBobby Lane, MSN, RN, CNL; ExecutiveDirector at La Fontaine Memory Care.He may be reached at 214-618-9519.

Incontinenceis a term that describes any accidental or involuntary loss of urine from the bladder (urinaryincontinence) or bowel motion, feces or wind from the bowel (fecal or bowelincontinence). Non-Medical Home Care agencies offer this service.#listing_mgr{8 basic_search}#

Helping someone realize they are at risk You've probably heard someone say I'm worried that my mom will fall and no one will be there or my mom got lost while walking her dog or my client forgot to take their medication or my client over dosed on her medication because she could not remember if she had taken it. Don't you wish there was something you could do for them? The following approach can be used to assist your discussion with them in any situation including fall prevention, diabetes, medication errors, safe driving, memory issues etc. Remember, this is about them; so include their thoughts on the subject. The first question is to ask is if they think they are at risk? If they flat out say no, its time to move to another subject and approach the topic again at a later time you do not want them to become entrenched in their thinking and you want the opportunity for a positive discussion. The next time you ask the question, bring up a specific event to engage their thoughts and help them to identify things they can do to help themselves to remain safe. They forget their medicine or take too many sometimes. Remind them that not taking their medicine makes them feel worst or causes them more pain and taking too much medicine caused them to go to the hospital. Solutions may include putting a note on the fridge to remind them when its time to take their medicine and helping them to prepare their medication for the week. They have fallen before and are at a risk for falls. Ask them if they have fallen or almost fallen in the past. Ask them if no one was there would they be able to get up on their own. Solutions include identifying ways to prevent them from falling and ways to call for help. While they are thinking about risks, provide more information to help them face their illness or problem. Its important to listen. The more they feel they are in control and making the decision, the more likely they will follow through with it. Get a professional involved who can offer additional information. Most importantly, respond positively and support them in their decisions so they continue to communicate with you. With an open line of communication, you can help them to identify and prevent risks. Editors Note: This article was submitted by Bonnie Resnick-Destruel with Family Care Services, Inc. Contact Bonnie at 972-668-8242 or bonnie@familycaresrv.com

Are you, or someone you know, having difficulty getting up and down stairs? A stairlift could be the solution, but its important ask the right questions!For many seniors, continuing to enjoy life in the place theyve come to call home is a high priority. However, if stairs are a problem, the prospect of aging in place can quickly become a daunting challenge. If you find that youre planning your day around the stairs, coming down in the morning and avoiding going back up until its time for bed, youre probably already thinking about making a change.While some might suggest moving your bedroom to the first floor or installing a residential elevator, it can be difficult to cram everything into a half-sized living space and the costs associated with installing an elevator are often prohibitive for the average family.In many cases, a stairlift is the most practical solution for getting up and down stairs, allowing you to enjoy the full use of your home. While this is a great option, it is important to ask the right questions.How long do you plan to stay in your home?Wed all like to live in our homes forever, but its important to think ahead. Deciding how long you plan to stay in your home is an important first step in the stairlift process. Some companies offer short-term rental plans and buybacks that allow you to install a stairlift for just a short time. 18 months is a good number to keep in mind; if you plan to stay longer than that, youre probably better off buying the stairlift outright.What mobility restrictions does the user have?For some, the difficulty begins and ends with climbing the stairs. But, mobility can change over time. Its important to consider additional features that could become necessary down the road. Features, like a powered swivel or an easy-to-use seatbelt, could later become critical in ensuring a safe trip upstairs.What is the companys reputation?When dealing with a stairlift company, it is important to make sure that they are honest and reputable. How long has the company been in business? Do they have any recalls on their products? What do their customers say about them? Knowing who youre working with is half the battle!To learn more about stairlifts and the questions you should be asking, visit Stannah-Stairlifts.com or call 1 (888) 663-7538.

We love our dogs, dont we? They can be purebred or mixed, lapdog or running companion, therapy, support or guardian animals, hearing or deaf. What? Deaf?Yes, deaf. Many people know firsthand that deaf dogs can be great pets.But did you know that dogs hearing may be tested and possibly treated? When yourfaithful companion no longer gets excited to hear the leash being taken out, it may not just be old age; it may be that the dog no longer hears well. Now its possible to find out.Deafness in dogs, according to George Strain, Ph.D. professor in the LSU School of Veterinary Medicine in Baton Rouge, Louisiana, is generally a genetics problem that is present at birth or shortly after and is usually an all-or-nothing phenomenon. The dog either hears or it doesnt. However, a puppy that seems fine to the casual observer may not be able to hear. Breeders and owners alike want to know the likelihood that deafness is present or may show up later. Some breeds, such as Dalmatians, and coat patterns, such as that of the blue merle Australian Shepherd, are known to have higher incidences of deafness. The American Kennel Club now asks breeders to seek hearing testing on puppies, much as they advise testing for hip dysplasia.Audiologists may earn the Certificate in Animal Audiology through FETCHLAB, an animal hearing and bioacoustics laboratory at the University of Cincinnati. Animal Audiologists can even make hearing aids for dogs. Owners of dogs whove been fitted with hearing aids say that although they may paw at their ears at first, dogs soon adapt to wearing the devices. Interested in adopting a deaf or hearing-impaired dog? Check local rescues and Petfinder online for special needs dogs; some may be deaf. They are just as loving (or rowdy!) as their canine peers and can be trained much the same as other dogs.For training tips, go to www.deafdogsrock.com. Ask me more when you come in for your hearing test! 'Editors Note: This article was written by Laurie Bornstein, MS, CCC/A with Executive Hearing. She may be reached at 972-447-8330, ExecutiveHearing@gmail.com or www.executivehearing.com.

For more information on Care Patrol, CLICK HERE.Chuck worked as a hospital-based home health medical social worker. One of his roles was to ensure seniors who were discharged from the hospital had supportive services in place for home care or assisted living. The other was to help the Senior in their transition back home or to assisted living. He received a call from his boss that would change his life forever.She told him that the home health agency just signed up a new client who was demanding to leave the facility her daughter placed her in. She was threatening violence, and Chuck needed to get to her immediately. Chuck knew the community well, as it was known for dementia and Alzheimers care.When he arrived, he met Arlene, a 74-year-old woman who demanded, Get me out of here. I dont belong here. He engaged her in conversation for a few minutes, enough to be able to ascertain that she did not have a memory issue in fact, she was completely alert and quite well oriented with her surroundings.After digging in, he learned that Arlenes daughter had placed her in this facility because it was the only one she knew, since she drove past it every day on her way to work.Arlene begged Chuck to help her get out of this place; she knew she didnt belong with the others. Its what inspired Chuck to start CarePatrol, a senior living placement service that enables families to get the proper resources and recommendations on appropriate senior housing solutions that match a seniors budget, preferences, acuity, and lifestyle.The Challenge of Senior Living Community SelectionOne of the most important considerations we face as we age is where to live. Eventually, senior living communities become the best choice, but the choices are nearly endless. In the U.S. alone, there are over16,000senior living campuses. Among these campuses are varying levels of costs, care, and specialties. Since75% of seniorshave at least one chronic health condition, finding the right living community is essential for enjoying a comfortable, safe life in our golden years.Finding the right senior living facility is a challenge that many families face. Often, selecting senior living is left to the families, caregivers, or seniors themselves. Typically, the people responsible for setting up a senior living situation are overwhelmed and lack the resources they need to make the best decision.Jules, one of 10 children, had her mother move in with her after she got sick and needed someone to look after her. In reality, Jules went to work every day, and no one was home to tend to Mom until after dinner. Shed experienced multiple falls, to the point they decided to seek out alternate living arrangements where her mom would have on-site resources, such as independent living.Great in concept, except Mom still fell, and no one was around to check on her until the next day and she spent all night on the floor in pain.Jules sought out hospital resources, social workers, palliative care, no one had an answer.No one could let her know what they should be doing.It is daunting and challenging for families to see their parents or loved ones need increasing levels of care as they rapidly progress through the disease. It is very difficult to anticipate how people age and what physical or mental issues could arise.Sometimes, families are forced to make unrealistically fast decisions regarding senior living. The result is that many seniors do not end up in the safest or happiest environment for their individual needs.Safe Senior Living with CarePatrolCarePatrol was developed to address the gap between the resources people have and the resources they need to choose the best senior living for their relatives or themselves. Unfortunately, these stories are not the exception; they are similar to what happens to seniors and their families on a daily basis.CarePatrol offers the extra set of information you need to choose the right senior living environment. We evaluate your situation and recommend the best fit for you. We pre-screen over 36,000 care providers nationwide so that we know their strengths, their budgets, and the clients who they can best serve. CarePatrol is completely free and a no-cost service to the family because we are compensated by the tens of thousands of providers in our network.

If youre like many of the downsizing folks I work with each year, youve been in your home for 20 or more years. It may be the first home you ever owned, or a dream home you saved for and built. Regardless, you know the day is coming when youll list your home but you wonder how to value the home.The first question I hear is Do we need an appraisal?. Generally, the answer is no, you dont. For the hundreds of homes Ive listed, I can only recall two instances where Ive suggested an appraisal both were very unique homes. Additionally, some Sellers think having an appraisal now will save a step for the buyer later. It doesnt. Any Buyer who is borrowing money to purchase your home will be required by their Lender to get a new appraisal ordered by the Lender.So how is value established? Most typically, it is through the work of a Realtor. A Realtor will perform (at no cost) a comparative market analysis (CMA). A good CMA will look at homes of similar size, style, condition and location as your home. The CMA will typically look at sales from the past 6 months and select 3-5 sales that most closely match your home. This allows you to set a standard for the historic interest/response to a home like yours. The CMA also should include 3-5 homes currently on the market that closely match your home. This allows you to understand how the market is trendingup, down, flat.It sounds like its simple and straight forward. It can be, butnot all homes are the same. Some Sellers choose to sell as-is and finding comps for a home that might be dated requires a finer approach from an experienced Realtor. Other homes, as mentioned earlier, are unique in style, amenities or floor plan. An experienced Realtor should be able to talk you through how the specific points of your home affect not just its value but also the marketing impression your home will make with Buyers.A gentle word of warning: many Sellers particularly for those who have lived in their home a long time attach value to their home based on sentiment. Its not uncommon for those warm, familiar thoughts and attributes to cloud your ability to hear a Realtor suggest your home value is X.If you can clear your mind and listen to the suggestions of your Realtor that is a great first step.With an open heart and mind, and the thorough research done by an experienced Realtor, youll be right on target to get that home SOLD!_________________________________This article was written by Mike Julian. He is an agent with Realty One Group Unlimited and is a Director of theCertain SaleRetirementLiving Program.

To learn more aboutBrightStar Care,CLICK HERE.If your loved one receives in-home care, any new illnesses, injuries, or symptoms can be upsetting and confusing. How do you know when to call the doctor and when its best to start with your in-home nurse?In a life-threatening emergency, you should always call 911. Emergencies older adults might face include:Chest painHeart attackSerious fallStrokeSudden dizziness, confusion, or disorientationTrouble breathingBut for less urgent needs, you potentially can avoid a trip to the urgent care clinic or emergency room by first checking with your nurse or doctor.When to call the doctorOutside of emergencies, older adults need to see the doctor when a medical condition gets worse or a new problem develops. There are also important wellness checks and regular check-ups that should not be neglected.If you have to call 911 for your loved one or take them to the emergency room, make sure to update their primary care doctor and home care nurse on whats happened. The care team might need to modify or add new restrictions, medications, or treatments into your loved ones care plan.When to call your loved ones home care nurseMany healthcare-related issues can go to theirin-home carenurse first. Our BrightStar Care nurses are experienced RNs who are seasoned at narrowing down whats wrong, and determining if the clients doctor needs to be involved.Every BrightStar Care franchise has a registered nurse who serves as director of nursing and is actively involved with each client in a number of ways, such as:Care plan creationHome visits to see how the client is doing and whether theyre satisfied with their careRegular check-ins with clients and their loved ones about how the client is doingSupervision of in-home caregiversBecause our nurses see their clients regularly, they tend to know when somethings not right. They can investigate whether the client has experienced any new symptoms, and they can bring their concerns to the client or their loved ones. This nurse advocacy is one way BrightStar Care delivers A Higher Standard of Care to our clients and their families. If our certified nursing assistants (CNAs) notice something wrong while theyre assisting with daily routine care, they know to report it to one of our nurses so we can investigate these potential issues.If the issues are dangerous or life-threatening, your loved ones nurse may advise calling 911 or going to the emergency room. For other issues, they might do some detective work to determine whether your loved one is sticking to their care plan, such as taking all medications when indicated or getting enough sleep, before recommending a call to the doctors office.Save time with fewer appointmentsWith nursing care at home, your loved one might not need to go to the doctors office as often for routine care. Our in-home nurses can handle many of theseskilled nursingneeds for clients, such as:Complex wound careDiabetes managementIntravenous infusion therapyVentilator careDont be afraid to lean on them as a resource if you or your loved one has questions about their care or if you need help determining when its time to take things to the next level.

To learn more aboutSalt Lake Behavioral Health,CLICK HERE.Experiencing psychosis can indicate a more severe mental health problem. Psychosis can include experiencing hallucinations (seeing, feeling, hearing or tasting things that other people dont) or persistent, unusual thoughts or beliefs that other people do not believe or understand. These thoughts or beliefs can result in feelings of paranoia, that external forces are controlling a persons mind or actions, or that others want to cause harm. It can also be the belief that you have special powers.Psychosis can result in difficulty functioning normally and may require professional medical intervention. If you or someone you know may be struggling with psychosis, seek help. Recovery is possible with medical treatment.

Families need to understand their options when it comes to paying for senior care, but first, its important to understand the level of care you need.Senior care in the home can range from a couple of hours of help per week to 24-hour skilled nursing care. You may think that Medicare is the only option for long-term care, but Medicare only covers nursing and clinical care for acute conditions, usually following a stay in a hospital or rehabilitation, or skilled nursing facility.Rates vary on how much care will cost. Generally, 24-hour care in a nursing home will be much more expensive than private in-home care. However those rates also vary depending on how many hours a caregivers services are needed. Your family has many options to assist you in paying for long-term care. In addition to Medicare, there are Medicaid, Veterans Administration benefits, long-term care insurance and money from savings and other assets. Comfort Keepers can help identify potential pay resources that might be available to you.1.Medicaid This program covers a limited amount of long-term, in-home care for those who qualify. Medicaid will only pay for in-home care if provided by a Medicaid-certified home care agency, not by an independent, paid caregiver or family member. To find out about Medicaid eligibility and coverage for in-home care, call 1-800-221-3943 or visit www.colorado.gov. You can also contact the Area Agency on Aging in Mesa County at 970-248-2717, and Region 10 in Delta and Montrose at 970-249-2436. PACE The relatively new Program of All-Inclusive Care for the Elderly (PACE) provides comprehensive home and community care for frail elders who would otherwise require nursing home care. PACE is only available in certain areas and eligibility is restricted to low-income seniors, usually those eligible for both Medicare and Medicaid.Veterans and Surviving Spouses Benefits Veterans and the surviving spouses of veterans may be eligible for some in-home care assistance from the Department of Veterans Affairs, either through health benefits offered to veterans or in the form of a monthly cash benefit. If your loved one is a housebound, these benefits may be even higher. Comfort Keepers can provide help and information in applying for these programs. Long-term Care Insurance If your loved one has a long-term care insurance policy, it may include coverage for in-home care. Life Insurance Policy Comfort Keepers can help families convert their life insurance policy into cash to help pay for in-home care, even a term life insurance policy. Personal and family assets There are several ways personal and family assets can be used to help pay for in-home care, including tapping into the equity in your loved ones home and gathering contributions from those family members, who arent actively helping with daily care. Reverse Mortgage This is a special type of home equity loan that allows you to receive cash against the value of your home without selling it. For most reverse mortgages you can choose to receive a lump sum payment, a monthly payment, or a line of credit. You continue to live in your home and you retain title and ownership of it. However, you do not have to repay the loan as long as you continue to live in the home. Instead, the amount you owe, based on loan payouts and interest on the loan becomes due when you or the last borrower, usually the last remaining spouse, dies, sells or permanently moves out of the home. Uranium workers benefits If you or a family member incurred a lung illness, kidney cancer or fibrosis silicosis within the last 60 years (even if the family member is deceased) and they worked as a uranium miner, uranium miller, worked at a processing plant or transported uranium between 1942 and 1971, they may qualify for $150,000 to $275,000 tax free. This compensation can include in-home care.Editors Note: This article was submitted by Ora Lee of Comfort Keepers. Comfort Keepers can help you decide what works for you. In Grand Junction, call 970-241-8818, and in Montrose and Delta, call 970-240-4121.

Organizations that perform advocacy roles and inform the public about the latest research developments and provide assistance for specific illnesses.#listing_mgr{7 basic_search}#

As COVID-19 continues, organizations have been forced to adjust their practices and behaviors in unexpected ways. No one could have known when this pandemic started that we would be taking extra safety precautions to limit the spread of this unknown virus.Its been challenging to limit visitors and maintain safe distance between families and loved ones living in senior communities, care facilities like Saint Therese are working hard to ensure the health and safety of our residents. Were doing everything we can to ensure our residents feel loved and cared for.Here are benefits of living in senior communities during COVID-19:Safety and SecurityLiving in a senior community during a pandemic can feel scary and overwhelming, but there are often several protocols and procedures in place that ensure everyone is safe and secure. Visitors are likely limited, minimizing your exposure to the virus, and the staff are likely required to take certain precautions as well.Regular cleaning and disinfectingAt senior communities, the custodial staff makes sure all surfaces and spaces are properly cleaned and disinfected on a regular basis. Your care facility will have CDC-approved cleaning products and disinfectants available, so you can be sure your environment is always safe and clean.Trained medical professionals on siteWhen were facing a global health crisis like COVID-19, its comforting to know that there are trained medical professionals, and health care services available to those who live in senior communities. People who are over the age of 65, or who have underlying medical conditions are among the most susceptible to develop a complication from the virus.Safer socializationLiving in a senior community ensures youll have plenty of interaction with your peers and loved ones. From seeing your friends face-to-face, to utilizing your facilitys video and conference technology to get in touch with loved ones, there are plenty of ways to stay connected during COVID-19 in a senior community.If you or your loved one need the care provided at a senior community, contact us to learn more about whether Saint Therese is the right place for you.

For more information on the author, Comfort Keepers, CLICK HERE!This holiday season promises to look different than any before it for many families. But it can be refreshing and fun to shake up the routine by incorporating new ideas, especially when some of the go-to activities may not be possible this holiday season.While it is important to keep safety in mind during the holidays, there are a number of ways to bring connection, purpose and hope to seniors even when we cant see them in-person.These fun ideas for families focus on activities to do with seniors, including grandparents, older parents, and elderly neighbors. Some are free or affordable, others may require some planning ahead, but all ideas can be done together or apart to bring joy and make new memories. Some of these can be done in person, for those in the same household, or activities can be facilitated by a caregiver to ensure both fun and safety. Others are intended to bring joy to those that cant spend time together in person. While this year may not allow some of our usual seasonal traditions, there are still ways to find joy in the holiday season together.Bake cookies or a favorite holiday treatMake an ornament or cute holiday decoration as a giftHelp a senior shop for holiday gifts onlineWrap gifts on behalf of a senior and deliver them to loved onesHave a drive-through holiday parade outside of a seniors homeGather everyone in your household and go caroling for seniorsPut together a gift basket of hot chocolate, baked goods or favorite holiday snacksString lights outside of a seniors homeMake a wreath for a seniors doorPrint photos of holiday memories and share themSend cards, letters or notes of encouragementRun a holiday errand for someone that is isolating at homeSnap a few photos of your friends, family, and pets to send by text or emailPlan a surprise meal for a senior, either by cooking for the senior in your household or arranging meal delivery if you cant be in-personDraw a picture and send it in the mailLend a senior a favorite book or movie and explain why you love itTake a senior in your own household for a sunset car rideCelebrate the 12 days of Christmas by sending a senior gifts and treats.Color a page from a coloring book and give it as a giftSurprise a senior by playing or singing their favorite song over the phone or on a video callPaint a picture and give it to a seniorMake and send a handmade cardPost sticky notes with uplifting messages around the houseMake origamis and present them as giftsTell a senior what you admire about themCreate a book of holiday memories for someone specialThank someone that you appreciateListen to a senior reminisce about the good old daysSurprise a senior by dancing to a favorite song on video or dance with a senior in your household!Write a poem and give it as a giftBring coffee from their favorite coffee shopFrame a seniors favorite quote give it to themDecorate for the holidays, either outside of their home or inside if youre in the same householdRead a favorite holiday book together over the phoneSend a senior a poinsettia or other seasonal plant for their gardenGift an indoor garden to someone that cant be outside due to weatherOrder supplies from an online crafts store for your loved ones favorite hobby or something fun and newHave your senior narrate parts of their life for you. Write down the memories and create a booklet with photos for you all to cherish.Have a fashion show showcasing silly holiday looks over video or with a senior in your household and dress up in themes from your loved ones favorite eraWatch a favorite classic movie with a senior in your householdAsk your senior loved one to gather items to donate, and take them to a charity drive for themHave family phone or video callsRecord a voice journal and share itCreate a family holiday recipe bookPlay Bingo onlineCreate a collage and gift it to a senior loved onePlay charades in-person with those in your household or over video chatFind a senior pen pal and send letters and notes on a regular basisShare a favorite podcast or audio bookMake a family tree and gift it to a senior

Are you like me and worry about what your retirement looks like?Have you ever thought about what your life would be like if you no longer had to make mortgage payments(except property taxes, homeowners insurance and maintenance) or if you had a cash reserve available that would allow you to lengthen/increase your retirement cash flowor cover unexpected expenses?The NEW reverse mortgage is a loan available for seniors 62+ who wish to supplement their retirement using a portion of the equity in their home. A few benefits of a reverse mortgage include: no required mortgage payments other than taxes, insurance and maintenance (you can make optional mortgage payments for tax purposes or to control your equity position to fit for your specific situation*), and you may be able to delay taking Social Security.Top financial planners are urging their clients to look at a reverse mortgage sooner rather than later during retirement. It is no longer the loan of last resort.Its always best to discuss your individualoptions with a reverse mortgage planner.This article was submitted by Renatta Anderson, Reverse Mortgage Planner , NMLS #1267012. Renatta works for Fairway Independent Mortgage Corporation, NMLS Entity # 2289 and may be reached at 720-849-7389.*This advertisement is not tax or financial advice. You should consult a tax and/or financial expert for your specific situation. Copyright2017 Fairway Independent Mortgage Corporation (Fairway) NMLS#2289. 4801 S. Biltmore Lane, Madison, WI 53718, 1-877-699-0353. All rights reserved. Fairway is not affiliated with any government agencies. These materials are not from HUD or FHA and were not approved by HUD or a government agency. Reverse mortgage borrowers are required to obtain an eligibility certificate by receiving counseling sessions with a HUD-approved agency. The youngest borrower must be at least 62 years old. Monthly reverse mortgage advances may affect eligibility for some other programs. This is not an offer to enter into an agreement. Not all customers will qualify. Information, rates and programs are subject to change without

Take action in the fight against Alzheimers disease Alzheimers disease (AD) is reaching epidemic proportions, as the 6th leading cause of death in the U.S. Currently, 5.2 Americans are living with the disease and the number is expected to triple by the year 2050. The Alzheimers Association is taking action to change these numbers and we need your help! Alzheimers Association TrialMatch Scientists are constantly working to advance research. Clinical research, with the help of human volunteers, is the only way to find better treatments, prevention and cures. TrialMatch is a free, easy-to-use clinical studies matching service that connects individuals with AD, caregivers, healthy volunteers and physicians with current studies. Our continuously updated database of over 130 AD clinical trials includes both pharmacological (drug) and non-drug studies being conducted at 500 trial sites across the country. To learn more, visit www.alz.org/trialmatch or call 1.800.272.3900 to speak directly with a clinical trials specialist. Become an Advocate for Alzheimers Association. Alzheimers advocates play an important role in improving the quality of care and quality of life for people with AD and their families by carrying our message to elected officials at the federal, state and local levels. As an advocate, you will receive regular updates about current legislative and public policy issues; invited to communicate with elected officials via petitions, phone calls and other calls-to-action; and asked to share your story with others. Make your voice heard by signing up today. Join us in helping achieve our vision of creating a world without Alzheimers. Go to www.alz.org/advocacy to get involved right away! Walk to End Alzheimers Walk to End Alzheimers is the worlds largest event to raise awareness and funds for Alzheimers care, support and research. Held annually in more than 600 communities nationwide, this inspiring event calls on participants of all ages and abilities to reclaim the future for millions of people. Families, friends, co-workers, social and religious groups are invited to be a part of this fun experience. There is no fee to participate but all walkers are asked to set individual fund raising goals. It is easy to sign up a team online and use our interactive tools to reach out to others to raise awareness and funds which support local resources and research throughout the world. The Treasure Valley Walk is held in early October each year, followed by a Walk in the Magic Valley. Go online today to sign up and join in the fight at www.alz.org/walk!Author:MacKenzie Rodgers

Are you worried about the impact of a Nursing Home stay on you or your spouse? You are not alone as the majority of older adults worry about this same possibility. When a nursing home admission crisis occurs, it is understandably overwhelming. How will I pay for Nursing Home Care?Medicare coverage is available in many cases but is limited in payment duration. Long Term Care insurance can do wonders in protecting our assets and may even increase your chances of gaining admission to a competitive health care facility, but most consumers have opted out of this insurance due to high premiums. Once we have exhausted Medicare benefits, paying privately becomes inevitable, until one becomes eligible for Medicaid (Medical Assistance) benefits.Must I spend all of my assets if I am admitted to a Nursing Home? Under Medical Assistance, the spouse who is NOT in need of nursing home services, (the Community Spouse) is afforded substantial protections that provide the necessary means to continue living at home with assets and income to support them. However, understanding and benefiting from these protections is a difficult task especially given the fact that information is not readily available and few professionals specialize in educating seniors in this critical area.What can I do to lessen the impact of a Nursing Home stay?It is never too early to initiate planning. Everyone should have a Financial Power of Attorney and a Healthcare Power of Attorney with Living Will instructions these all are essential documents that allow our trusted agents to protect us in difficult times. In addition, these documents should be specifically drafted to meet our goals including asset protection powers for our spouse.Consider contacting an attorney who focuses in Elder Law today! An Elder Law attorney can help you create an effective plan to protect you and your spouse should a nursing home admission become inevitable. Peace of mind is achievable!___________________________Editors Note: This article was contributed by Shawn Pierson, Elder Law Attorney in Lititz, PA.

Connecting compassionate, quality care to our communitiesNew Bridge Medical Center, a clinical affiliate of Rutgers Biomedical and Health Sciences, is a 1,070-bed hospital located at 230 East Ridgewood Avenue in Paramus, NJ. The Medical Center is both the largest hospital and licensed nursing home in New Jersey and the fourth-largest publicly-owned hospital in the nation. The hospital changed its name to New Bridge in October 2017 when the not-for-profit company, Care Plus Bergen, took over as the management entity. Care Plus Bergen brings together the expertise of Rutgers New Jersey Medical School, Integrity House, and Care Plus NJ, Inc., to form a groundbreaking collaboration that will revitalize and strengthen the high-quality, patient-centered care provided to patients, long term care residents, and the community served by the facility.The Medical Center, including its Long-Term Care Division, is fully accredited by The Joint Commission. Less than 6% of long term care facilities nationwide pursue and receive Joint Commission accreditation.Families trust New Bridge Medical Centerto provide comprehensive, high-quality long term care services for their loved ones. As a full service, accredited medical center, New Bridge provides a scope of services far exceeding those offered in a standard nursing homeenvironment. Highly-trained, skilled staff provide nursing care focused on individual resident needs 24 hours per day, 365 days per year, as well as access to onsite, specialized physicians. Comprehensive medical or mental health care is always only an elevator ride away.New Bridge Long Term Care specialty services include: Rehabilitation services, including physical therapy, occupational therapy, and speech therapy In-house respiratory therapy services 12-bed ventilator unit Surgical care Tracheostomy care Professional dietitians and chefs Hospice services Intravenous therapies, gastrostomy tube feeding, and advanced respiratory support services are available. A comprehensive wound care program Respite program Secure Alzheimer/dementia units Multi-faith pastoral care provided at bedside and in our interfaith chapel An onsite personal care salon with services offered in the salon or in the privacy of a residents room Diversified recreational therapy activities Greenhouse Community outings Flat screen TVs and Wii entertainment systems Library Game room Kosher meals provided upon request Dedicated Korean and Indian program meeting the cultural needs of those communitiesThe New Bridge LTC Admissions team helps families navigate the Medicaid process and are available to explain Medicare and other insurance coverage.For more information or to schedule a tour call 201.967.4073 or visit newbridgehealth.org

Motivated by heart-breaking stories her own mother told about growing up in foster homes and determined to protect children in that situation now, Elaine Ellis became a Guardian ad Litem volunteer six years ago. Mom wasn't abused like many were back then, but she wasn't loved either, Elaine recalls. Now, she's working to make sure children in state custody, like 7-year-old Sarah and her 8-year-old brother, Elijah, are treated the way she wishes her Mom had been. Twice last year Sarah and Elijah needed someone in their corner, and both times Elaine was ready to stick up for them. The children's father disappeared years ago and their mother, Linda, fell and hit her head while working in Lewiston. Her injuries required a long hospital stay and months of rehabilitation. Doctors said it would be at least a year before she could care for herself and the children. With no one to care for them, Sarah and Elijah were placed in a foster home to wait for Linda to recover. Sarah and Elijah were devastated when I met them, Elaine said. I've never seen two sadder kids. Elaine visited them regularly - working hard to earn their trust in the months that followed. She took them books and blankets, checked on their grades, and listened to their stories about their Mother and all the things they would do when she was well. It was two months later that Sarah shared a secret with Elaine - a teenager in the foster home was abusing her brother, she confided. Elaine reported the abuse and Sarah and Elijah were immediately moved to another foster home. In the meantime, Linda's therapy progressed. Her condition improved enough to have visitors, and Sarah and Elijah were ecstatic to learn they would be able to see their mother over the Holiday break. Every time Elaine visited they were making plans for the visit. It was only four days before Christmas when Elaine got a frantic phone call from Carrie, the foster mom. Carrie told Elaine the arrangements for the children's Christmas visit with their mother hadn't been finalized, and no one at the Department of Health and Welfare had given approval for the trip. The person with the authority had left town, Elaine said. I just couldn't stand for them to have that kind of disappointment. It took dozens of calls and three trips to state offices but Elaine finally found someone with the authority and willingness to approve the trip, but there were still no travel arrangements. Finally, on Christmas Eve, Elaine found friends from church, foster parents, who were traveling to Lewiston and had room for two more passengers ensuring Sarah and Elijah would spend Christmas with their Mom as promised. There wasn't anyone to watch out for my Mom, Elaine said, I'm happy to be part of a program that watches out for kids like her now. Names changed to protect the identities of those we serve. This year over 1,100 children in the Treasure Valley were placed in foster care because of abuse or neglect. Family Advocates has trained over 350 volunteers to provide a voice to children in foster care through the Guardian ad Litem program. Family Advocates is in need of 120 additional volunteers to help meet demand and ensure all children have someone to stand up for them in times of need. If you are interested in becoming a Guardian ad Litem and making a difference in a childs life contact Brad Talbutt at 345-3344 or email bradt@familyadvocate.org. No experience is required. Family Advocates provides all volunteers with training and supervision by experienced staff.

All too often veterans are told they do not qualify for VA Aid and Attendance.The truth is you may be eligible for benefits to help pay for needed extended care if you meet The 3 Ms of eligibility. These are: Military, Medical and Money.Military service. A veteran or a surviving spouse of a veteran must have 90 days of active duty, with one day during a period of war, and have been discharged with an other than dishonorable discharge. The periods of war include World War II, the Korean War, the Vietnam War and the Gulf War. Gulf war veterans must have two years of active duty to qualify.Medical need. A claimant must have the need of assistance of another individual with at least two activities of daily living. These are bathing, dressing, ambulating, toileting and eating. Legally blind or cognitively impaired also creates a medical need. An example of this would be someone with dementia may simply need daily reminders to eat and bathe, this would qualify.Money. The VA looks at both income and assets. In order to qualify for the full benefit your income must be less than your cost of care. Here is an example, take someone with an income of $3,000 per month and their cost of care in an assisted living community is $4,500 per month, they would have $1,500 negative per month. They would qualify for the full monthly benefit of $2,120 for a married veteran, $1,788 for a single veteran, and $1,149 for a surviving spouse. The amount of assets they can have is not as straightforward and is somewhatDo you Qualify for VA Aid and Attendance?All too often veterans are told they do not qualify for VA Aid and Attendance.The truth is you may be eligible for benefits to help pay for needed extended care if you meet The 3 Ms of eligibility. These are: Military, Medical and Money.Military service. A veteran or a surviving spouse of a veteran must have 90 days of active duty, with one day during a period of war, and have been discharged with an other than dishonorable discharge. The periods of war include World War II, the Korean War, the Vietnam War and the Gulf War. Gulf war veterans must have two years of active duty to qualify.Medical need. A claimant must have the need of assistance of another individual with at least two activities of daily living. These are bathing, dressing, ambulating, toileting and eating. Legally blind or cognitively impaired also creates a medical need. An example of this would be someone with dementia may simply need daily reminders to eat and bathe, this would qualify.Money. The VA looks at both income and assets. In order to qualify for the full benefit your income must be less than your cost of care. Here is an example, take someone with an income of $3,000 per month and their cost of care in an assisted living community is $4,500 per month, they would have $1,500 negative per month. They would qualify for the full monthly benefit of $2,120 for a married veteran, $1,788 for a single veteran, and $1,149 for a surviving spouse. The amount of assets they can have is not as straightforward and is somewhat subjective process. We have had claims approved with over $80,000 in total assets and others denied for less than $30,000 in total assets. So, how do you know what the correct amount is? The best advice is to consult with an accredited agent or attorney who understands the rules. A competent advisor can help you qualify even if your net worth is excessive.

I have helped over 100 seniors move into retirement communities they all say they wish they had done it sooner. Change is hard even the changes we really want and look forward to. You have worked hard on your home over the years; now let that equity work for YOU, to provide a lifestyle that is more in step with where you want to be at this different stage of your life! But what do you do first? You call a Senior Real Estate Specialist (SRES) with over 30 years experience. This is a good first step in the decision to move to a retirement community.Perhaps you are wondering..How much is my house worth? You and your SRES will review recent sales in your area and come up with a price range. Review an accurate days on the market study. Ask your SRES to prepare an estimate of how much money you will net at closing. Give this information to your investment counselor to help you determine how you can use the interest from the investment to subsidize your income.What if my house needs work? Many buyers want as is properties but if your home needs work to go on the market have your SRES help you get estimates. Or maybe a pre-listing inspection would fill the bill.What about all my stuff ? there are excellent resources available to help seniors downsize a good estate liquidator will help you get top dollar for the items you will not need in a smaller space and professional companies are available to help organize your move down to every detail.Is it a good time to sell? Absolutely! Rates are low and buyers are abundant! Your house will not be in competition with distressed properties! Find an SRES with a cutting edge marketing program that will get your house sold!How do you coordinate the move-in date with the sale of your house? Many seniors have found that moving into their new apartments and letting their homes be shown vacant is the most convenient. It is easier to show your house and a lot less stress on you.Article submitted by Sandi Hewins SRES, Metro Brokers. She can be reached at 303-887-2509 or on the web at www.denverseniorrealestate.com

Respite Care for the CaregiverRhonda Pepper was her mother, Vera Ruth Goodrichs caregiver. She was diagnosed with Frontotemporal Dementia (FTD). This is due to progressive nerve cell loss in the brains frontal lobes; it is the area behind the forehead or just behind the eyes.Rhonda started noticing some behavior changes in her mother. She started getting up in the middle of the night and getting dressed. She would set the table for the entire family. She was doing things out of nature financially, Rhonda said.She moved in with us in January of 2009 but we didnt get the diagnosis of Frontotemporal Dementia until May. Finallyeverything we had been experiencingthat just pulled it all together, said Rhonda, with a look that can only be described as bitter sweet. They finally had the answers to the why? but now what? Caregivers are so often put in this role or a position of a role reversal.Ruth was referred to palliative care and eventually found herself on hospice care. As a full-time caregiver, Rhonda was able to utilize hospices respite program. This allowed me some down-time. I could go sit at the park and read a book; go to my own doctor appointments; attend group meetings for caregivers; it just allowed me to remove myself from the environment and recharge my batteries, said Rhonda about her experience with the respite program.Rhonda shared the realistic views behind closed doors and what its really like to care for an ailing adult. Its like taking care of an adult infant. Every two hours I would take her to the bathroom; I would shower her; I dressed her; I would change her wet and soiled pants; I would feed her. Rhonda also said she was never fully rested, only sleeping lightly at night because she always had one ear on her mother.As an educator in the community, to physicians, people are often surprised to learn of the many additional programs hospice offers and how, sometimes one program can collaborate with another. Until or unless someone is in the position of being a caregiver, people dont realize the effects, physically and emotionally, it has on them. The term respite literally translates to a time of rest.Editors note: This article was written by Gina Paradiso. She is a Liaison with Arkansas Valley Hospice, Inc. and may be reached at 719-384-8827 or by email at gina.paradiso@arkvalleyhospice.org

While spring is the season of new beginnings, it is also the season of more sunshine and as the weather heats up, spring also brings increased energy usage especially as many of us continue to spend more time at home.To help you save energy this spring, Florida Power & Light Company (FPL) is offering some simple tips.Check windows for air leaks: Check your windows for drafts. Re-caulking and using weather strips can help to keep the warm air outside.Leave incandescent bulbs behind: LED bulbs are 85% more efficient than incandescent bulbs and last 10 times longer.Try to block out the sun: Use thermal-backed drapes for your windows and sliding doors and keep them closed during the sunniest parts of the day to help keep your home cool.Always turn off your fan: Ceiling fans cool people not rooms. Turn ceiling fans off when you leave a room. Leaving them on in an empty room can drive up energy costs.Never leave your A/C filter dirty: Be sure to change the filter and make a habit of doing so within the timeframe recommended for your model.Inspect the ceiling for duct leaks: If the ceiling is dirty around your A/C vents, that is a good indication of leaks in your ducts. Contact an A/C contractor to perform a duct test if thats the case.Consolidate electronics with power strips: Easily turn off a group of electronics at once when theyre not in use by consolidating several plugs onto a power strip. Thiscould saveyouup to $100 a year.Get energy savvy: Install a smart thermostat and control the temperature of your home from anywhere. When used appropriately, these can help a single-family home save about 3% of total energy costs.Looking for more ways to save this spring? Check out FPLs various energy saving programs, like our ceiling insulation and A/C rebates, no cost On Call program and free Energy Analyzer tool at fpl.com/save/programs. Submitted By: FPLWritten By: Andre Sowerby-ThomasAndre Sowerby-Thomas is FPLs Home, Business and Energy Solutions expert and residential contributor to Watts Happening, a blog by FPL focused on helping residential and business customers become energy savings pros. For more than 15 years, Andre he has helped customers improve their energy efficiency and lower their home/business energy costs.

Finding the right information at the right time can be challenging when a major life event happens.Many people do not know where to begin. Others find it hard to admit they need help. Some people do not use computers. Each person has unique needs and every community is different. Information must be tailored to each person and community.Where to start? 2-1-1 and Elder Helpline services offer free, confidential community resource information and referral. Calls are answered by trained specialists that know what types of non-emergency local help is available and can access comprehensive resource databases.What is 2-1-1? It is a 3-digit local number that connects callers to information about social services people of all ages may need in the county they live. For example, food, housing, affordable child or parent care, health/medical concerns, or short-term help for paying bills. 2-1-1 specialists offer information and referral services a caller may not know about. Callers are responsible for making their own contacts with potential service providers. To reach 2-1-1 assistance in Charlotte, Sarasota and Manatee Counties, dial 2-1-1 or the alternate number provided. Charlotte County: Call 2-1-1 or (941) 205-2161 for cell phone, TTY users and residents in Englewood. Charlotte 2-1-1 is a service of the Charlotte County Human Services. Sarasota and Manatee Counties: Call 2-1-1 or (941) 308-4357. 2-1-1 is a service of United Way Manasota.How is Elder Helpline different? Elder Helpline provides information and access to resources for adults over 60, adults with disabilities and their caregivers. It is a toll free helpline answered Monday through Friday between 8am-5pm. Charlotte and Sarasota Counties: Call (866) 413-5337. Elder Helpline is a service of the Area Agency on Aging for Southwest Florida. Manatee County: Call (800) 963-5337. Elder Help Line is a service of Senior Connection Center, Inc. To access the Statewide Florida Elder Helpline, call (800) 963-5337Editors Note: Dale Adler, MA, MSW is a social worker, gerontologist and program consultant. She can be reached at dladler@lifecourseconcepts.com or (239) 466-7812.

As we age, daily cooking, cleaning, and upkeep requirements can create a lackluster lifestyle. Making a move to an independent living community may sound scary, but it can become a liberating experience. Aside from the benefits of downsizing, there are many positive reasons to reside in a senior retirement community, including improved socialization, increased safety, and personal enhancement opportunities, such as finding new hobbies or taking new educational classes.Whether it is driving restrictions or income limitations, seniors may find it harder and harder to stay socially engaged. Relieving yourself of daily burdens allows you to pursue activities and interact with like-minded peers. Restaurant-style dining also provides a social highlight of the day and encourages friendships. If you are still driving, most communities allow you to bring your vehicle, so you have the freedom to continue any activities off-site that you enjoy now. The overall concept of Independent Living is to enhance your current lifestyle. When looking for a good fit in a senior community, be sure to find a place that offers a variety of activities and programs while nurturing your current routine.Personal safety is a crucial element to maintaining independence. Many independent living communities have on-site, live-in managers available round-the-clock if an emergency arises. Some independent living communities offer additional health and wellness options, such as on-site fitness, rehabilitation and therapy services, transportation to local appointments, social events and outings, and so much more! Having supportive health programs on hand will help you live an optimal lifestyle in a community that focuses on promoting your health and happiness for many years!Independent living communities benefit active seniors who are looking for additional social engagement. These communities provide amenities and services, which are not readily available to seniors living at home. Research your areas senior living options to learn about the services available and how you can live life to the fullest!_____________________________________Editors Note: This article was submitted by Mike Lapinsky. Mike Lapinsky is the Marketing Director at Traditions of Hershey Independent Living and Personal Care.

A Fixed Annuity is a contract with a life insurance company that a consumer purchases with a sum of money. The life insurance company credits interest to the contract and agrees to make guaranteed payments to the contract owner immediately or starting at a future date that the owner chooses.Fixed Annuities are designed to provide consumers with a reliable way to accumulate and use their retirement savings with guarantees to help protect them against various risks.But, what makes them safe?Because Fixed Annuities are insurance, the life insurance companies who issue them and the agents who sell them in Florida must be licensed and regulated by the Florida Department of Financial Services.This Department is responsible to protect consumers by ensuring the financial health of those companies licensed to do business in Florida.In addition to this, all insurance companies that sell Fixed Annuities are required to be members of the states guaranty association as a condition of doing business in Florida.Editors Note: This article was submitted by Tony Tecce of TTA Services Inc. For additional information on the safety of annuities, please contact Tony directly at 941-346-0071.

Everyone loves their pets!Seniors Blue Book Greater Dallas, Publisher, Kathleen Warshawsky, BSN, RN created this fun andinteractive networking event to encourage a personal connection as we get to know each other better.Meet Seniors Blue Book Community Partners and senior care professionals at Seniors Blue Book Marketing Mania | Pet Edition, our favorite networking event! Thank you to our Community Partners for participating.Scroll down to watch the video and see all of our pets! :)

Assisted Living in between home and the nursing home; in between independent living and the nursing home; my final home. Being in between sometimes means you get missed. Ask any middle child.When assisted living started in the mid 1990s the resident of an assisted living was an 83 year old woman with a walker, who lived on average 3 years in the assisted living. Today, those residing in assisted living in Denver are much older in their upper 90s. They require wheelchairs, oxygen, and intermittent medical oversight from a nurse. Adapted diets, transportation to medical appointments, medication management, and the creation of routine and structure to the day round out the needs of todays client. Families are the decision makers. The resident does not park his or her Buick in the parking lot and ask for a tour. They are not calling their children with Lets go today and pick out my assisted living facility, I am moving in the next two weeks. Even when everyone knows more support is needed to maintain a good quality of life, all hope the need for assisted living is not TODAY.When the family finally calls the facility, takes the tour, has the family meeting to agree they are often late to the table. After the resident moves in, care is planned correctly, delivered appropriately and as negotiated with the resident, family, and the facility many families have then said to me WE SHOULD HAVE MADE THIS MOVE 2 YEARS AGO! Seriously, no one has ever said, we should have made this move 2 months ago, 2 weeks ago, or 2 days ago..it is ALWAYS 2 years ago. Wisdom is learning from those who have gone before you. Look 2 years out and plan your parents move to assisted living in Denver. Those who move in at the right time - adapt, grow, and make a new home for themselves. Thus, living longer in the environment both of you want.Editor's Note: This article was written by Yvonne Myers, Health Systems Director of Columbine Health Systems. She can be reached at 970-482-0198.

Many people believe they only need a doctor when they are sick. However, having a primary care physician may be your key to staying healthy.An important responsibility of a primary care physician is providing preventative care. Think of your primary care physician as your wellness coach, who will protect your health through regular checkups, and will make sure you get the screenings you need to identify any concerns as early as possible.There are many reasons you should have a primary care physician. They include:1.Continuity of Care/Holistic Care A primary care physician can treat the whole person, which takes into account your history, family history, and any existing conditions you may have.2.Care Coordinator/Central Point of Contact A primary care physician will insure that your care and health information is coordinated between your other physicians and specialists. This will insure that you are not having any duplication of care, and also communicate important health information to your care team.3.Valuable and trusted resource Whenever you have a health question or concern, your primary care physician should be your first call. He or she may need to refer you to other specialists, or help you find other resources to help with your care, but again, serving as your care coordinator, your primary care physician is the best person to initiate your care.4.Routine screenings Whether it is taking your blood pressure, ordering regular, routine lab tests, or making sure you are getting regular mammograms, colonoscopies, or other important screenings, your primary care physician should be recommending all necessary routine screenings to you. Follow up when your doctor orders tests and screenings. This will enable your primary care physician to catch any serious health issues early, when they are most treatable.5.Keeping you out of the Emergency Room Many people who do not have a primary care physician use the emergency room when they get sick. Your primary care physician can offer options that can help prevent your potentially unnecessary trips to the ER. This may include same-day and walk-in appointments, which may eliminate the need for an unnecessary, and more costly ER visit. While the emergency room cannot replace a good relationship with a primary care physician, when emergency care is needed, your primary care physician will certainly refer you for that higher level of care.Editors Note: Please call 239-348-4221 or visit PhysiciansRegionalMedicalGroup.com to schedule an appointment with a primary care physician.

Onsite Skin Solution is the leader in mobile dermatology providing services to residents who reside in senior living communities.We specialize in the prevention, detection and treatment of pre-cancerous and cancerous growths, as well as, other dermatological conditions.Dr. Jack Jawitz M.D. is Board Certified for over 30 years and currently practices in Bradenton and Sun City. He recognized the need to provide more comprehensive dermatology services to residents. His purpose is to make the residents lives easier.What makes OnSite Skin Solution different? Dr. Jawitz uses Superficial Radiotherapy (SRT), the latest technology in treating skin cancer, unlike other mobile dermatologist. SRT is a low energy radiotherapy that penetrates only a short distance below the skin. SRT is a non-surgical highly effective, painless, and cosmetically attractive alternative to surgery inselected cancers.Editors Note: Medicare and other insurances are accepted and in-office appointments are available, please call 941.755.2255.

The facility either offers in house doctor visits or will take the resident to their doctor.A doctor's visit, also known as "physician office visit" or "ward round", is a meeting between a patient with a physician to get health advice or treatment for a symptom or condition.#listing_mgr{1 basic_search}##listing_mgr{8 basic_search}#

As we age, many of us are faced with the prospect of revising our living arrangements. While thinking about moving can be a source of anxiety and stress, planning ahead can give you more choices for the future, making a big difference in your level of independence and quality of life. If home upkeep and maintenance has become overwhelming, if youre simply looking for a community with more opportunities to socialize, an independent living community may be a good option. To decide if it is right for you, learn about your choices in independent living, including common types and find help in choosing a residence.Independent Senior Living is a residential living setting for elderly or senior adults that may or may not provide hospitality or supportive services. Under this living arrangement, the senior adult leads an independent lifestyle that requires minimal or no extra assistance.Since independent living is any housing arrangement designed exclusively for seniors, generally those aged 55 and over, the housing varies widely from apartment-style living to freestanding homes. In general, the housing is friendlier to older adults, often being more compact, with easier navigation and assistance. You may also hear the terms retirement communities, retirement homes, senior housing and senior apartments applied to independent living.So, no matter what type of independent living community you consider, you want to make sure you connect with peers and feel comfortable in the community. When you visit the area, talk with some of the residents. Are they people youd like to know better? Are some of your favorite hobbies or activities available? Are support services timely with friendly staff and are the activities accessible? Is the community in close proximity to shopping and transit venues if needed? Knowing all these things in advance will give you the greatest opportunity to enjoy to the fullest your new apartment or home.Editors Note: This article was submitted by Debbie Grammer. Debbie is a Manager with SilverCrest Senior Community and may be reached at 801-758-9955 or by email at manager@silvercrestapartments.com. For more information visit SilverCrest Senior Community on the web at: www.silvercrestapartments.com

Declared an Essential Health Service, Local In-home Senior Care Company to Add 15 New Caregivers to Support Northern Colorado-Area Seniors and their Families; Partners with local businesses to deliver meals to families in need.FORT COLLINS, Colo.,April 16, 2020/PRNewswire/ --Declared an essential health service as a home health agency,Senior Helpers,one of the nation's premier providers of personalized in-home senior care, today announced its locations acrossNorthern Colorado, includingFort Collins,LaporteandGreeley, will bolster its corps of caregivers to support local seniors and their families.Further, Senior Helpers ofNorthern Coloradohas partnered with several local businesses to produce and deliver meals to families in need throughout its communities.According to the Centers for Disease Control and Prevention (CDC), seniors are exceptionally vulnerable to the novel Coronavirus and should avoid being out in public. This situation makes in-home care one of the safest options available for seniors today. Asa result of the community's growing needs, Senior Helpers will immediately add up to 15 new caregivers across its regional franchise network, to include personal care workers and home health aides that will complement its existing team of professionally trained in-home senior care experts."We know that older adults and their families need tremendous support in keeping elderly loved ones healthy and safe during this global pandemic, and we are committed to offering this essential service safely in their homes," saidGil Atanasoff, owner and executive director at Senior Helpers ofNorthern Colorado. "Our community can rest assured knowing the Senior Helpers team is dedicated to offering premier in-home care and that we will do so with proper precaution."Senior Helpers provides each franchise owner across its nationwide network with Personal Protection Equipment (PPE) that is needed to help ensure all caregivers and clients remain safe under its care amid the current pandemic. Further, Senior Helpers ofNorthern Coloradowill host virtual interviews, pre-hire, and new hire sessions for a safe and effective hiring process for all new team members.The company recently digitized all documents and forms to ensure the safety of its new and existing team members, while also improving and streamlining the hiring process."In this time of complete uncertainty, we are proud to be able to continue offering local-area seniors and their families the care they need," saidPeter Ross, chief executive officer, Senior Helpers. "Preserving the safety and health of our team and clients will continue to be our highest priority, and we encourage seniors and their families to continue seeking safe, effective in-home care, knowing Senior Helpers will follow every precaution and procedure with the utmost consideration."Additionally, Senior Helpers ofNorthern Colorado, together with FoCo Caf, Jay's Bistro, Fort Collins Delivery Network, The Alternative Board Northern Colorado, Me Oh My Caf and Mill City Church, is coordinating meal deliveries and pickup sites to support families in need. The meals, created by Jay's Bistro for Easter and by FoCo Caf ongoing, are hand-delivered to Senior Helpers clients, low-income independent living senior apartments, homeless community members, families with school-aged students and more. The company has also collaborated with Me Oh My Caf and Mill City Church to set up pickup points for local families to safely obtain meals to take home. The initiative beganEaster Sundaywith a brunch menu consisting of Glazed Ham & Herb-crusted Leg of Lamb, Bistro Potatoes, Deviled Eggs and much more, and FoCo Caf anticipates delivering meals ongoing to those in need within the community during these uncertain times. The organizations delivered over 250 meals onEaster Sundayalone."With schools closed until the fall and older adults relying on others to bring them groceries so that they stay out of harm's way, we know that far too many families in our communities are struggling to obtain daily essentials like food," added Atanasoff. "We knew we had to do something more to help our clients, their families and others throughoutNorthern Colorado, and we are so grateful for our partners who have given us the opportunity to be involved in the distribution of meals to those who need it most."Senior Helpers ofNorthern Coloradoand its caregivers are available to continue providing immediate care and support for the local senior community and their families. Senior Helpers will continue to be transparent with any new developments and will provide any further updates as necessary.For more information on Senior Helpers ofNorthern Coloradoand how to apply, please visithttps://www.seniorhelpers.com/co/fort-collins/careers. To find out more about Senior Helpers ofNorthern Colorado'smeal donation program, visithttps://www.facebook.com/SeniorHelpersNoCo/.About Senior HelpersSenior Helpers is the nation's premier provider of in-home senior services ranging from specialized care for those with diseases, such as dementia, Alzheimer's and Parkinson's, to personal and companion care to help individuals looking for a little assistance with daily activities. Founded in 2002 with a vision to help seniors age with dignity despite age-related illnesses and mobility challenges, Senior Helpers has hundreds of franchised and owned businesses that have cared for tens of thousands of seniors.Senior Helpers was the first and remains the only national in-home care provider to be certified as a Great Place to Work. The company has been named by Fortune Magazine as one of the best places to work in the aging services category and one of the best places to work in the state ofNew York. Senior Helpers is one of Entrepreneur's Top 500 Franchise Companies and is an approved partner in the Military Spouse Employment Partnership. Senior Helpers is also an active member of the Healthcare Leadership Councilan exclusive alliance of leading healthcare companies from all health sectors committed to advancing the American healthcare system. Learn more by visitinghttp://www.seniorhelpers.com.Contact:Paige ThornleyHavas Formula(619) 831-8039SeniorHelpers@havasformula.com

For more information on Companion Caregiver Services, Click Here.More than 29% of the United States population currently receives home health care from a family member. This could be for a chronic illness, disability, surgical operation, aging, the list goes on. Due to the growing number of elderly people;the nation is facing a shortage on caregivers to assist in homes, facilities, and senior living communities. Two companies in Fort Myers, FL have come up with a solution to this growing issue.Caregiver BurnoutMany people stay at home to assist a loved one. Thus, they have the difficult task of trying to manage a life of their own, a paying job, and the full time task of family caregiver. Six out of ten unpaid caregivers say they manage the task of care giving and a full time job.In turn, almost all family designated caregivers typically face a breaking point physically/mentally; an event commonly referred to as burnout. According to The World Health Organization:Burn-out is a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed. It is characterized by three dimensions:feelings of energy depletion or exhaustion;increased mental distance from ones job or feelings of negativism or cynicism related to one's jobReduced professional productivityTherefore; the demand for home health care workers is unmistakably high. And that is why the Home Health Care industry is growing at a rapid rate. According to the U.S. Bureau of Labor Statistics; the job outlook for home healthcare providers is double that of the national average.

Recently, the State of Colorado implemented new licensing regulations for home care providers providing services within the state. There are definite and defined distinctions between Home Health Care Agencies and Non-Medical Home Health Care Agencies. Below are definitions directly from the Colorado Department of Health's website:Home Care Agencies provide medical and non-medical care services in homes or alternative community settings. The Health Facilities and Emergency Medical Services Division is responsible for monitoring and evaluating the quality of health care services provided by licensed and certified home care agencies. Home care agencies provide a wide range of health and social services to persons recovering from an illness or injury, or persons who are disabled and/or chronically ill. They may provide medical services such as nursing, social services, and therapeutic treatments (physical, speech, occupational therapy). They also may provide non-medical services like help with bathing, dressing and eating.Non-Medical Home Care Agencies include two programs that can be certified by the Home and Community Based Services Medicaid waiver, specifically: In-Home Support Services and Personal Care Homemaker (IHSS). IHSS include attendant assistance with health maintenance activities, support for activities of daily living or instrumental activities of daily living and personal care and homemaker services. Medicaid-eligible clients direct, select and train their own attendants. A clients attendant is employed by the In-Home Support Services provider agency of the clients choice. Agencies provide independent living core services in the areas of cross-disability peer counseling, information and referral services, independent living skills training and individual and systems advocacy. Providers also must provide 24-hour back-up services and a health professional that will be responsible for the attendant training, including assistance with health maintenance activities and skilled nursing care. Personal care services are furnished to meet the clients non-medical physical, maintenance and supportive needs, including bathing, grooming, hygiene, and assistance with ambulation. As these services are non-medical, they do not need to be performed by a certified home health aide as an extension to care provided by a nurse or therapist. Homemaker services are provided to Medicaid-eligible clients when the individual ordinarily responsible for these activities is temporarily absent or unable to manage the household activities. These services include housecleaning, meal preparation and laundry. It is important to know the distinctions between these two services when making a decision for you or a loved one to find the right level of care for your needs. Editors Note: This article was submitted by Maria Deuth of In-Home Companion Care. She can be reached at 720-862-5656. 

Salt Lake County Aging Services is the local Area Agency on Aging (AAA). These agencies were set up across the country beginning in 1965 by with the passage of the Older Americans Act. Aging Services is the largest AAA in the state and is housed as a division of Salt Lake County Government.Salt Lake County Aging Services has been serving the countys older adult population for over 35 years. The division, originally located in the countys old hospital, began modestly with a handful of full-time staff whose main focus was to ensure older adults a hot nutritious noon-time meal through the Meals on Wheels Program (one of the first in the nation) and to provide a gathering place where seniors could partake in activities for the mind and body through the Senior Centers Program.Aging Services provides a comprehensive, coordinated system of services that promote the independence of older adults living in Salt Lake County. The division encompasses 10 in-house and two contracted programs (Chore Services/Legal Services) that help older adults incorporate healthy behaviors into their everyday lives as well as foster the independence and dignity of the frail, homebound and isolated segment of the senior population. As the local AAA, Aging Services is mandated by the federal Older Americans Act to provide these services. The system has two tiers:Programs that promote the health and well-being of younger, healthier and more active seniors. These programs have a preventive focus and include: Senior Centers Program Healthy Aging Program Senior Employment ProgramVolunteer Programso Retired & Senior Volunteer Programo Bridges Volunteer Programo Senior Companion Programo Foster Grandparent Programo Legacy Corps ProgramPrograms that provide support and assistance to the older and frailer population. These programs are focused on helping to maintain independence and include: Meals on Wheels Program Senior Transportation Program Caregiver Support ProgramThe Alternatives Program Ombudsman Program Outreach ProgramEditors Note: This article was submitted by Andrea Garry. Andrea Garry is with Salt Lake County Aging Services and may be reached at 801-468-2480 or by email at slcoagingservices@slco.org. For more information visit Salt Lake County Aging Services on the web at: www.aging.slco.org.

The catch phrase says it all. Adult children who are caring for their parents while also raising their own family are known as "the sandwich generation." These caregivers find themselves pulled in many directions -- caring for a parent, raising their children, keeping their marriage healthy and often holding down a job as well.Moreover, they are thrust into the awkward and often unwanted position of parenting their own parents. In my 33 years of working with the older generation, this reversal in the parenting role gives rise to stress for both child & parent. Often with this stress comes arguments, frustration, negative feelings and relational divisions within families. Instead of focusing their attention on their own family, their focus has to shift to the parent, requiring more time, energy and patience than they had ever imagined.It doesn't surprise me when one of my client's children call me to confess their resentment and guilt. Statements such as "I just can't make one more decision for dad..." or "I didn't realize how much time this was going to take and I just don't have it" or "why won't my mother do what I tell her to" do not surprise me at all anymore. In fact, I quite understand, having been through this personally, several years ago.Please know this: Your feelings are normal. Don't keep the negative feelings in. Vent to a good friend, spouse or a therapist. It is a huge responsibility to take on the parenting of your parent. Remember how they parented you and use the same techniques. For example: if you don't allow X, the consequence will be Y&Z.My advice is to always take care of yourself. One way to do this is to enlist or employ help! There are so many resources in our area that can help relieve a lot if not all the responsibility. By getting help, the role of parent and child returns to its original state.Sharon Ritchey-Boschini,Owner & DirectorVisiting Angels of North Hills Pittsburgh8035 McKnight Road, Suite 304Pittsburgh, PA 15237412-366-4860www.visitingangels.com/northhills

Lets face it. Getting older can be very lonely. Loved ones and friends move or pass away, and it becomes increasingly difficult to leave the house and participate in once-loved activities. But there is once source of comfort and companionship that benefits seniors in countless ways: pets.The Benefits of Pet Ownership for the ElderlyAnimals can help reduce stress, lowerblood pressure, and increase social interaction and physical activity. Pets provide other intangibles, too. Dogs and cats live very much in the present, says Dr. Jay P. Granat, a New Jersey-based psychotherapist. They dont worry about tomorrow, which can be a very scary concept for an older person. An animal embodies that sense of here and now, and it tends to rub off on people.Pets can also have an astounding effect on symptoms of depression and feelings of loneliness. Older pet owners have often told us how incredibly barren and lonely their lives were without their pets companionship, even when there were some downsides to owning an active pet, says Linda Anderson, who founded the Angel Animals Network in Minneapolis with her husband, Allen, to spread awareness of the benefits of pet ownership.Marjorie and Richard Douse couldnt agree more. Soon after the Douses retired, they adopted Bonnie, a golden retriever puppy who quickly became an indispensable member of the family. We never felt alone when Bonnie was in the house. As we aged and tended to go out less, she provided us with loving companionship, say her owners. Bonnies outgoing personality enhanced the lives of other seniors as well. The Douses took her to visit aging relatives in a nearby nursing home, and she was a hit with the residents and staff alike.Psychologist Penny B. Donnenfeld, who brings her own golden retriever mix, Sandee, to her New York City office, has even witnessed animals ability to prompt better memory recall in their elderly owners. Ive seen those with memory loss interact with an animal and regain access to memories from long ago, she explains. Having a pet helps the senior focus on something other than their physical problems and negative preoccupations about loss or aging.Animals benefit from adoption, too, particularly when seniors adopt older pets. These lucky animals go from the pound to paradise. Retired adopters tend to have lots of time to devote to a previously unwanted pet, forming a lasting bond, says Chicago veterinarian Dr. Tony Kremer, who operates Help Save Pets, a nonprofit rescue organization, with his wife Meg.How to Find the Right Pet for a SeniorWhile the advantages of pet ownership are undeniable, there are some drawbacks and consequences to be aware of before going out to adopt a furry friend for an aging loved one. Dr. Donnenfeld encourages seniors and caregivers to have a thorough conversation about pet ownership before welcoming a pet into the family.10 Questions to Ask When Considering a Pet for a SeniorIs the senior set in their ways?If change isnt your loved ones cup of tea, then they may not be a good candidate, say the Andersons. Adopting an animal usually affects a persons whole daily routine.Have they had a pet before?Amy Sherman, licensed therapist and author ofDistress-Free Aging: A Boomers Guide to Creating a Fulfilled and Purposeful Life, thinks its best if the elderly person is an experienced owner. However, if they are open to a new and rewarding commitment, then first-timers can still make great owners.Does the senior have any disabilities or functional limitations?Dogs can be wonderful companions who encourage a senior toexercise, Dr. Donnenfeld says. But dogs can be a challenge for individuals with limited mobility. If taking a dog outside and walking it is too trying, lower-maintenance animals like cats and birds may be preferable.Would a therapeutic or emotional support animal be beneficial?If a person is very infirm or impaired, they may be a candidate for a specially trained therapy dog to help them function both at home and while on outings.What age pet would be best?A puppy or kitten may not be ideal for elderly owners because of the intensive care and training they require. Furthermore, young pets may outlive their owners. Its important to consider that some animals like birds have especially long life spans. On the other hand, a senior pet may have its own physical limitations and illnesses but they are usually well trained already.What temperament would be a good fit for the senior?It is very important to research different breeds characteristics and interact with prospective adoptees to get a feel for their energy levels and personality. Many older people might think theyd do better with a Jack Russell Terrier because its a small breed, but they are very, very, very high energy and require a great deal of effort and commitment, says Susan Daffron, author ofHappy Hound: Develop a Great Relationship with Your Adopted Dog or Puppy. While there are some general truths about specific breeds, every animal is unique.Is the pet healthy?Its important that any pet be examined by a professional prior to adoption. You dont want to compromise an older persons immune system since some pets carry diseases, says Dr. Katharine Hillestad, a veterinarian based in Rhinelander, Wisconsin. Unhealthy pets can be difficult for seniors to handle both emotionally and financially.One pet or two?While multiple pets can keep each other company, that may not be a good idea for an older person. Two animals may bond with each other rather than with their owner, Dr. Hillestad explains.Are finances an issue?Pets are a significant long-term financial commitment. A small puppy can rack up more than $810 for food, medical care, toys and grooming just in its first year. A low-maintenance animal like a fish is less expensive, coming in at about $235, according to the American Society for the Prevention of Cruelty to Animals. Be sure to carefully consider a seniors current budget before taking home any animal.Is there a backup plan in place for the pet?It isnt pleasant to think about, but owners must plan for the unexpected for their pets, too. If a senior had to go to the hospital, spend time in a short-term rehabilitation facility, move to a long-term care community or even passes away, what would happen to their animal(s)? Our golden years can be very unpredictable, so its important to have a contingency plan in place for our furry and feathered friends before an emergency strikes. Without one, beloved animals may wind up back in a shelter.Where to Find a Pet for a SeniorWhile breeders are a good source, adopting from shelters is usually much less expensive and comes with the added benefits of giving an unwanted animal a home and possibly saving it from euthanasia. Some shelters even offer reduced adoption fees for older pets and adopters age 55 and up.Shelter employees often know each animals personality well and can assist in making a good match, says Daffron. Online pet shopping is also possible, thanks to sites likewww.petfinder.com, which allows potential owners to search for their perfect pet in a massive database composed of approximately 250,000 adoptable animals from nearly 11,000 animal and rescue groups nationwide. However, its still recommended to meet a potential pet in person to more accurately gauge the fit.Submitted by: Island DoctorsArticle Written By: Barbara Ballinger, Aging Care

An estate plan is more than just a will. Think of it this way: a will is like just having a bicycle as your only means of transportation in a big city. You shouldnt depend only on your Schwinn or Huffy to pedal you around town. You have other options.A will is a good start, but theres much more to estate planning that drafting and signing a will. A will wont necessarily preserve your assets for your loved ones after you pass, nor will it protect your assets for you and your family during your lifetime. There are several other tools that an experienced estate planning attorney will use. For example, there are various types of trusts that let you detail your wishes and preserve your assets for your spouse, children, and grandchildren.Many people lose their homes to nursing care facilities. There are ways to avoid this. There are numerous rules and exceptions that make it difficult to lose a house if your stay in a long-term care facility is intended to be temporary. But the state may pursue a persons assets after death to be reimbursed for the costs of your stay. When this happens, the decedents estate is depleted, leaving little or nothing to the heirs.You dont have to give assets away to have them protected. Actually, transferring your assets to your children or others may actually expose your assets to risk and subject them to the claims of their creditors. In addition, a transfer of assets may disqualify you and the recipient from certain government benefits.Even if you move to a nursing home within less than five years after you implemented your estate plan, you typically can still protect a substantial part of your assets. Not everyone knows that making a transfer of assets within that period doesnt necessarily disqualify you from Medicaid. It may merely result in a penalty.Protect your assets before something happens. Take the steps necessary to protect your estate for your loved ones to ensure that they are cared for in the future if you are not here. Act today!Attorney Advertising. The information provided in this post is for informational purposes only and should not be construed as a legal advice. It is not intended to create an attorney-client relationship with a reader and should not be relied upon without first seeking professional legal counsel. The choice of a lawyer is an important decision and should not be based solely upon advertisements.Editors Note: This article was submitted by Milvidskiy Willis LLP, an elder law and estate planning firm. Their services cover Wills and Trusts, Asset Protection, Special Needs, Medicaid and VA Benefits, Guardianship, Probate and Trust Administration. With offices in Jersey City, Paramus, Morristown, Princeton, and Red Bank, they help clients in Northern and Central New Jersey. They can be reached at (201) 616-7667.

Summer can be a time of rest and relaxation, involving family picnics, time at the beach or working in the yard and gardens. As the days get hotter, the risk of dehydration increases and can be a serious problem for anyone, but older adults are more at risk for dehydration, due to a decrease in body water content. Medical conditions and medications can also affect a seniors water retention, and those with dementia may forget to drink and have difficulty swallowing.Its important to be aware of the symptoms of dehydration and know how to prevent it so you or a senior family member can remain safe in the hot summer months.Some signs of severe dehydration include little or no urination, dark or amber-colored urine, dry skin, low blood pressure, weak pulse, or rapid breathing and heartbeat. In order to prevent these from occurring, make sure you are getting a minimum intake of eight 8-ounce glasses of fluid throughout the day.Balance your fluid intake with output. If you are sweating more, or urinating more frequently, you should be increasing your fluid intake. Water isnt the only option for drinking, either! If a senior refuses to drink water, consider some flavor enhancers like a juice mixer or fruit infuser. Other options can include popsicles or smoothies. Raw fruits and vegetables can also be extremely hydrating, as well as nutritious. Some of these include cucumbers, watermelon, grapes, celery, and tomatoes.If you are concerned with dehydration, talk to your doctor for advice on staying hydrated and maintaining optimal health throughout your senior years.There may come a time where managing a healthy lifestyle becomes overwhelming and you find yourself or a senior family member making poor diet choices, becoming less physically active, and interacting less with other people. It may be time to start researching senior living options, which can help maintain a consistent diet and activity schedule. Many senior living communities have 24-hour staffing to ensure residents are safe and living an ideal lifestyle.Check your local senior community to see what their senior living options are and the services provided and find out how you can live life to the fullest in your senior years.Editors Note: This article was submitted by Russ Stack. Russ Stack is the Executive Director at Senior Commons at Powder Mill Independent Living, Personal Care and Memory Care.

Sometimes its easy to know when a family member needs care and assistance. For instance, maybe he or she has a major disability or requires additional help following a hospital stay. In other cases, however, it isnt immediately obvious that your senior is in need of help with the activities of daily life.As people who have had to wrestle with our own family decisions, we thought it useful to provide early guidance, so other families might know when a more careful assessment of their seniors needs is required.Below is a list of questions to consider when determining if a loved one is in need of additional care:Pay Attention to How They Look Appearance can be a sign that they are being limited either physically or mentally from completing normal daily tasks.Are they wearing dirty or stained clothing?Have they brushed their teeth?Listen to the Senior Listening to how seniors speak can tell you a lot about their current mental status. Dont assume that old age is causing these problems.Have they forgotten to refill prescriptions or take their medicine?Have they missed doctors appointments?View the Seniors Surroundings Looking at their food and medications can help you determine if they are eating healthy or even worse, taking expired medicine.Do they have fresh and stocked pantry items?Are there piles of unopened bills?Use Your Nose Using your nose as an indicator can help you determine if your family member is bathing properly or participating in otherwise normal activities.Does their living environment possess any unpleasant odors?Are they bathing regularly?If you sense a problem based on the above indictors, you and other family members should waste no time in taking the appropriate next steps. As difficult as the process might be, keep reminding yourself that by being proactive you will not only provide safety for your family member, but will also keep them happy and healthy for years to come.Editors note: This article was submitted by Charles Fairweather (908-322-8200) and Herb Ronde (973-452-0575), local owners of BrightStar, a full-service in-home medical and non-medical agency offering caregiving to seniors and disabled adults. They would gladly provide assistance in these matters.

If your spouse has entered a nursing home, you know the governments harsh rules create a tremendous financial strain on the healthy spouse. The general rules of Medicaid for married families only allow the healthy spouse to keep half of the available assets, up to a maximum of about $130,000.Lets consider the situation of Jane and John Jones. John is a stroke patient who needs nursing home care. The Jones family has worked their entire lives to save about $400,000 for retirement. Johns unfortunate stroke is going to result in Jane losing $270,000 to the nursing home over 2 years. In addition, once the money is gone, the State will even require some of Johns monthly Social Security check to be paid to the nursing home.WHY? Why does our government system require Jane to go broke because her husband had a stroke? It shouldnt work that way!Jane starts doing research and meets with a Certified Elder Law Attorney*. After reviewing the situation, the attorney recommends a strategy called a Spousal Annuity plan. This strategy allows Jane to convert nearly all the money she would otherwise lose into an annuity for her own benefit. Rather than losing $270,000, Jane turns the asset into an income stream that she can use to pay her bills for years. Shes allowed to protect almost all her assets through a well-designed asset protection plan!Does this sound too good to be true? Its not. You just have to know the rules and how they apply to your specific situation.Medicaid rules are complex, and you should not assume this strategy will work for your family. A certified Elder Law Attorney* can help you determine if this (or another) strategy can help save your assets. A nursing home admission is a legal problem requiring a lawyers assistance. Dont navigate this alone. Our lawyers are available for no-cost phone and Zoom consultations. Call Today!Editors Note: This article was written by Certified Elder Law Attorney* Tim Sechler, Esq., Sechler Law Firm, LLC. See our ad on the Back Cover or contact us by phone at 724-841-1393 or on the web atwww.SechlerLawFirm.com. *Certified as an Elder Law Attorney by the National Elder Law Foundation as accredited by the Pennsylvania Supreme Court.

Seniors are prone to skin complications ranging from itching, scaling and mild dryness to grave skin conditions such as infection and ulcerations. As we age, our skin injures more easily and heals more slowly. A severe skin infection or non-healing wound in the elderly can be very serious, even fatal.Common skin conditions of the elderly Senile Purpura purplish spots that appear most often on the arms and legs due to thinness of the skin and frailty of capillaries and blood vessels below the surface. Stasis Dermatitis more common in elderly women than men; characterized by dry, itchy skin. Exfoliative Dermatitis more severe than stasis dermatitis, characterized by excessive peeling and shedding of skin. The associated severe itching can lead to infections. Skin Infections / Infestations bacterial infections and parasitic infestation such as scabies or ringworm are common in the elderly. Cancerous and noncancerous skin growths Viral skin disorders such as shingles and herpes zoster.The elderly have special skin care needs because aging skin is so thin and dry. Dry skin is prone to cracking and dermatitis, which allows bacteria to penetrate that can result in infection which hinders wound healing. Cognitive impairment can make it difficult for seniors to understand and comply with their treatment plan. Difficulty seeing may make it hard for a senior to inspect a wound for infection or change the wound dressing properly.In cases of chronic wounds, patients should seek help from a wound care clinic that specializes in treating non-healing wounds. A clinician may determine that a senior needs a wound dressing that allows for very easy changing. Alginates, for instance, can be simply rinsed away with saline or another clinician-suggested solution.No matter the method of healing, a good diet filled with vitamins and nutrients, regular exercise and management of other conditions, such as diabetes, can help ensure a wound heals as quickly and efficiently as possible. Seniors should talk to their clinicians about supplements that can aid in wound healing.Fast Facts Seniors should examine themselves regularly for "changing moles" and new growths The best treatment for dry skin is to lubricate with the regular use of over-the-counter lotions and moisturizers. Frequent bathing and showering actually can aggravate dry skin.Editors Note: This article was submitted by Linda Meola, MBA.Linda is the Program Director at the Stamford Health Wound Care and Hyperbaric Centerand may be reached at 203-276-2486 or by email at LMeola@Stamhealth.org

For more information on the author, McKenney Home Care, CLICK HERE!Hot chocolate is one of lifes simple pleasures and one that definitely makes November through February more enjoyable. But did you know that a daily mug of hot chocolate could help prevent chronic diseases such as heart disease and cancer? A Cornell University study found that hot cocoa contains a higher concentration of cancer-fighting antioxidants than antioxidant favorites green tea or red wineconcentrations two to three times stronger than that of green tea and almost twice as strong as red wine.Antioxidants are those chemicals that have been shown to fight cancer, heart disease, and aging by reducing the number of free radicals in the body.Hot cocoa serves up all the benefits of chocolate without the fat: only 0.3 grams of fat are in an average cup of hot cocoa, compared to 8 grams of saturated fat in a normal 40-gram bar of chocolate. The benefits keep heating up when the cocoa doesmore antioxidants are released when the drink is hot.To get the most out of your mug, choose your cocoa carefully. Commercial instant hot cocoa mixes often feature more sugar than cocoa. The lower cocoa is on the list of ingredients, the fewer the benefits. The hot cocoa tested in the study consisted of a cup of hot water with two tablespoons of pure cocoa powderthe same amount of cocoa in a packet of instant hot chocolate, but not the same amount of sugar. Skim milk and zero-calorie sweeteners like stevia can make hot cocoa healthier. And hold the marshmallows.Source:Lee, Chang Yong; Lee, Ki Won; Lee, Hyong Joo ; Kim, Young Jun. Cocoa Has More Phenolic Phytochemicals and a Higher Antioxidant Capacity than Teas and Red Wine. Journal of Agricultural and Food Chemistry. American Chemical Society.

Many seniors and their families face two tough questions when planning a move to a senior community:1) How to plan for the costs when the length of stay is uncertain? and2) What to do with the house that is being left behind?For many seniors, maintaining ownership of the house as a rental property can be the smartest and safest way to ensure a long-term income stream to help cover retirement costs for an indefinite number of years. Your house essentially becomes the golden goose that can continue to generate substantial income for you year after year until the property is sold or passed down to the next generation.And what about the hassles of being a landlord? This is where professional property managers come to the rescue! A good, trustworthy property manager can make owning a rental property nearly as easy and worry-free as owning any other financial instrument like stocks or bonds.What Can Professional Property Managers Do for You?A full-service, professional property management company can take over the management of your home at any stage in your relocation process, and help you arrange everything you need to do to get your house generating income for you and your family. Services might include: arranging for removal of your furniture, painting, cleaning, and/or other repairs as necessary to make the house suitable for renters. The next step will be for the property manager to advertise the property for rent, provide thorough tenant screening and background checks, collect a security deposit, and sign a lease with the tenants. Once tenants move in, the property manager will handle all ongoing issues such as rent collection and response to tenant needs or repair issues. With a professional property manager at your side, you can enjoy the excellent financial benefits of real estate ownership (house appreciation plus a steady monthly income stream) without the hassles of being your own landlord.A Trusted Resource for Seniors and their FamiliesAll County Boulder Property Management is a trusted resource you can count on to provide excellent management services for you anywhere in Boulder County. All County brings over 20 years of experience managing residential properties for seniors and their family members. We promise to provide honest and competent professionals to ensure reliable care of what is typically your most valuable material asset. Our job will be to eliminate the hassles, enabling you and your family members to utilize the property's rental income to enjoy a relaxing and stress-free retirement. You will love the long-term rental income stream and be glad you didn't sell the golden goose!Editors Note: This article was submitted by Simon Heart, owner of All County Boulder Property Management in Boulder, Colorado. For more information, call 720-428-2100 or send an email to contact@allcountyboulder.com

For the past several years professionals in the senior healthcare field across the Nation have been focused on improving quality of life in long term care settings. This movement to de-institutionalize the way this care is delivered and instead focus on individualized, patient-centered called is called Culture Change.The Eden Alternative, one of the leading Culture Change authorities, shows how companionship, the opportunity to give meaningful care to other living things, and the variety and spontaneity that mark an enlivened environment, can succeed where pills and therapies often fail. Places that have adopted the Eden Alternative typically are filled with plants, animals, and are regularly visited by children. Culture Change focuses on all aspects of meaningful life, not just the medical or clinical components. The Eden Alternative promotes changing the culture of long-term care organizations through education and advocacy, and through hands-on implementation. The departmentalized, task-orientation of the current institutional model has created a culture that is characterized by pessimism, cynicism and stinginess. By moving away from the top-down bureaucratic approach to management and moving decision making closer to the Elders, where it has truly always belonged.The Mission:To improve the well-being of Elders and those who care for them by transforming the communities in which they live and work.The Vision:To eliminate loneliness, helplessness, and boredom.In addition, Eden Alternative is now poised to bring the principles and practices that are transforming long-term care to the larger community of Elders and their care partners living outside of institutions. For even a home can feel like an institution when an Elder requires assistance with daily living and the entire focus is placed upon the needs of the human body, and not the human spirit. With this in mind, the Eden Alternative now has a new initiative called Eden At Home, designed to touch the lives of Elders living at home and their care partners. Eden at Home aspires to transform the culture of care in our larger communities.Editors Note: This article was submitted by Diedra Kearny, Director of Community Education at Dignity Home Health & Hospice, and President of the Utah Elder Abuse Prevention Coalition. To learn more about Culture Change and The Eden Alternative, please contact Diedra at dkearney@dignityhlth.com or call 801-860-3801.

Although adults 60 and older constitute 13 % of the United States population, their use of mental health services accounts for only 7 percent of all care. It is estimated that 18 to 25 % of elders are in need of mental health care. The suicide rate of the elderly, at 21 %, is the highest of all age groups in the Country. Every day 17 elders kill themselves!Why are millions of the elderly deprived of care?StigmaMany elders resist treatment based on images propagated by mass media and culture. Often, portrayals of the mentally ill are frightening and powerful sources of misinformation. It's extremely important to have information available about what mental illness really is and how it can be effectively treated.AgeismMisperceptions about older people by the public have also impaired service delivery. In a society confronted with budgetary restraints, often the older population has been cast aside, on the basis that they are too old to benefit from services. A society that places such great emphasis on youth may not lend enthusiastic support to better mental health care for geriatrics.Care GiversGenerally, the first person elders turn to for help with problems that require mental health treatment is their primary care physician. Many physicians have limited training in geriatrics. Elders tend to assume that complaints such as sleep disturbances, changes in appetite, and mood differences are related to physical problems. This may be reinforced by caregivers, who often attribute such symptoms to the aging process. A study of elderly suicides in Chicago found that 20% of the suicide victims had seen their primary care physicians within 24 hours of their suicide, 41% within seven days and 84 % within 30 days.A Positive PerspectiveWhile many of these barriers continue to impair elderly mental health services, there are innovative programs that have achieved success:Mobile programs with staff that treats consumers in their own homes or transport patients to and from outpatient care, providing them meals and eliminating isolation.Programs specifically developed recognizing that older people are a special population with unique needs. Treating elders has been found to be just as effective as treating young adults and middle-aged people. Supportive therapy and drug treatment can be safely administered with beneficial results. Collaborative training sessions conducted by staff of aging, mental health agencies, and Primary Care Physicians allowing each to have a better understanding of the services and limitations of providers serving elders.Editors Note: This article was submitted by Gary R Miller.Gary is CEO of Peak View Behavioral Health and may be reached at 719-444-8484 or by email at gmiller@strategicbh.com. For more information visit Strategic Behavioral Health on the web at: www.strategicbh.com.

Residents that requiring daily medical care or rehabilitation after a surgery, accident or illness. Residents may receive physical, occupational, and other rehabilitative therapies following an accident or illness. A skilled nursing facility is licensed to provide health care and services involved in managing complex and potentially serious medical problems. Payer sources usually accepted are Medicare, Medicaid, VA, some insurance plans and private sources.#listing_mgr{1 basic_search}#

One day Dillon decided to explore the dusty attic in his Grandmas house. He found a large dusty trunk in a dim corner. Dillon was just sure that it contained a treasure. Once it was brought to the kitchen he grandly opened it while Grandma watched with a smile. He was disappointed at once, Its just trash! he exclaimed. Then Grandma explained. Dillon, this is our family treasure. They are the old films, videos, a few reel-to-reels and several carousels of slides. They all tell the story of our family.When Dillons dad heard about it, he knew just what needed to be done (updating, restoring and duplicating).Updating:Transfer films and videos to DVDsTransfer reel to reels and any other audio to CDsScan slides and negatives and either save the images on a CD or have it made into a DVD slideshow to watch on the TVScan other documents like a marriage certificate, farm journal and an old book Grandpa made during WWIIRestoringFilms could be cleanedCracked and faded photos can be restoredDuplicatingMake copies of everything for everyone, whether prints or disksIt gave Grandma a real sense of security when not just one person had the family treasure, but everyone had their own copy. Once it was all done, Dillon agreed that it was a real treasure.By Marsha KnackstedtOwner, Leave A Legacy, Inc.www.LeaveALegacyToday.comNeed help with your family treasures? Contact Leave A Legacy at 970-226-0102 orwww.LeaveALegacyToday.com.Author:Marsha Knackstedt

To learn more about AccentCare Hospice,CLICK HEREMany older adults enjoy a glass of wine with dinner or a beer while watching the game on TV.Having a drink now and then is fine. But dont overdo it. As an older adult, alcohol may affect you differently than it does younger adults.Alcohol and agingAs you age, you become more sensitive to alcohols effects. After age 65, your lean body mass and water content drop. Plus, your metabolism slows down. Alcohol stays in your system longer. As a result,the amount of alcohol in your blood is higher than it would have been when you were younger.Older adults also are more likely to have hearing and eyesight problems. They have slower reaction times, too. This puts them at higher risk for falls, broken bones, and car crashes tied to drinking.Some health problemsin people older than age 65, and the medicines used to treat them,can worsen with alcohol's effects. These include diabetes, high blood pressure, and ulcers.Heavy alcohol use can also lead to other health problems, such as cancer and liver disease.It's also linked to depression and suicide.Medicine interactionsMedicines taken by older adults are more likely to have serious interactionswith alcohol and other medicines. These include many prescribed and over-the-counter medicines and herbal products. Medicines and alcohol can interact even if theyre not taken at the same time. That's because the medicine may still be in your blood when you have a drink.Whats a safe amount?The National Institute on Alcohol and Alcoholism advises that people older thanage 65 who are healthy and who do not take any medicineshave no more than 7 drinks a week. And no more than 1 to 2 drinks on any 1 day. One drink equals:12 ounces of beer, ale, or wine cooler8 ounces of malt liquor5 ounces of wineOr 1.5 ounces of distilled liquorHow to cut downIf you want to limit your drinking or yourhealthcare providersuggests it, try these steps:1. Write down your reasons for cutting back. These might include wanting to improve your health or to sleep better. Other reasons may be to improve relationships and to stay independent.2. Track your drinking habits for at least 1 week. Write down when and how much you drink every day.3. Set a drinking goal. You may decide to cut down to 1 drink a day. Or not to drink at all. Write your goal on a piece of paper and put it where you will see it every day.

The Medicare Hospice Benefit is a federally mandated benefit. Because of that, all Hospices are required to follow the same core guidelines when providing Hospice care. Those performing the care and their philosophy of caring for their patients are what separate one Hospice from another. Make sure you connect with their team of clinicians. You always have a choice when deciding which Hospice to care for you and your loved one. Choosing the right hospice is very important. One that can be confusing; here are some tips to help make the process easier. When choosing the right hospice; I recommend a few things to consider when making your decision. One of the most important factors is the level of involvement from the Hospices Medical Director. Every Hospice is required to have a Medical Director, but the regulations aren't very detailed in how involved they have to be. Here are some examples of questions you can ask. Who is your Medical Director? How often will I be able to see them? Do I have to go to their office or will they make house calls? Hospices use their Medical Director differently; I recommended choosing a Hospice that has the Medical Director very closely involved with the patients and one that will visit them in their home. Secondly, I would ask the Hospice to describe their Bereavement Program. This is a program that Medicare requires each hospice to provide to families and caregivers for up to a year following the death of your loved one. Often times, I tell families, the medical management of the patient themselves is the easy part its everything else that goes along with a dying loved one that complicates matters. I recommend choosing a Hospice that has a variety of offerings in their bereavement program and one that is specialized in Grief Recovery. Peace of mind goes a long way when you are grieving. Knowing that the Bereavement Program will create an individualized plan for you is valuable. Knowing you are not alone is very important. There are many factors when deciding which Hospice to choose to care for you and your loved one. You may also ask your friends, family, neighbors and church members what experiences they have had and what they've learned was important. Hopefully these tips will help make your decision easier when the time comes. Kristi Hartway, Director of Operations Harrisons Hope Hospice

Hearing your doctor say, You have Parkinsons disease, is a life-changing moment. However, there is much an individual with Parkinsons disease can do to live every day to the fullest.The American Parkinson Disease Association (APDA) is the countrys largest grassroots organization serving those touched by Parkinsons disease. What makes APDA unique is that we are in cities, towns, and communities across the U.S. Throughout our nationwide network of Chapters and Information & Referral Centers, Centers for Advanced Research, Specialized Centers in Young Onset, Veterans and Rehabilitation Resources, and countless support groups, we are able to quickly reach people and connect them to resources that will provide the best outcomes as they navigate Parkinsons disease.Parkinsons disease is a progressive neurological movement disorder. Every nine minutes an American is diagnosed with Parkinsons disease and there are 60,000 new cases each year in the U.S. alone. It can begin with a tremor, difficulty writing, stooped posture, stiff muscles, or slightly slurred speech; symptoms are different for every person.APDAs mission is to provide information, education, and support to all impacted by the disease and to fund scientific research into the causes, prevention, treatments and ultimately the cure. We take pride in the fact that we are in your community and many others across the country serving people with Parkinsons disease to provide support from the day of diagnosis throughout the Parkinson journey. We have also been a funding partner in most major Parkinsons disease discoveries and we will continue to fund research initiatives that can stop the devastation of living with this disabling disease.APDA is here to help with:Health and wellness initiatives delivering programs to help people maintain independence and optimismEducation and support programs connecting people with Parkinsons in local communitiesExpedited and innovative research to develop promising clinical approaches and better outcomes and funding the next generation of scientists dedicated to finding new treatments and a cure.To learn more call the American Parkinson Disease Association at 800-223-2732 or visit our website at www.apdaparkinson.org.For information about Massachusetts programs, call 800-651-8466 or visit the APDA MA website at www.apdama.orgThis article was submitted by Stephanie Paul, Vice President, spaul@apdaparkinson.org

There is an often overlooked long term health care benefit available to fellow Veterans who served our Country during certain wartime periods (did not have to serve in combat), meet certain financial and health criteria, and received an honorable discharge. The Veteran does not need to be retired from the military or have a service connected disability. This program is called VA Aid & Attendance Pension. Under the right circumstances the Pension could create an additional household income up to $1056 a month for a single surviving spouse of a Veteran, to $1644 a month for a single Veteran or up to $1949 a month for a couple to pay for home health care, assisted living care and even nursing home care.The National Care Planning Council estimates that up to 33% of all Americans over the age of 65 might be eligible for a Pension benefit under the right circumstances. Thats how many war Veterans or their surviving spouses there are in this Country.There is an income and an asset test to qualify for Pension. A special provision in the way the Pension benefit is calculated can allow households with income up to $5,000 or $6,000 a month to still qualify for this benefit. The difficulty, oftentimes, is qualifying under the asset test. Generally, couples households with assets in excess of $80,000 will not qualify for Pension and assets for a single Veteran or a surviving spouse in excess of $50,000 may disqualify the single person household. However, there is no specific asset test and amounts less than those listed above may also disqualify the applicant. A personal residence, assets that cannot easily be turned into cash, a car and personal property are exempt from the asset test.Assets that may disqualify an applicant for Pension can be given away or turned into income and there is no penalty for doing this as there would be with Medicaid. Unfortunately, in most cases, Pension income does not work well for paying the costs of a nursing home. This is because the amount of Pension income is rarely enough to cover the difference between the cost of the nursing home and the beneficiarys income. On the other hand, Medicaid will cover this difference in cost and in most cases Medicaid is a better alternative to Pension. However, when available, Pension works very well to supplement the income needed to fund home health and assisted living care on an ongoing basis without depleting the Veterans assets and can even work together with Medicaid Diversion to cover the entire cost of assisted living care when that need exists.It is extremely important that anyone who has given away assets to qualify for the Pension benefit should also make provisions to avoid or reduce the penalty imposed through early gifting by Medicaid. Claimants for the Pension benefit whether for home health care or assisted living care should always seek the advice of a consultant who understands both Medicaid and the VA benefits.This article was submitted by David Orosz, elder law attorney. He can be reached at239-334-8585 or 800-771-6053

For more information on the author Cardiac Care Group, CLICK HERE.A stroke occurs when the blood supply to the brain is suddenly interrupted. When the brain lacks sufficient blood flow for a long enough period of time, brain damage or even death can result. Immediate medical attention and early treatment are critical to help minimize damage to brain tissue and improve the outcome.Types of StrokesThere are two major types of strokes: ischemic and hemorrhagic. Ischemic strokes, the most common type, occur when which a blood clot blocks the arteries leading to the brain and cuts off blood flow. A hemorrhagic stroke occurs when a blood vessel in part of the brain becomes weak and bursts open, causing blood to leak into the brain.At the first sign of a stroke, patients should seek medical care immediately. Symptoms of a stroke vary, but typically occur suddenly and include:Weakness, tingling or numbness in a limbPartial loss of visionInability to move a limbDouble vision, vertigo or loss of balanceDifficulty swallowingMemory lossDrowsiness or loss of consciousnessUncontrollable eye movementsWhat Causes Strokes?Smoking is the number one risk factor for strokes, and indeed, making basic lifestyle changes like quitting smoking can significantly reduce your overall risk. These include:Weight lossExerciseCholesterol and blood pressure managementReducing alcohol intakeAside from lifestyle changes, managing any underlying health conditions, including hypertension and diabetes, also reduce your risk of stroke. If you are concerned about your stroke risk, talk to your cardiologist about what more you could be doing to keep your risk low.

Many people yearn for the days of yore when their personal physicians used to pay them a home visit when they became ill. Some, even including doctors, still remember this eraas the golden age of medicine. Since then, times have changed and care has become fragmented, impersonal and uninspired... until now.After personally seeing challenges that their patients and also their loved ones have encountered, two physicians Dr. Bob Rahmanian and Dr. Jim Liu have taken the challenge to bring personalized care back and created a new service called Zumedic.Their mission to bring back the traditional house call with full integration of all the advancements modern medicine has to offer. Doctors are on call 24 hours a day, seven days a week, staffed with medical professionals that include physicians, physician assistants, nurse practitioners, and associated medical personnel to provide you personalized health to the comfort of your home.The process of receiving medical care is convenient and unbelievably easy with Zumedic. Based on an affordable membership model, Zumedic is pushing thecutting edge of modern day medicine by offering unequaled care. Membership ensures a better quality of care by providing an exceptional medical platform for its members. By joining Zumedic, you receive quick and responsive service either by picking up the phone or through a smartphone app for about the price of a utility bill.The Zumedic smart phone app works similar to the on-demand car service Uber and Lyft, but instead of a car, a doctor or allied health professional shows up at your door.Zumedic arrives with a highly skilled medical assistant or nurse and a tool kit stocked with the latest high-tech health gadgets, including tools needed to take your vitals, x-rays, blood draws. If thats not enough, how about having your medication ordered to you before the doctor even leaves your home! Telemedicine gives doctors a new channel to enhance communication with you. Zumedic even utilizes robotic technology to assist in medical care.Zumedic has a roster of doctors highly skilled that come from elite backgrounds such as Wayne State University, Harvard, University of Pittsburgh just to name a few.We care about giving quality, personalized care to people. Our team of allied healthcare professionals is bringing REAL change to the way people access healthcare through innovations in technology and logistics, Dr. Bob Rahmanian said, Partner and chief medical officer of Zumedic.

The Perkins Library is the free public library for people who have difficulty reading regular sized print. This includes people who are blind, visually impaired, physically unable to hold a book or reading disabled. A special part of the Library of Congress, the Perkins Library is part of the National Library Service for the Blind and Physically Handicapped (NLS) and services the entire Commonwealth of Massachusetts with accessible and completely free materials shipped right to your door. While many people only associate Perkins with vision loss, many more people may qualify for this service. Perhaps someone has 20/20 vision but the book is inaccessible. If a person has arthritis, paralysis, or any other condition which makes it difficult to hold a book or turn pages, they are also eligible.Eligible people apply to become a member of the Perkins Library by submitting a simple application. The application needs to be signed by a certifying authority (a doctor, social worker, activities director, or a medical or human service professional. Patrons can choose to have books sent based on their reading interests automatically or simply request titles over the phone or online. One book a month or ten books a week. The choice is theirs.Best of all: Everything is free! Perkins audio books and magazines are delivered by mail via a door to door service -- no postage needed. Easy-to-use playback equipment is loaned free The Library has access to over 18,000 books in Large Print. Newspapers and magazines read over the phone. Accessible voting materials. The television schedule is even available. Thousands of books can be downloaded any time of the day or night.Like many public libraries, Perkins loans movies on DVD and Blu-Ray, but Perkins movies are special. All movies from Perkins have a separate sound track where a narrator describes key visual elements of the film so that a person with vision loss is not left guessing. The narrator speaks between the dialog not over it.A loyal patron reflecting on almost fifty years of using these services offered the following, Talking Books have probably been the single most important influence on my entire life. Some people say we are what we eat; I think we are what we read.To become a member or get more information about all of our free services please contact our Communications and Outreach Coordinator Erin Fragola by emailing erin.fragola@perkins.org or calling toll-free 1-800-852-3133.

With each passing year, new data continues to prove that Alzheimers disease is a growing epidemic. Significant increases in costs and incidence, including care costs for individuals living with Alzheimers or other dementia's surpassing a quarter of a trillion dollars have been reported in the Alzheimers Association 2018 Alzheimers Disease Facts and Figures report.However, this years report goes beyond the statistics with a special report on the financial and personal benefits of early diagnosis, addressing prevalence, mortality and morbidity, caregiving and what the disease could mean to our health care system if left unchecked. As the number of older Americans grows rapidly, so does the number of people living with Alzheimers and the impact to the nations economy. An estimated 5.7 million Americans are currently living with Alzheimers with an expected increase to 7.1 million people by 2025. There are currently over 400,000 people in Pennsylvania who have been diagnosed with Alzheimers or a related dementia and it continues to increase each year. This number does not include all those who are affected by the disease such as family and caregivers, states Jeremy Bland, Director of Marketing and Communications, Alzheimers Association Greater Pennsylvania Chapter. In fact, by the time you are finished reading this article 1- 2 people will have developed the disease based on the fact that every 65 seconds another diagnosis is made. Alzheimers disease is not only affecting those diagnosed, but caregivers as well. Due to the long duration of this disease, the strain on Alzheimers caregivers can last several years and produce serious declines in caregiver physical, emotional and financial well-being. In 2017, 16 million Americans provided an estimated 18.4 billion hours of unpaid care in the form of physical, emotional and financial support at a valued cost of $232.1 billion. The difficulties in providing this level resulted in an estimated $11.4 billion of additional health care costs for Alzheimers and other dementia caregivers in 2017. By 2050, the total cost of care is projected to exceed $1.1 trillion. Unfortunately, mortality from Alzheimers disease also continues to rise. While deaths from other major causes continue to decrease, new data shows that deaths from Alzheimers disease have more than doubled, increasing 123 percent between 2000 and 2015. In comparison, the number of deaths from heart disease the number one killer in America decreased 11 percent. Alzheimers is the most underrecognized threat to public health in the 21st century according to Dr. David Satcher, former U.S. Surgeon General and former Centers for Disease Control and Prevention (CDC) Director. Investing in a nationwide Alzheimers public health response will help create population-level change, achieve a higher quality of life for those living with the disease and their caregivers, and reduce associated costs

To learn more aboutNamaste Alzheimer Center - CHI Living,CLICK HERE.Before hopping onto the next plane or train to check another destination off your Bucket List, plan ahead to ensure your safety to avoid catastrophes while away from home.Visit your health care providerat least one month before you travel. Discuss your medications and any medical conditions that may present limitations. Ask if any of your medications might interact with travel medications you may need to take, such as medicine for altitude sickness, travelers diarrhea or malaria.Get up-to-date on your vaccinations, including the COVID-19 vaccine, tetanus, seasonal flu and measles/mumps/rubella. More than one-half of tetanus cases occur in adults over age 65, so consider getting a booster before you travel. Also, ask your doctor if there are vaccines recommended for the countries you will be visiting.Consider how to prevent injuries.The most preventable cause of death among travelers is injury. Follow these precautions:Always wear your seatbelt;Accept rides only from marked taxis that have seatbelts;Be aware of your surroundings and avoid areas that may not be safe for tourists, which a hotels concierge can advise you about;Be especially careful crossing the street in countries where people drive on the left.Do not wear visible signs of wealth, such as an expensive watch or jewelry;Carry limited cash and keep that, along with travelers checks or credit cards, secured in a pouch worn underneath clothing; andAvoid traveling at night in a developing country.Finally, check with your insurance company to see what is covered if you need medical care in another country; you may want to consider purchasing travel insurance.With advance planning that focuses on your safety, you are sure to enjoy your trip and return home with memories to last a lifetime!

A few weeks ago I was invited to a screening of the film Last Will and Embezzlement. The documentary, produced by filmmaker, Pamela S.K. Glasner, underscores the serious and imminent danger of elder exploitation and victimization after her own father, suffering from Alzheimers disease, was victimized. An individual, who befriended her mother, architected a series of events resulting in a bogus power of attorney which allowed the revision of wills and advanced directives eventually allowing complete control over her now-widowed fathers assets.Entertainer Mickey Rooneys plight with exploitation by a family member is also featured in the film. The 90 year old actor was granted protection from his step-children after he personally filed a case against them charging emotional and financial abuse. Through his civil action, Mr. Rooney was granted court-ordered protection and conservatorship of his estate. Later, in his testimony before the United States Senate urging for tougher laws to protect the elderly from fraud and exploitation he said If it can happen to me, it can happen to anybody.Frustration and anger over what happened to her father prompted Ms. Glasner to produce the film with the hopes of preventing exploitation of other vulnerable adults and those who care for them. Additionally, her hope is to bring exposure to the need for more effective legislation to protect the elderly. I came away from the viewing with a greater appreciation for the plight of caregivers trying to protect loved ones who may not be competent to identify financial exploitation and abuse. The law provides many new vehicles and methods people can employ to help safeguard against exploitation. However, many people have not reviewed their legal documents for years and they may be outdated or no longer effective in achieving long-term goals. Many of us are too trusting of others and not vigilant about keeping our private information safe from identity theft. The film impressed me as a valuable tool to help educate the public about the ever-present danger of victimization and abuse. With that goal in mind, Senior Choices purchased a copy of the film and is scheduling viewings to help educate and empower the public to combat financial abuse and exploitation. If your organization or community would like to schedule a viewing of Last Will and Embezzlement, contact Senior Choices of Southwest Florida toll-free at 1-866-413-5337. If you suspect elder abuse, neglect or exploitation call the Elder Abuse Hotline toll-free at 1-800-962-2873 (1-800-96-Abuse). Senior Choices of Southwest Florida is an area agency on aging which contracts and receives funding from the Department of Elder Affairs to provide services to people age 60 and over and those who are disabled.Editors Note: Submitted by Marilyn Gregory, Elder Abuse Prevention Coordinator, Senior Choices of Southwest Florida.

Simply put,infusiontherapy involves the administration of medication through a needle or catheter. It is prescribed when a patient's condition is so severe that it cannot be treated effectively by oral medications.Pharmaceutical and infusion therapy companies provide patients with drugs, equipment, and training to administer drugs and feedings in the home. Sometimes a pharmaceutical and infusion therapy company is also a Medicare-certified home health agency.#listing_mgr{7 basic_search}#

Many people believe they only need a doctor when they are sick. However, having a primary care physician may be your key to staying healthy.An important responsibility of a primary care physician is providing preventative care. Think of your primary care physician as your wellness coach, who will protect your health through regular checkups, and will make sure you get the screenings you need to identify any concerns as early as possible.There are many reasons you should have a primary care physician. They include:1. Continuity of Care/Holistic Care A primary care physician can treat the whole person, which takes into account your history, family history, and any existing conditions you may have.2. Care Coordinator/Central Point of Contact A primary care physician will insure that your care and health information is coordinated between your other physicians and specialists. This will insure that you are not having any duplication of care, and also communicate important health information to your care team.3. Valuable and trusted resource Whenever you have a health question or concern, your primary care physician should be your first call. He or she may need to refer you to other specialists, or help you find other resources to help with your care, but again, serving as your care coordinator, your primary care physician is the best person to initiate your care.4. Routine screenings Whether it is taking your blood pressure, ordering regular, routine lab tests, or making sure you are getting regular mammograms, colonoscopies, or other important screenings, your primary care physician should be recommending all necessary routine screenings to you. Follow up when your doctor orders tests and screenings. This will enable your primary care physician to catch any serious health issues early, when they are most treatable.5. Keeping you out of the Emergency Room Many people who do not have a primary care physician use the emergency room when they get sick. Your primary care physician can offer options that can help prevent your potentially unnecessary trips to the ER. This may include same-day and walk-in appointments, which may eliminate the need for an unnecessary, and more costly ER visit. While the emergency room cannot replace a good relationship with a primary care physician, when emergency care is needed, your primary care physician will certainly refer you for that higher level of care.Editors Note: Please call 239-348-4221 or visit PhysiciansRegionalMedicalGroup.com to schedule an appointment with a primary care physician.

Dear Caregivers:More and more cases of Corona virus are being identified every day. The situation is changing very quickly. How at risk is your loved one? Are you wondering how prepared our local hospitals are? We have some data from China, Italy, Japan and South , but how does it apply to us?We know the Corona virus causes symptoms similar to flu, only it can lead to more severe complications such as difficulty breathing, pneumonia, and even death. There is no treatment and we are at least a year and a half away from an effective vaccine. So much to worry about and we are helpless in the face of this new type of Corona virus COVID-19.Our loved ones fall into the high risk categories. The older our loved one is, the more likely they are to develop complications and perhaps need hospital support. If they are immune compromised or have chronic illnesses such as COPD, Emphysema, Asthma, CHF and others they are also at higher risk. The only way we know how to protect them is to keep them away from other people who might already be infected and not know it, or who are actively sick. This disease is now spreading in our community from person to person, and from droplets sprayed into the air landing on other people or on hard surfaces where these droplets, containing the virus, stay active much longer than the flu we are accustomed to. This is why we are told to not touch our face, maintain social distance and to clean and disinfect everything we touch in an attempt to minimize the spread of this diseaseSupporting Your loved at home:Cancel any unnecessary doctors' appointments. Have a plan if their usual caregiver gets sick or is exposed to a person with the virus. If your caregiver comes from an agency, find out what they are doing in response to the Corona virus.If multiple caregivers are coming into the home, consider changing to live-in care to limit the number or people coming in from the outside and protect your vulnerable loved one.Make sure they have an adequate supply of prescription medications, adult diapers, ensure or other special foods. They may need extra help getting organized and understanding what they may need to do.Identify activities that your loved one can do when they are alone or remotely with others to combat social isolation when keeping social distance.Wash your hands when you arrive and when you leave. Clean frequently touched surfaces (door knobs, key pads, doorbells, counters, toilets, faucets, light switches) and then disinfect.If you live out of state, identify someone who can help your loved one if they need anything or were to become sick.Supporting a loved one living in a nursing home:Follow the policies of the facility. (Nursing homes and Assisted Living Residences in Massachusetts are restricting visitors) This also means no outside entertainment or volunteers are coming into the facility. Appoint one person to communicate with the facility who shares information with the rest of the family. The staff is busy taking care of the residents.Find out if outside medical providers, doctors, therapists, etc are coming into the facility. Ask how this impacts your loved one's care plan.Call or text loved one frequently.Send cards, pictures, magazines or books by mail.Watch a TV show together (you at home and loved one in the facility) and then talk about it.Supporting a loved one living in an assisted living residence.Follow the policies of the facility.Be aware of changes to your loved one's daily schedule. Outside speakers, entertainers and other programs have been temporarily halted during this crisis. Meals may be served in residents' apartments.Communicate regularly with your loved oneCall or text often.Send cards, pictures, magazines or books by mail.Watch live streaming events on Facebook together; Arrange a time to sign onto online game sites like Words with Friends or MahJongg Time to play a game together. Invite them to share your Netflix account or Amazon music and share movies or favorite songs.Keeping Yourself Well:Your ability to stay well is affected by the your overall state of healthGet enough restExerciseDrink WaterGet outside (just keep your social distance)Decrease stress (meditation/guided relaxation)Accept that it is hard for everyone when their routine changes Understand that you may not be able to do as much as you would like toLimit the amount of exposure to the newsKnow who to call if there is a mental health crisis or Crisis HotlineThis is a difficult time for everybody. It is harder for you, the caregiver, because you are caring for a vulnerable loved one.MalkaFor more ideas on how to take care of yourself or support a loved one, Contact:Malka Young, LICSW, CCM Director, JFS Elder Care Solutions (800) 655-9553 https://jfsmweldercare.org/contact/

retirement planning. Many of todays retirees simply do not have theemployer-sponsored plans their parents did, and therefore need to rely more closely on personalsavings and other assets to close the gap and meet their financial needs. Additionally, with increasedlongevity and medical expenses, planning for the unknown is difficult. Thats why Home EquityConversion Mortgages (HECMs) are growing in popularity.If youre 62 or older, a HECM can help you tap into the equity of your existing home and turn it intocash that can be used today, or a line of credit that will be there when you need it. It also can help topreserve invested assets, leaving them intact to continue earning for you.In short, a HECM can give you more power to live better. Do you want to make some needed ordesired home improvements? Get additional funds to help cover unexpected medical expenses, orsupplement your income? A HECM can help by eliminating your existing mortgage payment andfreeing up cash to use for those purposes and others as well. (As the homeowner, youd remainresponsible for property taxes, homeowners insurance, and property maintenance. A HECM is ahome-secured debt payable upon default or a maturity event.)You can receive your loan funds as a lump sum, a line of credit, a monthly payment, or anycombination of these. (If you elect a fixed-rate loan, you will receive a single disbursement lump sumpayment. Other payment options are available only for adjustable rate mortgages.)The HECM loan program was created by the Federal Housing Administration specifically forhomeowners age 62 and older, and has been growing in popularity. Today, many consumers andtheir financial advisors view HECMs, in the right circumstances, as a smart solution to help qualifiedhomeowners achieve their retirement goals.Remember, this is not your parents retirement planning! Its yours. You owe it to yourself to exploreall of your available financial options, including a HECM loan.If you think a HECM may be right for you, contact me at Reverse Mortgage Funding LLC at508.282.6329.Stephen R. Pepe, JD is an experienced HECM specialist with Reverse Mortgage Funding LLC (NMLS# 485943). Pepe, JD is available at 508.282.6329 or spepe@reversefunding.com to help educateprospective borrowers and their families. Branch address: 57 Jefferson St., Milford, MA 01757. BranchNMLS # 1111233. Massachusetts Mortgage Lender License, License No. ML1019941.

Health concerns related to the aging population like arthritis, chronic pain, obesity, falls, respiratory diseases, heart diseases, neuropathy and diabetes all require the care of multiple specialty providers. However, having to be seen for these conditions by multiple providers has put many seniors in a difficult position.Over time, people have slowly become deeply dissatisfied with their healthcare and the healthcare system as a whole. More often than not, it has been due to the fact that they continually feel they are being rushed or the communication between all of their healthcare providers is missing.While the goal of our healthcare system has always been to provide great service that patients require, over the past few years, many healthcare providers have been providing the same care to more people in a lot less time, escalating the percentage of dissatisfaction. When it comes down to your care, everyone knows the importance and the need for your providers to think and work inter professionally. Despite this and everyones best intentions, communication still remains minimal. It has become essential that healthcare providers are able to work together to coordinate treatment, prevent unnecessary testing, and be able to manage chronic conditions while being able to still provide quality care for their patients in the appropriate setting.Impact of IntegrativeImagine being able to be treated by multiple healthcare providers in one clinic. Integrative clinics have been able to unite multiple healthcare providers and reduce the overall dissatisfaction by providing more time, attention, better communication, and a wider range of healthcare options all under one roof. This minimizes having the patient commute from one place to another or schedule appointments at multiple clinics. Providers would then be able to work together and communicate as a partnership to treat the whole body and provide the care everyone has been looking for which will increase their overall satisfaction.Trying to coordinate healthcare needs around multiple providers and clinics has become a tedious task which has led to individuals postponing their care. Pain Management Physicians, Chiropractors, Physical Therapists, Massage Therapists, Speech Therapists, Occupational Therapists and patients alike are connecting with the philosophy of integrative medicine and its whole person approach designed to treat a person through every stage of life.Editors Note: This article was submitted by Shashi K. Gunda, PT, DPT. Shashi Gunda is a Physical Therapist with Avila Integrative Medicine and AIM Home Health and may be reached at 719-565-1276 or by email at shashi@wetargetpain.com

To learn more aboutGood Shepherd Home Care & Hospice,CLICK HERE.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 persons 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 persons overall quality of life and satisfaction. Many leisure social activities can be used to help increase an individuals 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 CentersToday, 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 CentersAccording 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 wasnt 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 CentersandSenior Citizen Centershelp 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 persons 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.

Families often struggle to honor their parents wishes; to help mom and dad stay at home as long as possible. But oftentimes, moving into a more structured environment creates a step up in quality of life for seniors. While people may feel reluctant to leave their homes for a nursing or assisted living facility (ALF) in Denver, seniors in these settings are often happier, healthier, more functional, socially active, and live longer than those who continue to stay in their homes.These facilities are professional at caring for seniors and provide a valuable spectrum of services, including:Structure in daily routine and care.Experience in caring for the elderly, especially those who may be frail or unwell.Employees who feel a special calling to work with older people; they are dedicated to their work and the residents.Natural opportunities for social interaction, activities, and recreation.Healthy, nutritious food.An extra set of eyes watching to be sure medications are administered appropriately and are having the intended effect.Rehabilitation and therapy services readily available to those who need them.There has recently been a movement around culture change and resident-centered care aimed at making nursing homes and ALFs a more desirable place to live. This philosophy puts the needs and de