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}#

Americans across the country celebrate Veterans Day on November 11, a special day to salute the men and women who have bravely served our country in the military.These fellow Americans have made profound sacrifices in defense of freedom and they deserve our heartfelt thanks and appreciation. Honoring our nations Veterans includes supporting them throughout their entire lives, especially at the end.As our nation marks Veterans Day on November 11, Heart n Home Hospice wants to share its commitment to increase Veterans access to compassionate, high quality hospice care for those who are facing serious and life-limiting illness. As part of this commitment, Heart n Home Hospice is a part of an innovative program, We Honor Veterans, developed by the National Hospice and Palliative Care Organization in collaboration with the Department of Veterans Affairs. Through We Honor Veterans, we are ensuring that our organization is equipped to address the unique needs of our nations Veterans.It surprises many Americans to learn that every day, 1,800 Veterans die. Thats more than 680,000 Veterans every year or 25 percent of all the people who die in this country annually. A generation of World War II and Korean War Veterans are facing end-of-life care decisions now, and they are quickly being followed by younger Vietnam War Veterans, many of whom are confronting serious illnesses at an even earlier age.The liberty that we, as US citizens, enjoy comes at a price paid by these valiant men and women. Let each of us make sure we do our part to recognize and support them throughout their lives.If you know a Veteran who is in need of the special care hospice brings to people facing serious and life-limiting illness, please reach out and help them learn more about the services that hospice can provide. Contact us at gohospice.com to learn more about the ways we support our nations heroes.To all our nations Veterans, thank you.

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

Agencies that help evaluate, coordinate, or provide crisis intervention for seniors. They are familiar with senior care issues and can assist families in determing the best care options or facility.#listing_mgr{7 basic_search}#

We are thrilled to report that the first round of vaccinations havebeen completed in almost all of our Inspired Living and Superior Residences communities, and the rest of the first clinics are scheduled for completion before the end of this month. As wonderful as that news is, the reality is thatthese months have been difficult. For our residents, not seeing their loved ones inperson has been heartbreaking.So now the question is when can we stop by for a visit?The answer can be complicated. Restrictions vary by state, and senior living communities must err on the side of caution. Outdoor visits with grandparents are the best bet, and those visits can only happen if the community has been free of COVID-19cases for 14 days.Experts say that, once most residents in a senior living community are vaccinated, it is generally safer to loosen some restrictions but masks continue to be mandatory. Also, remember that the Pfizer and Moderna vaccines both require two injections - the initial shot and a booster three or four weeks later. The protection these vaccines provide takes time, so visits should be delayed until at least two weeks after the second shot is administered.Ideally, all visitors should receive their vaccinations before they come near their loved ones. Since shots will not be widely available for a few months, it may be best to wait until all who plan to visit have received their vaccinations.As adult children, we need to recognize that our moms and dads have a much higher risk for getting very sick from COVID-19 notes Courtney Hancock, Corporate Director of Clinical Strategy for Validus Senior Living, adding the vaccine provides protection, but another first line of defense is to keep our guardup. Families should encourage their loved ones to get vaccinated, and everyone should continue to wear masks, wash their hands well and often, and practice social distancing.Remember Florence Nightingale? In the mid-1800s she recognized the importance of handwashingas the best way to prevent the spread of infection and disease. Her simple advice brought a dramatic decline in hospital mortality rates, and today still rings true.At Inspired Living and Superior Residences, we follow CDC guidelines, requiring mask usage, hand hygiene, and social distancing to control the spread of COVID-19 and other illnesses. In addition, we have instituted additional rigorous disinfecting measures including the use of foggers, UV light sanitization, and telemedicine (when possible), to help us mitigate widespread infection in our communities.Says Courtney Hancock, The key to weathering this pandemic, is to not become complacent. Even though we are all tired and ready to get life back to normal (or our new normal), it is imperative we continue to act as we did in early 2020. Not letting our guard down will be paramount to continued success in battling this invisible enemy.For answers to visitation questions specific to your Inspired Living or Superior Residences community, please contact the community's executive director.Submitted By: Inspired LivingWritten By: Elisa Graber

Non-Medical home care agencies#listing_mgr{8 basic_search}#

Finding the right Assisted Living Facility for your loved one should be your primary goal when considering placement. Some people do better with a large Country Club setting and some do better in a small family like environment. A wonderful example of this concept is Bayshore Guest Home and Gardens in Nokomis Florida.We are a small 10 bed facility this gives us the flexibility to create a custom care plan for each resident, designed just for their specific needs so they will thrive. We work with Wade Botkin, Psychotherapist LMHC Transitional Therapy and James Cosgrove Elder Care Specialists well as our on staff Case Manager to create the perfect plan for each resident.Moving here with us means you will never need to move again! Just moving down the hall when you are ill or in pain is not a very unpleasant experience. It gives you and family piece of mind to know no matter what may arise health wise that you're not going to have to leave your home. In fact Owner Monica Dowan observed we still have many loved ones of former residents stop in for meals they are still part of the Bayshore Community.The staff is what really sets Bayshore apart explains the Administrator. Our community has not had a citation from (AHCA) American Health Care Administration for over 21/2 years which is relatively unheard of in the senior living industry. We encourage all families to go to AHCH.org to view the surveys of any community they are interested in prior to touring it. We have had many residents come to us receiving Tidewell Hospice Care and their quality of life improved so much living here with us that they are taken off hospice care! All Bayshore caregivers are all extremely experienced, have a level 2 FBI background check and there is staff in the building round the clock. Head staff member on duty always carry the key fab alarm system and with a press of the button law enforcement agencies are contacted. We run our staff through both fire and elopement drills monthly to keep this information fresh on everyone's mind. We also house an AED (difibulator) on the premises that all staff members know how to operate. In an emergency, seconds can save lives but by using all the tools available to us we ensure our residents safety.Bayshore partners with the Nokomis Fire Dept. who actually runs drills right in their community great training for first responders, residents and staff. The Fire Station has a two minute response time to Bayshore Gardens.Bayshore Gardens is a place created with the care and dignity of seniors in mind, Monica Dowan (Owner) with the help of Leslie O'Gorman Harcourt Administrator have been able to bring this vision to life.

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}#

Periodontal, or gum disease, is an infection of the supporting tissues and bone which hold the teeth in place.Generally affecting adults in their 30s, 40s, and 50s, periodontal diseases are caused due to a number of reasons such as poor oral health, genetic susceptibility, chronic illnesses like diabetes, smoking, and certain medications. This infection can also contribute to heart disease, diabetes, premature aging, and weight gain. The infection continues to circulate throughout the body via the blood system and affects every major organ in the body, 24 hours a day!Treatment for Periodontal Disease used to consist of but one way, scaling and root planning, as well as invasive surgery. In addition, the dentist had no idea which type(s) of bacteria may be present.Oral DNA and Laser Periodontal Therapy is a less traumatic and much more effective procedure to treat Periodontal Disease. The Oral DNA identifies exactly which type(s) of bacteria are actively causing the infection. Based on the results, we are able to prescribe the proper antibiotics targeting those bacteria. We then utilize the Laser to access the infected pockets and to treat the infected tissue. Laser treatment is more comfortable and evidence suggests that it helps to stimulate regeneration of tissue.A topical antibiotic, which is effective for 3 weeks, is placed in the clean pocket. With proper home care and regular visits to the dentist, your Periodontal Disease can be treated and allows you to maintain teeth for the rest of your life, as well as improve the health of your entire body. It is a fact that the continual bombardment of your body with the infection and inflammation of Periodontal Disease, is devastating to all of your organs.Editors Note: This article was submitted by Couchman Center for Complete Dentistry. To determine if you have Periodontal Disease, call 719-593- 0263 for an appointment.

There are a lot of different options for long-term care, as you can see from this book. Each comes with its own unique pros and cons. One of those is the cost of the care. Assisted living can range from the low $2,000s all the way up to $6,000+ per month. Memory care usually starts in the high $4,000s. Skilled nursing can go all the way up to $13,000 in Central Florida! If youre looking through this Senior Blue Book, theres a high likelihood that you or one of your loved ones is needing this type of care. However, from our experience, theres also a high likelihood that you dont know that there are benefits that can help you pay for it! Medicaid is a great option for skilled nursing or some assisted living facilities. Veterans benefits can be instrumental in helping our veterans and their spouses pay for assisted living or memory care. Here is the important thing about those benefits most people can qualify despite what they may believe or have been told. There are many ways to get qualified for these benefits while protecting you or your loved ones nest egg. The best part about this is that you can do so in ways that the benefits programs permit! Now, that doesnt mean that its easy or quick. Sometimes it can take months to get everything in place. If that means saving tens or hundreds of thousands of dollars, its time and effort well spent. In order to make sure that the process goes as smoothly as possible, its important to work with an expert. Thats why so many Floridians choose the Family First Firm to guide them through these complex processes. The Family First Firms main office is located on Colonial Drive minutes from downtown Orlando, with satellite offices around Central Florida. The firm is fortunate to have a caring and compassionate team with extensive experience and uncomparable results. If you are interested in applying for Medicaid or Veterans benefits, you need to call 407-574-8125 for a free needs assessment.

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

Every nine minutes someone in our community is diagnosed with Parkinson Disease (PD). Chances are you or someone you know or love will be affected by the disease.PD is the fastest growing neurological disorder. Since the average age at onset is 60, and the median age of our community is 65, many physicians believe we are on the cusp of an emerging pandemic. And as life expectancy increases, so does the number of people living with the disease which is expected to double in the next 15 years.It is a disease of the central nervous system that touches almost every aspect of daily living, including: movement, mood, speech, eating and drinking, sleep, and cognitive changes. It progresses over time, robbing a person of independence through increasing complications, and impacts the loved ones of people with Parkinson as well.Currently there is no objective test to diagnosis PD. Typically, a Neurologist takes a careful medical history and performs a thorough neurological examination, looking in particular for two or more of the cardinal signs to be present. Following are the 10 early warning signs of Parkinson Disease:Tremor or ShakingSmall HandwritingLoss of smellTrouble SleepingTrouble Moving or WalkingConstipationA Soft or Low VoiceMasked FaceDizziness or FaintingStooped or Hunched OverFor over twenty years, The Parkinson Association of Southwest Florida (PASFI) has been improving the quality of life of persons with Parkinson and their care partners while creating a safe, nurturing and welcoming community. We advocate for our members and educate our community about PD. We nurture relationships among those involved in the care of persons with PD.We connect people to the information, support services, programs and activities they need to enhance wellness, live an active, engaged life moving forward and delay the progression of the disease. From Marco Island to southern Lee County, we offer movement classes, support groups, speech classes, social activities and educational programming for people with PD, their care partners and families.It is through the generosity of our community that we are able to provide quality programs and services free of charge. We receive no government funding to support our work.Editors Note: For more information on Parkinson Disease or to get involved please call239-417-3465 or visit our office at 5926 Premier Way, Suite 114 Naples, Florida 34109.

Soon after four people in the mediated session sat down, they were wringing their hands with stress. Voices strained. The last months had literally brought headaches and sleepless nights for some. And now each was being asked by mediators to tell their story to listen while others told things from their vantage point. It was not easy. But they had come too far to give up now.Conflict brings stress. The physical and mental effects of a dispute is one of the definitions of conflict. Those effects are worsened or prolonged by ignoring nagging issues or combatively undermining the other person to get what we want. But there is another way. Dealing with conflict in a structured face-to-face dialogue like mediation not only relieves its stress, but also usually builds trust for the future.Mediation is a process that enables people in conflict to talk through their concerns with mediators who advocate only for a fair process. The mediation process moves parties from thinking about what they want to building on what they already have, to an attitude of gratitude. A growing body of research points to practices of gratitude having significant physical and health benefits. Paul Mills, a professor of family medicine and public health at the University of California San Diego, found that 186 men and women with heart disease showed physical improvements when they had attitudes and practices of gratitude. Other studies corroborate gratitude as a source of reducing stress and increasing refreshment from sleep. (NY Times, Nov. 21, 2011)The changes that come with life transitions in elder years bring natural opportunities for conflict. Increasing need for health care, moving your home and new financial decisions all raise divergent and emotional concerns. Dealing with these new issues can bring families together in their common concerns, or as weve too often seen, drive a lasting wedge between family members who fail to navigate it. Your familys legacy, along with the health implications of prolonged, unresolved conflict are the basis for a new service, Elder Mediation.In Elder Mediation, two unbiased, trained volunteers help each member of your family present, sometimes with attorneys or other outside support, to have a healthy conversation about these special concerns. The mediators are not only prepared to help each person listen and tell their own story, but they also have special training to help navigate senior-specific issues.Is it hard? Perhaps, though not nearly as painful as the alternatives. But most families who take advantage of mediation emerge from a session that began as stress-filled and hand-wringing to report resolution, re-connection and relief. Many even leave a mediation and immediately go out to eat. So, despite the initial stress of having a face-to-face dialogue around tough issues, restoring relationships and health is more than worth it._______________________________Editors Note: This article was submitted by Chris Fitz, Executive Director, Community Engagement of Lancaster-based Advoz Mediation and Restorative Practices.

To learn more about My Medivan, CLICK HERE.There are many reasons to put off going to the doctor, especially with Covid still being an issue. However, getting those regular checkups is the best way to prevent a serious disease. If transportation is an issue, please give us a call. We are able to transport you whether you are able to walk on your own, are in a wheelchair, or simply need a little extra help. Our drivers are fully qualified and trained on not only wheelchair securement, but defensive driving skills, CPR, and spotting elder abuse as well. They also undergo a full background check and random drug tests. We have a zero tolerance policy when it comes to alcohol or drugs. Your safety is our #1 concern. Dont let another day go by. Call us to schedule a ride today at 801-734-7010.

To learn more about Utah Senior Care Advisors,CLICK HERE.Make no mistake; laundry is a huge issue in every assisted living. Items will be lost, misplaced, bleached, torn etc That is a simple fact that you must come to terms with. All assisted living communities try their best. Every garment must be labeled and every community has a different system. If their services are not up to your standards, instruct administration to leave your loved ones laundry in their room.You can take it home to launder or ask the administration if you can use their facilities to launder clothing while you are visiting. They will generally let you do as you please during off hours, when the nursing assistants are busy helping resident to bed or during meals. Christmas time is the worst time for laundry, because family members always want their loved one to wear a garment before they are required to label it.

Better balance leads to less risk of fallsActivities in our daily lives require a variety of balance and mobility actions such as- bending over, reaching and turning, as well as shifting your weight as you stand up or sit down or simply walk about. Some activities may magnify unstable joints and weaknesses in muscles to execute movements. For those who begin to recognize that they might have a problem doing these regular daily activities a fear of falling unavoidably develops.Whether you are injured or not taking a fall will likely affect your quality of life. An increasing number of those 65 years and older fear falling and, as a result, limits their activities and social engagements. This leads to further physical decline, depression, social isolation, and feelings of helplessness.So what can you do?Retain and regain your Physical Health by Exercising RegularlyRemove Environmental Risks around Your Home such as: Rugs on wood floors, electrical cords, stair cases without railings, and cupboards that are too high or lowBe aware of your medications (some may cause dizziness which can lead to poor balance)Get an alert PendantWhat is an Alert Pendant This is a device that you carry on your person at all times and allows you to call for help at the push of a button. There are a variety of Alert Pendants available, please consult your physician or home health provider when selecting one. Alert pendants can help keep you safe in the following ways:Allow you to call for help most anywhere in the homeProvide a sense of security, for those who are often found aloneAllow for quick response time for emergency teamsAllow for the independence and safety while living at homeWhat can Home Health do to help you?At Midas Creek Home Health we can help you take the steps to increase your strength, endurance, balance and mobility while maintaining your independence with our Safe Steps Fall Prevention Program. Our Physical Therapists can help you stay within the comfort of your home while teaching you balance/mobility methods that will allow you to continue daily activities that make life worth living! The best part about it, most insurance policies cover the therapy. Lets prevent that fall from happening and get you the help you need today!Editors Note: This article was submitted by Steven Collard, with Midas Creek Home Health and may be reached at 801.302.8526 or by email at midascreekhh@digis.net

For many of us, finding our way through stress and anxiety can feel debilitating, disempowering and sometimes, impossible. Did you know there are coping skills to help you move through stress and anxiety meaningfully and increase your overall personal mental health and wellbeing? Start today!Mindfulness Coping SkillCreate a daily routine to include a brief meditation set to relaxing music in which you focus on being intensely aware of what you're sensing and feeling in the moment, without interpretation or judgment. To practice being non-judgmental, try listening to a piece of music and only report the facts of what you hear (instruments, style, tempo) without emotional interpretation and successfully engage in the moment without judgement. Apply this mindset of non-judgmental observation of your thoughts, feelings and reactions while meditating during your daily practice.Distress Tolerance Coping SkillDuring times of high stress and anxiety, the quickest way to return to a mindful state of focus and calm is to try the 5-4-3-2-1 Grounding Method:5:AcknowledgeFIVEthings you see around you. It could be a pen, a spot on the ceiling, anything in your surroundings.4:AcknowledgeFOURthings you can touch. It could be your hair, a pillow, or the ground under your feet.3:AcknowledgeTHREEthings you hear. This could external sounds. Focus on things you can hear outside of your body.2:AcknowledgeTWOthings you can smell. Maybe youre in your office and smell pencil, or in your bedroom and smell a pillow. If you need to take a brief walk to find a scent you could smell soap in your bathroom, or nature outside.1:AcknowledgeONEthing you can taste. What does the inside of your mouth taste likegum, coffee, or the sandwich from lunch?Emotional Regulation Coping SkillEmotional regulationskills includetheability to identify,understandand accept emotional experiences; control impulsive behaviors when distressed; and flexibly manage emotions. Next time you are feeling a difficult emotion, use the acronym RAIN:R: Recognize the emotionA: Allow the emotion to happenI: Identify where the emotion is in your bodyN: Nurture the emotion with kindness and self-compassionEditors Note: This article was submitted by Ashley Lewis, MM, MT-BC. Ashley is a Music Therapist with Central Florida Community Arts and may be reached by email at ashley.lewis@cfcarts.com. Or call (407) 937-1800

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.

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.

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

A common goal for anyone reading this article is the eventual eradication of Alzheimers disease (AD). The numbers are staggering! There are over 5 million Americans with AD dementia and this number is expected to be over 16 million by 2050. One in eight persons age 65 and older, and 1 in 3 persons age 85 or more, currently has AD dementia. In short, we are in the midst of an AD crisis that is growing in size and scope. The good news is that exciting scientific advances in the past few years gives us tremendous hope that new treatments to slow down and even prevent the symptoms of AD will be available in the not-too-distant future. However, the single most important thing that anyone can do to make this happen and to have an impact on the AD crisis is to volunteer to participate in research.The Boston University Alzheimers Disease Center (BU ADC) aims to reduce the human and economic costs of AD through the advancement of knowledge. The BU ADC was established in 1996 as one of 29 centers in the US funded by the National Institutes of Health to advance research on AD and related conditions. At the BU ADC, there is likely a research study for anyone interested in volunteering. There are studies for individuals who already have symptoms and have been diagnosed with AD dementia or mild cognitive impairment (MCI), and there are studies for people who do not have any symptoms. Some studies are clinical trials involving taking an investigational new medicine or placebo to slow down the disease progression (e.g., the DAYBREAK Study) or even prevent the symptoms (e.g., the A4 Study). Some studies do not involve medications, but include new methods of diagnosing and detecting AD, such as PET scans and MRI scans (e.g., the ADNI study).Participation in research is not merely a means of moving the science forward; it can also provide important positive benefits to the participant, including a decreased sense of solitude by interacting with a research team who truly understands the disease and its toll on the patient, the caregiver, and family members. And, research participation fulfills that most important need for everyone touched by the disease: a sense of hope. It is shocking how difficult it is for researchers around the country to recruit an adequate number of people willing to participate in AD-related research. Yes, even in Boston! If this little article results in just one person to become enrolled in AD-related research, it would make a tremendous difference. Please help by participating and spreading the word!If you are interested in learning more about participating in one of these studies, call (617) 414-1077 or email joinadc@bu.edu. To learn more about the BU ADC and the research studies currently available, go to the Centers website: www.bu.edu/alzresearch.This article was written by Dr. Robert Stern.Dr. Robert Stern is Professor of Neurology, Neurosurgery, and Anatomy and Neurobiology at Boston University School of Medicine, where he is also Director of the Clinical Core of the BU Alzheimers Disease Center (one of only 30 centers funded by the National Institutes of Health, NIH).

Getting older should afford you more respect, not less. No one at any age should be subjected to physical or mental abuse. If you are a senior and believe that you are in an abusive situation, it is important for you to know that you have rights and realize that elder abuse is a crime. As Americans, we all have the right to live our lives free from abuse, neglect and exploitation.The Department of Elder Affairs is committed to working with the network of social services and law enforcement agencies throughout the state to protect Florida's elders from abusive situations and environments. The Adult Protective Services Act (Chapter 415 of Florida Law) requires the state to have specific procedures for reporting and investigating instances of suspected abuse, neglect or exploitation of disabled adults and the elderly. The Department of Children and Families Adult Protective Services Office serves as the lead agency for handling reports and investigations of abuse.How do you know if you have been abused? There are many forms of abuse. Any willful act or threat that causes (or is likely to cause) you significant physical, mental or emotional harm is considered an act of abuse. Common forms of abuse include: hitting, pushing, shaking, beating, yelling, verbal harassment, coercive behavior, intimidation and other acts that cause harm. Un-fortunately, many seniors know their abusers well. Sadly, reports of abuse conducted by adult children, grandchildren, friends and neighbors, or in-home health care providers have become commonplace.Neglect occurs when caregivers fail to provide elders with the essentials needed to maintain their physical and mental health. Your parent could be a victim of neglect anytime, someone in charge of their care deprives them of food, clothing or medical care. In most cases, neglectful behavior is repeated over a period of time.Exploitation involves the un-authorized handling or usage of an elderly persons money, property or other valuable resources. Un-fortunately, there are many ways in which unsuspecting elders can be exploited. Those who misuse their power of attorney or their guardianship status in a way that results in the unauthorized appropriation, sale, or transfer of property or personal assets is guilty of exploitation.For additional information on elder abuse, neglect and exploitation, contact the Senior Choices Helpline toll-free at 1-866-413-5337. If you suspect elder abuse, neglect or exploitation, call the Abuse Hotline at (800) 96-ABUSE (2873).

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/

There is a growing form of Elder Exploitation wherein adult children, other family members or friends return to live with senior parents or grandparents. This form of Financial Exploitation occurs under the guise of helping the senior victim with day-to-day living. It may also be presented as a temporary relief of financial hardship by the person requesting to live with the senior, only to become something entirely different.Some of the perpetrators may include family members, caregivers, neighbors, friends, acquaintances, or other. The living arrangement and the help is rarely negotiated, and the senior victim soon finds his home invaded.Before allowing anyone to stay for any length of time, discuss the nature and duration of the visit. Establish boundaries. Resist any proposal to allow anyone to stay for an indeterminate period of time. Resist any proposal to trade help for rent, living expenses, or the like unless established in writing and reviewed by a third party. Once the perpetrator has established a residence at the seniors home, it can be very difficult to evict. Written by Tanner Stellmon, Deputy Prosecuting Attorney, Ada County Prosecuting Attorneys Office.Idaho Legal Aid Services is an excellent resource related to housing issues: www.idaholegalaid.orgThe following sites may also help with these types of situations:www.ncjrs.gov/elderabuse/www.dailyfinance.com/2008/10/06/how-to-deal-with-a-deadbeat-adult-child/ www.adultchildrenlivingathome.com/8mistakes.pdfwww.landlordology.com/tenant-eviction/www.stopfraud.govwww.ncall.us/resourcesOther forms of Elder Abuse include Neglect, Emotional Abuse, Physical Abuse and Sexual Abuse. FACES Family Justice Center provides multiple services in one location for victims of: Child Abuse, Domestic Violence, Elder Abuse, and Sexual Abuse. FACES currently provides Case Management and other services for individuals 50 and older that meet the criteria for Abuse Later in Life. If you, or someone you know, is vulnerable to or a victim of abuse or exploitation, please contact us to find out about available options and services. FACES Family Justice Center. 417 S. 6th Street. Boise ID 83706. 208-577-4405. www.facesofadacounty.com

If you've taken on the caregiver role for a senior or someone with a chronic illness or disability, chances are you have experienced more than your share of fatigue, frustration, loneliness and stress. Few of us expect to add caregiving to an already challenging list of family and professional responsibilities. But if the task falls on you and the strain of caregiving threatens to throw your hectic life off balance, take a tip or two from those who have walked in your shoes.Get all the help you can. Seek or accept help from family members, friends, neighbors, volunteers from your community or church group, paid caregivers or a geriatric care manager.Safeguard your physical and mental health. Many caregivers take minimal time to care for themselves, not allowing time to exercise, rest or to eat regular meals. Exhaustion can compromise your body's immune system and lead to illness. Surprisingly, the primary reason many seniors are moved from the comfort of their own home into an institutional setting is the decline in health of the caregiver, not the patient. Its important to eat well, get enough sleep, see your doctor regularly and take time for yourself in order to stay healthy, keep your loved ones healthy and avoid burnout.Make time for yourself. Schedule respite times when you can attend to your needs and pursue your interests. Exercise, shop, read or enjoy yourself with friends and other family members - engaging in whatever activities you find most fulfilling and relaxing. Either through finding activities your loved ones are interested in or by having someone else come in to provide you some relief, making time for yourself is an important element in maintaining your physical and mental well-being.Consider connecting with other caregivers. Communicating with people who share your challenges can be a relief. Contact your local senior center, hospital, or homecare agency to learn about caregiver support groups in your area or connect with fellow caregivers.As with other priorities in your life, the responsibility of caring for yourself comes down to you. Even small steps toward positive change can reap significant benefits.Editors Note: This article was submitted by Elizabeth Squires of ResCare Home Care. She may be reached at (801) 288-4100 or by email at esquires@rescare.com. Visit their website at www.rescare.com

If you are an elderly mom or dad, or an adult son or daughter of an elderly parent and you live far apart from one another, you may like to know about a Geriatric Care Manager (GCM). A GCM is a professional with specific training and knowledge in caring for the elderly. Caring involves understanding the need for and application of social work, psychology, nursing, medical care, home safety and security, and home assistance. A GCM can assess an elderly persons condition and needs, recommend services, and be an advocate for wellness and independence while aging at home. Recently, a friend of mine received a call that his father fell in the bathtub and was being placed in an ambulance for a trip to the hospital. The call did not come from his mother, but from a professional care manager he hired to see after his parents who lived 525 miles away in a suburb of Chicago. His mother pressed her life alert button, the service called her, called an ambulance, then called her care manager who was there in less than 15 minutes. Our friend, her son, was assured his dad was being cared for and the care manager would keep him posted on dads condition. GCMs may be nurses, social workers, or geriatric specialists that are qualified in planning for aging and referring services for the elderly. Youve heard the term plan ahead to avoid problems ahead. Maybe its time to give attention to these things since aging, absent early death, is inevitable. One of these two things will happen and its better to be prepared either way. The website www.caremississippi.org can lead you in the right direction.

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

The best way to protect ourselvesand our loved ones is through socialdistancing, mask wearing and practicing good hand hygiene. Select themask that works best for you and thecircumstances and stay safe!Types of masks for COVID-19protection:Homemade Cotton Face Masks This kind of mask offers a very lowlevel of protection, but it helps remind you not to touch your face. Asa reusable option, it is important tokeep it clean and regularly wash yourface mask in a 140194 F hot machine wash with laundry detergent.One more thing to remember: shapematters! Your mask protects you better when it fits your face perfectly.N95 Respirator Mask N95 respirators are designed to create a tightseal around the nose and mouth.When worn correctly, they can blockover 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 peoplearound them. N95s are made oflayers of polypropylene fibers, whichis what makes them so effective.The N95 is regulated by the CDCand NIOSH unless it is marketedfor medical use, at which point theFDA will approve them as well. Inresponse to the Coronavirus pandemic, the FDA changed their guidelineswith an emergency use authorization(EUA) to allow NIOSH approvedrespirators to be used in healthcarecircumstances.KN95 Mask KN95 particulatemasks are also rated to filter 95%of particles and are regulated by theChinese government. The FDA alsoissued an emergency use authorization (EUA) authorizing the useof KN95s as a valid alternative toNIOSH approved masks. Anotherdifference between KN95s and N95sis that the KN95s often use ear loopsrather than an over the top of thehead and behind the neck two strapconfiguration like the N95.3-Ply Disposable Masks 3-ply disposable masks are fluid resistant andprovide the wearer protection againstlarge droplets, splashes, or sprays ofbodily or other hazardous fluids. Theyalso protect others from the wearers respiratory emissions. They aremore loose fitting than either N95 orKN95s, so provide a less reliable level of protection from inhaling smallerairborne particles. When marketedfor use in healthcare scenarios, as asurgical or medical 3-ply mask, theyare regulated by the FDA and therefore provide better protection than ahomemade mask.Editors Note: This article was submitted byChris Myers, Partner at Community Attire, anorganization dedicated to providing protective supplies to help keep people safe andbusinesses running. Chris can be reached atchris@communityattire.com or 213-761-4229.More safety articles are available at communityattire.com.

Finding the right placement for a loved one is never an easy task. Emotions, fears, worries, and finances all tangle into what is often one of the biggest decisions a family must make. With the added complications of COVID-19 it can seem unmanageable. There are things you can do to make the process easier and make decisions with more confidence. And the most efficient thing to do is work with an expert.Senior care placement specialists like CarePatrol have helped hundreds, if not thousands, of families in similar situations find the best care for their loved ones. Especially now with COVID-19, the value and importance of having a locally-based specialist familiar with concerns around quarantine plans, visitation regulation, and sanitation make working with a specialist so much more advantageous.A good specialist will know, after a care discovery discussion with you, which locations represent what you are seeking, and of those, who is accepting new clients. Personality fit, goals, and needs of the individual provide the added flavor for a specialist to make the best recommendations based on their knowledge of each community they work with and the types of individuals at each one. As an intermediary between healthcare discharge and assisted living professionals, we ensure appropriate communication of urgency and the need and condition of our clients. If an interim-care solution is required due to an expedited discharge (a reality of COVID-19 accommodations within hospitals) we can work with you to identify appropriate respite stay or home care options.Today, with COVID-19 placing added concerns on a family seeking a placement, your specialist will know which facilities are operating under strict guidelines, which are having difficulties, and which are admitting new residents. This wealth of knowledge and the ability to guide you in the more subtle differences are why working with a specialist is so much better than going it alone. At no cost to you or your family, a senior placement specialist will take the time to discuss with you what is important. They do much more than provide a list of locations site unseen by a national resource listing service. Those services are simply pulling information off the web without any personal knowledge. The local specialist has an intimate understanding of each of their centers.Service from the heart.Our team has come into senior care from the deep desire to make a difference in their community. Most have experienced the trauma of searching for care for a family member or friend and being lost in the uncertainty of not knowing. The biggest concerns over whether a facility can care for you loved one and their special needs can be mitigated. CarePatrol certified specialists work together with their team to understand your needs. The Level of Care Assessment is our assurance that we have the details from you to make the best recommendations possible. Whether the situation is imminent, or the plan is long term for successfully aging well, you dont have to struggle through it alone.In the context of COVID-19, transitions of care are still a necessity. Its interesting to note that our approach under COVID-19 is not far from our regular operations. Safety, efficiency and professional communication to provide the best care for the seniors we serve is at the heart of our offerings:No cost consultations (always) to help families develop strategies and options for safe care transitions.Closely monitored Assisted Living communities and tracking of current admission, touring policies and room type availability, using our up-to-date, detailed database.Virtual Touring using online tools if a facilityisntopen for on site tours.Providing current information and photos of our facilities online.Minimizing risks wherever possible, reducing tours of unqualified or non-appropriate facilities, identifying best matches prior to touring, and always over-communicating with discharge professionals, families, and care facilities to ensure streamlined transitions.Article Written & Submitted By:CarePatrol- CLICK HERE FOR MORE INFORMATION*Original Blog Source: CLICK HERE

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.

To learn more about Intermountain Homecare and Hospice,CLICK HERE.The question of how to help a friend or loved one is being asked more frequently given the abundant grief and loss were experiencing. We so want to help others, give comfort, or reduce pain, somehow, someway. And yet, the best answer is to start by not saying or doing anything. The best answer is to start byauthentically listening.What is authentic listening?Authentic listening is a mighty tool of caring and service.Undervalued, listening is the ultimate love language. Its quiet, slow, modest, and requires our time and single-minded attention. Maybe thats why its underused. Loud, showy, busyness is much more valued today with quick fixes and a plentitude of platitudes.Authentic listening is often the only thing needed to help someone.When someone listens to our experience and our emotions in a safe space, we feel truly loved and validated. Often, saying our problems out loud illuminates the illusive solutions and because these solutions are custom-made, they are embraced more enthusiastically than to advice given by others.Authentic listening provides safe space.The listener lends themselves to us for a while, giving us their full attention, without distraction. Their purpose is to validate, not judge; understand, not fix. Hesitating at first, we relax into speaking truth as the person just listens without interruptions, unnecessary questions, or commentary.Authentic listening is a conscientious decision made in the moment.It doesnt happen by accident because it requires us to deliberately turn down the noise of our thoughts, questions, and advice while turning up our sensitivity to what this person is saying and feeling. Distractionsare turned off and quiet patience is turned on.Authentic listening is a magical experience.Consider the last time you experienced authentic listening, as the listener or the recipient. Youll remember it because they are rare, special moments. There is a heart-to-heart connection that can be transformative for both people. Given how good it feels and how well it works, we have to wonder why we dont make it happen more often.How do I listen authentically?Authentic listening uses these phrases:Tell me moreThis must be really hardI want to make sure I understandIs this what youre sayingWhat has this been like for youAuthentic listening avoids these phrases:I understand how you feelWhen that happened to me, IWhat you need to do is justHave you triedJust look on the bright sideAuthentic listening takes practice and it's worth it.Authentic listening doesnt come easily and requires intentional practice. The result is having the most precious gift you can give to others when there are no words to be said. And from your listening may come a very customized answer of what service can be done.Today, make a decision to authentically listen to one person close to you. Researchers find most of us listen for about 18 seconds before interrupting and taking over the conversation. Try to stretch that to 30 seconds or even a full minute. Observe what happens when you take your turn to truly listen before talking.

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.

The goal of hospice is to promote quality of life with a focus on managing pain. The skin deterioration observed in pressure ulcers or other wounds is a symptom of body systems breaking down.Even in the final stages of life, good wound care can contribute to physical, psychological and emotional comfort. Wounds can generate feelings of fear, aversion and suspicion of neglect. Poor wound careor lack of wound carecan be devastating to the patient and familys experience of death.Pressure Ulcers in Hospice PatientsPressure ulcers (bedsores) occur in more than 40 percent of hospice patients. Even with aggressive preventive measures, critically ill patients experience compromised healing response due to impacted muscle cell and immune function, among other factors. For these patients, pressure ulcer formation may be a visual biomarker that the critical illness has overwhelmed the body; skin breakdown is neither preventable nor treatable.Family members of terminally ill patients may view pressure ulcer formation as a failure on the part of the healthcare staff caring for the patientor even as their own failing, if they are responsible for providing care. Their emotional response may lead to requests that compromise the patients comfort-focused plan of care.However, in general, prevention and treatment should not compromise the hospice philosophy of providing comfort care. Studies show that when patients are more comfortable in one position due to advanced illness, comfort should supersede preventive measures. If hospice staff deem that routine patient turnings contribute to increased pain, turnings may be suspended.Other Wounds Common in HospiceDue to the wide variety of patients and conditions treated in hospice care, you may encounter an equally wide variety of wound types:Arterial insufficiencyOften appears as ulcers with black eschar on the lower leg and foot. The skin surrounding the wound appears to be very thin, shiny and usually hairless. The foot may feel cold and appear dusky red or pale.Diabetic ulcersTypically on the plantar surface of the foot and the second metatarsal head. They are usually painless.Venous ulcersOccur in the so-called gaiter area, halfway up the calf and down to just below the ankle. The skin likely feels itchy and appears mottled brown or has black staining and may appear crusty. The legs may become painful with sitting.Tumors or fungating lesionsOccur most often in cancer of the breast, but may occur with other types of cancers, including head and neck, malignant melanomas and sarcomas. The lesion may be a small crusted area or a large ulcerated area with profuse exudate and capillary bleeding. They are often disfiguring, distressing and isolating. Odor and exudate management may be a particular problem in this type of wound.Risk Factor Assessment and PreventionRisk assessment upon admission is crucial and must include a full body check. Pressure ulcers are caused by intrinsic and extrinsic factors, including immobilization, cognitive deficit, inability to verbalize discomfort or numbness, chronic illness, aging and poor nutrition.Once risk factors are established, preventing wounds from occurring is the best practice. Prevention measures include, but are not limited to, inspecting the skin and monitoring for proper moisture control. Proper positioning, transfer techniques and nutrition are essential for the comfort of the patient.Avoid pressure on the heels and bony prominences of the body, and use positioning devices whenever feasible. As always, remember to document the condition of the skin after assessment.Staging WoundsThe following wound stages are established by the National Pressure Advisory Panel:Stage IThe skin is intact with non-blanchable redness of a localized area. Darkly pigmented skin may not have visible blanching, but its color may differ from the surrounding area. The area may be painful, firm, soft, warmer or cooler as compared to adjacent tissue.Stage IILook for partial-thickness loss of dermis presenting as a shiny or dry shallow open ulcer with a pink wound bed, without slough or bruising. It may also present as an intact or ruptured serum-filled blister. Stage II does not describe skin tears, tape burns, perineal dermatitis, maceration or excoriation.Stage IIIIndicates full-thickness tissue loss. Subcutaneous fat may be visible, but bone, tendon or muscle is not exposed. Slough may be present but does not obscure the depth of the tissue loss. There may be undermining and tunneling. The depth of a stage-III pressure ulcer varies by anatomical location.Stage IVFull-thickness tissue loss with exposed bone, tendon or muscle. Slough or eschar may be present on some parts of the wound bed. This wound often includes undermining and tunneling. The depth of a stage-IV pressure ulcer varies by location. Stage-IV ulcers can extend into muscle and/or supporting structures, making osteomyelitis possible.Deep-Tissue InjuryA purple or maroon localized area of discolored intact skin, or a blood-filled blister due to damage of the underlying soft tissue from pressure and/or shear. The area may be preceded by tissue that is painful, firm, mushy, boggy, warmer or cooler as compared to adjacent tissue.UnstageableFull-thickness tissue loss in which the base of the ulcer is covered by slough (yellow, tan, gray, green or brown) and/or eschar (tan, brown or black) in the wound bed. Until enough slough and/or eschar is removed to expose the base of the wound, the true depth, and therefore stage, cannot be determined.Basic Principles of Wound CareThe first step in determining a successful wound plan of care involves establishing the patients prognosis, condition and potential for wound healing. For instance, a less aggressive approach will be necessary for someone in the final days of life, or when it is evident that healing is not realistic.Its important to set appropriate goals based on the prognosis, condition and potential for healing. Goals for hospice patients may include:Preventing complications of the wound, such as infection or odorPreventing additional breakdown of the skinMinimizing harmful effects of the wound on the patients overall conditionWhen developing a care plan for a patient, it is important to factor in their status and desires. Interventions should be re-evaluated every two weeks to determine whether the plan is still appropriate. A wounds failure to heal does not necessarily imply that other measures are more appropriate, or that all possible approaches should be attempted. Instead, focus on developing the best option for the patient based on their present condition and their desires.A basic wound care plan will incorporate these elements:Cleansing debris from the woundPossible debridementAbsorbing excess exudatePromoting healingTreating infectionMinimizing discomfortIn hospice care, the pain, appearance, odor and perceived implications of wounds can be incredibly distressful for the patient and family. To stay in alignment with hospices mission of comfort care, the entire hospice team must operate with vigilance, assessing and documenting wounds and condition changes in detail, maintaining proper preventive measures and developing plans of care that consider the patients needs and desires.By reducing the occurrence and severity of wounds and mitigating their effects, the hospice team contributes to quality of life and facilitates a peaceful death experience for both patient and family.Submitted and Written By: Vitas Healthcare - click here for more information

For more information about Boulder Community HomeCare, CLICK HERE.Did you know that one of the best forms of exercise you can do is walking? The American Heart Association recommends 30 minutes per day of physical activity for adults and walking counts!All you have to do is lace up with a good pair of sneakers and walk. Its that easy. Its also safe, the least expensive and has the lowest dropout rate of any type of exercise.Walking also has serious health benefits:Reduces heart attacks (by 86% combined with other factors)Strengthens heart muscleStrengthens lungsReduces blood pressureReduces chances for colon cancerLowers heart rateLowers cholesterolIncreases high-density lipoprotein (HDL or good cholesterol)Strengthens and develops musclesStimulates intestinal movements, resulting in better elimination of wastes

Observing the safety hazards in a seniors home is one thing. Living them is another.Its not always easy to understand the physical limitations older adults face that could make home a virtual minefield for an aging parent.According toresearchconducted by the Home Instead Senior Carenetwork, nearly 100% of emergency room doctors in the U.S. and Canada report that the following health conditions are very serious risk factors as potential causes for injuries or accidents at home: Mobility Problems Poor Eyesight Balance Issues Confusion or Dementia Impaired Motor SkillsAs time goes on, the effects of aging could impact all senses including hearing, vision, taste, smell and touch. These sensory changes often affect an older adults lifestyle as well. Its a domino effect, of sorts, that might make a senior vulnerable to safety issues in the home.Poor eyesight, for instance, could make it more difficult to see a throw rug, safely use a knife to cut an apple or take the proper dose of medication.Agings Effects on the Five SensesThe following describes how aging can compromise the fivesenses:Sight:By the time someone is 60, pupils decrease to about one-third the size they were at age 20. Add to that aging-related eye conditions such as cataracts and macular degeneration.Taste:We start out with about 9,000 taste buds. They decrease in both number and mass with aging.Smell:Sense of smell can diminish, especially after age 70, because of loss of nerve endings and less mucus in the nose.Touch:Decreased blood flow to nerve endings as we age can reduce the sense of pain and temperature.Hearing:Our ears control hearing and sense of balance, both of which can be compromised as we age.Making Home Safer for Seniors with Diminished SensesIts possible to counteract the effects of aging by being proactive. Discover the ways you could help older adults safeguard their homes by going to www.MakingHomeSaferforSeniors.com by checking out a variety of resources including a room-by-room home safety checklist. .This article was submitted by Jerri Schomaker, owner and CEO of Home Instead Senior Care and can be reached at 719-534-0908

The information is all around us news articles, family, and friends -- yet many of us keep kicking the LongTerm Care planning can down the road. Hope we will never get old, hope we will never need care, and if indeed, we do get old and need care, the hope is someone will solve this problem with free care.Historically, shifting the Long-Term Care risk has been accomplished with Traditional Long-Term Care policies. These are pure risk policies, paid annually for life or till claim. Cost for these types of policies has risen over the years due to declining interest rates.Many people have shied away from these types of policies because of rate increase histories and because if they never go on claim, they feel they are losing the money spent over the years on premiums. This trend has resulted in the creation of a wealth transfer product called Asset Based Long- Term Care. The uniqueness of this product helps eliminates the fear of if I dont use it, I lose it. This product is ideal for individuals who understand the need for Long-Term Care planning and are considering self-funding their potential care needs.The design of these products allows for three main benefits. First, many polices guarantee a refund of the single premium paid in at any time. Second, if you die without needing care, a step up of the initial premium is paid out as a tax-free death benefit. Third, if you need care, these policies pay out a multiple of the premium as a tax-free benefit to pay for care. The care is provided by a Monthly acceleration of the Death Benefit and some plans pay a multiple of the Death Benefit for needed care. This product may be appropriate for people who are over 60 and are thinking of self-insuring. They can self-insure with leverage of 4, 5, or 6 to one.If you have been guilty of kicking that Long- Term Care Can down the road, now is a great time to look at your options with an Asset Based Long Term Care policy. Growing older is mandatory but doing it well is optional. Having a plan for Long-Term Care is part of doing it well. What is your plan?Editors Note: This article was written by Tim Ripp, EVP, and Associates of Clifton Park and provided by Bridget M. Sullivan, a Financial Advisor offering Securities and investment products and services offered through Waddell & Reed, Inc. (WRI), member FINRA/SIPC. Insurance products are offered through insurance companies with which Waddell & Reed has sales arrangements. The article is meant for educational purposes only. It should not be considered investment advice, nor does it constitute a recommendation to take a particular course of action. Please consult with a financial professional regarding your personal situation prior to making any financial related decisions. Waddell & Reed is not affiliated with Timothy Ripp or Associates of Clifton Park.

The incontinence experts at Shield HealthCare have consulted with on-staff Registered Dietitians to provide this valuable information about the link between incontinence and nutrition.How can the diet affect bladder control?Although there is no special diet to cure incontinence, there are certain dietary matters you should know about. Many people with bladder control problems reduce the amount of liquids they drink in the hope that they will urinate less. This can create highly concentrated, irritating urine which can make a person have to go to the bathroom more often. This also encourages the growth of bacteria, which can lead to infections. Certain foods and beverages are thought to contribute to bladder leakage. Their effect on the bladder is not always understood, but you may want to see if eliminating one or all of the following items improves bladder control.Common bladder irritants:Alcoholic beveragesCarbonated beverages (with or without caffeine)Milk or milk productsCoffee or tea (even decaffeinated)Medicines that contain caffeineCitrus juice & fruitsTomatoes or tomato-based productsHighly spiced foodsSugarHoneyChocolateCorn syrupArtificial sweetenersNon-irritating thirst quenchers:Water (a thin slice of lemon is OK)Grape juiceCranberry juiceApple juiceCherry JuiceProper hydration and water intake. Water is essential for body functions including digestion, absorption, circulatory and excretory functions, as well as the absorption of water soluble vitamins. Water is also required to make saliva, cushion joints and regulate body temperature. In general, it is recommended that you drink 8 glasses of water daily (8 ounces each). You and your physician can determine if this amount is right for you. Source: National Association for ContinenceThis article was submitted by Elizabeth Tscholl, Registered Dietitian at Shield HealthCare which services Denver and the surrounding areas with medical supplies for care at home. Elizabeth can be reached at 303.437.0121 or etscholl@shieldhealthcare.com.

To learn more about American Dental Group, CLICK HEREBefore committing to a dental procedure, make sure you choose a dentist you can trust. Learn more about your dentist by asking these five questions.Are you experiencing dental pain? Do you want to improve the appearance of your teeth? Does one of your dental crowns or fillings need to be replaced? When you visit the dentist, he or she will most likely recommend a particular procedure to restore the health or improve the aesthetic of your smile.Its easy to agree to a dental procedure when you trust your dentist, but what if youre visiting with a new dentist? Not everyone has a dentist they know and trust. To find a great dental team near you, find one that has these qualities:A variety of servicesExperienced dentistsSpecialized servicesA welcoming environmentModern technologyRegardless of who your dentist is and what procedure he or she recommends, you should ask these five questions to ensure the procedure is right for you:Can you describe my dental problem so I can get a second opinion?If you have a trusted relationship with your dentist, this question may not be necessary. But many adults dont go to the dentist regularly so getting a second opinion may not be a bad idea.Have the dentist explain exactly what your dental issue is and how the procedure will fix the problem. A second opinion can confirm the treatment or offer an alternative.Red flags that may lead you to consider a second opinion include a dentists refusal to explain your need for x-rays or multiple appointments. Make sure every part of the treatment is beneficial and necessary before committing.Once youve agreed to the procedure, be sure to get the answers to the next four questions.Is this the least invasive dental procedure for my problem?Many modern dental techniques are minimally invasive and tend to be better for a patients oral and overall health. However, in some cases, traditional methods may be the best option. Ask your dentist to tell you about the different procedures that treat your dental issue, even if he doesnt offer all of them.What are the advantages of this treatment?To help you feel more comfortable about the procedure, your dentist should explain the benefits of the recommended treatment. Obviously, the goal of a restorative procedure is to relieve any pain or discomfort, and the goal of cosmetic dentistry to make your smile more beautiful.Other advantages could include the success rate of the procedure, how long the results will last, and how realistic or natural your smile will look.What are the disadvantages?Dentists should always explain the risks or disadvantages involved with the procedure they recommend. In some cases, the procedure may require irreversible changes to your teeth. Other disadvantages you should be aware of include:Surgical risksLength of treatmentSuccess rateAesthetic resultsHow much experience do you have with this procedure?Before scheduling your procedure, make sure the dentist you chose has successfully completed the procedure many times before. Ask the dentist about his training and certifications as well as before and after pictures. Knowing these facts will ease any fears or anxiety you have about undergoing the treatment.

For more information on the author Family Spine Care Institute, CLICK HERE!What is Sciatica Pain?It is pain coming from the spine and radiating outward. Typically, patients will feel this radiating pain in the leg, glutes, and possibly as far as the toes.Possible CausesDisc Herniation / Disc BulgeAfter age 30, our disc spaces start degenerating. If you fall or pull something, then the outer edge of the disc may rupture. The gel in the outer edge, which acts as a cushion, begins to come out, causing inflammation that affects the nerves.These nerves radiate down the leg in a certain distribution. At an appointment, we ask you what part of your leg hurts to determine which disc is causing the issue.ArthritisThe facet joints in the spine may become inflamed which would pinch the nerve. Essentially, the nerve is irritated, so the pain radiates outward.Treatment OptionsIt is important to determine treatment options within the first four to six weeks of incurring pain in the sciatica (ex. After a fall). After this time, pain can turn into numbness or tingling, then finally weakness. Once a patient has made it to this stage, it is much more difficult to effectively treat and reverse the pain.Try on your OwnGive it a little time to heal itselfTake an over-the-counter anti-inflammatoryUse a steroid prescribed by your primary care physicianEpidural Injection(used only for sciatica pain)This five-minute procedure is done in-office under fluoroscopy (a type of X-ray machine). The injection consists of Lidocaine (for numbing) and Cortizone (for anti-inflammation).There are three places an epidural can be injected based on the cause of the sciatica pain as well as the integrity of the spine. The injection minimizes inflammation, thereby reducing nerve irritation. Under the X-ray machine, we first inject a minute amount of picture dye so we can verify the correct flow of medication, then we inject the actual medicine.Within one to five days, a patient will achieve the maximum benefit of relief. From there, patients are referred to a physical therapist, who will teach them specific exercises to strengthen the spine. Typically, after four or five of these sessions, a patient will be ready to continue doing them on their own.Neurosurgical ConsultationIf an epidural does not work, then it may be necessary to assess the structural integrity of the spine. It may require surgery in some instances.Spinal Cord StimulatorIn this procedure, leads are placed in the epidural space to mask the pain. First, the leads are tried out, then they are implanted.The procedure is also done in the office and lasts about five minutes.

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

In our culture we often fail to plan for the last great act of life. At the beginning of the circle of life we give all our thoughts and best efforts to planning for a new child and their upbringing, but due to the inherently sad nature of the end of the circle of life, we often fail to plan or really give the following question any thought: how will I pay for assistance if I were to need it as I age?The Unique Reality of Assisted Living CommunitiesAssisted Living communities are one of the only areas of health care that Medicare will not pay for, and most communities limit the number of Medicaid rooms they have, if they have any, because the reimbursement rate is so low. This is why most Assisted Living facilities are private pay. Most assisted living residents pay from their own social security, pensions, savings or with help from family members. Often funds to pay for Assisted Living comes from the sale of a home or the sale of stocks and bonds. Below is a list of some other excellent options and resources for Assisted Living financing options:Long Term Care InsuranceThis is one of the most underutilized and best options for paying for Assisted Living. It may be too late to cost effectively start a long term care insurance policy for you depending on your current age. But inform and educate your children to start now and plan for their future.Reverse MortgagesA reverse mortgage is a loan available to seniors age 62 and above. It's used to release the home equity in the property as one lump sum or in multiple payments. The homeowner's obligation to repay the loan is deferred until the owner passes away, the home is sold or the owner moves out. In the case of couples, as long as one person still lives in the home, the payments do not need to be made on the loan.Secured Lines of CreditA secured line of credit is a loan from the bank, credit union or other financial institution. Similar to a bank account, you may draw funds as needed, but you only pay interest on the amounts drawn. A line of credit can be secured by real estate, CD's, equities (stocks) and cash that you may have. You can borrow from it over and over again without having to renegotiate terms.Life InsuranceSome life insurance policies have a cash value that may be withdrawn or borrowed against. You may also obtain the proceeds from a life insurance policy by selling or liquidating it before death.Tax ConsiderationsFamilies often help support their loved ones at Carrington Court. Each individual may give up to $14,000 in 2015 & 2016 and married couples, filing jointly may give up to $28,000.00 in 2015 & 2016 without being subject to Gift Taxes.Costs related to senior living may be tax deductible as medical expenses for both the resident and their family caregiver if they meet applicable Internal Revenue Service requirements. You should obtain your own qualified tax counsel in these matters.Companion LivingTwo residents may share a suite as companions. This offers a more affordable option, with all the benefits and assistance of Assisted Living remaining the same. A roommate can often help ease the transition to a new community.Veterans BenefitsThe United States Department of Veterans Affairs administers the veterans pension program which also includes aid and assistance and housebound benefits. For more information on qualification for and how to apply for these benefits go to http://www.vba.va.gov/bln/21/pension/vetpen.htm#7.If we start doing our due diligence to plan and provide for the end of our circle of life the future will begin to grow bright!Editors Note: This article was submitted by Michael Nielson, Administrator of Carrington Court Assisted Living and Memory Care. He may be reached at 801-676-8787 or by email at michaeln@carringtoncourtal.com

When you think of movers and shakers Denise DeGemmis name should come to mind.After more than 2 decades of entrepreneurship in Naples, and as a Luxury Relocation specialist, Denise and her compassionate and energetic staff have the ways and means to professionally guide you and your family through your move, downsize, sale and reorganization of your home. Even through the most difficult times, their many hands make for light work.Previously a full time realtor with John R. Wood, Denise works hand in hand with Realtors. If you have already secured a realtor Naples Move Managers works in conjunction with your preferred realtor to get your home ready to list, sell and moveIf you are searching for the perfect realtor to suit your needs, Denise is an affiliate member of NABOR and a sponsor of WCR. And is happy to introduce you to the real estate specialist that will take care of you.As a member of the National Association of Senior Move Managers, Naples Move Managers has access to worldwide resources to facilitate your move locally, long distance or internationally. As Move Managers, they facilitate your move or downsizing project from simply shipping fine china to coordinating an entire estate.Most of their clients have accumulated many belongings over a lifetime and are ready for the process so aptly named rightsizing.Naples Move Managers takes the daunting tasks of coordinating, reorganizing, staging/re-purposing, shipping & donating to simplify and de-stress the process so that you can concentrate on YOU. Their services are offered with a smile and some laughs, and a great deal of compassion and patience. Whether you have family locally or helping from afar, Denise puts together your professional team, whether you are just starting, mid way through the process or just need to finish up.For peace of mind, trust in their years of experience and countless moves.Editors Note: Contact Denise at 239-560-4466 and visit their website www.naplesmovemanagers.com for a complimentary estimate and pleasing introduction. Its more than just moving...let them help!

Every day, millions of people who are responsible for caring about others ?nd themselves at risk for stress and burnout.Paid care providers, administrators, family members and others find themselves dealing with intense issues which elevate their stress response and create mental or physical distress, errors in judgment and care, absenteeism, turnover, gaps in care and increased mortality for both care providers and patients. Stressed people make mistakes; preventable medical errors are now the third leading cause of mortality in the US. Care providers to must also work to identify stress and respond in healthy ways.Causes of stress vary as do solutions. Some people find meditation helpful while others find it more helpful to exercise and be very active. We all experience stress but care providers often ignore their own needs. Family caregivers also face unique stressors than paid providers; their shift does not end at 6 pm. Studies confirm that spouse/ partner caregivers with health issues are more than 60% likely to also be deceased within four years after the death of the cared for person.Caregiving can be rewarding but also expensive, frustrating, and deadly. Care providers can learn new skills sets and learn to set healthy boundaries, ask for help, and even learn to say no at times. Caregivers, who are often empathy or highly sensitive people, should surround themselves with other givers and avoid toxic people. Exercise, setting goals, taking time away, breaking up routines, pleasure reading, and exploring spirituality are healthy responses to stress.Caring people must be forgiving of themselves, practice asserting themselves, and also learn to incorporate wholeness and new life into their days. As we demonstrate kindness and healing in our busy and wounded world it takes intent, practice and patience to identify stress and respond in healthy ways. And all those people who taught us to show compassion would demand that we look into the mirror first, fighting for the needs of the person we see.Editors Note: R. Scott Boots is the founder of HCEI.org which teaches resiliency skills to persons at risk for stress and burnout. For more information please visit HCEI.org, email HCEICares@HCEI.org or call 773-509-6402.

With lots of choices for senior care in the valley, how do you know which places provide good care? Fancy brochures and friendly marketers can make it difficult to make that determination.As someone who does this full time, I want to help you learn one way I use to measure quality of care in an assisted living.Caregivers are the backbone or foundation of any assisted living facility. There is a shortage of caregivers in our community and nationwide. The amount and type of training caregivers receive when first hired is important, as well as the ongoing training the facility provides.*Ask when you tour about the training caregivers receive, How long is it? How are their skills evaluated? or How much experience does the most experienced caregiver here have?*Ask specifically what the facility is doing to attract and retain excellent caregivers. You may consider asking- Of all the caregivers that work here, who has been here the longest? *Ask what is the process is if a resident or family member is not happy with the care that is provided by a caregiver. If this process sounds vague, odds are there isnt an official process in place.Make a free call to Charity Young, RN, BSN, Senior Care Advisor with Boise Care Connections for more tips 208-917-3776.

Neck pain and associated arm pain secondary to pinched nerves in the cervical spine are common complaints many patients will experience. Fortunately, numerous conservative and non-operative options exist for these ailments: anti-inflammatory medications, physical therapy, chiropractic care, and spinal epidural injections. If these options fail to provide adequate relief or if symptoms progress, surgery can be considered.Traditionally, cervical surgery involves two major steps: (1) removing the offending disc that is pinching the nerve and (2) fusing the bones above and below the disc to stabilize the spine. This is usually performed with the use of plates, screws, and bone graft. This type of neck surgery is commonly referred to as an anterior cervical discectomy and fusion (ACDF). Although all surgery comes with risks, an ACDF is highly successful. After undergoing such a procedure, many patients will have immediate relief of their symptoms with minimal post-operative discomfort. Furthermore, the pain relief can last a lifetime.However, because a portion of the spine is now fused, the discs above and below the surgical site will bear more stress. Over a period of months to years, this increased stress to the adjacent discs can cause accelerated deterioration. And in some patients, this means a recurrence of symptoms that may need more surgery.Advancements in neck surgery such as disc replacements can potentially decrease the risk for more surgery without compromising nerve relief. In a disc replacement surgery, similar to an ACDF procedure, the offending disc that is pinching the nerve is removed. But unlike an ACDF, rather than fusing the spine, an artificial disc replaces the damaged disc. This motion sparing technology aims to maintain the neck's natural mobility. And in doing so, this decreases the stress at the above and below discs.Not every patient is a candidate for a cervical disc replacement as many factors are considered. But for select patients, a cervical disc replacement is a great option with a simpler recovery, higher satisfaction rates, less, pain, and a quicker return to baseline activities. More importantly, recent studies suggest that with motion preservation, there is also a lower rate of adjacent level surgery.Neck pain and nerve pain can be debilitating. It can adversely affect all age groups and all aspects of a patient's life. Your physician or the physicians at OSS Health can help guide you through various treatment options to get you healthier and happier.Editors Note: This article was contributed by Dr. Amit R. Patel, an orthopaedic surgeon with OSS Health.

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

One of the top fears that seniors 60 and older face is the fear of cognitive decline, being unable to care for oneself and being a burden on their families.According to the US National Vital Statistics the average 60 year old has a 4.8% chance of developing Alzheimers in their life. That means there is a 95.2% risk of not developing it!In addition there is other good news about dementia rates. A new study that came out at the end of 2016 finds the dementia rates in the US of those 65+, have dropped from 11.6% in 2000 to 8.8% in 2012, a decline of 24%. This is thought to be attributed to better education and better heart health. Even with this positive news we know that dementia remains a serious issue with the number expected to triple by 2050 due to the elder population increasing and living longer.What can a Floridian do to reduce their fear of cognitive decline and continue to reduce the numbers of those who develop dementia? Participate in important educational, physical, health and social programs of the Friendship Centers and many more senior organizations throughout Florida.Practicing motor skills by using your hands and fingers to complete tasks helps the brain to keep growing. Games and hobbies like knitting and crafting strengthen channels in the brain. Challenge brains by learning new things. This can cause new brain cells to clear away inflammation.Exercise up to 150 minutes/week boosts blood flow and circulation to the heart and brain. These activities also strengthen balance; a fall can cause brain trauma.A diet low in sugar and rich in grains, fruits and vegetables can control high blood pressure and diabetes helping to reduce strokes and vascular dementia.Engaging and connecting with others create hormones boosting the brain and helping improve language skills.Minimizing stress and maximizing quality deep sleep strengthens brain neurons which fight the plaques that are associated with Alzheimers.It is never too late. Even when diagnosed, keep living. The brain will always know love and joy.Editors Note: For assistance or information call the Senior Friendship Centers (239) 275-1881.

Caring for a family member with Alzheimer's and dementia can be time consuming and often requires additional resources and support. It is not always easy to know when a loved one is ready to make that transition. The early onset of Alzheimer's and dementia can take years to fully unfold, or in some cases instances of the disease can start happening overnight, making it hard to prepare for what is to come. As a family member, you are not only dealing with its effect on you and your family, but you are also faced with how to best care for your loved one. The most important decision when preparing is one that makes them comfortable, while also providing the best care possible.Those just starting to suffer from Mild Cognitive Impairment (MCI) may need some help day-to-day but commonly can continue residing in Assisted Living. Many residents currently living in a traditional memory care setting could flourish in a less restrictive and more stimulating environment. Transitional Memory Care is just the program for those who may have memory issues, but are not ready for the more structured memory care. Transitional Memory Care not only supports the resident facing mild memory loss, but with added socialization and a stimulating program, they are also able to maintain their quality of life as they age.It is understood that active socializing stimulates the mind, encourages companionship and provides a sense of overall well-being. The life engagement programming of Transitional Memory Care helps add a sense of enjoyment and quality of living for residents who may be reluctant to participate in social settings. Socialization plays a large role in maintaining quality of life as individuals age. Those who have strong social networks live longer and are healthier. Social engagement has been found to stimulate multiple body systems including the cognitive, cardiovascular, and neuromuscular systems. The best of this programming combines and strengthens relationships through engagement in activities with others who enjoy the same interests and personalization to meet the overall needs of the group. For that reason, the most successful transitional memory care programs have a limited group size, operate at least 5-7 days a week and have structured activities and opportunities for socialization.To learn more about transitional memory care and how it may benefit your loved one, please visit Spectrum Retirements The Residence ClubEditors Note: This article was submitted by Spectrum Retirement Communities, LLC of Denver, Colorado.

What is a reverse mortgage?A reverse mortgage enables you to withdraw a portion of your homes equity, use it anyway that you like, have no monthly payments, stay in your home as long as you like and when you are ready to sell your home or you have passed, the loan is repaid. This program is insured by the Federal Government. You do not forfeit title to your home or lose any rights as the homeowner. You or your heirs decide when or if the home is to be sold and after repaying the loan balance, all remaining equity in the home belongs to you or your heirs.Who qualifies? Qualifying simply requires that the homeowner(s) be 62 years of age or older, own the home as their primary residence, meet standard FHA Appraisal guidelines for property type, value and conditionIs it safe? In 1988 HUD adopted reverse mortgages and with the assistance of congress, enacted laws that put into place 12 safeguards that guarantee a senior will not give up title to their home and will not put themselves, their home or their family in any financial risk. Paying off a traditional mortgage with a reverse mortgage secures the home and eliminates the risk of foreclosure due to an inability to make a monthly mortgage payment.How much of my equity may I use and how do I take the funds? HUD provides authorized lenders with a Reverse Mortgage Calculator that will determine the amount of equity available to a homeowner. The determining factors are the borrowers age, home value and current interest rate. From this calculation, fees are deducted and any existing mortgage balances are paid in full. The amount that remains is available to the homeowner to draw as a lump sum, treat as a line of credit, receive monthly tax-free income, or any combination of these three options. Regardless of how you choose to draw your funds, you will make no monthly payment. Interest accrues only against the funds you draw, and all remaining equity belongs to you or your heirs.How do I select a lender? It is not interest rates and fees that distinguish reverse mortgage lenders, it is depth of knowledge. While a growing number of traditional lenders offer reverse mortgages, you will want to select a Colorado Based Lender that is dedicated to reverse mortgage lending. Editors Note: This article was submitted by 1st Reverse Mortgage USA. Please feel free to contact Dave Harder, 303-904-info (4636) or by e-mail, dcharder@1strmusa.com

6 Amazing Things Happen When You Hire a Professional Organizer       Youll have more time for yourself       You get help in deciding what to keep and what to toss       Youll no longer be drowning in stuff       You are held accountable for your choices       You can learn ways to create organizing routines       You learn tips & tricks that are easy to implement

Did you know that seniors walking speed is directly related to longevity and that proper nutrition is important for seniors to maintain good ambulatory balance?Recent studies have demonstrated that good nutrition is vital for seniors to live happier and safer. Yet, it is also common to find seniors eating poorer diets as they age. This leads to a more sedentary lifestyle because a person just may not have the energy to move about much. The combination of poorer aging diets coupled with reduced muscle tone results in an increased risk of falling. Falls that include broken bones or joints often significantly reduce a seniors lifespan. Such falls result in many seniors passing away within the following year. Falls need to be prevented as much as possible.Nutrition is a complex science because there are so many variables. Food preferences, medications, cooking ease, fast food, preservatives, synergistic and antagonistic vitamin relationships and changing dietary needs all play into proper cellular nourishment. Nutrients, in the cells stipulate whether or not a diet is satisfying a persons nutritional requirements. There are many steps to get vitamins, minerals, antioxidants and nutrients from their origins, to consumption, through our digestive system, into our blood stream and then across our cell walls to finally make them available for energy production and DNA protection.Even when we think we may being eating well, the good food may be lacking much of the nutritional value the same food had 30 or 50 years ago. Top soils in many areas of the country are simply depleted in levels needed for good dietary benefits. This is why it is common today to hear that we should be eating 8 to 12 servings of fruits and vegetables daily.Now, how many of us are doing that?!Our health is built on the foundation of ample cellular nutrition. Diseases such as osteoporosis, macular degeneration, strokes, arthritis and dementia, in fact all chronic diseases are correlated to low cellular saturation of vital nutrients. Your cells genetic (DNA) material requires antioxidants from foods as protections against destructive molecules that are constantly bombarding it. These free-radicles attack the cells genetic makeup and may result in DNA changes that create mutant cells found in cancers.Fortunately, science has been simplifying nutritional barriers and making it easier to achieve proper cellular results. Today, ones antioxidant status can be measured. A person, with a 30-second, non-invasive, painless, light scan of their hand can know their score. Measurements create motivations. People empowered with their personal vitamin measurement work to improve it by eating better and by filling in their nutrient gaps with scientifically proven supplementation.The Journal of the American Medical Association indicated that all people should take supplements. This is even more important for seniors who want to feed their cells while maintaining or improving their balance when walking.Seniors should know their antioxidant levels are improving. Get tested regularly!Editors Note: This article was submitted by Dr. Mark O. Bowman. Dr. Bowman is the owner of Home Care Assistance of Utah which provides high quality in-home care for seniors. He can be reached at 801-733-6100 or by email at mbowman@homecareassistance.com

The core principals of Person Centered Care (PCC) include assurance of choice, dignity, respect and independence. At the heart of PCC is the idea of choice, and that every person deserves to make their own choices.For some, this may mean sleeping in late. This may seem like a simple choice, but for many elders its not that simple. For years traditional large facilities have been based on a model of care that is focused on task-oriented efficiency. Staff duties often come before elders choices. PCC rebalances those work priorities to focus on the elder rather than the tasks to be accomplished.Nowhere is this more evident than in the Small House concept. Small House has been pioneered alongside PCC to allow one-on-one, reciprocal relationships between resident and caregiver based on a residents needs, not on accomplishing duties or tasks. While one-on-one contact is desired in the large facilities, the caregiver-to-resident ratio doesnt allow for prolonged direct contact. In Small House there are only 6 to 16 residents, and it is about the care the resident receives, not about the task of giving care. Instead of following strict schedules, which are needed for larger numbers of residents, this concept gives more freedom of choice. The bottom line is that Small House and Person-Centered Care promote better health and independence in an environment that is like home.Editorial note: Submitted by Katy Moore at Sonoma House Assisted Living. Contact her at www.sonomahouseal.com or 972-385-0500.

To learn more aboutAMG Senior Medical Group - Home Visits by Physicians, CLICK HERE.Our comprehensive medical group includes a team of doctors, nurse practitioners, medical assistants, and practice managers. Our goal since our inception is to provide the most trust worthy comprehensive mobile medical care in the business.With our integrity, clinical knowledge, and amazing practitioners we have done that. In just a few short years we have grown to be the largest mobile medical group in the state.Whether we visit you in your residential home or in an assisted/independent living facility, we offer a complete service program to keep you healthy and strong.Mission StatementThrough our philosophy of unity, kindness, and professionalism, we inspire an environment of compassion and wellness, where holistic care is given and received.

To learn more aboutAmada Senior Care, CLICK HERE.Ken Jenson, owner ofAmada Senior CareColorado Springs, is a devoted family man who believes that, just like everything else in life, senior care should always be a family endeavor. To Ken,even if he and his team provide the highest quality of care for a senior client, they are only doing part of their job unless they also support that clients family. It is this commitment to caring for the entire family that has earned Amada Senior Care Colorado Springs itsreputation for providing superior senior care to our neighbors in Monument, Castle Rock, Stratmoor, Cimarron Hills, Gleneagle, Black Forrest, Highlands Ranch, and other nearby communities.ClickHEREto hear Ken describe COVID safety practices protecting clients and communities.ClickHEREfor Kens insights on long-term care insurance and rising premiums.Here at Amada Colorado Springs, it is our goal to meet all of a familys senior care needs and to exceed their expectations of what care can be. If we have been brought in to provide in-home care for a senior, we go beyond assisting them with activities of daily living like cooking and housekeeping to enrich our clients life in the most meaningful ways we can. This could mean discussing a favorite scripture with Aunt May, or baking Dads favorite cookies, or even helping Grandma keep her prized flower garden tidy. By adding these personal touches to the care we provide, we are able to show our senior clients that they are truly valued as we vastly improve the quality of their lives.When home is no longer the ideal environment for a senior, we will guide that senior and his or her family to the assisted living environment that ideally suits their unique needs and preferences. We will even continue to check in on clients who have moved to senior housing communities, just to make sure we havent missed an opportunity to be of service to them.At Amada Colorado Springs, we have learned through personal and professional experiences that the loved ones of senior care clients are often overlooked. We know how stressful and overwhelming it can feel to try to ensure the best care for a loved one who struggles due to his or her age. We believe that if we are to properly honor our calling to provide the best senior care possible, we must make sure that a senior clients loved ones feel encouraged and supported throughout their senior care journey.We invite you to contact us at Amada Senior Care Colorado Springs to learn more about how we can help a senior in your life age with dignity and give your family the peace of mind they deserve. Let our family take care of yours, because, as we say,Someone you love needs us.

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.

When a person becomes impaired by age, illness or injury, a friend, family member or other relative may take responsibility for their care. This primary caregiver helps a patient remain at home, rather than in a hospital, nursing home or assisted living facility.For four decades, VITAS Healthcare has delivered expert hospice care to patients with terminal prognoses. Caregivers have been crucial in shaping and administering VITAS patients care plans, informing the hospice team of status changes, and handling patients personal and minor medical care. The significance of that role, however, means that an overworked caregiver can negatively impact the patients health as well as their own.CAREGIVER BURNOUT caring for a loved one can be emotionally, mentally and physically exhausting. Eventually, it can lead to caregiver burnout, a debilitating psychological condition brought about by unrelieved stress. Symptoms include:overwhelming fatiguesleep problemschanges in eating habitsdepressionBecause a caregiver might continue to work outside the home, the impact of burnout can extend beyond the caregiver and their patient. A 2017 study published in Journal of Multidisciplinary Healthcare found that caregivers miss more work than non-caregivers (8% vs. 4%), experience greater impairment of job productivity (24% vs. 14%), and higher rates of depression (53% vs. 32%) and insomnia (46% vs. 37%).RECOGNITION, RESPITE CARE AND SELF-CARE ARE SOLUTIONSVITAS hospice teams are trained to keep an eye out for overworked caregivers. We encourage all caregivers to:ask for help when necessarytend to your own needsfind time to take breaks or pamper yourselfThis keeps caregiver, patient and family happier and healthier. Additionally, VITAS offers up to five days of inpatient respite care, so a caregiver can take a vacation, attend an important event or simply get some rest. Caregiving isnt easy, but youre not in it alone. If the person in your care is nearing the end of life, hospice can offer comfort and dignity for them along with support and guidance for you.Editors Note: Article submitted by Cathy Carlson, general manager for VITAS Healthcare in Chicago. For more information about end-of-life care options,call VITAS Healthcare at 866-759-6695 or visit VITAS.com.

Respite is a period of rest or relief for those who give constant care to an ill person. Many senior living communities offer this service. Please refer to our housing grids. RespiteAssistance Funds-Providing financial assistance for respiteservices to family caregivers of older adults in Boulder County. Call your local Resource Specialist.#listing_mgr{1 basic_search}#

Care for your feet so they can care for youDid you know that by age 50 the average adult has walked 75,000 miles? And with life expectancy going up each year, that is many more miles that we should expect to walk.No foot pain is normal, even as we age. Many of our older loved ones may chalk up foot pain to the aging process and ignore it. Worse yet, they often cut back on activities to try to prevent pain, causing other health risks. Our feet often provide early indications of conditions such as diabetes, arthritis, or circulatory disease. All pain should be referred to a podiatrist for diagnosis and treatment.According to the US National Center for Health Statistics, impairment of the lower extremities is a leading cause of activity limitation in older people. The NCHS also reports that one-fourth of all nursing home patients cannot walk at all, while another one-sixth can walk only with assistance. Poor foot care can contribute to these statistics. However, there are solutions.The most important solution is daily foot care.Often, care beyond the daily bath or shower is difficult for older adults due to challenges bending down or seeing their feet, so its important that we help out weekly, if not daily.Some things to pay attention to include:Toenail length. Toenails should be trimmed straight across and kept short enough so they do not press on neighboring toes.Blisters, cuts or scratches. These can lead to infection if ignored. Thinner, aging skin can make it easier to bump or bruise our feet, allowing for the entry of bacteria.Dryness. Cracks in the toes or heels can also allow bacteria to enter. Moisturize regularly with a moisturizer made specifically for feet.Callouses or corns. These are often signs that perhaps shoes are not the right fit.New moles or discolorations. Check for any new moles or discolorations, including between the toes and on the bottom of the feet. Immediately bring these to a dermatologists attention.Swelling. Many health risks, including diabetes, injury to the leg, or circulatory issues, will show up as swelling in the feet.Sensitivity or lack of sensitivity. Either one of these can signal nerve damage and should be investigated right away.Sources: American Podiatric Medical Association and Australian Podiatry Association SourceChoosing a PodiatristFeet are complex anatomical structures that require expert care. Be sure your loved one is seeing the most qualified healthcare professional to treat their feet by looking for DPM (Doctor of Podiatric Medicine) after his or her name. This means a physician has completed years of rigorous foot and ankle training in podiatric medical school and hospital-based residency training, making him or her uniquely qualified to care for this part of the body.Source: American Podiatric Medical AssociationTime for New Shoes?A properly fitted shoe should have the following characteristics:At least one inch (a thumbs width) between the end of the shoe and the longest toeRoom to pinch some material at the sides or top of the shoe for widthA shape that matches the shape of and conforms to the foot (No human has a foot shaped like the point that many dress shoes have. Flip flops and unsupported sandals can lead to falls.)A firm heel area (Press on both sides of the heel area to ensure that the heel is stiff and wont collapse.)A flexible shoe box to allow for a natural heel to toe walking patternA firm sole (Try to twist the shoe from side to side. It shouldnt twist in the middle.)A shoe with a firm sole and soft upper that can be laced, buckled, or strapped to the foot is best for daily activities. Measure both feet late in the day and buy the shoe that fits the larger foot. If your podiatrist has prescribed orthotics, take them with you and try them out in the shoes youre considering.Sources: Advanced Foot and Ankle Care Centers, Australian Podiatry Association, American Podiatric Medical Association and US Department of Health and Human ServicesTesting the Shape of a Shoe for FitRemove the insert of the shoe and trace it on a piece of paper. Have your loved one stand on the tracing and trace their foot. Their foot should fit within the boundaries of the insert tracing.Written & Submitted By: Gulfshore Home Care- click here for more information*

Whether crafting, visiting or lending a hand, VITAS volunteers receive more than they give.By Cathy Carlson, VITAS Healthcare General ManagerDo you keep something in your house, apartment or condo that reminds you of someone special? A favorite item from your childhood, a keepsake that belonged to a parent or a memento of someone who has died?Many people treasure special items because they bring comfort, stir positive memories and sustain a sense of connectedness to loved ones.Thats the idea behind Memory Bearssmall, hand-crafted stuffed bears that are created by skilled VITAS Healthcare volunteers. Each bear is made from a hospice patients favorite piece of clothing and given as a personalized memento to surviving family members.At VITAS, volunteers are part of a dedicated team that provides care, comfort and emotional support to hospice patients and their families. Nationwide, 3,122 VITAS volunteers provided 309,999 hours of services in 2017.From our main office in Tinley Park, VITAS provides hospice services to residents from Naperville to Chicago Heights; we specifically need volunteers from the Kankakee area: Memory Bear volunteers: Do you have a knack for sewing? Were looking for volunteers to sew Memory Bears and pillows in your own home. In 2017, volunteers in this area stitched more Memory Bears and pillows1,410for our patients and families than any other VITAS location. Direct-Patient-Care volunteers: Would you like to give a hospice patient someone or something to look forward to? Direct-patient-care volunteers make personal visits, accompany patients on outings, provide a few hours of respite care for a family caregiver and just spend time with patients at the bedside.The gift of time is a precious thing, says Joanna Voorhees, our volunteer manager. Our volunteers frequently tell us that they receive far more than they give because their efforts are appreciated so much by our patients and their families.All prospective VITAS volunteers are interviewed about their interests and trained in how to support patients and families coping with the end of life. To explore volunteer opportunities here in the Chicagoland South area, please visit VITAS.com or call Joanna at708.781.4400.

Encouraging Older Adults to Be More IndependentSep 22, 2021|Caregivers,Eldercare,teleCalm Caregiver Phone ServiceAs we continue to live longer lives than the generations before us, quality of life issues for an aging population become more pressing than ever. AARP reports 90% of seniors wish to remain in their own homes, rather than move in with their children, or to an assisted living facility. In the case they begin to need daily assistance, the number wishing to stay in their own homes still remains high at 82%.Staying at homeBack in 2015, JAMA Internal Medicine researchers found thatalmost 2 million seniorsover the age of 65, or nearly 6% of Americans in the age group (excluding nursing home residents), rarely or never left their homes. This is a greater number than the total population of residential nursing homes at 1.4 million. There areseven key risk factorsfor loss of independence including poor mental or physical health, social isolation, unsuitable environment and unsuitable living conditions.For those defined as housebound not leaving home in the prior 30 days 80% have dementia. For the semi-housebound those who dont go out alone this figure remains high at 60%. In these cases, telephone services such asteleCalmare useful in providing peace of mind for seniors, their families and caregivers. Maintaining regular contact strengthens networks and combats isolation.Senior care communitiesIndependence means many things. For some its the freedom to continue to enjoy life with some adjustments. Suburban living can be a lot of effort with many amenities only reachable by car. Senior care communities in cities, with access to public transport and more facilities nearer to hand are becoming very popular, with many being developed in the affluent and cultural areas, for example. Staff can then cover the basics such as chores and catering to allow residents to spend more time on more fulfilling activities that the community in them and the city around them provide.Assisted livingFor seniors living in assisted living facilities and their loved ones, maintaining open lines of communication with carers and facility managers is vital in helping seniors maintain their independence. As part of theirhealthcare management educationthey will have undergone specialized training in running senior living facilities and their expertise can help shape positive outcomes.Its common for carers to organize social events, both within and outside the care home and assist in things like running small errands. By creating a suitable environment and living conditions whereby seniors in assisted living facilities are treated as individuals, research shows theyll stay more independent for much longer. Seniors may need help, but their own preferences being acknowledged and supported by care staff can help people stay more autonomous for longer and increase quality of life commensurately.Specially written forteleCalmBy: Razia JacineWant to contribute an article to teleCalm? Contact us atinfo@teleCalmProtects.comStill have questions?Call888-701-0411.Talk with our US-based Customer Success team.Let us know what you think.Were here to help you!

The Palliative & Hospice Series: Kathleen Warshawsky, BSN, RN, welcomes Sarah Miles, RN, BSN Director of Quality at Visiting Nurses Association Texas to present on "Providing Options at the End of Life". The presentation will serve to inform you on the differences between different Palliative Care programs and Hospice Care. Additionally, focus will be on conversations with those facing end of life to help them with making informed care decisions. Finally, tools are presented to aid families on choosing the right providers for their loved one.Watch a video of the program by clicking HERE.

What is the Transportation Safety Administration (TSA) policy regarding air transportation of cremated remains? There are a number of rules involved with transporting cremated remains. Most airlines will allow transport of cremated remains, either as air cargo or carry-on luggage. When traveling within the continental U.S., its important to place the cremated remains in an urn that is made of light weight material. This way the urn can travel through the x-ray machine. Always carry the necessary legal paperwork: certificate of cremation, permit for burial and a certified death certificate. These documents are issued by the death care provider.When traveling internationally, its best to work with the consulate or embassy of that country to identify the specific rules and legal requirements. Some require additional notarized paperwork from the death care provider or extra paperwork from the state. Allow a minimum of two weeks as there can be a number of steps involved.The TSA website states, Even if an item is generally permitted, it may be subject to additional screening or not allowed through the checkpoint if it triggers an alarm during the screening process, appears to have been tampered with, or poses other security concerns. The final decision rests with the TSA on whether to allow any items on the plane.Can cremated remains be shipped? Yes, throughout the United States via the United States Postal Service (USPS). At this time, FedEx and UPS will not accept cremated remains for shipment.In 2014, the USPS revised the mailing standards when shipping cremated remains. They no longer authorize cremated remains sent using registered mail. The requirement is to ship using Priority Mail Express, meaning the timeframe for receiving cremated remains is two days maximum.The USPS does not accept a cardboard box to hold cremated remains for shipment, they must be encased in a permanent, closed urn. When shipped priority, the package receives a tracking number and the recipient must sign once received. The signed card is then sent back to the person who shipped, as proof of delivery.Can Cremated remains be shipped internationally? Yes, through airline cargo. The death care provider can coordinate this through the airlines and deliver. Cremated remains are placed in the cargo of the plane. There must be a family member or trusted friend of the Next of Kin in that country who will receive the cremated remains at the airport.Editors Note: This article was submitted by Katie Sullivan, Marketing Director of Cremation Society of Illinois and may be reached katies@cremation-society.com

What is a Senior Move Professional?Hiring a Senior Move Manager Professional is the answer for a growing number of older adults, families, and caregivers. Recognizing the complexities of later life transitions, seniors are benefiting from the cost effective strategies, expertise, and compassion of Move Management Professionals. The emotional and physical impact of moving on older adults should not be underestimated. The move manager stands in the gap for the senior client, without taking away the control, partnering to bring about a coordinated and seamless move experience.Benefits of hiring a move manager:*Provide Pro-Active SupportMany seniors have lived in their home for decades, surrounded by memories and belongings that tell their life story. The concept of moving can be understandably overwhelming! The older adult is now navigating through unchartered waters, perhaps alone, children often across the country. The magnitude of the task ahead often leads to delay, which can lead to a crisis-driven move later on. By shouldering the physical and emotional burden of the move, the process stays on course.*Provide Needed ServicesMove Managers start with a free consultation in the home to listen, determine what services will be beneficial, and design a personalized plan for the task ahead.Move managers use floor-planning tools that help clients visualize their furnishings in the new home and avoid the costly mistake of moving too much. Considerable downsizing is often needed as most clients are moving from larger to smaller residences. Sorting, organizing, and disbursement of belongings are what move managers do best. They have the expertise to properly recommend a course of action using consignment, estate sales, gifting, and tax-deductible donations.Other services provided include packing, moving, unpacking, and settling-in services for the new residence. Move managers are skilled at recreating the personality of the original home. Everything is unpacked and put away, beds made, kitchen recreated, and electronics set up.*Provide Cost savingsSenior Move Managers partner with Senior Living Communities, realtors, attorneys, financial planners, and other professionals. Hiring a move manager brings access to a host of proven resources that have been prescreened for the best quality at best pricing.Often the largest lifetime asset, the home, will need to be sold to fund the next residence. To bring in top dollar, homes most likely need de-cluttering, removal of furniture, staging, repairs, updating.Senior Move Managers partner with their clients and reduce the vulnerability that comes with change.Editors Note: This article was submitted by Darcy Barnhill, President/Owner of Senior Life Space, LLC Certified Senior Move Manager, Member of NASMM and NAPO. She may be reached at 720-272-1789 or by email at seniorlifespace@comcast.net

Considering making a claim? Long-term care can be a great product to provide seniors the financial ability to live their seniors years the way they want to live.Many people, who have long-term care insurance frequently initially, have difficulty filing the long term care claim.The problem is every industry has its own language. Long-term care has its specific terminology with specific meanings. The terms may not mean what most people think they mean.I am a Certified Financial Planner, who provides simple solutions to people who have questions regarding long-term care and long-term care claims. I provide one hour of free consultation to help you determine what you need to provide to get ready to file your long-term care insurance claim.I can help you with questions or problems such as:- What are you policy benefit triggers?- What services can apply toward your elimination period?Is your current situation covered by long-term care? Have you been denied long-term care benefits for reasons that you can't really explain?If you are in the process of turning in a long-term care claim, it may be worth a free phone call to at least review what you feel qualifies and what you need to do to make sure your claim is processed and paid in a timely manner.This article was submitted by Tom Dean, President of Comfort Keepers, 239-590-8999.

For more information on the author, Manasota Care Services, CLICK HERE!When it comes to driving and mobility, being safety-conscious is a good thing. We typically grow concerned about senior drivers, but rarely do we consider the safety when seniors are being transported by a non-emergency medical transportation provider. More specifically, how safe is your loved one when they require assisted ambulatory, wheelchair, or even stretcher transportation?With a rapidly growing elderly population, an increasing number of seniors and disabled people are in need of assisted transportation to and from medical appointments, physical therapy, personal errands, family functions, and more. Especially for those with mobility challenges, accidents can happen within their residence, while being assisted to the vehicle, while loading and securing the passenger, traveling to their appointment, and then again when being returned.The level of required assistance is in direct proportion to the patients level of mobility. A senior requiring only a steady hand or firm arm to hold while ambulating requires much less direct assistance as compared to someone requiring wheelchair or stretcher transportation. Similarly, if the patient is bariatric, chances are very good that multiple attendants will be required to safely secure and transport the patient.When considering a transportation provider, many things that need to be considered to ensure your loved one is safe during the entire transportation process:1. Is the transportation provider properly insured? For those relying on rideshare or independent providers, chances are very good they do not have proper for-hire insurance. Hence, should there be an accident, passengers will not be covered.2. Is the driver(s) literally capable of assisting your loved one? Are they knowledgable, knowing how to properly use the equipment, and are they physically fit, capable of literally assisting seniors to navigate stairs, thresholds, and possible inclines when sitting in a wheelchair or secured on a stretcher?3. What type of equipment does the transportation deploy? Is it safe, durable, and suitable for your loved one? When using the provider's wheelchair and stretcher, you want confidence and know the equipment is serviceable and well maintained.4. What are the driving habits of the driver(s)? Being concerned about a seniors driving ability might seem like common sense, but what about the driving habits and records of the drivers? Are they drug tested? Does their employer check their Motor Vehicle Report (MVR) for discrepancies, tickets, fines, DUIs?5. Does the driver invest the necessary time required to properly load and secure the wheelchair/stretcher or do they cut corners in an effort to expedite?6. Upon arrival at the destination, does the driver accompany your loved one all the way into their appointment and ensure they are properly checked in and received by facility staff?7. When the appointment is complete and your loved one is ready to be returned, does the transportation service arrive at a suitable time versus forcing your loved one to wait excessively?

Every year thousands of seniors utilize physical therapy to get back on their feet. Reasons may include: recovering from a joint replacement, chronic or acute pain in any part of the body, stroke, balance and falls, recovering from an extended illness, and declining strength and function. The primary goal of physical therapy is to help alleviate pain and restore function and return independence. Most people are aware that you can receive physical therapy in your home through a home health agency when you are required to be homebound. Many people may not know there is another option to receive the therapy they need. Those who may not qualify for home health services or are no longer technically homebound can receive the therapy they need in the comfort of their own home. Much like an old fashioned doctors house call you can receive physical therapy, occupational therapy, and speech therapy in your home that is paid for by most insurances including Medicare part B, Medicare HMO , and secondary insurance benefits.Editors Note: This article was submitted by Jim Harrison, DPT. Jim is a Physical Therapist with South Mountain Home Rehabilitation. He can be reached at 801-523-6376 or jim@smhrehab.com . Visit his website www.smhrehab.com.

Turning 65 can be a monumental time in our lives. Some are excited to retire and relax. Others just cant believe that they are now at retirement age. But either way, dont worry. Its just a part of life. I think the baby boomers are the most shocked. It seems like just yesterday we were driving our kids to school, and then hopping on the Harley to play hooky for a day.There are many facets to Medicare and you will have several choices to make. This article will help you understand a small part but also give you some very good tools. I can not stress enough how much information the Medicare.gov website has to offer. I urge every one of you to investigate this site and it should answer just about any question you have concerning Medicare.First of all, once you are eligible you will automatically be enrolled in Medicare Part A. There are some exceptions but this article is meant to be a simple overview. Typically no premiums are paid for Part A yet once again there are some exceptions.. Part A pays for hospitalization, skilled nursing care to a certain point, hospice and limited home health care. However there is a deductible.Once enrolled in Part A you should then enroll in Part B. Once again, there are some exceptions. Your premium for part B. is $115.40 for 2011. This usually comes out of your SS check. If you are covered under a group plan you may delay enrolling in part B with no penalty. Part B helps cover medically-necessary services like doctors services, outpatient care, home health services, and other medical services. Part B also covers some preventive services. There is also a deductible for Part B.Now the next decision you will want to consider is whether to purchase a pure Medicare Supplement or utilize a Medicare Advantage plan. There are pros and cons to both programs so it is best to speak to an insurance professional. They can assist in deciding which program fits your particular needs.The Medicare Supplements are alphabetically categorized as well as standardized. Each lettered plan offers a few different benefits. However the only difference from the plan you choose are the premiums charged by the insurance companies for the exact same coverage. Also, some companies may not offer certain plans.It sometimes seems a bit overwhelming and it is easy to understand why. There is Medicare Part A, Medicare, Part B, Part C (Medicare Advantage) and Part D (drug benefits). Then if you do choose to purchase a Medicare Supplement you will need to decide which supplement plan you would like such as Plan A, B, C, D, F, G, K, L, M, and N. Wow can we make this any more confusing?.As mentioned in the beginning, the goal of this article is to give you a general overview. However, there is one piece of information that some folks are not aware exists. There is a High Deductible Plan F. Not all of the insurance companies offer this in Collier or Lee County. The deductible is usually $2000 a year but some companies are offering an incentive for this year and the deductible is $1500. The nice aspect of this plan is the premiums are around $66 per month vs. $185 per month for a regular plan F.The really fun part comes in when you choose the High Deductible Plan F. Not only do you save money but you are also able to contribute to a reserve fund annuity. You can choose how much you would like to contribute. The money is earning 3% and you can take it out for anything you would like. But is very useful to help off set any co-pays and deductibles encountered with the high deductible plan F.Medicare.gov is a very informative website. Welcome to Retirement!Editors Note: This article was written by Linda Jaikes, Jaikes Financial Group, 239-263-9195.

It is important that everyone think ahead and to consider where and how you might like to age.Join SBB University and our panel of experts as we arm you with knowledge on how to evaluate your living situation and make a plan while you are still healthy.Topics of discussion at this informative event included identifying where the best place is for you to live as you age - it could be moving into a beautiful senior living community or developing a course of action to help you age in place safely in your home for as long as possible. We explore how to get all of your legal documents in order with clear intentions and how to ensure it's accessible when needed.Panel 1: Options to assist with aging in place in your own home, downsizing, getting your legal paperwork in orderPanel 2: What do retirement/senior living communities have to offer?To Learn More, Click Links Below:ComForCare of NW PittsburghLIFE PittsburghSharek Law OfficeKarla Casertano - Realtor, Coldwell BankerPresbyterian SeniorCare NetworkNorthland Heights Senior LivingThe Helping Hand Personal Placement Agency

My Grandmother, Meemaw was my mentor, my guide and my lifeline throughout my life. She was my North Star! She and my Grandfather Papa spent a great deal of time with my brothers and I and raised us throughout our childhoods. My Meemaw was smart, incredibly strong and my hero. I owe every success I have had in life to my Grandparents and they were my greatest inspiration. I was very fortunate to have my Meemaw live until she was 98 years old. She was very healthy and extremely independent until the last two years of her life when she was in and out of the hospital mainly due to old age. It was at that time that my brother and I had to start thinking about home care for her as we wanted her to age in place. We like most families knew nothing about the world of home care or home health and it came as an immediate shock trying to navigate. We were fortunate and were able to safely find her the quality care she needed and that allowed her to stay in her home. It was a very difficult time for my family. At that point I started thinking seriously about helping other families like mine with such difficult decisions with their loved ones.Prior to starting Gentle Shepherd, I had been an Executive in a Fortune 500 company running a large Region in the U.S. I was growing tired of Corporate America and wanted to move from success to significance. As time marched on my parents were in their 80s as was my Mother-In-Law. They all had various health issues and some dementia. We found ourselves once again being that family with aging parents who needed more care than we could provide. So, four and a half years ago my husband Scott and I made the decision to leave behind Corporate America and started Gentle Shepherd Home Care. It was personal and we knew we could help and guide families like ours! Thus, Gentle Shepherd was born! We have an incredible team with over 160 highly qualified professional caregivers and were just awarded Best of the Springs for Home Care in 2020! We truly provide compassionate care in the comfort of your own home and will love and treat your family as our own! Editors Note: This article was written by Kathy Miller, founder of Gentle Shepherd Home Care. She can be reached at 719- 359-8371 or by email at: Kathy.miller@gentleshepherdhomecare.com.

Today, people are living longer than ever before.With advanced age often comes the need for care. Many seniors are able to continue to live at home without assistance. However, the time may come when your elderly loved one needs help. Physical and cognitive changes often come on quite suddenly. Here are 20 signs that your loved one may need assistance. Spoiled food that doesnt get thrown away Missing important appointments Unexplained bruising Trouble getting up from a seated position Difficulty with walking, balance, and mobility Uncertainty and confusion when performing once-familiar tasks Forgetfulness Unpleasant body odor Infrequent showering and bathing Strong smell of urine in the house Noticeable decline in grooming habits and personal care Dirty house, extreme clutter and dirty laundry piling up Stacks of unopened mail or an overflowing mailbox Late payment notices, bounced checks and calls from bill collectors Poor diet or weight loss Loss of interest in hobbies and activities Changes in mood or extreme mood swings Forgetting to take medications or taking more than the prescribed dosage Diagnosis of dementia or early onset Alzheimers Unexplained dents and scratches on carThere are many resources available when more help is needed. Seek out those resources and have them ready to share so that you can refer your loved one to the right professional who can guide everyone concerned through an often draining process. Listen to what your loved one tells you. And most of all let your loved one know you care.Editors Note: This article was submitted by Randy Chipman, Certified Senior Advisor with CarePatrol of Utah. He can be reached at 801-717-9328 or RandyC@carepatrol.com.

To learn more aboutApple Tree Assisted Living,CLICK HERE.Like with many other important life decisions, those who are thinking about a move to a senior living community and their caregivers should be carefully considering their options. There are a number of quality such communities available in your area, and you should be completing detailed research for multiple options rather than simply choosing the first that you see.At Cozy Retire, we strongly encourage prospective residents of ourassisted living, memory care and other retirement communities to compare us to other communities in the area both because we want the very best care for all seniors, and because were supremely confident were the ones best suited to provide it. While youre doing your research, whether as a senior yourself or a caregiver assisting a loved one, what are some of the top variables you should be considering? This two-part blog series will go over several important areas.Lay Out Your PrioritiesWhile some of thebasic elements of senior carewill be similar in most communities, there will be a number of specific features, amenities or programs youre looking to prioritize. These themes can be wide-ranging, including everything from basic aesthetics and decoration to the programs offered, qualifications of staff or many others.As you get started with the search process here, its important to lay these out and prioritize them. Which features of a givenassisted livingcommunity are must-haves for your situation, and which are simply strong desires? Making a tiered list is often a good way to keep all your top priorities in order and ensure nothing is missed.Making Basic ComparisonsThis is also a good time to begin identifying some of the top options in your area, then comparing them in basic ways. Here are some simple themes to inquire about:Which services, programs and amenities are included in care for the basic monthly price? Are there additional services that can be obtained for extra fees?Are there currently rooms available in the community within your desired time frame? If not, are openings expected in the near future, and is there a waiting list? If such a waiting list exists, does it require a commitment?How does the community youre considering fit in terms of your listed priorities from our section above, and would you be forced to sacrifice in any must-have areas?Reviews and ReputationLike with any other service business, one great way to narrow down your research is to use various tools at your disposal to learn about a senior living communitys reputation and historical quality. There are several resources you can use here, from compliance with state regulations (this information can be found online) to Google reviews and other forms of online assessment.In addition,senior careis often a realm where word-of-mouth is very powerful. If you have other family members who have had a great experience in a given community, or if other friends recommend it based on quality experiences, this is a good sign and on the flip side, if someone you trust strongly recommends against a given community, learn more about why before considering that community.

Regular exercise is key to maintaining good mental and physical health, especially while we are enjoying our retirement years. With Southwest Floridas exceptional year-round weather, Naples is the ideal place to get outside and get moving.If your idea of exercise is hitting the golf course, youre in luck. There is no shortage of excellent golf clubs in the region. Weve put together a list of 10 of the highest-rated golf courses in Naples that you wont want to miss!1. Lely Resort Golf & Country Club8004 Lely Resort Blvd., Naples, FL 34113Lely Resort Golf & Country Club boasts 54 holes of spectacular golf designed by three golf legends: Robert Trent Jones Sr. (Flamingo Island course), Lee Trevino (Mustang course), and Gary Player (the private Classics course). Golfers will appreciate the tranquil natural Florida surroundings that frame the pristine greens as they enjoy a great game of golf.2. TPC Treviso Bay9800 Treviso Bay Blvd., Naples, FL 34113TPC Treviso Bay was designed to challenge the worlds best players while also providing the weekend golfer with an outstanding golf club experience. This picturesque course offers an excellent game and views across the Rookery Bay National Estuarine Reserve.3. Eagle Creek Golf & Country Club11 Cypress View Drive, Naples, FL 34113Annually rated among the best in Florida, Eagle Creek Golf & Country Club's course was designed by renowned golf course architect Larry Packard. This walkable golf course winds through cypress preserve and pine forests and offers members six sets of tees to match their experience and ability level.4. Royal Poinciana Golf Club1600 Solana Road, Naples, FL 34105This private, invitation-only club provides members with two impeccable, David Wallace-designed 18-hole courses one of which has been redesigned twice by Arthur Hills, and the other of which has been renovated by Drew Rogers. Get a taste of wild Florida at this Audubon International Cooperative Sanctuary-certified course as you wind past cypress trees, ponds, and native plants and wildlife.Learn more about activities for seniors by downloading: The Busy Person's Guide to Recreation in Retirement.5. Foxfire Golf & Country Club1030 Kings Way, Naples, FL 34104Foxfire is proud to give members an unparalleled, year-round golfing experience. Equipped with five tee boxes to support all skill levels, Foxfire offers three different and challenging nine-hole courses, each with its own unique personality.6. Fiddler's Creek8152 Fiddlers Creek Parkway, Naples, FL 34114For 15 consecutive years, Golfweek has called the Golf Club at Fiddlers Creek one of the top 100 residential courses in the U.S. This award-winning golf club blends the beauty of Southwest Floridas natural resources with a strategic and challenging golf experience that is suitable for all levels.7. Hibiscus Golf Club5375 Hibiscus Drive, Naples, FL 34113The 18-hole Hibiscus Golf Club is one of the few courses in Naples that is open to the public. This David Wallace-designed course offers a unique and challenging golf experience for both high- and low-handicap players.8. Royal Palm Golf Club405 Forest Hills Blvd., Naples, FL 34113The newly renovated Royal Palm Golf Club has been serving Naples golf enthusiasts for 40 years. Check out the extensive updates, including hole redesigns, new bunkers, new irrigation, new cart paths, and upgraded and expanded practice facilities.9. Lakewood Country Club of Naples4235 Lakewood Blvd., Naples, FL 34112Lakewood Country Clubs golf course is both beautiful to look at and mentally challenging to play. With four freshwater lakes, abundant wildlife, and native trees and shrubs, as well as crushed-shell pathways and large sand bunkers, golfers of all skill levels will find much to love about the course.10. Riviera Golf Club48 Marseille Drive, Naples, FL 34112When youre crunched for time, but you simply have to golf, the Riviera Golf Clubs executive-length course offers an excellent round of golf without the time commitment. This shorter but still challenging design makes Riviera Golf Club a great choice for new golfers.Submitted and Written By: Barrington Terrace - click here for more information

Is it Alzheimers or is it Dementia?PEOPLE OFTEN ASK THE QUESTION; IS IT ALZHEIMERS or is it Dementia? The fact is; Dementia is the name that refers to all types of memory loss diseases, including Alzheimers disease. In other words, Alzheimers 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 wasnt 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. Shes eating nutritious meals, having personal care done by caregivers that specialize in dementia. These diseases dont 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 feelof a home?Are their odors?A Steinberg study shows that smaller homes, or clusters are the most desirable environment. Avoiding too much stimulationor 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 dont 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.

As we age, tooth loss, discoloration, and even tooth shape can affect the way you look and feel when you smile.Although your teeth are designed to last a lifetime when cared for properly, many people find that age-related imperfections of the teeth can cause them to look older than they are. Even worse, in some cases, tooth decay has been linked to larger dental and overall health issues such as heart disease. However, there is good news. In some dental practices, doctors have created specific protocols for seniors which assist in rejuvenating aging smiles. These dentists use procedures that can actually take years off your appearance and keep you healthy for years to come.Effects of Aging on Your TeethOver the years, night grinding, teeth clenching, gum disease, discoloring foods such as wine and chocolate, smoking, and lack of preventative care can have a negative effect on your appearance. The color, shape, and size of your teeth can add 5-10 years to your appearance. There is help for all of these issues from dentists who focus on anti-aging procedures such as: Porcelain crowns, inlays, and onlays Tooth-colored fillings Laser and gum reshaping Custom nightguards or invisible braces Dental implants to replace missing teeth Cosmetic denturesOlder adults often believe that its natural for their teeth to age as they age, but this is simply not true. There are so many ways to keep your young look and protect your body from disease with regular visits to your dentist or a visit to a dentist who focuses on anti-aging procedures. To find a dentist near you, look in this directory or online for a dentist who focuses on anti-aging dentistry.No matter what your age taking care of your teeth will help your overall health and well being for years to come.Editors Note: This article was submitted by Frederick Guerra, Jr., DMD of Guerra Dental. He may be reached at 719-362-0681

As the number of people affected by Alzheimers grows, there is an increasing need to understand the activity requirements of someone with Alzheimers disease. Activities are a key component of daily living that provides a soothing and calming routine, which can lower feelings of aggression or agitation. As the disease progresses, the type of activities need to be modified in order to continue to live a more peaceful and enjoyable life.In the early stages of Alzheimers it is important to stay connected with family and friends. After diagnosis, a person is recommended to continue with enjoyable activities and hobbies with slight adjustments. For example, rather than having dinner at a busy restaurant, a more intimate gathering at someones home would be more enjoyable. This would also be a great time to join a support group and discuss feelings and concerns with others facing the same situation.Starting in the early stages, consistency is key in order to mitigate confusion. As the disease progresses, writing and handling objects may become more difficult. As daily activities require more assistance, it will be more productive to focus on enjoyment of an activity, rather than completion of a task. Step-by-step instructions are good for keeping people involved, such as coloring, washing vegetables, watering plants, or flower arranging. The person with Alzheimers needs to feel helpful, so household duties like sweeping or dusting furniture are a great way to keep them engaged. Moderate exercise can help stimulate the brain. Tossing a ball back and forth can assist with interaction and coordination.People living with moderate stage Alzheimers will spend time reminiscing of the past. Ask questions to allow them to open up about their past experiences. This is a great time to document stories about family history. Picture books and photo albums can be a great way to stimulate conversation. Some additional ideas for soothing activities could be listening to music and singing. Caring for a baby doll can soothe an agitated person. Some people try to keep a baby doll, play crib and doll clothes available for comfort.As the disease progresses to the severe stage, round the clock care is needed to keep the person safe and calm. They may experience loss of verbal skills, so engagement through sight will be the most soothing. Movies with peaceful animals and landscape environments will be beneficial in most cases. Soothing, quiet music can create a calming atmosphere.Most importantly, try to keep the activities calming and relaxing. If you see that a particular activity is agitating or upsetting, move onto another. Keep in mind that the Alzheimers world is their new reality. Providing care in a supportive environment, with stage-appropriate activities, is the optimal way to ensure the best quality of life for the person living with Alzheimers disease, as well as the caregiver.Editors Note: This article was written by Mandy Quinn at The Cottages Senior Living. She may be reached at 214-952-8829. The Cottages is a state-of-the-art residence for people living with Alzheimers disease and other memory disorders.

For more information on the author, The Sheridan at Lakewood Ranch, CLICK HERE!Having some memory loss is a natural part of aging. Beyond the everyday annoyance of forgetfulness, according to theNational Institute on Aging, is a condition called mild cognitive impairment (MCI). Even this is a common condition and doesnt necessarily indicate something more serious. But your loved ones cognitive impairment is one key factor to weigh when deciding to move from assisted living to memory care.Not all cognitive impairment indicates dementia or Alzheimers disease. But when these conditions do arise, it may be time to consider memory care. Find out more about what cognitive impairment is common and easy to deal with, and what is a more serious indicator when it is time for memory care.What Is Common Memory Loss vs. Dementia?Having trouble with remembering names and dates is a common age-related condition, but it isnt typically something to worry about.The NIAsays that to help those dealing with forgetfulness, make sure they:Dont drink alcohol to excessExercise and eat wellGet plenty of restLearn a new skillPut their wallet or purse, keys and glasses in the same place each daySeek help if they feel depressed for weeks at a timeSpend time with family and friendsStay involved in activities that can help both the mind and bodyUse memory tools such as write-on calendars, notes and to-do listsVolunteer in their community, at a school or at a place of worshipAlzheimers Disease and DementiaAlzheimers disease and other dementia are more serious conditions.According to the Mayo Clinic, dementia describes a group of symptoms affecting memory and the ability to think clearly. Dementia also causes disruptions in behavioral and social skills. Alzheimers disease is the most common cause of dementia, accounting for 60% to 80% of cases.The NIAcompares normal aging-related memory loss with the realities of Alzheimers disease:Normal AgingAlzheimers DiseaseMaking poor decisions once in a whileMaking bad decisions and judgments a lot of the timeMissing a monthly paymentDifficulties taking care of monthly billsForgetting which day it is but remembering laterLosing track of the date or time of yearSometimes forgetting which word to useTrouble having a conversationOccasionally losing thingsOften misplacing things being unable to find themMore serious cognitive impairment may indicate dementia and Alzheimers disease. Those with Alzheimers or dementia have other symptoms besides simple memory loss. Some of the more serious psychological changes that dementia patients exhibit,according to the Mayo Clinic, include:AgitationAnxietyDepressionHallucinationsInappropriate behaviorParanoiaPersonality changesIf somebody is exhibiting these behaviors, it is important to visit a doctor for a firm diagnosis. It also may be time to consider memory care at a senior community.When Is it Time for Memory Care?During the early stages of dementia or Alzheimers disease, many patients can live on their own or with in-home support from family members or a paid caregiver.There can be a point, however, when you may need to make the difficult decision to seek memory care for your loved one. Here are some questions,from the AARP, to help you decide as a caregiver whether its time to move a loved one to memory care:Are you becoming impatient, irritable, and stressed?Are you beyond your physical abilities in caring for your loved one?Are you worrying constantly about your loved ones safety or your own safety?Are you neglecting work responsibilities, your family, and yourself?Are you risking the health of your loved one, or yourself?Would the social interaction and structure of a memory care community help?Other factors should be taken into consideration, such as the loved one exhibiting changes in behavior, hygiene, disorientation, wandering and incontinence.While not all of these points need to be met, caregivers will know in their gut when it is time for a memory care facility. Memory care communities can give your loved one the care and environment they need.What Is Memory Care?Independent living and assisted living are two levels of oversight and care for aging adults. They offer professional staff, dining, and other amenities to meet different levels of needs.Memory care is a different level of care for those with cognitive impairment, ranging from MCI to dementia to Alzheimer's. The amenities and surroundings offered are intended to help these residents find comfort, safety, and peace when memory care is needed.Memory care communities provide:Personal careCleaning and laundryMeals and nutritionPet-friendly places>>Find a memory care communityA Special Program of Care for SeniorsAnother level of assistance is Senior Lifestyles award-winning embrace Memory Care. This program, available at some Senior Lifestyle communities, offers specialized programs to help seniors with dementia live fulfilling lives.The programs Included in embrace are customized according to these dimensions of wellness:MOVE (Physical) Physical activity, nutrition, and health education to encourage self-care of the bodyGROW (Intellectual) Stimulation and use of ones mindFEEL (Emotional) Experiences that provide support, increase self-esteem, and provide funREFLECT (Spiritual) Connection to the human spirit and helping us find meaningCONNECT (Social) Development of relationships that provide a deeper connection and opportunity to nurture each otherCONTRIBUTE (Vocational) Volunteer pursuits that help residents to reach out to each other and outside the community

There are more than 3.4 million unpaid family caregivers in Texas. It is with pride that we extend our thanks to each one of them. Family caregivers are the meal givers, the medicine givers, and the compassion givers. They help their loved ones bathe and dress, prepare meals, drive to medical appointments, assist with finances and much more. Some perform complex medical tasks like giving injections, managing complicated medications or cleaning wounds often with little or no training. Many provide this 24/7 care while working full-time without a break.Caregivers often sacrifice their time, money, and even well being to ensure that their family member is given the ability to live comfortably in their home and out of costly institutions. But in the process, caregivers can sometimes lose sight of the importance of taking care of their own needs and are often taken for granted, despite the high value of care they maintain.The cost of care unpaid family caregivers provide in Texas alone is estimated to be $35 billion a year; and its $470 billion worth of care provided nationally. That amount is more than the annual sales ($469 billion) of the four largest U.S. tech companies combined (Apple, Hewlett Packard, IBM, and Microsoft).Family caregivers arent recognized nearly enough; they not only deserve our thanks, but they deserve our support. Caregiving is a labor of love, but its also often an incredibly time-intensive one. We extend our deep gratitude for the many things that they do.Editors Note: This article was submitted by AARP State Director Bob Jackson.

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.

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: 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. 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. 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. 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. 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.

The most effective strategy for identifying what your advanced illness patients want near the end of life is to have goals-of-care conversations early, regularly and matter-of-factly.VITAS can help. So can these seven key points about advance directives, the written documents that outline a person's healthcare preferences:Everyone over 18 should have advance directives.The most common types of advance directives include a living will, durable/medical power of attorney for healthcare decisions, Five Wishes document, and Physician/Medical Orders for Life-Sustaining Treatmentdocument.Advance directives give patients controlof their medical care if they cant speak for themselves.Advance directives are billable.Medicare reimburses youup to $86 to discuss end-of-life care with patients.The conversation is easier when the patient is healthy and alert.Ideally, families should be involved in the conversation to explore values, preferences and goals for care.Advance directives can be modified over time.Your patients are waiting for you to start the conversation.Ninety-two percent of people surveyed indicated they would be at least somewhat comfortable talking with a doctor or health care provider about their end-of-life medical wishes, including two-thirds (66%) who say theyd be very comfortable.People who document their healthcare preferences in an advance directive are more likely to get the care they prefer at the end of life.Submitted and Written By: VITAS Healthcare - click here for more information

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.

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Going to the dentist is so much more than your smile. Today more than ever before, we know that your oral health affects every system of your body.Regular 3, 4, or 6 month preventative maintenance dental appointments are as necessary as a seniors oral homecare for your teeth. But, we also now know that it has become medically necessary to see your dentist on a regular basis to help prevent serious health issues like cardiovascular disease, diabetes, or pancreatic cancer. Yes, thats right your technically advanced dentist can help you with much more today than ever before.And that is why most seniors see their dentist more often than they see their medical doctor. For example did you know that when there is periodontal disease present, a senior is at a much higher risk for heart disease, diabetes, pancreatic cancer, and compromise of other systems of the body. The cardio system and hormonal system are all affected as the infection flows into the bloodstream.Todays dentist, using the ORAL DNA TEST specifically alerts a patient to having periodontal disease. The test evaluates 11 different bacteria that cause periodontal disease. Then the bacteria that the patient has can be specifically targeted. It is a simple swish/saliva test that takes about 5 minutes. As soon as the lab results return, the dentist and the patient know exactly which bacteria are causing the problem and whether they are at a high risk level. If its above a certain threshold, it can be treated with specific medications and Laser Periodontal Therapy (with no shots and drilling).Keep in mind that decay is a bacterial infection and it does not go away -- it just keeps eating away at the tooth. Coming to your very importantmaintenance appointment allows the dentist to detect any decay earlybefore it becomes a bigger and more costly problem.With all the new technologies here, and on the horizon, the time for procrastination is past. So, the next time you think about putting that dental appointment off, remember the vital role your dentist plays in your plan to stay healthy and keep smiling for many years to come.Editors note: This article was submitted by the Couchman Center for Complete Dentistry. For additional information they can be reached at 719-593-0263

Alzheimers disease (AD) is the most common cause of dementia. Worldwide, it is currently estimated that 35 million people have AD or a related dementia. With increasing life expectancy, those numbers are expected to increase to around 66 million by 2030 and to more than 115 million by 2050.In the United States, 5.4 million individuals of all ages are currently estimated to have AD, with the vast majority (>95%) aged older than 65 years.The main underlying cause of memory loss and confusion with AD is theprogressive damage to brain cellsresponsible for memory.Subtle changes in memory are commonly the first presenting symptom indicating a potential decline. Common early indicators of memory change include: 1) memory loss that starts to impact your daily life 2) difficulty completing familiar tasks 3) confusion with time or place 4) new problems with words in speaking or writing 5) frequently misplacing items or inability to retrace your steps.A memory screening is a simple and safe healthy brain check-up that tests memory and other thinking skills. The memory screening is a series of questions and/or tasks that takes approximately 10 minutes to complete and can indicate if someone might benefit from a comprehensive medical evaluation. It is not used to diagnose any particular illness and does not replace consultation with a physician or other clinician.Benefits of a memory screen include establishing a baseline to measure future repeat assessments and early recognition of memory decline. Early detection of memory impairment may afford a person the opportunity to take advantage of treatments that may slow the changes in memory and thinking skills or participate in a clinical trial.Other benefits of early detection include the opportunity to learn more about the disease, including available and emerging medical treatments; get counseling and other social services support in their community; address legal, financial and other planning issues; and have more of a say in decision-making. Caregivers and other family members can take advantage of community services, such as support groups, which can help them feel betterphysically and emotionally. They can discuss treatment, future care and other issues with their loved ones, rather than having to make decisions on their own.If you or a loved one suspect early signs of memory changes, please feel free to contact us to schedule a free memory screening. This article was submitted by Rekha Gandhi, MD, Board-certified Neurologist and Principal Investigator for Conquest Research. Visit www.conquestresearch.com or call 407-916-0060 to learn more.

Millions of Americans take care of a friends or family members as informal caregivers unpaid support helping with daily living activities, managing chronic health conditions and/or disabilities, ensuring insurance information and critical long-term planning is up-to-date as well as many other tasks.These informal supports are spouses, partners, family members, friends, or neighbors who do not self-identify as caregivers. These individuals simply consider the care they provide as what you do for someone you care about to help older adults live independently and with dignity.Caregivers Are Growing Older and Suffering Emotional & Physical StrainThe National Alliance for Caregiving and AARP (2015) reports that 34% of caregivers are 65+ years old and the average duration of a caregivers role is four years. And, regardless of employment status, these unpaid caregivers find that positive activities in their respective daily lives are reduced by 27.2% as a result of their caregiving responsibilities. [Coughlin, J. (2010). Estimating the Impact of Caregiving and Employment on Well-Being: Outcomes & Insights in Health Management.] That is because, although being a caregiver can be a labor of love, the stress and responsibilities of being a caregiver can be overwhelming. So, taking care of yourself is one of the most important things you can do as a caregiver. Resources & Services Available From Local Leaders in Aging PLOWS Council on Aging, Southwest Suburban Cook Countys premier leader and connection to aging information and resources, has extensive experience supporting caregivers of older adults in 20 communities within the suburban Cook County Townships of Palos, Lemont, Orland and Worth. One of our most requested services is our respite program which provides temporary companionship of an older adult over 60 years old so informal caregivers can get much needed breaks. Respite is a federally funded program under the Older Americans Act. Donations are suggested for the respite program, however, service is not denied due to an inability to make a donation.The respite program is available seven days a week and can be arranged for just an afternoon or for several days or weeks. As part of this service, trained homemakers visit your home to provide supervision, companion care, meal preparation, and/or personal care assistance. No medical care is provided and medications cannot be administered. Respite can be provided in the home, at an adult day service facility, or in a long-term care facility.Editors Note: This article was submitted by Catherine Stowers, Program Manager for Caregiver Support with PLOWS Council on Aging. For appointments and information on services, please call 708-361-0219.

Colorado has a new law that requires mandatory reporting of abuse and exploitation of at-risk elders. (C.R.S. 18-6.5-108) In 2013, the general assembly expanded the law to create mandatory reporting requirements so that at-risk elders are afforded more protection under the law. Beginning on July 1, 2014, mandatory reporting shall take effect and it has penalties for those persons that fail to report abuse or exploitation of at-risk elders. An at-risk elder is any person who is seventy years of age or older.[i] Now when certain persons observe abuse or exploitation or if they have reasonable cause to believe that the at-risk elder has been abused or exploited, or even if they believe there is an imminent risk of abuse or exploitation, that person is required to make a report to a law enforcement agency within twenty-four hours of making the observation or discovery.Those persons required to report are a long list of professionals identified by the law including: medical and mental health professional, social workers, dentists, law enforcement officials, guardians and conservators, clergy (with some exceptions), caretakers, home health providers and professionals associated with care facilities, personnel at banks or financial institutions, fire protection personnel and others. These professionals, whether paid or unpaid, must report the abuse or exploitation to law enforcement. Willfully violation of this law is a class 3 misdemeanor. Reporting is not required if the person knows that another person has already reported the abuse or exploitation. Law enforcement must notify the county department and the district attorneys office within twenty-four hours of receiving the report and law enforcement shall complete a criminal investigation when appropriate. Immunity from suit and liability for damages is given to the person making the good faith report, except that no immunity is given to the alleged perpetrator of the abuse or exploitation.At-risk elders now have more protection because many more people in the elders life are required to make a report to law enforcement within twenty-four hours. The days of looking the other way, minding your own business or assuming that someone else is reporting the abuse or exploitation are gone now. A mandatory reporter that observes or has reasonable cause to believe that an at-risk elder has been abused or exploited is required make a report within twenty-four hours. This law penalizes a person for not reporting, whether they were working for the elder or not.Editors Note: Jennifer S. Gormley, Esq. is an elder law attorney and advocate for elders, at-risk adults and persons with disabilities. Ms. Gormley is also an Adjunct Law Professor at University of Denver Sturm College of Law where she teaches elder law. To contact Jennifer Gormley, please call 303-783-9600 or email, Jennifer@elderlawsource.com. The Law Office of Jennifer S. Gormley, P.C. is located in Greenwood Village, Colorado.

Caring for a person with dementia often takes its toll on the caregiver's health. The stress of the situation often causes medical and/or psychological issues for the person. Although stress cannot completely be eliminated, there are steps to take to avoid being in distress.One of the first steps is to have a medical professional who understands dementia, the progression, the impacts, and the medical treatments. This doctor may or may not be the person's primary care physician. It could be a gerontologist, neurologist, geriatric psychiatrist, or a physician who has a strong understanding of dementia.Having someone who understands the financial pieces of elder care is also key to avoiding a crisis down the road. An elder law attorney is able to help put the necessary pieces in place to assure that decisions can be made and that financial assets are being used in a way that is permitted or even protected. Medicaid and Medicare laws are complex and often changing. In addition, many elder law attorneys are aware of programs available to financially assist seniors.Many caregivers find joining a support group is beneficial. Groups are often facilitated by a professional. This person usually has a strong understanding of the disease and the resources available. In addition, you will have the opportunity to share your experience with others who have the same experience as you. Also, it provides a safe environment to share thoughts with others who will not judge and can understand. In addition, you will get advice and support from someone who may have already faced the stage you are in now. Additionally, it will allow you to help others who are dealing with something that you have already faced. It is important to understand however that not all support groups are the same. Based on the participants, some are more geared for adult children while others for spouses. Finding the right one will add to the benefit.Many people have family members as an important piece of the support team. To avoid conflict and perhaps crisis, it is key to have open communication and assure that everyone is on the same page. Putting some of the pieces into place can help the caregiver prevent some crisis and provide a better overall quality of life for everyone._____________________________Editors Note: This article was contributed by Mary Underwoods, Vice President of Memory Care Services for Artis Senior Living of the West Shore.

As you or your loved one begins to require increased attention to health issues, keeping an up-to-date medical journal can come in handy.Having quick access to this information is not only useful to you on a day-to-day basis, but to health care providers as well especially in a time of emergency.Keeping the journal is something you and a love one can do together. In a notebook, create sections to include the following:Health Insurance Information In nearly every circumstance when medical care is received, patients must provide health insurance information. Having your loved ones health plan name and policy number readily available can help facilitate quicker access to care.Doctor/Hospital Contact Information You never know when youll need to unexpectedly contact a doctor or emergency medical facility. On one page of the journal, write down the names and phone numbers of the doctors and specialists your loved one sees regularly.Prescription Medications Doctors should always be aware of any medications a patient is taking to prevent over-prescribing or harmful drug interactions. Your health journal should include a list of the medications your loved one is taking and the condition(s) they treat.Allergies Theres a reason why health care providers always ask if patients have any allergies: it can impact the course of treatment provided. Make a list of any allergies your loved one may have, along with the symptoms and current treatment (if applicable).Major Illnesses or Surgeries Devote a page of your journal to listing any major illnesses your loved one has had in the past. Examples include pneumonia, cancer and heart disease. Also make note of past operations, such as heart surgery, hysterectomy, gall bladder removal, appendectomy, etc.Emergency Contact Information Finally, be sure to list the names and phone numbers of family members and/or friends who should be notified in the event of a medical emergency.Once the journal is complete, make sure that you and your loved one keep it up to date, making any necessary changes or additions every time medical care is received.Editors Note:This article was submitted by KayT Matheson. KayT is a Division Director of Marketing & Operations with Genesis HealthCare and may be reached at 208-859-5117 or by e-mail at kayt.matheson@genesishcc.com

For more information on the author Just Like Family Home Care, CLICK HERE.Are you wondering if its time to get your elderly loved one the help they need? Do you often find yourself thinking about whether or not to hire a live-in care provider to watch them? If so, then you should consider the signs its time to find home care.Its never too late to get them the help that they deserve. By looking into senior care, you will experience full peace of mind, knowing that theyre safe.See below for several signs that its time to look into live-in care providers in Naples. It can help you better understand when is it time to get home care for seniors.1. Not Eating WellPerhaps youve noticed that your elderly loved one hasnt been eating the same as they once did. Maybe youve even noticed that theyre losing a significant amount of weight.If thats the case, then they might be skipping out on meals or can no longer operate the kitchen the way that they once did. They might also find it increasingly difficult to run to the store for food items that they need to cook.A live-in caregiver can give the assistance that they desperately need. They can go out to shop for groceries, come back to the house, and make your loved one the meals that theyll chow down on.Once the meal is done, they can also help clean up the dining table and kitchen, wash dishes, and put away all the items for future meals.Be sure to reach out to a live-in referral companythat can help you find the right caregiver for your loved ones situation.2. Slow Recovery TimePerhaps youve grown concerned for your loved one because of an illness or injury that theyve recently suffered. You have noticed that theyre taking longer and longer to recover from health complications.These injuries and illnesses might also be more frequent, with no signs of that slowing down any time soon.If so, then youll want someone to be around them 24/7. As much as youd love to be around them all the time, you still have a career and your spouse/children to care for as well.Hiring a live-in care provider can help give you peace of mind. Even when youre not around, theres a specially-trained and well-educated live-in caregiver thats watching over them, giving them the best medical attention possible.Be sure to give your loved one time to adjust to the idea. If you rush them into it too quickly, they mightresist the caretheyre given.3. Their Memory Is FadingSometimes the biggest sign that your loved one needs help is when you notice that their memory is starting to fade. Sometimes its a sign of Alzheimers or Dementia, while other times it comes naturally as they age.No matter what the reason is for the memory loss, it will only continue to worsen. If their memory fails them while no one else is around, it could lead to a very serious situation.A live-in care provider will work tirelessly to keep an eye on them. Theyve been trained on how to work with patients that suffer fromAlzheimers and dementia, and how to get them to cooperate in moments of confusion.4. They Recently Had An AccidentDid your loved one recently fall and injure themselves? Was there a close call that you were (fortunately) there to help them with? If so, then you might be struggling with the eye-opening sign that they need constant supervision.Not only that, but your elderly loved one might not becomfortable with being left by themselves for any period of time. This is a clear sign that its time to get them live-in care from a specialist.If they were to have an accident while no one was around, then it might lead to a life-threatening situation. They might not be able to reach for the phone to call for help.5. They Seem LonelyNo one should ever have to feel alone in their own house. As much as you, your kids, and your siblings might try to keep them company, there will always be moments where your elderly loved one is alone.Not only are those moments a danger to their physical health, but their mental health as well.Live-in caregivers dont just focus on giving medical treatment to their patients. They have a passion for taking care of elderly people in need. They will build a friendship with your loved one and find different ways to hang out with them.That way, even when youre at work or running the kids around, youll know that your loved one is hanging out with a close friend around the clock!6. They Cant Drive AnymoreThere comes a time where all elderly people can no longer drive. Their worsening health makes it impossible for them to safely operate a vehicle.With a live-in caregiver, theyll have access to drive wherever they need to without having to wait for a loved one to pick them up.That way, you dont have to adjust your schedule every time they have a doctors appointment. The live-in care provider can take them wherever they need to go.Find The Right Home Care For Your Loved One TodayNow that you have seen several signs that its time to get home care for your loved one, be sure to use the right referral service for your needs.Be sure to read this article for more information on senior lonelinessand how you can help them cope with their emotional distress.

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}#

Adult children of an aging parent often find themselves in a difficult position. While they know how important it is for a senior loved one to maintain their independence, they also worry about keeping them safe at home. Understanding if and when to intervene can be tough to do.If you will be heading home for the holidays to visit an older loved one, there are a few warning signs you should be on the lookout for when you are there. They are good indicators that the time has come to talk about making a change.10 Signs an Aging Loved One Needs More HelpIf you are noticing more than one or two of these behaviors in a senior you love, it might be time to talk about making a move to a senior living community. These communities offer older adults a combination of safety and independence, in addition to a wide variety of life enrichment and wellness activities. Personal Hygiene: An early indicator that a parent or other senior loved one is struggling is their personal appearance. Have you noticed a change in their hygiene habits? Is their clothing appropriate for the time of day and season of the year? Changes in this area can be signs an older adult is having trouble with personal care. Less Social: Has an always involved and social older loved one withdrawn from favorite pastimes and organizations? It might be a sign they are having problems with transportation or that they are aware something is wrong but arent sure what it is. Depression: Along those same lines is a case of the blues that goes on for many months. Seniors who are isolated or live alone are at higher risk for depression. If the older adult in your family seems tired, uninterested in carrying on a conversation or is sleeping a lot, it might be time to intervene. Make an appointment with their primary care physician. Falls: Have they experienced any falls or near falls? Is your senior loved one struggling with balance problems or are they a little unsteady on their feet? Older homes may not be the safest environment for a senior who is experiencing mobility issues. Falls remain the leading cause of fatal and non-fatal injuries among seniors. Accidents: When a senior driver bumps their car in to things like a curb or the garage door, it might not seem like a serious concern. But small accidents can indicate they may not be safe behind the wheel of a car any longer. Slower reflexes, problems with vision and hearing loss are just a few reasons why. Housekeeping: If your parent has always kept a tidy house it is usually easy to spot when there might be a problem. Is laundry piled up? Is the trash overflowing? A dirty house is not only a sign a loved one is struggling, it can also present health and safety risks. Finances: Is your senior family member safely managing their finances? There are a few ways to tell. Are bills stacked up unopened on their counter or desk? Another tip off is calls from bill collectors. When an older adult is having trouble keeping their financial house in order, they may pay some bills twice while neglecting others. Being Scammed: Criminals often target seniors. They believe them to be lonely and confused. It puts older adults at higher risk for fraud and scams such as fake sweepstakes prizes, phony roofing companies and identity theft. If your loved one has fallen victim to a scam, it might be a sign they need to make a move. Nutrition: When you visit your loved one this holiday season, take a peek inside their pantry and refrigerator. Are they full of out-of-dated foods? Does your senior loved ones diet seem to consist primarily of fast food? Poor nutrition can contribute to a variety of health conditions, as well as increase their risk for a fall. Mismanaging Medication: Mistakes with medication are a leading reason seniors end up in the emergency department of a hospital every year. Some take too much medication and others forget to take it altogether. Thats why medication management is one of the most commonly utilized services in senior living communities.If you are noticing more than one or two of these behaviors in a senior you love, it might be time to talk about making a move to a senior living community. These communities offer older adults a combination of safety and independence, in addition to a wide variety of life enrichment and wellness activities.

To learn more about Intermountain Homecare and Hospice,CLICK HERE.What is MS?Multiple sclerosis, or MS, is a disease that affects the brain and spinal cord. It can cause problems with vision, balance, sensation, and muscle control. This disease affects everyone differently. Some people have mild symptoms while others have debilitating symptoms that prevent them from doing daily tasks.Multiple sclerosis occurs when the immune system attacks the nerves in your brain or spinal cord. When the nerves become damaged the brain isnt able to send signals through your body correctly.How can you recognize and MS attack?Relapsing MS is characterized by the unpredictable occurrence of new attacks. These attacks are sometimes also called an exacerbation, a relapse, or flare. An attack involves new neurological signs and symptoms, which typically develop over a few days and subside or completely resolve over the ensuing weeks and months. Symptoms from MS attacks include:NumbnessWeaknessIncoordinationVisual loss or double visionDizzinessThe most common symptom of an MS attack is numbness or sensory loss. Numbness occurs when the immune system attacks an area of the brain conducting sensory information to the body. If an attack occurs in an area of the brain transmitting motor information to the limbs, a person may experience weakness in the limbs. Double vision or dizziness may also occur from an MS attack.In patients who have MS it is important to distinguish a true attack from a pseudoexacerbation. A pseudoexacerbation is when signs and symptoms from an old attack can worsen or reemerge from other causes. Common causes for pseudoexacerbation include a new illness, elevated body temperature, fatigue, stress, and pain. How is MS diagnosed?Multiple sclerosis is a clinical diagnosis made when there is evidence of immune system attacks on the brain and spinal cord. A neurologist looks for evidence of these attacks in a person's symptoms, examination, and MRI scans. Attacks typically leave scars in the brain that are visualized on MRI. Scars from MS have a characteristic appearance and pattern that must be carefully discerned from other causes. The presence of inflammatory and protein markers in the cerebrospinal fluid can also help support the diagnosis.How do you treat MS?MS treatment has three parts:Treating attacksDisease modifying therapy to reduce the likelihood of more attacksTreatment of residual symptoms from prior attacksMS attacks are treated with high dose steroids over 3-5 days. Treating attacks with steroids helps decrease the duration and intensity of symptoms.Disease modifying therapy (DMT) is central to the care of people with multiple sclerosis. DMTs are the best strategy to alter the course of MS. Clinical studies have demonstrated that DMTs:Reduce the occurrence of attacksSlow progression of disabilitySlow cognitive declineUntil recent years, only a few injectable medications were available to prevent MS attacks. Now there are many additional medications and these are more effective at preventing attacks. Some medications are oral pills and others are infusions.Management of MS also includes treating unresolved symptoms from prior attacks. For example:Physical therapy helps with motor weakness and instabilityUrinary urgency or incontinence may be alleviated with medicineExcessive stiffness in muscles from nerve injury may be alleviated with medicinePainful sensory loss or disturbance may be treated with medicineWhat is on the horizon for MS?We are in an exciting era of treatment for MS. In recent years, several new treatments have been FDA approved, including the first ever treatment for a rare form of MS calledprimary progressive. Many additional therapies are being studied and hold promise in treating MS. In addition to novel oral medications and infusions, stem cell transplant is showing promise as a treatment for MS. In stem cell transplant, a patients stem cells are used to "reset" the immune system with the hope of eliminating the overactive inflammatory activity in MS.Did you know?National Multiple Sclerosis SocietyandMultiple Sclerosis Association of Americaare reliable sources for accurate information regarding MSWeighing only 3 pounds and operating on 12 watts, the brain sends electrical signals over 200 mphThe nervous system is capable of detecting grooves as small as two millionths of an inch, discerning differences as small as 0.01 degree Fahrenheit, and differentiating more than seven million colors

For more information on the author, Paul Andrews, ERA Advantage Realty, CLICK HERE!Have you received an advertisement offering to save you thousands of dollars on your thirty-year mortgage and cut years off your payments? With email spam becoming more pervasive as everyone tries to get rich quick on the Internet, these ads are popping up with troublesome regularity.The ads promote a Biweekly Mortgage and for the most part, do not come from a mortgage lender. Exclamation points punctuate practically every claim:No closing costs!No refinancing!No points!No credit check!No appraisal!Save thousands!Cut years off your mortgage!To achieve these wonderful savings all you have to do is allow half of your mortgage payment to be deducted from your checking account every two weeks. Its easy. Of course, there is a small set-up fee and usually a transaction fee with every automatic deduction.Essentially, the ads are truthful in almost every respect.They just want to charge you money for something you can do on your own for free.The Basics:Normally, you make twelve mortgage payments a year. Since there are fifty-two weeks in a year, a biweekly mortgage equals 26 half-payments a year. The equivalent would be making thirteen mortgage payments a year instead of twelve. By applying that extra payment directly to the loan balance as a principal reduction, your loan amortizes more quickly, requiring fewer payments.You save money. The ads are true.How it Actually Works:You cannot simply mail in half a payment every two weeks to your mortgage lender. Since they do not accept partial payments for legal and accounting reasons, the mortgage company would just mail your half-payment back to you.Instead, the biweekly mortgage company is an intermediary between you and your mortgage lender. They automatically debit your checking account every two weeks for half of your mortgage payment then place your funds into a trust account. Basically, this is just a holding account for your money. In another two weeks, there is another automatic deduction from your checking account, and so on. When your mortgage payment is due, your funds are withdrawn from the trust account and forwarded to your mortgage lender.Since you are placing funds into the trust account faster than your mortgage payments are due, you eventually accumulate enough money to make an extra payment. The way the cycle works, this occurs once a year. he extra payment is applied directly to your principal balance, which causes your loan to amortize faster, pay off more quickly and save you thousands of dollars.Potential Problems with the Trust AccountBecause your funds are held in the trust account until your mortgage payment is due, there are potential dangers. Not only are your funds held in this account, but so are the funds of everyone else enrolled in the biweekly program. That is a lot of money.Most likely, there will be no problems.However, if there are accounting errors, mismanagement, or even fraud, your mortgage payment might not get made. The first hint of a problem will probably be a phone call or letter from your mortgage lender, but not until after your payment is already late. Since responsibility for making the payment rests with you and not the biweekly payment company, you may find yourself digging into your personal savings to make the payment directly -- even though the biweekly payment company has already collected your funds.Later you can work out the trust account problem with your biweekly payment company.The Cost of the Biweekly MortgageThere is usually a set-up fee that runs between $195 and $350, depending on how much sales commission is paid to the individual or company setting up the account for you. You also pay a transaction fee each time there is an automatic deduction from your checking account and sometimes also when the payment is made to your mortgage lender. There may also be a periodic maintenance fee.Meanwhile, whoever controls the trust account is earning interest on your money.Savings of the Biweekly MortgageBy making principal reductions using the biweekly mortgage program, your mortgage will amortize more quickly, saving you money. How quickly your loan pays off depends on your interest rate and when you begin making the biweekly payments.On a $100,000 loan at an interest rate of eight percent, your first principal reduction would probably be a year from now. Assuming the principal reduction is equal to one monthly payment ($733.76), you would save $43,852 over the life of the loan and pay it off almost seven years early.However, you have to deduct from those savings any amounts you paid in set-up, transaction, and maintenance fees.No-Cost Alternatives to the Biweekly MortgageInstead of hiring a company to manage your biweekly payment, you could accomplish essentially the same thing on your own for free. Just take your monthly payment, divide it by twelve, and add that amount to your monthly mortgage payment. Be sure to earmark it as a principal reduction.The first way you save is that you do not have to pay any fees to anyone. Its free.In addition to not paying fees -- using the same example as above -- your total savings on the mortgage would be $45,904. Plus the loan would be paid off three months quicker than with the biweekly mortgage. The reason you save more is because you are making a principal reduction each month, instead of waiting for funds to accumulate so that you can make one principal reduction a year.Self-Discipline?The biweekly mortgage companies claim that homeowners are not disciplined enough to follow through with principal reduction plans on their own. They suggest the reason for setting up the biweekly mortgage enforces discipline upon you, and by doing so, they save you money.However, in this technologically advanced age, banking online and automatic deductions are readily available. You can set up your own automatic deductions including the additional principal reduction and have it go directly to your mortgage lender. Since the deduction occurs automatically, just like with the biweekly mortgages, self-discipline is not a problem. Once again, you dont have to pay anyone to do it for you and you save even more money.ConclusionThe biweekly mortgage plans do not really do anything except move your money around and charge you for it. Plus, even though the danger is negligible, you must trust someone else to hold your money for you. If you can do the very same thing for free, plus save yourself even more money by doing it on your own, why pay someone else?The biweekly mortgage plan - who needs it?If your goal is principal reduction and saving money, then it is a good plan. If you do it on your own instead of paying someone else to do it for you, then it is a great plan.

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.

Does someone you care about display any warning signs of mistreatment? Physical AbuseInadequately explained fractures, bruises, welts, cuts, sores & burnsUntreated pressure bed soresNeglectLack of basic hygieneLack of adequate foodLack of medical aids (glasses, walker, teeth, hearing aid, medications)Lack of clean appropriate clothingDemented person left unsupervisedBed bound person left without careHome cluttered, filthy, in disrepair, or having fire & safety hazardsHome without adequate facilities (stove, refrigerator, heat, cooling, working plumbing, and electricity)HoardingFinancial AbuseLack of amenities victim could affordElder voluntarily giving inappropriate financial reimbursement for needed care and companionshipCaregiver has control of elders money but is failing to provide for elders needsCaretaker living off elderElder has signed property transfers (Power of Attorney, new will, etc.) when unable to comprehend the transactionPsychological AbuseCaregiver isolates elder (doesn't let anyone into the home or speak to the elder)Caregiver is aggressive, controlling, addicted, or uncaringReporting Suspected Elder AbuseIn Salt Lake County Call: 801-264-7669. Statewide Call: 1-800-371-7897. In case of emergency, call your local police station or 911.For more information of preventing Elder Abuse and Neglect in Utah, please call the Utah Elder Abuse Prevention Coalition at (801) 860-3801.

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.

So what is this new twist all about?Starting January 2010, a change in the law makes it easier to save on Medicare Drug Plan Costs. More Medicare beneficiaries could qualify for Extra Help with their Medicare prescription drug plan costs because some things no longer count as income and resources.Anyone who has Medicare can get Medicare Part D prescription drug coverage. Some people with limited income and resources are eligible for Extra Help to pay for the costs---monthly premiums, annual deductibles, and prescription drug co-payments---related to a Medicare prescription drug plan.To qualify for Extra Help:You must reside in one of the 50 states or the District of Columbia.Your resources must be limited to $12,510 for an individual or $25,010 for a married couple living together.Resources include such things as bank accounts, stocks, and bonds. Wedo not count your house and car as resources; andYour annual income must be limited to $16,245 for an individual or $21,855 for a married couple living together.Even if your annual income is higher, you still may be able to get some help. Some examples where your income may be higher are if you or your spouse:Support other family members who live with you;Have earnings from work; orLive in Alaska or Hawaii.Beginning January 1, 2010 when determining your eligibility for Extra Help:We will no longer count as a resource any life insurance policy: andWe will no longer count as income the help you receive regularly from someone else to pay your household expensesfood, mortgage, rent, heating fuel or gas, electricity, water, and property taxes.What Else Do I Need to Know?If you already receive Extra Help, you will not need to reapply in 2010. Social Security will check to see if you are entitled to any additional Extra Help because we no longer count your life insurance or help with household expenses.Beginning January 1, 2010, when you file your application for Extra Help, you also can start your application process for the Medicare Savings Programsstate programs that provide help with other Medicare costs. Social Security will send information to your state unless you tell us not to on the Extra Help application. Your state will contact you to help you apply for a Medicare Savings Program.These Medicare Savings Programs help people with limited income and resources pay for their Medicare expenses. The Medicare Savings Programs help pay for your Medicare Part B (medical insurance) premiums. For some people, the Medicare Savings Programs also may pay for Medicare Part A (hospital insurance) premiums, if any, and Part A and Part B deductibles and co-payments.How Do I Apply for Extra Help?Its easy to apply for Extra Help. You can apply at our website athttps://secure.ssa.gov/apps6z/i1020/main.html. You can also apply by calling Social Security at 1-800-772-1213 or by visiting your local Social Security office.How long has been since youve done The Twist or seen Chubby Checker? When you visit our website at www.socialsecurity.gov, you can watch his twist video and hear him explain how the new twist in the law works.This article was submitted by Rose Fortune, Social Security Public Affairs Specialist in Colorado Springs, CO

Grow Your World and Green Your Community by Joining a GARDEN CLUB As nearly 200,000 men and women of all ages and backgrounds across the nation can attest, the rewards of belonging to a Garden Club go far beyond the pure pleasure of growing things. Joining a local Garden Club is a great way to green your thumb, but a membership also provides an opportunity to expand your interests and build lifelong friendships while bettering your community and the environment. A Garden Club will give you access to people who are experienced in gardening in your locality and you will find their assistance in valuable. Our National Garden Clubs Conservation pledge is: I pledge to protect and conserve our natural resources of planet earth and to promote education so that we may become caretakers (stewards) of our air, water, forest, land and wild life. Garden Clubs of Idaho, Inc. is a 501 3 nonprofit educational organization and a member of National Garden Clubs, Inc.. Garden Clubs of Idaho, Inc. is state wide organization associated with the Pacific Region of National Garden Clubs, Inc. and National Garden Clubs, Inc.. Garden Clubs of Idaho, Inc. has fifteen Garden Clubs and almost 500 members. Seven of the Garden Clubs are located in the Treasure Valley. Activities of our clubs include civic beautification funded through grants, charitable donations, and fundraising. Clubs annually sponsor horticulture education and seminars and regularly organize presentations about landscaping, cultivating and growing a wide variety of plants and vegetation. In addition we award annual scholarships to students for the study of horticulture. Flower Show Judges Schools and Landscape Design Schools are offered to our members. Clubs also compete for State, Regional and National awards on a regular basis. Garden Clubs of Idaho, Inc. encourages anyone interested in becoming a member of a Garden Club to contact any of the Garden Cubs listed below or the State Membership Chairman, Janet Petersen at janetnpeter@gmail.com. Go on; why not give it a try. Oct. 2013 Southwest District Garden Clubs of Idaho Garden Clubs of Idaho, Inc. State President: Karen Mallon 208-853-6108 mallonkl@gmail.com

Take advantage of everything your plan offers to achieve optimum health and well-beingIf youre one of the 14 million Americans enrolled in a Medicare Advantage plan, you already know that your plan covers hospital stays, doctor visits and other major medical needs. But are you aware of the additional benefits and features that your plan offers?Being familiar with your Medicare Advantage plan will not only help you maximize the value you are receiving in benefits, but, in many cases, it will also help you achieve better health and well-being.Here are five important ways you can take advantage of your Medicare Advantage plan.Preventive Care: Medicare Advantage plans place a strong emphasis on preventive health care services that help keep you healthy, detect diseases at an early stage, and avoid preventable illnesses. Thats why we encourage you to schedule regular health screenings fully covered by your Medicare Advantage plans, as well as an annual medical exam. These screenings can help your doctor catch things early when theyre easier to treat.Care Management: If you are living with a chronic condition, such as diabetes or heart disease, what educational programs and support does your plan offer? Some Medicare Advantage plans offer personalized, telephonic care management, health coaching, education and support provided by registered nurses and other health professionals. These plans also offer a toll-free help line where you can speak with a registered nurse about your health concerns anytime.Wellness Programs: Many Medicare Advantage programs offer fitness programs at no extra cost and, in some cases, even include a fitness center membership. Through your health plan you may also be eligible to participate in exercise classes specially designed for older adults.Immunizations: Flu and pneumonia shots are another important part of your covered preventive care, since people 65 and older are at greater risk of serious side-effects of these common illnesses. Because this years flu season was one of the worst in recent years, make sure you are up to speed on your shots.Community and Financial Resources: If you have limited financial resources, you should be aware that there are plans available that provide extra services and lower plan costs for low-income beneficiaries, along with additional choices and benefits. If you qualify for both Medicare and Medicaid you may also be eligible for significant support and assistance from the government. If youre not sure, visitmedicare.gov, or call 1-800-MEDICARE.These are just some of the benefits and features that can help you maximize your Medicare Advantage coverage and improve your health and well-being. Be sure to take a look at your health plan today to ensure youre getting the most from your plan.Editors Note: This article was written by Dr. Richard Smith, Medical Director for Humanas Senior Products in Utah and submitted by Humana. For more information on Humanas senior products in Utah call (800) 884-8328.

Shopping for a Funeral Home online: Tools families need Shopping for a funeral provider online can be overwhelming. There are many great funeral homes and more importantly many great funeral directors. Here are a few useful tips to help make this process a bit easier. 1. Make a list of your expectations. You can use this as a guide to explain to the Funeral Director on what type of services you need. 2. Know your budget. Knowing exactly how much you can spend is always a good place to start when planning a service. 3. Review the website. Look over the Funeral Homes website to read about their staff, their commitment to their families and any other services they might provide. 4. Schedule a face-to-face meeting. Know the name of the Funeral Director that will be helping you. You will need a trusted point of contact through this process and even after. 5. Visit the funeral home. It is important to visit the funeral home to see the staff and upkeep of the place; images online can be deceiving. 6. Are there hidden costs? Ask questions about the pricing you are given. Does this price include death certificates, crematory fees, and alternative container, in- person consultation or a viewing? 7. Trust. Trust is important. When planning for cremation or burial services you need someone to take you by the hand and guide you through the service. Editors Note: This article was submitted by Distinctive Life Cremations & Funerals. They may be reached at 972-238-7011 or www.DistinctiveLife.com

Approximately 11 million people are affected with Age-related macular degeneration in the US alone.Age-related macular degeneration (AMD) is an acquired disease of the retina that can cause significant visual impairment. The prevalence is similar to that of all invasive cancers combined, and more than double Alzheimers Disease. The risk for AMD increases more than three-fold in patients older than 75 years of age compared to individuals between 65-74 years of ageThe diagnosis of ARMD is typically made after considering a patient's age, eye examination findings, and family history. Symptoms that patients may note include slow or sudden onset of decreased visual acuity, distorted vision, or missing vision (a blind spot) when trying to look at something in the center of your field of view. Many patients in the early stages of the disease however possess no symptoms.Although there are no screening guidelines, if there is a strong family history of macular degeneration or someone has difficulty with their vision, it is recommended that adults over the age of 65 have an eye exam about every year.Antioxidant vitamins and minerals (AREDS2 multivitamins) are an effective treatment for dry AMD that has been diagnosed by your eye doctor. Smoking is a large risk factor for macular degeneration, especially wet macular degeneration. Treatment of exudative (or wet) AMD includes injections of medications into the eye, or less commonly a laser treatment to the retina.Macular Degeneration is an area of intense research by scientists and physicians, and there are many ongoing clinical research trials and new treatments in development. If you or someone you know is concerned about possible AMD, I encourage you to make an appointment with your local eye doctor.Editors Note: This article was submitted by Matthew Manry, M.D. Dr. Manry is aSurgical and Medical Retinal Specialist with Eye Care Center of Northern Colorado and may be reached at303-772-3300.

A well-executed estate plan is critical for everyone. A will or trust, and powers of attorney are the best way to ensure your wishes are honored after your death, and during any period of incapacity.In past columns we have discussed the importance of estate planning for seniors. Here, well look at these issues for the younger generation.Planning for these events seems natural as we age and families grow. It is especially important for younger adults and for unmarried couples to develop or update a plan that accurately reflects their wishes. People without a plan in place face the very-real possibilities of passing their assets to someone for whom they never intended to provide, leaving someone out altogether, or having someone they do not trust (or even know!) make decisions on their behalf.Once we turn 18, we have the right to make our own financial and medical decisions. While we might still rely on our parents advice and direction, the law does not give parents the power to make decisions for their adult child, even if the child is incapacitated. In a situation such as this, a parent would likely have to go to court to be appointed as their childs guardian. Executing powers of attorney documents can prevent this. Powers of attorney designate someone (an agent) to act on your behalf should you become unable to do so. Anyone 18 years of age or older can, and should execute medical and financial powers of attorney, to avoid unnecessary delay, expense, and to ensure the decisions made on their behalf come from a trusted person.Unmarried couples face similar risks. Without a document designating an agent, an unmarried partner is not treated the same as a spouse. In fact, the partner may be left out of any medical decision-making, entirely. Further, if an unmarried couple does not designate each other as beneficiaries of their assets, the property passes according to law at their death, rather than to each other. So, a loved one could be left out of their partners estate altogether. Therefore, planning for these events is crucial.Editors Note: This article was submitted by Richard E. Romeo. Rick is a member of the Boulder County Bar Association, the Colorado Bar Association and National Academy of Elder Law Attorneys. Rick Romeo is with Vincent, Romeo & Rodriguez, an established law firm with offices in Englewood and Louisville. He may be reached at (303) 604-6030 or by email at Rromeo@elderlawcolorado.com

The best gift you can give the people you love is an honest and unflinching discussion about death and end-of-life choices. Its not something you want to talk about or they want to hear. Thats what makes it a priceless gift.As general manager for VITAS Healthcare in Chicago South, I have seen first-hand the anguish, pain and cost that can result when patients can no longer tell their loved ones what kind of care, which heroic measures, they would accept or reject.The best way to get others to discuss end-of-life care is to do so yourself. Start by considering the following: If you had a terminal condition and there was no reasonable probability of recovery, what kind of treatments or life-saving measures would you consent to or refuse? If you werent able to speak for yourself, would your loved ones know what you want?Talk to your familybriefly, in depth, frequently, lightly, seriouslyabout your wishes. And dont wait for the subject to come up; take control.Milestone eventsweddings, anniversaries, birthdays, retirement, graduation, a downsizing moveand holidays are great times to hold what-if conversations. Announce your subject in advance, keep it light, encourage everyone to air their thoughts. Make it clear that these are personal decisions that must be honored, when the time comes, by all.Include younger and older generations in the conversation. Take it slowly if there is resistance, but return to the topic; it might be easier next time. Include a religious adviser or longtime friend if that would make the others more comfortable.There is lots of online information about putting your wishes in writing. Try agingwithdignity.org and caringinfo.org.By Cathy Carlson, General Manager, VITAS Healthcare, Chicagoland SouthAs a pioneer and leader in the national hospice movement since 1978, VITAS is the leading provider of end-of-life care and is committed to ensuring that people can access these, and other important resources. VITAS serves more than 700 Chicagoland patients and their families daily from nine Chicagoland offices, from Peoria to downtown Chicago. For information about VITAS Healthcare, please visit VITAS.com or call 708-781-4400

1. What is hypnosis?Hypnosis is a state of heightened focus and concentration where your subconscious mind is more susceptible to suggestions. When youre in a hypnotic state, youre more open to new ideas, suggestions, and possibilities.2. How does hypnosis work? Hypnosis is a deeply powerful tool that can get you to focus more efficiently, focus on issues that are more intently impacting your life, and find creative solutions. The brain rules over your body and through the process of learning, there are automatic transitions within the brain. These automatons process stimuli and input at a very fast rate, so that we can process information and make quick decisions.One of the brains most important automatons is the amygdala. This is the seat of emotional memory. Within the amygdala is the hippocampus, which is responsible for forming new memories.Hippocampus is responsible for the consolidation and storage of recent experiences and is the structure that contains the vast majority of the hippocampus. It integrates the information from all other memory components and makes presentable and dynamic memories. Richard Norris, The Hippocampus: Memory AccomplisherThere is an orgasmic aspect to hypnosis that you will experience every time you go under the influence of hypnosis. This unique state allows you to have a body massager to stroke and massage areas of your body that are currently causing stress.2. How does hypnosis work for pain relief?The way it works is that it helps to switch off the part of your brain thats responsible for paying attention to your body, and it helps to switch on the part of your brain thats responsible for paying attention to things that are happening outside of your body.3. How can hypnosis help with chronic pain?Hypnosis can help with chronic pain, and the first thing to understand is that hypnosis isnt sleep. Hypnosis is a deep state of relaxation and its not about the absence of thought but the presence of a focused, directed thought. Hypnosis is a state of focused attention and self-control while youre awake.Sleep, on the other hand, is a deep state of relaxation. It is a focus on falling asleep and waking up in the prescribed way. This state of deep relaxation is accompanied by low muscle tone in the body and frequent dreaming. The specific pattern of brain activity that accompanies sleep is different from the relaxation pattern accompanying hypnosis. In order to understand hypnosis, first you must understand the state of the brain because the link between the two is what causes hypnosis to work and why its better than sleep.Attention is the most basic state of being for your brain. It is good at doing two things staying still and focusing your attention. Dreaming is another state of being a quick sleep with lots of interesting dreams. Hypnosis is a deeper level of attention and self-control than sleep.A fascinating study from 2001 showed that American adults were more likely to believe in the paranormal when subjects were hypnosis than when subjects were awake. Similarly, a study by Sleep Research Institute, a division of Stanford University, showed that hypnotized people performed better on two types of programming tasks. While those who were hypnotized were more likely to do what the hypnotized were told versus the hypnotizer.Its very common for hypnotherapists to experience the common side effects of sleep because they are using the state of arousal to affect a deeper state of focus and awareness. Hypnosis takes practice to become proficient at and it takes a lot of focus and conscious effort.Hypnosis is filled with recovered memory techniques used under the guise of being healing or curing.4. How can you learn self-hypnosis?There are a lot of techniques available to learn self-hypnosis. One of the most popular is the Milton Method. It involves listening to a recording that guides you through a self-hypnosis session.Soaking in warm or cold water for a few minutes can calm your mind. Tapping gently on your wrist for a few moments helps you process how your mind works and relaxes your muscles. Light light can also help your visualisation process. If you dont like any of these methods, you can use your imagination. Any audio you find can be used as a Hypnotherapist would use. Whatever method you choose, you will have fun with it. Ill let you decide how much fun youd have with hypnosis.5. What are some other ways to relieve pain naturally?Some natural pain relievers include:1. Cold packs2. Heat packs3. Massage4. Acupressure5. Acupuncture6. Yoga7. Meditation8. Yoga9. Chiropractic10. Acupuncture11. Taking breaks throughout the day12.Yes, yoga 13. Energy balls14. Hot packs15. Light therapy

Unit specifically designated for patients in need of a ventilation rehab.Aventilatoris a machine that provides mechanicalventilationby moving breathable air into and out of the lungs, to deliver breaths to a patient who is physically unable to breathe, or breathing insufficiently. Ventilators are chiefly used inintensive-care medicine,home care, andskilled nursing communities.#listing_mgr{1 basic_search}#

Great news! Seniors who volunteer in their communities are healthier, happier, and feel more involved.A recent independent study from the Corporation for National and Community Servicefound that among seniors who serve their communities:84 percent feel their health is stable or improving78 percent experience fewer symptoms of depression88 percent feel less isolatedEven better news is that there is a program right here in Naples that is focused on helping local seniors find volunteer opportunities that are a perfect fit for their interests, talents, and expertise and provide the social engagementseniors need to thrive.The Retired and Senior Volunteer Program (RSVP) of Collier Countyis part of a national program that provides volunteer opportunities for people ages 55 and older who want to remain actively involved in supporting and improving their communities.In and around Naples, RSVP members apply their knowledge and life experience to helping in the areas of disaster response and recovery, economic opportunity, environmental stewardship, education, healthcare, and support of veteransand military families.How to Find the Volunteer Opportunity That Is Right for YouWe all enter our retirement years with decades of experience under our belts. With more free time on our hands, its important to find ways to apply that experience to help others. RSVP of Collier County offers many volunteer opportunities that will put your skills to good use. The list of organizationsthat RSVP volunteers work with includes:American Cancer SocietyHelp fight back, get involved and make a difference in the fight against cancer. Volunteers help with events including the Relay for Life and annual galas. Additionally, volunteers support mailings and assemble survivor and team captain bags and sponsorship packets.Boys & Girls Club of Collier CountyPromoting the educational, vocational, and health leadership and character of boys and girls in a safe environment. RSVP volunteers serve as mentors and tutors, imparting knowledge and skills that will enable the children they serve to succeed in life.Collier County Veteran ServicesProviding veterans and their dependents with support and access to a wide variety of Veterans Affairs (VA) services. RSVP volunteers serve as drivers, transporting veterans to and from nearby VA hospitals and clinics.Family Literacy Academy of ImmokaleeProviding farmworker families with equal access to education, resources, and opportunities. RSVP volunteers serve as instructors for preschool children, provide English and basic literacy instruction for parents, provide parent and child together (PACT) time, and provide parenting and health and wellness instruction.Habitat for HumanityEliminating substandard housing by constructing, rehabilitating, and preserving homes. Volunteers can enjoy the hands-on experience of the actual building effort, or they can donate their time to Habitats well-known thrift store.Naples Historical SocietyPreserving the history of Naples through tours and preservation initiatives. RSVP volunteers guide tours, teach classes, and provide administrative support to the organization.North Collier Fire & RescueProtecting life and property from fire and other emergencies through incident response and public education. RSVP volunteers become part of a community emergency response team (CERT), organizing rescue and relief efforts during times of trouble, or simply serving local homebound seniors by providing regular grocery delivery services.Rookery BayProviding a basis for informed stewardship of estuaries in Southwest Florida through research and education. RSVP volunteers serve in the visitor center greeting and assisting guests, work on one of many restoration projects, or serve as tour guides.STARability FoundationEnhancing the quality of life for individuals with developmental disabilities. RSVP volunteers work one on one with individuals during a six-week- long life skills class, and assist with monthly events.The Benefits of Volunteering with RSVP in Collier CountyThe RSVP coordinators in Collier County offer a great deal of support to local volunteers, including:Help setting up a personal interview with the volunteer station of your choiceOngoing follow-up and support by your coordinatorAn opportunity to learn new skillsReferral informationFlexibility to change your volunteer assignment whenever you wantFree supplemental insurance while you volunteer, including personal injury, personal liability, and excess automobile liabilityInvitations to special volunteer recognition eventsSubmitted and Written By: Barrington Terrace - click here for more information

Many feel an enormous weight of guilt or failure when struggling to care for aging parents. The pain of realizing that you can no longer personally meet your elderly parents needs is a huge burden for any child. Deciding your parent may need more time and specialized care than you can provide is not easy. You may need to consider issues such as: Are my parents safe in their current living environment? Can I devote the time to adequately meet their needs? Do I have it in me to manage a cognitive disorder such as Alzheimers? Am I able to help my aging parent with mobility issues or incontinence?Decisions like this often carries a heavy emotional toll and brings thoughts like: Should I be doing more? Am I doing things right? Is my elderly parent too much of a burden for me? Im so tired!When feeling guilty, adult children often tell parents what to do. Despite the best of intentions, they can increase resistance and trigger the number one fear of older adults: losing their independence.A different approach is to share your concerns with your parents. Use I rather than you to reduce defensiveness. For example, instead of saying you should move since you cant be alone anymore, you may want to say its becoming very difficult on me and the rest of the family to travel so many hours to see you. Ask your parents for their ideas on how to solve the problem. This step is a process and will not be solved with just one conversation.In his book, Telling Yourself the Truth, William Bakkus writes directly to caregivers feeling guilty: You did not cause this disease. Your loved one would not have wanted you to stop living. Being a caregiver is one of the most noble and wonderful things anyone can do for a loved one. You did the best you could under the most extreme care giving circumstances.It is important that you give yourself some time to adjust or to grieve, just know that the goal is to begin living again while keeping your loved one safe.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

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}#

CLASS (A) a home care agency that provides any skilled healthcare service. Agencies with a Class A license may also provide personal care services. CLASS (B) a home care agency that provides only personal care services. An agency with a Class B license shall not provide any skilled healthcare service. STATE REGISTRATION (R) The State of Colorado does not license homecare placement agencies. Placement agencies are registered with the state. Registration ensures that placement agencies are adhering to certain minimum standards such as background checks for caregivers and insurance requirements for agencies and caregivers.#listing_mgr{8 basic_search}#

Most people are unaware that there is a branch of medicine specifically dedicated to the diagnosis and treatment of temporary and/or chronic physical disability. Physiatry (pronounced Fizz-Eye-A-Tree) is the area of medicine wherein physicians specializes in Physical Medicine& Rehabilitation. (PM&R). Physiatrists are trained to focus on the patient as a whole person and to put the medical management of a disabling event within the context of that individuals life and environment. The roots of the specialty can be traced back to the 1930s. Demand for, prominence of , and national interest in the role of these specialists rose during WWII and again during the Vietnam war when young veterans returned home with a range of injuries that necessitated rehabilitation. Today there are over 7000 Board Certified physiatrists in the U.S.Helping to Keep the Golden Years GoldenPhysiatrists, focus on the patient as a whole person, young or old. Most specialties deal primarily with illness and possible threats to life. The physiatrist deals with these as well as addressing threats to living life fully. Attention is directed to restoring quality function in activities of daily life. These Rehab Medicine specialists often collaborate with a team of health professionals and other physicians in developing and carrying out a care plan that extends beyond hospital or clinic walls out into the family and community. This team may include physical therapists, occupational therapists, speech pathologists, prosthetists, and social workers.By partnering with a physiatrist, a persons primary care physician, neurologist, orthopedic surgeon,or neurosurgeon can enhance the ultimate chance of an individual doing well after or with conditions such as stroke; rheumatoid arthritis; total hip or knee replacement; sports-related injuries; musculoskeletal sprains and pain; neurological diagnoses such as multiple sclerosis, spinal cord injury, traumatic brain injury and ALS; as well as debility that can develop after prolonged critical illness. Asking for a referral to a physiatrist can be a priceless form of self-advocacy, since, even today, there remain many physicians, care managers, and home health care providers who are not familiar with the expertise available in the field of PM&R.Editors Note: This article was written by Indira S. Lanig MD, a physiatrist and Associate Medical Director at Northern Colorado Rehabilitation Hospital, Johnstown CO. The NCRH team of professionals can be reached at 970-619-3454

The final chapter of our lives can be filled with difficult and emotional decisions. A rapid decline in health or an emergency can prompt family members and health care professionals to have to make critical end-of-life care choices. Our personal intentions can get lost during these often-hurried situations.According to a survey conducted by The Conversation Project, 90 percent of Americans believe talking about end-of-life care with loved ones is important, yet 27 percent of individuals have actually done so.Starting a conversation about end-of-life care in advance can help ensure that your intentions are respected and carried out, says Barbara Goll, B.S., Community Education Liaison at Homeland at Home. Beginning the conversation may not be easy, but it can bring you and your family peace of mind.When you are ready to start the conversation, consider these ten tips:1. Plan a good time to speak with your family. Potential opportunities include: o A family gathering like a holiday.o Before you or your family members take a trip or will be separated for a period of time.o Prior to a serious medical procedure.2. Decide who you want to be part of the conversation. This might include close friends, a spiritual leader and/or health care professionals, including hospice support.3. Choose a setting that ensures you and your family members are comfortable.4. Think about ice breakers or ways to start the conversation, such as: o My health is good right now, but I want to be prepared for whatever may happen in the future.o Ive been thinking about how _______ died and it has me thinking about what I want.5. Start the conversation slowly and allow time for feedback from your family. You dont need to cover every detail at one time.6. None of your decisions are final at this stage. The start of the conversation is a springboard for future communication.7. Discuss hospice services to support you and your loved ones with difficult decisions, challenges and frustrations that may arise.8. Set a date in the future to revisit this conversation as your life circumstances may change.9. Encourage your loved ones to document their end-of-life wishes.10. Dont get frustrated if some family members arent receptive. Keep up the effort until you feel your personal intensions will be met.Think of hospice as a resource for you and your family, Goll says. At Homeland Hospice, we work to bring you peace of mind for your end-of-life journey._________________________________________Editors Note: This article was contributed by Wendy Shumaker, Asst. Director of Marketing for Homeland Hospice, HomeHealth and HomeCare. Content for this article was sourced from The Conversation Project National Survey 2013.

Why would we call arthritis the silent disease? Most people don't recognize the signs and symptoms of arthritis as they begin to get them. Arthritis is not an injury and does not happen overnight. Arthritis is actually part of the aging process, and while aging cannot be prevented, we can learn how to age gracefully.Based on 2010-2012 data from the National Health Interview survey an estimated 52.5 million, or 23% of adults, have been diagnosed with arthritis. Additionally, 23 million adults have some type of activity limitation.Its projected that by 2030 more than 67 million adults will be diagnosed with arthritis. Of those, 25 million will have activity limitations.So, what can be done?Obesity is a known risk factor for the development and progression of osteoarthritis. Mechanically speaking, body weight is a 1:4 ratio. This means that one pound of added body weight translates into four pounds of pressure in the knees and hips. Simply losing 10 pounds can relieve 40 pounds of pressure in the lower extremities.Did you know that obese adults are up to four times more likely to develop knee osteoarthritis? Reduction in body weight can be a significant healthy improvement in the lives of those with arthritis.Movement has been proven time and time again to benefit those with arthritis. Most people who have been diagnosed with arthritis report that they have no leisure time activities in their lives. That is considerably higher than those without arthritis.Those who suffer with arthritis also suffer from other diseases associated with inactivity, such as cardiovascular disease, diabetes, obesity and other limitations. Physical activity not only reduces the symptoms of arthritis, but lowers the risk of other conditions associated with low activity.Not surprisingly the CDC reports that arthritis is the number one disability in the United States. The most common reported disability is difficulty climbing a flight of stairs or walking three blocks. That means that 1 in 10 adults have trouble walking a distance comparable to walking from a parking lot to the back of a large store or strolling through the mall.The TOSH Arthritis Program is a multi-disciplinary program designed to help people with arthritis become more physically active and to help them better manage their arthritis symptoms. Simply put, if you have arthritis, we can help improve the quality of your life.Editors Note: this article was written by Dale Aguirre of the TOSH Arthritis Program. For more information or questions, please call the TOSH Arthritis Program at 801-314-2210.

Coverage For Critical Care And Support Services For the first time, people living with Alzheimers disease will have access to care planning with a medical professional. The Centers for Medicare & Medicaid Services (CMS) has finalized its decision to pay for cognitive and functional assessments and care planning for patients with Alzheimers disease and other cognitive impairments. CMS has now made it easier for physicians to provide critical care and support services for persons living with Alzheimers disease. Following a diagnosis, care planning is crucial to improving outcomes and maintaining quality of life for the diagnosed and their caregivers, as well as controlling costs and planning appropriately for the future.This is a step in the right direction and an important milestone for the millions of Americans living with Alzheimers disease. The decision by CMS will provide much needed care and support to these individuals and their caregivers. The impact it will have on those families is priceless. The fact that this disease is finally being recognized as a true epidemic is critical to the growth in funding and research we need to finally end this disease, said Becky Prince, Executive Director, Greater Dallas, Alzheimers Association.More than 5 million Americans are living with the disease today, and that number could rise as high as 16 million by 2050. Whats more, over 85 percent of people with Alzheimers and other dementias have one or more other chronic conditions, such as diabetes or heart disease. Care planning is critical for coordinating care and managing chronic conditions.Alzheimers is the most expensive disease in America at a cost of $236 billion annually, it is also the only leading cause of death in the U.S. that cannot be prevented, cured or even slowed. In Texas 350,000 people have been diagnosed with Alzheimers disease andby 2025, this number is expected to grow 40 percent to 490,000.Thousands of our families have reached out to us over the past several months to tell us how essential this service is for those contending with Alzheimers disease. Now that CMS is increasing access to cognitive assessment and care planning sessions, individuals and their medical professionals can develop a plan to better manage these conditions, said Robert Egge, Alzheimers Association Chief Public Policy Officer. Proper care planning results in fewer hospitalizations, fewer emergency room visits and better management of medication all of which improves the quality of life for both patients and caregivers, and helps manage overall care costs.For more information about this new Alzheimers care planning coverage, visit www.cms.gov. To find out more information about Alzheimers disease, visit alz.org or call the 24/7 helpline 1-800-272-3900.'

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.1Making 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.2However, saving money on your medicine and your overall wellness doesnt 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 Humanas 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.5Be 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, visithttp://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 Humanas senior products in Utah call 1-800-884-8328.1 https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsHistorical.html2 http://www.cdc.gov/chronicdisease/resources/publications/AAG/aging.htm3 http://www.gphaonline.org/about/generic-medicines/4 http://www.fda.gov/drugs/resourcesforyou/consumers/questionsanswers/ucm100100.htm5 http://www.cdc.gov/workplacehealthpromotion/businesscase/reasons/rising.html

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.

The issue of driving is one many seniors and their families will face. And one that is often inevitable when there is a diagnosis of dementia. It is important to know that a person with dementia usually does not self-limit his/her own driving. And in almost every state, physicians are not required to report someone they feel is unsafe to drive. For those reasons, the burden often falls onto a family member.When trying to decide, there are many factors to consider other than memory. Families tend to focus on if the person remembers where they are going and are they at risk of getting lost. The solution may be to allow driving to continue but only to familiar locations. However, people with dementia experience deficits in several other areas that are key to driving. For example, it is common for a person to have problems with depth perception. This makes it difficult for the driver to determine how close other cars and objects are. Determining if there is time to pull out into traffic or turn before an approaching car reaches them are some of the issues faced when there is impaired depth perception.Decision making and the ability to anticipate events also becomes more problematic. A driver may see a ball roll into the road but be unable to anticipate that a child could be running for it. Or he/she may be taxed with deciding quickly what to do when an unanticipated event does occur. Divided attention also can become challenging for a person with dementia. The ability to look at the speedometer and then back at the road can be difficult. The driver may find it challenging to continue to focus on driving while giving attention to a bicyclist or pedestrian on the side of the road.If you are concerned about your loved ones driving, please discuss with his/her physician. In addition, explore the use of a driving assessment program and tools available which can help in determining abilities and limitations.Editors Note: This article was contributed by Mary Underwoods, Vice President of Memory Care Services for Artis Senior Living of the West Shore.

Join SBB University for a presentation by Encompass Health to learn of simple steps you can put in place to reduce all of the modifiable risk factors for heart disease, heart attack and stroke, and ways to improve your cardiovascular health if you have experienced a stroke, heart attack, heart failure, angioplasty for heart surgery (or are caring for someone who is).Presenter: Lisa Hopkins, Area Business Development Director - Encompass Healthwww.encompasshealth.com

For centuries, music has played a powerful role in overall wellness and has been recognized for its therapeutic ability. Music can promote desired changes in a persons energy level, manage moods, provide distraction during a difficult situation or provide the necessary support to move through the same difficult situation. Music is an inherent part of being human and can be thought of as its own health domain.When a loved one is in palliative or hospice care, they often need comfort or help from something that does not come from medication or other traditional treatment. Music therapy, as described by the American Music Therapy Association, uses music to address physical, emotional, cognitive and social needs of individuals of all ages. Music therapy can be key in helping patients deal with many of the emotional and physical challenges they are facing during a difficult time. Family and loved ones can also benefit from music therapy to help them navigate through grief, stress and overwhelming feelings.In hospice or palliative care, music therapists focus on identifying and expressing emotions, increasing socialization, improving mental and physical capabilities and supporting spiritual needs. Music therapists, who are Board Certified by the Certification Board for Music Therapists, use different techniques depending on a persons situation. For instance, lyric analysis promotes mental stimulation and can prompt discussion and reflection on a patients own life. Using instruments, such as beating on a drum, can help with rhythmic movement and coordination. Singing along with music encourages breath work and speech articulation. Its a form of therapy that offers many tactics to help a patient and their specific needs.For family and loved ones, music can be a way to express grief, alleviate stress and even share a memory with the patient by making a connection into their past together. It creates a familiar and comfortable environment for people to explore and share their feelings and thoughts.Music therapy is very much seen as enjoyable and non-threatening so it is often welcomed by patients of different ages and abilities and can be executed individually or within a group. It can be a very personal experience, yet a healing one that is unique to each patient and person.Editors Note: This article was submitted by Tammy Brannen-Smith, LCSW.Brannen-Smith is the Director of Pathways for Grief and Loss with Pathways and may be reached at 970-292-1072 or by email at tammy.brannen-smith@pathways-care.org

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.

A Continuing Care Retirement Community (CCRC) is a retirement community that offers accommodations for independent living, assisted living or personal care as well as rehabilitation services. CCRCs provide residents with a seamless continuum of care where a person can spend the rest of his or her life, moving between levels of care as needed.CCRCs offer quite a few advantages that could be just what youre looking for in a retirement community! No matter where you are in your search process, you should be sure to consider a CCRC for the various unique benefits they provide to their residents.Independent LivingInindependent living apartments, residents gain all the benefits of living independently, with none of the stress or worry that might come with living alone as you age. Additionally, you gain an active community of friends who share your hobbies and interests. And, at most Independent Living residences pets are welcomed pets so you can bring your furry or feathered loved one to live with you!Personal CareWithpersonal care or assisted living, residents receive top quality, full-service care to maintain the highest quality of life. Residents most often move from an apartment to a single room where nurses and caregivers can monitor their care around the clock. In some instances, residents may only spend a short time in personal care after an accident or illness until they regain health. Once they are cleared, they may move back into their independent living apartment. The ability for residents of a CRCC to transition back and forth, and back again, as often as needed all within the same facility is a huge benefit.Seamless TransitionsAmong the main components of a CRCC that we discussed above, another benefit is the ability to seamlessly transitions between any of these types of care as often as needed. The best part is that residents still remain a part of a single community and maintain the same lifestyle and quality of care that theyve grown accustomed to. For senior adults, multiple transitions to new living facilities in a short amount of time can be stressful and confusing. CRCCs offer the benefit of minimizing your loved one from feeling uprooted by make transitions as seamless as possible.Cost SavingsIn addition to the ease of transitions is the cost savings. As you might imagine, living the rest of your life as a resident of a single retirement community reduces costs often incurred when transitions take place between facilities.Lifelong RelationshipsOne of the biggest benefits of living in a CRCC is that residents are able to foster deep and meaningful relationship that last them the rest of their life. This allows residents consistency and stability in their friendships, which become increasingly important as we age.The Middletown Home is a unique CCRC with many benefits including a state-of-the-artfitness and rehabilitation gym. True to the continuing care piece of CRCCs, the fitness and rehabilitation gym is one more valuable resource residents gain from living in a CRCC.__________________________________Editors Note: This article was contributed by Lou Vogel, CEO at The Middletown Home.

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.

Have you ever heard a family member or friend say they wish they would have documented important memories or stories of a loved ones life? Preserving Life Stories is extremely important for many reasons and if these precious memories are not preserved, they will be lost forever.Emotional Asset: When we think of life legacies we often think of financial assets, but the preservation of a life story is an emotional asset, or a Legacy of Love, that is far more valuable. There is nothing more important than a life story, essay or autobiography that passes on a message of wisdom, values, and love. Every life is sacred and merits remembering and preserving.Benefit to Seniors: Seniors sometimes feel discouraged, but they can gain a renewed sense of joy and fulfillment through reminiscing about their family, friends, and significant events and accomplishments in their lives. Documenting these stories and leaving behind a legacy of love is very meaningful to them.Benefits to Families: One of a parents vital roles is passing on family traditions and history, thereby preserving the familys sense of identity. Precious life stories and traditions can be passed on to our children and grandchildren so they can understand how life used to be, and the influences that shaped their life.Editors Note: This article was submitted by Allison Griffin. Allison is a National Certified Counselor and the owner of Life Legacy Services. Allison may be reached at 303-507-4853 or Allison.griffin@comcast.net

Today more than ever, families find themselves caring for aging loved ones, known today as the aging family.Many of these aging families are overwhelmed with trying to manage the care of an aging loved one along with duties in their own lives, work and family. In their attempt to manage the care of aging loved ones, stress, anxiety and feeling of being overwhelmed can all lead to caregiver burnout, pre-mature placements or re-hospitalizations of aging loved ones. Living out of state creates additional issues and concerns in managing the care of an aging loved one.Satisfying an increasing critical need of the aging family is becoming progressively more prevalent today. It is important that the aging family understand professional support services are available and can help immensely in the overall care management of their aging loved ones. This professional support is Geriatric Care Management (GCM). GCM is hired by the aging family or representative to provide specialized professional services focused on safety and well being of the aging person via Geriatric Care Managers.GCM helps the aging family to make decisions and implement solutions that provide assurance for quality of life and care for aging loved ones. This will reduce stress, anxiety, and feelings of being overwhelmed, taking time off work or away from their own families. GCM is able to do this by providing: Comprehensive assessment and on-going monitoring Care plan development, problem-solving with solutions Advocacy, education and being a liaison Family caregiver assessment and coaching Relocation, level of care assessment and referrals Implementing in home non medical assistance Attending medial appointments to assure information is provide and gathered properly Verbal or written up dates to families or representatives And much moreGeriatric Care Managers are professionals who have graduate degrees in Social Work, Psychology, Gerontology or Nursing and are Certified or Licensed.GCM is private pay, costs for these professional services range from $25 to $250 per hour as national averages and vary by geographical area.Editors Note: This article was submitted by Valerie Rios, a Care Manager Certified with Aging Solutions Geriatric Care Management and may be reached at 801-615-9360 or GCM@agingsolutionsutah.com

Here I am, almost 70 years old, own a home care company for 20 years, and struggle to make ends meet for my 102-year-old mother-in-law, Sylvia. She ran out of money about 3 years ago, and my husband and I struggle to keep her home with care. What do families do in this situation? Certainly not everyone lives to be 102, but people do run out of money. Sylvia moved to a Dallas independent care community from Florida when she was a vibrant 87 years old. And here she remains aging in place. Sylvia lived through the proceeds of her sold Florida condominium, has a small pension and social security for her rent, and is now dependent on family for 100% of her other support. As a family we had to divide the tasks needed to retain her quality of life. One brother agreed to take care of food, transportation and incidental costs and the other brother (and me) are financially responsible for her care.I am the first to admit the costliness of non-medical home care. In retrospect, saving for retirement is a must for everyone, but unfortunately, we all dont plan and prepare for living long lives. And when we do, things happen that can quickly drain our money. Further, when you reach 102 you cannot be left alone so 24-hour care is required which is a huge financial drain. Of course, friction in the family over money does occur and not everyone can get on the same page. If only we had a frank discussion with Sylvia during her lucid times to discuss alternative living situations, Medicaid if necessary, starting a savings account earlier in retirement, or moving in with one of the children, which truly would not have been an option. We did discuss moving to an assisted living community, but she did not like the idea at all. Sylvia did not want to move because she loved her life in her community.Here we are today; Sylvia has periods of lucidity when she remembers our names. She is in a happier place than she had been in for several years. When she was in her 90s, she was angry, possessive of her belongings, her sight and hearing were failing, and her friends were passing away. In a nutshell, Sylvia was depressed and had an argument for everything. She refused all help with her care, mood elevating medications, and over time, we decided to leave her alone. But then Sylvia had a bad fall, lost her lucidity, and she became completely accepting of care. She became very happy. Now, she has around the clock caregivers (who by the way, do not know they are taking care of their boss mother-in-law), and with her great attitude, agreeing with everything, and appetite, she may live another 102 years. What is the take home message here? Families should agree early in the aging process that they are all in to take on whatever task they may be best at: supplies, mail, bills, transportation, care. Discuss whether Medicaid is in their future or other means of supplemental income. Many seniors dont like to discuss their aging or afterlife plans, but from my experience, this conversation must occur. Discussing these issues during the aging process will put your senior in control by being involved in making these plans. Believe it or not, this can be an empowering tool for everyone because the plan is structured and in place.Editors Note: This article was written by Dr. Nancy Oppenheimer-Marks, owner of Home Instead Senior Care Dallas.Home Instead Senior Care Dallas| Home Instead Senior Care Coppell | Home Instead Senior Care Collin & Rockwall

Validus Senior Living announces the Grand Opening of its newest memory care community, Inspired Living at Bonita Springs, located at 27221 Bay Landing Drive.Inspired Livings hallmark is personalized care for those with Alzheimers, dementia or another type of memory loss.Inspired Living at Bonita Springs consists of 72 memory care suites and features the latest resident location technology, including an emergency call system and keyless door locks. This technology enables family members to participate and engage in the care of their loved ones regardless of distance, giving them a sense of comfort and peace of mind. It also empowers residents to explore the expansive but secure campus with confidence, knowing caregivers are there if they are needed.Our new community is one of the most technologically advanced memory care communities ever seen in Florida. But what makes us stand out from the rest is our personal approach to care, said Validus Senior Living CEO Steven Benjamin.Caregivers use a Positive Approach to Care, based on the teaching of renowned expert Teepa Snow, which focuses on what each person still can do, not on what abilities they may have lost. Programs are tailored to residents specific interests, abilities and needs and support their mental, social, spiritual and emotional wellness.Fresh, chef-prepared meals are served daily, featuring visually appealing, portion-sized gourmet food. Dining hours are flexible with snacks and refreshments available anytime.The beautifully landscaped courtyard at Inspired Living at Bonita Springs features a gazebo with butterfly garden, raised flower beds, walking paths and seating areas giving residents the option to seek out friendly conversations with new friends or to simply enjoy a little fresh air and nature on their own.Other services include daily suite tidying and weekly deep cleaning, plus full laundry service and on-site therapy services. Licensed nursing is also available 24 hours a day, 7 days week.Editors Note: For more information or to arrange your own personal tour of the community, please call Inspired Living at Bonita Springs at (239) 330-2119.

Due to the increasing evidence of health and social benefits, medical professionals and caregivers of older adults have begun to pay attention to the importance of the bond between people and their pets.The American Heart Association has linked the ownership of pets with a reduced risk for heart disease and living longer. Pet owners tended to report greater amounts of physical activity, lower blood pressure and modestly lower cholesterol and triglyceride levels. Some research has shown that people who had pets of any kind were also more likely to survive heart attacks. Studies have also shown that pet owners over the age of 65 visit their doctors 30 percent less than those who dont own a pet. Over the last decade or so there have been periodic reports on the association between pet ownership and cardiovascular risk said Dr. Glenn N. Levine, lead author of the scientific statement by the AHA, which looked at the influence of pets on heart health. Pets offer affection and unconditional love, fight off loneliness, and help keep your mind off of your problems. They can have a positive influence on your bodys reaction to stress by reducing the stress hormone cortisol and boosting levels of serotonin and dopamine, the hormones that help you to feel calm and relaxed. Pet owners have less depression and are better able to handle stress, grief and loss. Older adults with dementia and Alzheimers disease also benefit from having a pet in the home or community where they live. Animals have a calming quality to them that can help to soothe an Alzheimers patient and decrease aggressive behaviors. Alzheimers patients suffer less stress and have fewer anxious outbursts and behavior problems when there is a dog or cat in the home. People with dementia associate pets as friendly and non-threatening; when a pet is present, they tend to participate in more activities. Additionally, studies show that nutritional intake improves. Pets provide companionship, unconditional love, a sense of purpose and boost your overall mood; helping you to find meaning, joy and happiness in your life. The health and social benefits to older adults is plentiful. Hug your pet today!Editorial Note: Article submitted by Apryl Garrett, Publisher of Seniors Blue Book Greater Pittsburgh Area. Apryl may be reached via email at Apryl@SeniorsBlueBook.com.

Its been a little stressful lately, especially as weve all heard the experts warn us repeatedly that the coronavirus can be hardest on those who are older or in fragile health. Often, though, those are also the people who need to see their doctors routinely to stay healthy and safe. So, what should you do?Thanks to good planning by health systems like Penn State Health, the option for virtual care, also known as telehealth or telemedicine, was already in place and quickly became the preferred choice for accessing expert care safely.Virtual care means care accessed via an online platform, through the use of personal devices, such as laptops or mobile devices like phones or tablets. While it may seem odd at first to think about seeing your doctor over a screen rather than in person, the same heart-to-heart conversations, education and frequent check-ins are possible via virtual care. And the best part is you can see the doctor from the comfort of your own home, without having to drive anywhere. You can even wear your PJs!Virtual care linked to a health system also can facilitate coordinated care with your preferred specialists and primary care providers. For example, Penn State Health offers follow-up care via the Penn State Health OnDemand app for patients who may have trouble travelling. Not tech-savvy? No worries! Its easy to get started with virtual care. You can either download the app to your mobile device for free or you can visit our website, pennstatehealthondemand.com. After creating an account and answering a few questions, patients have immediate access to urgent care virtual visits with board-certified doctors who are ready to help. In addition, current Penn State Health patients can check with their own providers practices for access to regular or follow-up visits via virtual care.Telehealth visits are billed to insurance and can be subject to normal copays since the level of service is the same as an in-person visit. For those who need prescriptions, e-prescribing to a local pharmacy can make the whole process as convenient as possible.Virtual care, along with Penn State Healths wide array of local primary care and specialty doctors and our new hospitals currently under construction, assures access to the care you need when you need it and that makes life during a pandemic a little less stressful.__________________This article was contributed by Penn State Health.

In a world of fast-paced developments in technology, its important for industries to stay informed of new capabilities to remain on the forefront of progress -- especially when it comes to health care.HealthSouth Rehabilitation Hospital of Colorado Springs is no stranger to the benefits technology can bring to patients and their families. Aggressive therapy with the addition of advanced technology can make all the difference in how successfully a patient returns to independence.To maintain its lead in offering the latest technology, HealthSouth has contributed its own revolutionary breakthrough with the engineering and development of the AutoAmbulator. HealthSouth Rehabilitation Hospital of Colorado Springs is home to the only AutoAmbulator in the state of Colorado.Patients who have experienced a stroke, spinal cord injury, Parkinsons disease, Multiple Sclerosis, and other diagnosis resulting in gait deficits can benefit from the AutoAmbulator when its added to their rehabilitation program. Even patients with spinal cord injuries from years ago may see amazing results from treatment.Designed by HealthSouth, the AutoAmbulator is a sophisticated technology unparalleled in its ability to help people replicate normal walking patterns.Equipped with numerous safety features, the AutoAmbulator supports the patient while robotics assist the patient's legs as they walk over a treadmill. Sophisticated programs power the AutoAmbulator through its integrated computer system, while sensors track numerous functions, continuously monitoring and adjusting power and speed according to each patient's physical requirements.While using the AutoAmbulator, patients can walk because the device holds their body upright while mechanized braces help guide their legs across the treadmill. The system was designed to allow therapists to safely adjust the amount of weight bearing to each patient's individual rehabilitation plan. Speed of walking can be varied to each patient's tolerance and gradually increased to reproduce gait patterns that simulate normal walking. To eliminate risk of injury, safety features automatically stop the machine when an adverse event occurs, such as a severe spasm, or if the patient's foot improperly strikes the treadmill. Some patients use this technology as an inpatient, while others are noticing an improvement in their walking abilities after adding the AutoAmbulator training to their outpatient rehabilitation therapy.Editors Note: To learn more about the AutoAmbulator and if could be of benefit to you or someone you know, call HealthSouth Rehabilitation Hospital of Colorado Springs at 719-630-2308

Reverse mortgages are designed for adults 62 and over who own their own home and wish to access their home's equity while retaining ownership. These programs are government insured and can provide tax-free cash on a monthly basis. Reverse mortgages allow elders to access thehome equitythey have built up in their homes now, and defer payment of the loan until they die, sell, or move out of the home. Because there are no required mortgage payments on a reverse mortgage, theinterestis added to the loan balance each month. The rising loan balance can eventually grow to exceed the value of the home, particularly in times of declining home values or if the borrower continues to live in the home for many years. However, the borrower (or the borrower's estate) is generally not required to repay any additional loan balance in excess of the value of the home.#listing_mgr{7 basic_search}#

Optimistic people live longer and have a better quality of life! They are happier, healthier, and deal with challenges better. According to a 2018 Boston University School of Medicine (BUSM) study, women and men who are optimistic have longer lifespans and greater odds of reaching 85 years old. These people are believed to be more resilient, better able to regulate stressors, and to bounce from adversity. They also tend to be healthier, and engage in self-care such as exercise and ultimately believe they can affect their own well-being.Optimism is hopefulness and confidence that the world is a good place and that things will turn out ok. It is not wishful or fantasy thinking. The idea that it isnt what happens to you but how you respond to what happens to you is the ultimate Optimist mantra, and research supports this. According to the BUSM (and many others) the benefits of being an optimist include:Protects against mortalityPromotes resilient aging and longer life spanImproves ones ability to beat cancerCreates overall better health and more enjoymentImproves stress management.Brains are wired to look out for things that may put us in danger, creating a pattern of pessimistic perceptions that have kept us safe for thousands of years. However, Martin Seligman, a psychologist at the University of Pennsylvania, believes optimism can be learned. He found that people who learned optimism techniques were less likely to develop depression, anxiety and enjoyed improved overall health. You CAN build Optimism through:Deciding to be Optimistic-Make a commitment to see the bright side.Thought Stopping Techniques-When you feel anxiety or have negative thoughts learn to stop your thoughts in that instant.Replacement Thoughts-Find something positive that you can commit to thinking about when you are feeling anxious or down.Gratitude List - Make a list of all the little things that are good in your life.Avoid Negativity-Limit yourself from being around people or things that bring you down.Change the subject-When someone is stuck on the negative redirect to the positive.Give compliments-Saying something positive to another or to yourselfNeed help growing your optimism? Give us a call.This article was submitted by April Boykin, she is an Owner/Social Worker with Counseling resource services who can be reached at 407-654-4433 or by email at april@counselingresourceservices.com

The role of family caregiver is filled with emotions. Family caregivers often tell me that they feel overwhelmed. When I ask them to explain this to me using other words, I typically hear things like, I never feel like I'm on top of everything or If its not one thing its another or I have no time to myself. Caregivers say things like I'm scared that I wont do the right thing (or enough) or I'm angry that my siblings have dumped this on me and don't help. Fear, anger, and feeling overwhelmed are the most common caregiving emotions I hear about.I've developed a method to help. The first step involves internalizing two very important things to stop doing trying to fix things making assumptions or projecting your needs onto your caregiving recipient. The second step requires the caregiver to answer a series of questions that can help her to start doing things that will make those caregiving emotions more manageable.LifeBridge Solutions helps adult children and their aging parents to navigate life's transitions. We offer nationwide family transition coaching services along with daily money management, medical billing advocacy, and estate administration support. Sheri Samotin, President, is a certified professional coach with more than 25 years of business and management experience. Reach us at 239-325-1880 or www.LifeBridgeSolutions.com.

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.

With aging comes many changes that affect health and how health is managed.Seniors are more likely to have one or more chronic health issues such as diabetes or heart disease. With more illness comes the need for more medication.The average senior will take more than four medications daily either to treat or to prevent disease.The more medication one takes the more potential there is for the medications to interact with each other or to cause an adverse effect on the person taking them. Seniors are more likely to be hospitalized for adverse medication effects such as falls, fractured bones and confusion.Polypharmacy, too many pills, occurs when a senior is taking four or more medications.The best way to minimize polypharmacy is to regularly review medications with your primary care provider by bringing in all your medication bottles as well as any nonprescription medications you take to each regularly scheduled appointment.It is important to work with your primary care provider to reduce medications whenever possible.A senior should not stop taking a medication unless the decision is made in collaboration with their primary care provider.The time of day a medication is taken can affect how well it will work. Some medications, like thyroid pills, need to be taken on an empty stomach while others, such as pain medications, should be taken with food.Some medications, like cholesterol lowering drugs, work best at night.A primary care provider or the pharmacist can help determine the best time for you to take a medication.Remembering when to take medications is best achieved when medications are taken no more than once or twice a day.Medications have a place in helping to keep a senior healthy and free from disability but they must be managed appropriately. To do this effectively, a partnership must exist between the senior and the primary care provider that takes the seniors health goals into account.Editors Note: This article was submitted by Karyn P. Leible, MD, FACP. Dr. Leible is a board-certified geriatrician with Centura Health Physician Group Church Ranch Senior Health and may be reached at 303-925-4040 or by email at KarynLeible@Centura.org

Everyone enjoys socializing and entertaining family and friends, so when your guests visit, can they move around freely with minimal assistance in your home?Wanda Gozdz, a residential interior designer and Certified Aging in Place Specialist (CAPS), is an expert on the subject of making a home visitable and says that every persons home should meet these key elements: Have at least one zero-step free entrance into the home (zero-step OR step-free not both) Minimum 32 wide interior door/s with lever handle Minimum 36 wide level route on ground level except, at doorways Full bathroom on the ground floor, with all walls reinforced for installation of safety bars Light switches, electrical outlets, thermostats and other controls at accessible heightsThese features provide safety, stability, comfort and ease of use for all visitors regardless of age or ability and provide for a long lasting independent lifestyle for inhabitants. They also allow homeowners to modify their space as their lifestyle changes.Other modifications Gozdz recommends include: Changing lightbulbs from incandescent bulbs to LED, white light, or compact florescent, which emit blue light or white light Using a bulb that is 800 LUMENS or higher, which instantly improves our ability to see better Replacing scatter rugs with a min 20X40 gel pad at work areas, which reduces fatigue when standing and allows a person to transition safely onto different surfaces Using contrasting colors on walls, counters and floors, which helps with depth perception and provides clear line of sight when navigating throughout the home and in working areasThese simple and cost effective steps provide safety, stability ease of use and promote independence.Editors Note: Gozdz is author of Sensible Smart Tips for Living in Your ForeverHome a walking tour guide through the home to determine modifications that will enhance quality of life. Gozdz, an instructor for the National Association of Home Builders (NAHB) teaches a three day Certified Aging in Place (CAPS) Designation Course. For more information on courses or events Contact Wanda Gozdz, President, Golden Age Living, LLC, PO BOX 1553, Deerfield Beach, FL 33343, 954.401.5948, email wegcaps@att.net or visit www.goldenageliving.com.National Association of Home Builders(NAHB), 2007, Marketing & Communication Strategies for Aging in Place & Accessibility, Washington, DC, pg SG-1-8.

"Kids are not just little adults!"If you work with a pediatrician for any length of time, you're sure to hear them say something like this. Because childhood is the only time in life that you're growing and developing, medical care in pediatrics is very different from other areas. Pediatricians are familiar with all of the special wrinkles in medical care for kids, and they have a tremendous "bag of tricks", as any parent can attest.Just as pediatricians see childhood as a special time in life, medical professionals have come to understand that "oldhood" is different from younger adult life. Scientific research continues to show us important differences in the ways that older people move, get sick, respond to stresses, andheal from illness. Just as important, old age is a time of tremendous variation from person to person. At age 80, one person might be wheelchair-bound and completely dependent on others for basic care. Another person the same age might be able to travel, care for grandchildren, or continue a career. Medical care for older adults needs to understand that the fundamentals are different as we get older, and there is no "one-size-fits-all.Because older adults have special needs in medical care, they need a special approach a different lens that looks at the whole person, the family structure, and the community around them. Geriatrics clinicians are trained and experienced in the whole spectrum of older adult needs. Although initially trained in specialties like Internal Medicine, Nurse Practitioner, and Family Medicine, they differ from regular primary care specialists in their additional training, focus, and perspective.In Geriatrics, clinicians have special areas of interest that are hugely important to older adults and their families. These include preventing falls, managing dementia, minimizing complex medication schedules, promoting independence, and coordinating a range of specialists. Geriatrics clinicians also understand that oldhood does not last forever, and that one of the ways they can best help patients and families is to plan and provide well for a graceful end of life. In short, Geriatrics takes a calm, thoughtful, and loving approach to a time that can seem hopelessly confusing to families.Geriatrics clinicians use a team approach to care, working with nurses, social workers, pharmacists, physical therapists, and other disciplines. Most importantly, they see a persons medical history as something that evolves over time, and they have an intense interest in an older persons progress through the years. This team approach across time is the key to getting the whole picture of a person, and helping them to map out the best possible course for their care.So how old is old enough to need a Geriatrics health professional? If youre between the ages of 65 and 80 and are lucky enough to enjoy great health, you can probably stick with your primary care provider. You might consult with a Geriatrician to help you look down the road to your later years. If you or a loved one are over 65 and are struggling with mobility problems, multiple chronic illnesses, dementia, or feel like youre on too many medications, a visit to a Geriatrician can help you and your family to sort through your problems. If youre lucky and strong enough to have made it to 85, it may be best to have a Geriatrics clinician as your primary care provider.Where can you find a Geriatrics Clinician? Look for "Geriatrics", "Senior Clinic", or "Senior Home Care" when you are looking for medical providers. When you call their office, ask if they specialize in the care of older adults, and especially inquire about the team approach to medical care and promoting independence. They should also have additional training and certification in areas related to health care for older adults.As they say on the AARP billboards, we know that roles change as we age. For people over 85 and those between 65 and 85 with significant health limitations, its important to know that medical care changes, too. Consulting with a Geriatrics clinician may be a great way to make the most of these special years.Editors Note: This article was submitted by Michael Galindo, MD, FACP. Michael is President of Utah Geriatrics Society, Intermountain Medical Group and may be reached by email at: michael.galindo@imail.org

Finding The Right Home Care AgencyDecisions regarding the well being and care of our loved ones are some of the most important and difficult decisions we will face in our lifetimes. We may feel that we did all the right things or we made a terrible mistake. One of the most important decisions is selecting the best Home Care Agency to provide ongoing care to our loved ones in their home.The first task is deciding between a medical homecare and a non-medical home care agency. Non-medical home care cannot dose medications, provide injections or wound care. Most clients at home will require the type of care provided by a non-medical home care agency.When choosing potential home care agencies, make sure that the agency has the skills that match your loved one needs. Meet with the decision makers involved, develop a list of the things you want to see, and make sure your list addresses the following:Does the agency have liability insurance? Request a copy of the certification.Is one of the agency owners or directors involved in the meetings?Does the home care agency provide a personal assessment; do they provide a home safety assessment and what are the charges?What are their hours of operation? How do they handle calls and issues outside normal hours of operations? Most crises do not happen between 9 AM and 5 PM.What is their back up plan if a caregiver becomes sick, has a transportation issue or a delay because of bad weather? How adept are they at crisis management?Have they received a referral from a competing home care agency? That is one of the key indicators that a home care agency is known and respected in the field.How does the home care agency screen its caregivers? Are the caregivers bonded?How did you hear about the agency? Is it a direct referral from someone who has worked with the agency?Ask for previous client testimonials and contact information. And make the calls!Many excellent non-medical home care agencies exist today. If you get good answers during your due diligence process, you have probably found a great agency for the care of your loved one. Remember that the agency and their caregivers must have the skills and personality to work with your family and be a good fit with family members to make a cohesive care team for your loved one.This article was submitted by Carol L. Kilduff Director/Owner of Visiting Angels Chelmsford. She can be reached at 978-244-0200.

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 303-205-7877 or by email at pamela@thecarenavigator.com.

If you or a loved one were facing a terminal illness, would you know where to turn for information about end-of-life care?Every year, half of the American population will be touched by the death of a friend, family member or colleague. Hospice providers across the country are united in urging all adults, regardless of age or circumstance, to learn more about end-of-life care options that can transform dying into the final act of living well.There are four general questions that should be explored before one is touched by the unsettling reality of a terminal prognosis, explains Ann Klein, RN, VITAS patient care administrator in New Jersey North. They are: 1. How will pain be managed? 2. If the patient prefers to remain at home, what kind of assistance and in-home care will be available? 3. What role can family members have in patient care? 4. How will the spiritual and emotional support necessary for quality end-of-life care be administered?Hospice is an end-of-life care option that answers all four questions, Klein says. Tailored to the needs of each patient and family, hospice provides care to patients diagnosed with a terminal illness. It includes expert pain management, but also goes beyond medical care, providing emotional and spiritual support that most Americans believe is an important aspect of end-of-life care.Hospice care is provided by a multi-disciplinary care team comprised of doctors, nurses, home health aides, social workers, clergy, and trained volunteers. Hospice care typically is provided in the home, allowing the patient to stay in a familiar setting surrounded by family and friends. Home is loosely defined, so terminally ill residents of nursing homes and assisted living facilities can receive hospice care without having to consider moving.Medicare, Medicaid and most private health insurance plans provide coverage for hospice services. The Medicare Hospice Benefit is an all-inclusive benefit and includes coverage for physician services, nursing care, home medical equipment and medical supplies, prescription drugs and over-the-counter medications related to the patients terminal illness, counseling, spiritual support and bereavement support for the patients loved ones. Patients and their families receive all benefits without any additional co-pays or ancillary payments.Editors Note: This article was submitted by Robin Marshall, General Manager of VITAS Innovative Hospice Care of New Jersey North. For more information about hospice, visit the National Hospice and Palliative Care Organization, www.nhpco.org, or call VITAS at 973-994-4738.

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.

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 Miller

If you have a loved one with a disability, you most likely wonder what will happen in the event of your incapacity or death. You want answers to such questions as:? How can I make sure they sustain their quality of life and ensure that their best interests remain a top priority?? How can I make sure that excellent care and supervision are maintained throughout their lifetime?? How can I provide the extras without jeopardizing their governmental benefits?? How can I ensure a smooth transition of care to others thereby avoiding family conflict?? How can I incorporate such plans in my overall estate plan?Special Needs Planning-Legal GuidanceSpecial Needs Planning, involving a knowledgable and skilled attorney, provides parents peace of mind. A compentent legal team assists parents, of all ages, assess, plan, and document their intentions through the execution of wills, trusts, and letters of intent.Ensuring Resouces for a Loved OneWills and Supplemental Needs TrustsEnsuring a loved one remains eligible for necessary services and supports provided through government benefits, requires documentation of intentions through a properly executed Last Will and Testiment providing clear direction for proper distribution of their estate. Further, parents and grandparents should consider the establishment of a Supplemental Needs Trust, setting forth terms which specifically limit the distributions to only supplement but not supplant available government benefits.Idaho law allows establishment of a Supplemental Needs Trust to provide funds to enhance the quality of life of a loved one during their lifetime and allows for residual distribution of trust assets to others. Careful drafting of the terms of the trust ensures trust distributions properly supplement government services provided to the person with disabilities without interfering with those benefits.Special Needs TrustAvoiding Continued DisqualificationIn contrast, if a well intended parent of grandparent does not engage in proper special needs planning and the loved one with disability inherits assets from the estate, the person may be disqualified from receiving necessary services and supports paid through government benefits until their assets transfer to a Special Needs Trust. To avoid continued disqualification, Idaho law allows for the establishment of a Special Needs Trust. However, all trust assets remaining at the time of the Beneficiarys death are subject to Medicaid Recovery.Dreams and Quality of LifeThe Importance of a Letter of Intent:A Letter of Intent sets forth the aspirations and dreams for the futureoutlining needs and identifying supports and services necessary to maintain a quality of life.RELAXEnjoy!With Special Needs Planning complete, RELAX knowing you did everything possible to protect the quality of life for your loved one with a disability.Charlene K. Quade, an Attorney with C.K. Quade Law, PLLC, provides Special Needs Planning specializing in Disability Law and Elder Law. Ms. Quade, a life long advocate for persons with disabilities, is the mother of an adult with Williams Syndrome.

Refers to persons specifically trained to help individuals with their personal care needs and activities of daily living (ADLs). These services include assistance with bathing, showering, shampooing, dressing etc. Other tasks may be assigned to aides per individual agency and family negotiations/contract. Home Health Aides are available for just a few hours per week up to 24-hour care on a temporary or long term basis.#listing_mgr{8 basic_search}#

Sometimes people get confused with the term Home Health Agency in Utah. Utah requires that companies providing in-home care be licensed as a home health agency. Home health agencies are divided into two types: Home Health Agency and Home Health - Personal Care Service Agency. Both types of agency are licensed to provide health care services in patients' homes. Both types of agency are required to ensure that all employees pass a criminal background check. They must also have policies and procedures in place that describe the type and scope of services that they provide. The Utah State requirements for Home Health and Personal Care Agencies are found in the Utah Administrative Code, R432-700 (http://www.rules.utah.gov/publicat/code/r432/r432-700.htm).Home Health Agencies provide skilled services and are often paid through Medicare. Their services must be ordered by a physician. Home Health Agencies provide a broad range of medical services in the home, including physical therapy, occupational therapy, wound care and medication management among others. Typically, services are ordered by a physician for 60 days. That order for service may be reauthorized by the physician if the patient is continuing to make progress. Home Health Agencies typically do not provide long-term care in the home. Thats where Personal Care Agencies come in.Personal Care Agencies provide assistance with activities of daily living (ADL's); they do not provide any therapies or wound care. Personal Care Agencies provide services similar to that provided by Assisted Living Facilities, including assistance with all ADL's, cooking, cleaning and outings. Services are generally paid for by the client, just like an Assisted Living Facility. Some Personal Care Service Agencies accept Medicaid to assist disabled patients who need long term assistance in the home. Medicare never pays for this type of service. Personal Care Agencies are a good choice for those seniors who want to live in their homes, but need a little extra help to stay there safely.You can find a listing of Home Health and Personal Care Agencies, with the different services they each provide, on page # 126 of the Seniors Blue Book or on the webat www.SeniorsBlueBook.com.Editors Note: Article Submitted by Kevin Whatcott, owner of Homewatch CareGivers of Utah. He is an attorney and Certified Senior Advisor. Homewatch CareGivers has been caring for seniors in their homes for over 30 years. If you have any questions about home care or other senior issues, give Kevin a call at 801-746-1080

The latest findings on the connection between Hearing Loss and Cognitive Function! Does your loved one constantly forget items that you know youve discussed with them, or is it possible that they didnt actually hear the message correctly? This question has been a concern for many families who suspect that a family member is showing signs of cognitive decline. Now, new research shows that hearing loss may not only be mistaken for signs of Alzheimers disease or Dementia but that hearing loss may actually contribute to cognitive problems!Research now shows that untreated hearing loss can significantly increase the risk of developing Alzheimers Disease and Dementia! CNN reports that The risk of Dementia rised as hearing ability declines! AARP quotes a study from Johns Hopkins and the National Institute on Aging that finds that Men and Women with Hearing Loss are much more likely to develop Dementia and Alzheimers Disease! They further state that Even mild Hearing Loss doubled the Dementia risk and the University of Pennsylvania School of Medicine links even early stage Hearing Loss to accelerated brain atrophy!The findings suggest that poor hearing is a "harbinger of impending dementia," says George Gates, M.D whose own research has demonstrated a link between the two conditions. We listen with our ears but hear with our brains," Gates says. " People with moderate hearing loss generally struggle to communicate even in quiet settings. People with severe hearing loss, the study reports, were five times more likely to develop dementia than those with normal hearing.Frank R. Lin, M.D., an ear surgeon at Johns Hopkins Hospital in Baltimore, says that hearing loss is such a slow and insidious process, it is often left ignored and untreated." Regularly scheduled Hearing Tests should be a part of Seniors routine medical testing, and hearing loss should be addressed as early as possible before these negative consequences begin to develop. If you are over the age of fifty and have not had a Baseline Hearing Test, I would encourage you to begin monitoring your hearing acuity the way you monitor other aspects of your health, states John Hoglund of Hoglund Family Hearing And Audiology. These tests are provided as a Free public service by our Practice, at our Bonita Springs and Estero Clinics, and you will also receive a copy of six different reports about the research mentioned in this article.Please contact John and Patricia Hoglund at (239) 498-7142 to schedule an appointment.Author:John and Patricia Hoglund

If you are contemplating a move to an adult living community for the lifestyle, support and peace of mind it offers, you may find the selection process a bit daunting. There is a great deal to think about it is, after all, your future you are planning. The truth is the process can be a rewarding one resulting in a better understanding of what you require and what you want, bringing about a gratifying lifestyle change.Before you begin, take into account your current needs and possible changes in them over time, as well as your financial situation. Once you have done that, you can start looking at your options. Information on communities can be easily attained by visiting their websites, or calling and requesting brochures. When you have narrowed down your possibilities, schedule visits at times that are convenient for you spacing visits out enough to avoid information overload.Below is a handy initial evaluation checklist that will help you quickly slim down your options. It includes topics that you may not normally think to consider, and allows you to more easily compare one community to another. After each visit, ask yourself:? Is the location close to shops, doctor's offices, a pharmacy, and other destinations important to me?? Is the location convenient for family and friends? If the facility is not in my town, are there hotels nearby for when family visits?? What living arrangements are available apartments, private rooms, shared rooms?? What are the fees and what is included?? Are the buildings and the grounds well-kept and attractive?? Are the common spaces pleasant and appealing?? How many rooms are there where residents can spend time with each other and with visiting family members?? Are the dining rooms clean and attractive? Can the community cater to specific dietary needs or special requests?? Do I like the food? Can visiting family members join me for meals?? Is there a private room available for family celebrations or private family dinners?? Is there a posted, varied schedule of activities and events, and do they interest me?? Did I feel comfortable during my visit? Could I see myself living there?In addition, visit the communities you are partial to more than once. To be sure you are getting the complete picture; stop in, without an appointment, at various times of day. Lastly, take your time so that you are sure to make the best lifestyle choice for you.Editors Note: This article was submitted by Elizabeth Dupree. Elizabeth Dupree is a Senior Director of Community Relations with Benchmark Senior Living Continuing Care Retirement Communities and may be reached at 203-323-2323 or by email at edupree@benchmarkquality.com.

This category encompasses a wide variety of options. 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. Senior Apartments are independent living units that require an age limit. Meals are usually not provided, but most have a clubhouse where groups meet for activities. Many of these apartments are subsidized units.#listing_mgr{1 basic_search}#

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 and then 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.Editors Note: LifeBridge Solutions provides family transition/ caregiver coaching, daily money management, medical bill advocacy, and support for POAs, health care surrogates, and Personal Representatives. For more information, call 239-325-1880 or visit www.LifeBridgeSolutions.com.

To learn more about Manasota Care Services, Click Here.When it comes to driving and mobility, being safety-conscious is a good thing. We typically grow concerned about senior drivers, but rarely do we consider the safety when seniors are being transported by a non-emergency medical transportation provider. More specifically, how safe is your loved one when they require assisted ambulatory, wheelchair, or even stretcher transportation?With a rapidly growing elderly population, an increasing number of seniors and disabled people are in need of assisted transportation to and from medical appointments, physical therapy, personal errands, family functions, and more. Especially for those with mobility challenges, accidents can happen within their residence, while being assisted to the vehicle, while loading and securing the passenger, traveling to their appointment, and then again when being returned.The level of required assistance is in direct proportion to the patients level of mobility. A senior requiring only a steady hand or firm arm to hold while ambulating requires much less direct assistance as compared to someone requiring wheelchair or stretcher transportation. Similarly, if the patient is bariatric, chances are very good that multiple attendants will be required to safely secure and transport the patient.When considering a transportation provider, many things that need to be considered to ensure your loved one is safe during the entire transportation process:1. Is the transportation provider properly insured? For those relying on rideshare or independent providers, chances are very good they do not have proper for-hire insurance. Hence, should their be an accident, passengers will not be covered.2. Is the driver(s) literally capable of assisting your loved one? Are they knowledgable, knowing how to properly use the equipment, and are they physically fit, capable of literally assisting seniors to navigate stairs, thresholds, and possible inclines when sitting in a wheelchair or secured on a stretcher?3. What type of equipment does the transportation deploy? Is it safe, durable, and suitable for your loved one? When using the providers wheelchair and stretcher, you want confidence in know the equipment is serviceable and well maintained.4. What are the driving habits of the driver(s)? Being concerned about a seniors driving ability might seem like common sense, but what about the driving habits and record of the drivers? Are they drug tested? Does their employer check their Motor Vehicle Report (MVR) for discrepancies, tickets, fines, DUIs?5. Does the driver invest the necessary time required to properly load and secure the wheelchair/stretcher or do they cut corners in an effort to expedite?6. Upon arrival at the destination, does the driver accompany your loved one all the way into their appointment and ensure they are properly checked in and received by facility staff?7. When the appointment is complete and your loved one is ready to be returned, does the transportation service arrive in suitable time versus forcing your loved one to wait excessively?At Uplifting Transport Service, our goal is to provide safe, reliable, and timely non-emergency medical transportation service that not only meets, but exceeds your expectations. In addition to screening and properly training our drivers, this goal starts by deploying ADA compliant vehicles and reliable equipment.We welcome the opportunity to introduce our service to you and your loved one. Please feel free to contact us with any questions or to discuss how we can provide transportation solutions to meet the possible mobility challenges.

If you have ever had to walk into a funeral home, it probably wasnt the most pleasant task assigned to you. Thats why prearrangements are offered before you leave your family to interpret what you really wanted. By making these decisions in advance, you can bring peace of mind to yourself and your loved ones. Youll know that the arrangements you want are complete and the costs wont burden your family.Prearranging and pre-financing your funeral is a simple and secure way to provide for your final arrangements. It is a valuable and protected investment and is one of the kindest gifts you can give your family.By making these decisions in advance, you can bring tranquility, definition and closure to yourself and your loved ones. Youll know that the arrangements you want are complete and that the costs wont burden your family. Everyone should be encouraged to give these decisions a great deal of initial thought and consideration.You choose the extent, kind and cost of service right down to the smallest detail. Youre assured that your funeral and disposition will be consistent with your individual standards and lifestyle. You and your family can share in planning together. After all, it is the story of your life. You should be the one who gets to write the last chapter.This is an economical decision because you are setting money aside, it will be there when you need it. You can also use prearrangements as an asset management tool for spend downs for Medicare purposes or other methods in preparation for alternative health care needs such as short or long term nursing care. Once you pay for the service, it will always be there for you.Take the opportunity to sit down with your family and explain what you want in terms of a service for your last chapter. Put it in writing and feel secure that you have had a hand in your final arrangements.

Dan F. and the fourth graders from Naramake Elementary School were all smiles at Brightview on New Canaan in Norwalk, Connecticut last month when they got together for a variety of arts and crafts projects.One of the art projects lollipop flowers made from brightly-colored construction paper and Tootsie Roll pops were quite a hit, and tasted even better.Dan, an 86-year old retired attorney and World War II Veteran loves watching sports and playing cards. Hes also a history buff and thespian, having performed at a local community theatre in New Canaan for years.But, on this day, the kids had his full attention.Connecting with the youngsters from the school was a terrific experience, said Dan. It was also very rewarding. Their energy and enthusiasm is contagious, and makes me feel great. We cant help but smile.And the smiles were wide as Dan and other residents teamed up with the students.Something special happens when you bring seniors and students together, explained Diane Gagliano, one of two Community Sales Directors at Brightview on New Canaan. They laughed and shared stories and had fun. It was a tremendous experience for everyone residents, students, and even for, us, the associates here. It was a great collaboration.Added Maria Owens, Community Sales Director and Dianes sales partner, The benefits from intergenerational programming and social interactions are incredible. Everyone learns from one another and grows together.The students are planning a return visit later this spring, in May, and will partner up with residents to explore Patriotic themes.We hope to continue this partnership with Naramake as well as several other schools in the area, concluded Diane. It is so valuable for everyone.Brightview on New Canaan features Assisted Living and Wellspring Village, a specially designed neighborhood where people living with dementia lead full, engaged and meaningful lives.Located at 162 New Canaan Ave in Norwalk, Brightview on New Canaan has been serving seniors and their families for over a year. The community opened in January, 2016.For more information, please contact Diane Gagliano or Maria Owens at 203-857-1836.

The Door Opens For Spot Approvals For Reverse Mortgage Financing.As the HECM loan, known by most as the reverse mortgage, gains momentum in our industry, there has always been one insurmountable wall that continued to prevent seniors from enjoying the home of their choice the Non FHA approved Condo market. Recently, FHA has made a change for the benefit of many: our aging population, many beautiful existing and new condominium projects, builders/developers, Realtors and lenders. Prior to this ruling, many people who wished to take advantage of the FHA HECM (Reverse Mortgage) found that more than 90% of the condos they wished to purchase or refinance were excluded from the program.Benefits for this change reach well beyond expanding the choices seniors have for the homes they can now choose to spend their retirement years in. Thank you FHA for realizing that allowing HECMs in many condo associations that were once excluded, is a boon to the entire economic industry that will be felt by many, but, mostly, to those the program exists to help: Seniors!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.

In a study of older patients with advanced dementia living at home in Israel, researchers found that hospice care was associated with a significant improvement in caregiver burden, perceived symptom management, and satisfaction with care among participants families.The authors believe research such as this may help improve awareness that dementia is a terminal illness, and that older people with advanced dementia could benefit from hospice and palliative care.Older patients with advanced dementia were eligible for the study if they were considered stage 7 or higher on the Global Deterioration Scale, referred to hospice, and had a full-time caregiver.Participating patients existing home care was supplemented by hospice care. For a maximum of six months per patient, a specially trained physician, nurse, social worker and spiritual care provider met with families and were available 24/7.Families provided assessments before and after receiving hospice care.Among the 20 patients participating in the study:Average age was 83.5.70% were women.Multiple chronic comorbidities were present (65% had hypertension; 40% ischemic heart failure; 30% post-stroke; 30% diabetes; 15% COPD; and 15% cancer).Patients had been diagnosed with dementia for an average of 5.6 years.Key Outcomes from Family AssessmentsWhen comparing family members post-program responses to baseline assessments:Caregiver burden decreased substantially (12.1 vs 1.4, with lower scores signifying less burden;P< 0.001).Symptom management improved (post-program average score, 38.3 vs pre-program average score, 33.8;P< 0.001).Satisfaction with care increased (35.3 vs 27.5;P< 0.001).Key Outcomes Identified by HospiceWhile five hospitalizations occurred during the study period, hospice team members identified what they determined to be 33 prevented hospitalizations.An average of 2.1 medications per patient were deemed unnecessary and discontinued.The researchers state that all the families mentioned that the program gave them a sense of being supported and that they would recommend it to others, adding that many said they felt more comfortable caring for their loved one at home, that suffering had been decreased, and that they learned more about the trajectory of dementia.For families who chose to seek support from the social worker or spiritual care provider, those hospice team members were credited with improving family and patient well-being and reducing caregiver burden.Thinking of dementia as a terminal illness appropriate for hospice care was a cultural shift, note the authors. This is not surprising, they add, since it is difficult to identify older patients with advanced dementia who likely have a six-month prognosis.While the researchers point out some limitations to their study, they believe it lays important groundwork for further research. [T]he insights regarding the impact and challenges of implementing a home hospice dementia model will be valuable internationally, they conclude.Submitted and Written By: VITAS Healthcare - click here for more information

In March 2016, Colorado Springs became an Age Friendly City, a designation through AARP and the World Health Organization. Since then, Innovations in Aging Collaborative has administered the Age Friendly Colorado Springs program on behalf of the City of Colorado Springs to make our city livable for people from 8 to 80 years old and everywhere in between! The AARP Age Friendly cycle is a five-year timeframe, and Innovations in Aging Collaborative is nearing the end of those first five years of implementation, with a plan to release a final report in December of 2020. Make sure you look for that report on our website in late 2020!Since 2016, Innovations in Aging Collaborative has incubated and fostered several major programs to improve the lives of older adults in Colorado Springs.In Spring of 2019, Colorado Springs became a Dementia Friendly Community. IIAC has worked, with the help of numerous community members, experts and professionals, to create a report and action plan to improve how our community supports people with dementia and their care givers. The mission of the Colorado Springs Dementia Friendly Community Initiative is to create a local community where people living with dementia are supported to enjoy a high quality of life with meaning, purpose, and value. We seek to foster a dementia friendly community by educating the community on the signs of dementia and how best to interact with a person living with dementia and by encouraging all sectors of the community to adopt dementia friendly practices. Keep an eye out for the Dementia Friendly Colorado Springs Report and Action Plan, coming early 2020!IIAC, along with local boutique market research firm Elevated Insights and the Pikes Peak Area Agency on Aging, and funded by NextFifty Initiative, released the Age Friendly Colorado Springs Needs, Awareness and Satisfaction Benchmarking Report that profiles the ways in which older adults prefer to receive/find information, services and resources. Further, it describes the satisfaction with older adult services in our community, and the needs and wants of older adults and their caregivers to effectively age in their community! This report is available on our website.Over the past two years, the Colorado Springs Commission on Aging has been working to advocate for our citys older adults, and look at all city happenings through an aging lens. Did you know that the public is invited to attend Commission meetings? Meetings are held on the 1st Wednesday of each month from 3-5 pm.More information here! https://coloradosprings.gov/office-innovation-and-sustainability/page/commission-agingEditor's Note:This article was submitted by Innovations in Aging Collaborative and may be reached at info@innovationsinaging.org or 719-602-3815. Additional information can be found at: www.innovationsinaging.org

Once you understand that depression isnt something your loved one can easily manage without help, it may be more possible for you to offer support and care. Here are some ways you can help:Express your concern. Acknowledge the persons pain without implying that you know how they feel. Listen if they want to talk, but dont try to draw the person out and dont ask intrusive questions. Being withdrawn is often part of the illness. Dont take it personally.Ask how you can help. Your loved one may not have specific suggestions of things that you can do, but they will know that youre willing to be supportive. Offer hope. Remind the individual that depression is treatable, and that they will likely get better. If your loved one is undergoing treatment, gently remind them that it takes time for treatment to work.Give positive reinforcement. Depressed people often feel worthless, and they dwell on their faults and shortcomings. Remind your loved one of their strengths and competencies and how much they mean to you.Keep your sense of humor. Youre likely to feel frustrated and even angry at times. Thats OK but try not to vent in front of the person and dont take your anger out on them. Use humor to diffuse tension and to lighten the atmosphere, but dont make jokes at your loved ones expense.Encourage healthy behavior and activities. Invite your loved one to join you in doing activities or visiting family or mutual friends. But dont push and dont expect too much too soon. Also, gently remind the individual of the benefits of exercise and a healthy diet.The pandemic and mental healthAbout 20% of U.S. adults reported a decline in mental health due to the pandemic. This includes 53% who said that they were very restless and 52% who said that they sat around and did nothing recently due to exhaustion. Caregivers, especially parents of young children who were unable to attend in-person school, reported unusually high levels of stress and anxiety.Next steps:If you think you or a loved one may have symptoms of depression or anxiety, talk to your doctor. It can be as simple as saying that you havent been yourself lately and youd like to talk about it. Counseling (psychotherapy) and medications are common treatments.In older adults with mild depression, psychotherapy can be just as effective as medications. For moderate to severe depression, a combination of psychotherapy and medications is usually best.Mental health apps can be cost effective, portable ways to learn and strengthen your coping skills. Free mental health apps that may be helpful include COVID Coach, Breathe2Relax, Happify, Mindfulness Coach, MindShiftCBT, SuperBetter and Insight Timer. Still, keep in mind that apps should not serve as a substitute for therapy.If you think you may hurt yourself or attempt suicide, call 911 or your local emergency number. If youre feeling suicidal, but you arent immediately thinking of hurting yourself, call a suicide hotline or reach out to a friend or loved one, someone in your faith community, or a health care provider.  For more information:  https://mcpress.mayoclinic.org/emotional-health/mayo-clinic-explores-supporting-someone-with-depression/?mc_id=us&utm_source=pes&utm_medium=e&utm_content=engagement&utm_campaign=

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.

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

If you are a senior, you are a target. Scammers and telemarketers want your money. And sometimes family members and caregivers want more than their fair share as well. The average financial cost for a victim of an elder abuse scam was $28,800, with the telephone being the most common way scammers contact you.According to Merriam-Webster, a scammer is a dishonest person who uses clever means to cheat others out of something of value. In 2016, the top scams reported to the Better Business Bureau included the IRS scam, fake sweepstakes/prizes/gifts, the Tech Support scam, and the Grandparents scam.How do scammers get your information? Scammers look for information that will help them appear to know their victim. Social media is one of their targets that helps fill in the blanks of information they dont have - especially for the Grandparents scam. They also use information on mail not shredded and phone calls. Information is also purchased on the internet from other scammers. What are the tell-tale signs of a scam? If someone you dont know contacts you and promises you something, but you have to give them money first, its a scam. If the person dangles bait on the phone, but they want your personal information, its a scam. If they want your money NOW, there is no time for you to verify the details or call them back, its a scam. How do you avoid being a target? If it is too good to be true it probably is. Ask lots of questions. Do your own research. Dont trust caller ID. It is very easy for scammers to fake the caller ID information (called Spoofing). Dont take company information at face value. Look up the companys information yourself and call them back. Dont call the phone number the person on the phone gives you. Dont stay on the phone just to be polite. Hang up, or tell them I dont give money over the phone. Send me something in writing. Dont use gift cards or money orders or wire transfers to pay for anything. Its the same as sending cash, and cannot be reimbursed. Check your credit statements for unauthorized activity. Protect your personal information. When in doubt, dont give it out. What are the signs youve been scammed? Unrecognized charges on credit card/bank account statements Missing money from bank account Stop receiving bills that you expect Receiving mail at your address but addressed to a different name See procedures on medical explanation of benefits you dont recognize Find accounts that arent yours when you check your credit report What if you think you think someone has already gotten you? Recognize that youve been scammed and act fast Report the scam Cease all contact with the scammer Educate yourself, your family and friends ResourcesPolice and/or Local ProsecutorsState of Texas Attorney Generals Officehttps://www.texasattorneygeneral.gov/cpd/file-a-consumer-complaintFrauds and Scams page: https://www.texasattorneygeneral.gov/cpd/frauds-and-scamsFederal Trade Commissionftc.gov/complaint,, 877-382-4357Identity theft, abusive debt collectors and most types of fraudFtc.gov/PassItOnInternet Crime Complaint Centeric3.gov/complaintInternet-based scams, operated by the FBIPostal Inspection Servicepostalinspectors.uspis.gov, 877-876-2455Scams distributed by US mailConsumer Financial Protection Bureauconsumerfinance.gov/complaint, 855-411-2372Shady business practices and financial products, including loans, bank services, credit reporting, ID theft, debt collection and payment cardsUSA.govhttps://www.usa.gov/state-consumer/texasState and local consumer agencies in TexasBetter Business Bureau Scam Trackerbbb.org/scamtrackerHelp the BBB investigate and warn others about scamsEditors Note: This article was written by Jill Schriefer with teleCalm. She may be reached at jill@telecalmprotects.com or teleCalmProtects.com.

A life settlement generally refers to the sale of a life insurance policy by a policy owner for less than the face value of the policy to third party investors. The third party investor(s) plans to profit at death of the insured by collecting more in death benefits that were paid out (e.g., the purchase price, the transactions costs, and premiums).#listing_mgr{7 basic_search}#

To learn more about A Call To Order,CLICK HERE.1. Senior Move Managers are third-party observers.If youre anxious about your loved ones move, they might pick up on itand talk you into keeping more things than they have room for. If your relationship is already strained, going through their things can add to the stress, especially if they feel that youre bossing them around. A dispassionate senior move manager can often find a happy medium.2. Senior Move Manager are experienced.Move managers know which are the reliable moving companies, how to put together a successful moving sale and where to find great cleaning services. Not only that, but theyve done this many times before and know how to solve problems you may not have anticipated.3. Senior Move Managers can help you save money.Although senior move managers services can be expensive (a move may cost anywhere from $1,500 to $5,000 depending on the project) they are usually a good investment. Consider the time youd have to take off work, the plane ticket youd have to buy to get to your aging family membercosts like these add up quickly. Senior move managers also know what items are valuable and what arent. That necklace your family member has in storage could be worth a lot more than you think!4. Senior Move Managers save you time.You and your loved one might spend hours deciding whether or not to keep certain possessions because of an emotional attachment to them. Since senior move managers have gone through this countless times, they know how to efficiently move a household.5. Senior Move Managers offer your aging loved one more control.A senior move manager recognizes that since this is your parents move, they are the ones to talk to. They also know that its hard for your parent or loved one to part with possessions they may have had for 30 to 50 years. As professionals, theyll help your special person through the emotional and physical aspects of relocation while keeping the process moving. And theyre more likely to find the best solution for every piece they want to keep.6. Senior Move Managers help after the move.It may be hard for you to get an aging adult situated if you have to fly home or go back to work right away after the move. A senior move manager can make sure they are set up in their new residence, setting up the rooms and arranging their possessions so they are most comfortable.If youre interested in hiring a senior move manager, find the resources you need throughA Call to Order Professional Organizers orNational Association of Senior Move Managers(NASMM).

National Parents Day is July 28th, a time to celebrate your mother and father and let them how much they are loved and appreciated. This day is also a perfect opportunity to start the conversation about senior living communities with your aging parents. This conversation will help you plan as a family for lifes natural transitions into old age and support you in finding the right senior living option.One of the best gifts you can give yourself and your aging parents, is to initiate the conversation about how they see themselves living out the rest of their lives. Although it may be hard to talk to your aging parent about difficult subjects such as: getting older, needing help, or planning to move to a senior living community, it is better to start the conversation when they are in good health rather than during a health crisis.There are many senior living options available, from in-home care services to independent living, assisted living, memory care and skilled nursing. All of the different types of senior living options can be confusing and overwhelming.Housing Placement specialists offer a no-cost service for seniors and their families to help you explore and understand your options. They will meet with you and/or your family member for an in-depth consultation discussing your current situation and what is needed. They evaluate all aspects of care such as healthcare needs, social activities, location and financial features. While none of us have a crystal ball to predict what the future will look like for ourselves or our aging family members; we should take the steps now to have a plan in case a crisis happens.Editors Note: This article was submitted by: Nikki Wulff. Nikki is an Eldercare Advisor and Owner of Assisted Living Locators and may be reached at: 402-926-9505 or by email at: nikkiw@assistedlivinglocators.com

Do You, or Someone You Know, Have A Loved One in A Long-Term Care Facility?Do You Know How A Long-Term Care Ombudsman Can Help? What is a Long-Term Care Ombudsman?Ombudsman (om-budz-man) is a Swedish word meaning one who speaks on behalf of another. A Long-Term Care Ombudsman is an advocate for people living in nursing homes, board & care homes and assisted living facilities. The position of Long-Term Care Ombudsman was created in 1975 as a result of amendments to the Older Americans Act to ensure quality of life and quality of care for people living in long-term care communities.Ombudsmen protect the rights of people living in nursing homes and assisted living residences. Colorado Ombudsmen strive to improve the quality of life and quality of care for more than 36,000 older adults in long-term care. These are some of the things Ombudsmen can do to help:Ombudsmen: Help resolve complaints about the facility or individual staff members, such as physical or verbal abuse poor quality of care. Help protect residents rights under the law, including the right to privacy in care and treatment, voice grievances without retaliation, make independent choices. These are just a few of the rights that individuals have in long-term care settings. The Ombudsmen help educate residents, families and staff about all residents rights and work to ensure that these rights are honored by care providers.Help older adults understand their options for long-term care choose the long-term care facility or community living arrangement that is right for themTo Contact your Local Ombudsman call: 1-800-288-1376

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Diabetes is the leading cause of blindness among people between 25 74 years old.Half of people with diabetes are unaware they have it. Of those who are aware only 50% get appropriate eye care.Most people think that blood sugar levels are the most important risk factors for vision loss in Diabetes Mellitus. However, blood glucose control only accounts for 10% of the risk of vision loss in DM.Other factors such as sleep apnea, hypertension and kidney disease impact vision risk in a diabetic individual.There is a complex relationship between the nervous system, the immune system and the circulatory system. These 3 systems interplay in a way which both predicts and allows early diagnosis and effective treatment.New diagnostic modalities include:Wide-field retinal photography and artificial intelligence screening applications.Non-invasive OCT angiography (OCT-A)Electrophysiologic testing for retinal function (ERG)These tools allow early diagnosis and treatment with medications designed to limit the growth of abnormal blood vessels in the eye and the swelling of sensitive retinal tissue.The eye manifest changes in several ways:Diabetic retinopathy with leakage and abnormal vessel growth.Bleeding into the gel cavity of the eye (vitreous hemorrhage).Cataracts may occur as a result of fluctuation in blood sugar.Diabetics are at a higher risk of optic nerve swelling due to lack of blood flow to the optic nerve.Double vision is more common in diabetics due to lack of blood flow to the nerves controlling the eye muscles.Glaucoma occurs 2x more frequently in diabetics.Carotid artery narrowing is more common in diabetics. This can lead to stroke.Diabetics are more susceptible to corneal ulcers, dry eye and eye pain.The data is convincing, the longer one has had DM, the greater the chance of developing eye related complications.Keys to avoiding eye problems in people with diabetes include:Regular eye examinationsHemoglobin A1C levels

Routine tests such as blood counts and blood pressure checks are just a few of the measurements health care providers monitor to get an accurate picture of patient health. Once you've reach your 50th birthday, screening for hearing loss should be a part of your health routine.Routine hearing screenings provide a reference point should any hearing problem arise in the future. They create a better picture as to how your hearing has changed and the severity of your loss making it easier to determine appropriate treatment. Early detection can help prevent further hearing loss by alerting patients to the progression and steps that should be taken to prevent further damage.The connection between aging and hearing loss is well known. Other factors that may damage or lead to hearing loss include:Occupational noises. Many jobs involve loud noise as a regular part of the working environment. Continuous exposure to noise can damage hearing. Farmers, hunters, shooters, machinists, musicians, woodworkers and carpenters should consider screening their hearing before employment as well as follow-up hearing tests.Recreational noises. Exposure to explosive noises, such as from firearms and fireworks, can cause immediate and permanent hearing loss. Snowmobiling, motorcycling or listening to loud music can also cause damage.Cancer treatments. Certain chemotherapy drugs or medications taken in conjunction with treating cancer can cause hearing loss. If a hearing loss was present prior to cancer treatment, the treatment may cause it to worsen.Diabetes. The National Institute of Health (NIH) has found that hearing loss is twice as common in people with diabetes as it is in those who dont have the disease. Of the 79 million adults thought to have pre-diabetes, the rate of hearing loss is 30% higher than in those with normal blood sugar.Medications. Antibiotics, loop diuretics, antieoplastic drugs, antimalarial drugs, and salicylates such as nonsteroidal anti-inflammatory drugs (NSAIDs) and aspirin are known to damage auditory function and speed up normal decline of hearing with aging.Hearing loss is often gradual and many people do not recognize the problem or report it to their doctors. Hearing Loss can have a negative effect on quality of life, independent function, and social interaction. When determining strategies to stay healthy, a routine hearing tests should be part of the discussion.Editors Note: This article was submitted by: Shane S Larkin BC-HIS, ACA, BS . He may be reached at 801-525-5254 or by email at sbl@hearinglife.com

I meet a lot of people as I work with them to make their homes safer, but there is a common thread to conversations.Im returning from rehab after a fall and cannot return home until I have safety changes made.I have fallen in the past and think it would be a good idea to look at what I might need.Its not for me I am fine, just something in-case we have visitors or for my spouse.A fall is not just a short term adventure, it can impact quality of life, bank balance, family, overall health and even longevity. BE PROACTIVE, saying youre fine even as you know its harder to do things, is moving you into the going to fall category. Here is a quick list of items to consider.Remove trip hazards, keep walkways clear, put frequently used items in accessible places.Install handrails on stairs, front of house, patio and garage, hallways as needed.Is there enough light for normal use and install night lights for extra security.Add grab bars in the shower/tub and by the toilet, use a shower bench and handheld shower.And NEVER use a suction cup grab bar or a towel rail as a safety bar they will fail on you.I hope you found this article useful and remember Prevention is No Accident!James Buffalin is the owner of Safety for Seniors based in Boise and a recognized expert in Home Modification and Safety.

Residents may receive significant assistance with 2 ADL's and minimal assistance on More than 2 ADL's daily. The resident must also be able to evacuate a community under their own power and have stable health. Residents receive 24/7 monitoring and may have an independent home health agency help with services.#listing_mgr{1 basic_search}#

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.

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

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

Like other organs in the body, bones are constantly changing. Throughout childhood and as young adults, bones grow in strength and in size. Around the age of 30, bones reach their peak strength and then naturally become weaker with age.Osteoporosis affects one in every four adults and is a condition where bones become weak to the point of breaking. Symptoms of osteoporosis do not occur until a lot of bone strength is lost. The most visible symptoms may include loss of height, along with curvature of the upper back.Osteoporosis may also result in crippling and painful fractures, occurring most often in the hip, back or wrist. About 80% of these fractures occur after relatively minor falls or accidents.What Can You Do to Prevent Bone Loss? Medication - Calcium is one of the important minerals needed by your body for bones to form. If you do not get enough calcium and vitamin D, or your body does not absorb enough calcium from your diet, your bones may become brittle and more likely to fracture. Adults age 50 and older should have 1,200 mg of calcium and 800 - 1,000 IU of vitamin D daily. Bone Density Screening - If you are over age 65, postmenopausal with a bone fracture, on have been on prolonged hormone replacement therapy or take steroids for an illness, you should have a bone density test. The bone densitometer uses small quantity of x-ray to measure the amount of bone mineral, which relates directly to bone strength.Healthy Lifestyle Habits Healthy eating and exercise is very important for slowing the progression of osteoporosis. Although mild exercise does not protect bones, moderate exercise (more than 3 days a week for 90 minutes) can help. Before beginning any exercise program, talk to your doctor.Help Managing Your Bone HealthSaint Alphonsus has a team of experts that can help:Bone Density ScreeningIndividual Physical EvaluationsNutrition CounselingWellness ClassesEducation on balance and preventing fallsTo schedule your Bone Density Screening, call (208) 367-8787. For all other services, call (208) 367-DOCS.

As we age, we often have a greater need for medical and therapeutic services. Lee Healths Senior Care Choices program enables many seniors to remain independent in their own home and enjoy the independence they desire.Our team of Aging Life Care ProfessionalsTM - care managers and social workers - coordinate care with a number of medical and supportive services to find the best fit for each person; to make their lives more manageable and comfortable. We are their advocate, and we do this while communicating with family members who live all over the country.The goal is to keep older adults as independent as possible so they can age in place. This means staying in their current residence, whether that is a single-family home or an assisted living residence. With the services we provide, the older person may not need to move as he or she requires more comprehensive care. Our team will:Accompany client to physician appointments and communicate to families.Develop a Care Plan with input from family members and physicians, which includes a complete medical, social, safety and nutritional evaluation. Coordinate and oversee the Care Plan to be followed by all those in connection with the care of our client.Investigate benefits of home care, assisted living and nursing homes.Arrange for in-home services, such as caregivers, laundry, housekeeping, meal preparation and even installation of grab bars or other assistive devices.Coordinate the delivery of medications, meals, medical equipment, health alert devices and other items.Our team has extensive knowledge about how to assess an individuals needs, determine the best living situation for them, efficiently manage resources and provide the numerous support services to maintain independence and the best possible quality of life as they age. For more information on Lee Health Senior Care Choices, call 239-225-7718.

Those things which we do not understand are most often the things that cause the most stress. In school for example, some students dread the walk to their algebra class. A feeling of stress and imminent doom overwhelm them as they ponder the question, what does X really equal anyway? Whereas for some, Algebra comes easy and stress is not a part of their journey to mathematical wizardry. The difference the level of knowledge and understanding.Much more significant than algebraic equations, are issues related to health. What treatments are needed? How will I pay for my care? Who will take care of me? Will it hurt? Will I be alone?You arent expected to understand everything; no one does. However when it comes to your health understanding is crucial. Hospice is a specialized form of health care which functions through an interdisciplinary team of experts who do understand all of the unique needs of end-of-life care. With social workers, chaplains, physicians, nurses, physical therapists and more; a hospice team is built specifically to meet all of the needs of both the patient and their family.Harrisons Hope is a hospice that prides itself on an unwavering commitment to care, community, counsel and communication. Built around the philosophy of doing whatever it takes when it matters most, Harrisons Hope has developed a patient first focus for everyone in need of this dedicated care.Our commitment is to provide a level of patient care that is second to none. Our commitment is to provide patients and families with a superior level of communication that ensures questions are answered, care is provided quickly and understanding is achieved. Our commitment is to become an integral part of our communities through patient care, faith and education. Our commitment is to counsel our patients to ensure that the benefits of hospice are fully understood and received.Live your life without fear as the complete Harrisons Hope team works to meet each need that you and your loved ones have during this critical time.Life is all about the choices you make. When it comes to your health it is important that you make the best choice possible. Hospice empowers you with the opportunity of spending quality time the way you choose, in the place you decide. No matter what you may be facing, take control of your health and find a redefined hope for a better quality of life.

Knee pain can be caused by injury, arthritis and osteoarthritis. As we age, the cartilage in our joints begins to shrink, causing sometimes bone-on-bone contact which is very painful. There are both surgical and non-surgical solutions to knee pain. See a joint specialist in your area to determine the correct treatment for you.#listing_mgr{7 basic_search}#

For those individuals who will need home care services and are in the process of a Medicaid spend down, consider an agency that you are able to transition to once you meet your income limit?To maintain continuity, one may consider a non-medical home care agency that provides services for both private pay and Medicaid home care clients. When you contract with an agency consider the issues that may arise once the spend down is complete. If your agency has not been credentialed by the Department of Social Services, you will be required to move to a home care agency that participates in the Medicaid waiver funded home care program (Connecticut Home Care Program for Elders (CHCPE).This transition can prove to be very disruptive to your loved one receiving care. For example, a key problem is lack of continuity. The care that has been provided is disrupted and the care will now be delivered from a range of unfamiliar caregivers. From the perspective of an elderly who may have short-term memory impairment and fears change, this can be very confusing. Your loved one typically develops an emotional bond with the caregiver that has been providing services. A bond is developed and a communication style is created fostering a sense of calmness. In addition, a daily routine is developed. The routine may include anywhere from eating breakfast and getting dressed in the morning, to assisting your loved one with their evening schedule.As the elderly population continues to grow, and life expectancy increases, these decisions should factor into heavily to assure a seamless home care transition for your loved one.Editors Note: This article was written by Mary Ellen Leviness (Care Manager) and Joe Campano, Care (Managing Partner) of Compassionate Care at Home. They can be reached at 203-433-4325.

If youre a caregiver and a perfectionist, you may be facing an uphill battle. Caregiving is a demanding job, and its critical to accept that not everything will be perfect. As a caregiver, there are many things you cannot control, and the most important thing to do is to let go of chasing perfection and simply aim to do your best.Throughout our entire lives, people, maybe even the person youre caring for, have told us that nobodys perfect. That phrase applies to caregiving more than nearly any other situation youll face throughout the course of your life. Learn from your mistakes, but also forgive yourself. If you ever practiced poor judgment, whether it was before your loved one got sick or while providing care, you need to let it go.Caregivers are under far more stress than the average person, and if you dont acknowledge that, youre far more likely to succumb to the causes of caregiver burnout. Being a caregiver is challenging and is often a role that is discounted and marginalized. If at any point you have thought or said some version of, I dont have time to relax due to your obligations as a caregiver, read on.Time is not your enemy, your to-do list is. Put it down and walk away. Really, walk away; just for a few minutes. No need to panic, it is not going anywhere. One powerful key to reducing caregiver stress lies in the wisdom of mindfulness. Being mindful is proving to be one of the most effective ways to take care of your loved one while fortifying yourself.Mindfulness is a necessary core competency for everyone. In the long run, creating space for yourself will keep you grounded and peaceful while allowing you to be of service. Small mindful changes over a period as little as a week can begin to yield positive results and include:Breath awarenessGratitude and journalingConnection to othersNurture and restFocusing on the present momentEditors Note: For more tips on how to be mindful, visit our website at HomeCareAssistance.com. Home Care Assistance Mindfulness & Caregiver White Paper. For the complete guide, email us at hcachicagomedia@homecareassistance.com

The Department of Veterans Affairs offers a variety of service connected compensation and non-service connected pension benefits to Veterans and their dependents, some of which are particularly relevant to senior Veterans. Below is a summary of available VA compensation and pension benefits that may be most relevant to senior Veterans and their dependents.Service connected compensationService connected disability compensation may be paid for chronic injuries, disabilities, or diseases, that were incurred in, aggravated by, or presumed to be related to, a Veterans Active Duty military service. Requirements for establishing service connection include 1) an event, injury, or illness in service, 2) evidence of a current chronic condition, and 3) the establishment of a link or nexus, between the current condition and the in-service event. Veterans who are in need of higher levels of care due to a service connected disability may be eligible for service connected Aid and Attendance benefits, or Special Monthly Compensation, as described below.Aid and AttendanceTo support a claim for aid and attendance, the evidence must show that due to disabilities, you 1) require the aid of another person in order to perform personal functions required in everyday living, such as bathing, feeding, dressing yourself, attending to the wants of nature, adjusting prosthetic devices, or protecting yourself from the hazards of your daily environment, or 2) are bedridden, in that your disability or disabilities requires that you remain in bed apart from any prescribed course of convalescence or treatment.Spousal Aid and Attendance BenefitsA Veteran who is eligible to collect a dependency allowance for service connected compensation purposes, ie is rated 30 percent or higher, may be eligible to receive an additional monthly stipend, if his or her spouse meets the above mentioned requirements for the establishment of aid and attendance.Non-service connected benefitsNon-service connected disability pension is paid based on a Veterans service, current level of disability, and financial qualifications. To qualify for pension, a Veteran must have served at least 90 days of continuous Active Duty service, or generally 24 months after September 7, 1980, have been discharged under other than dishonorable conditions, and have served at least one day of Active Duty during a period of war (combat service not required). There must be a finding of permanent and total disability, which can be established by: 1) attaining the age of 55, 2) being in receipt of Social Security Disability pension, or 3) residing in an accredited nursing home. Veterans must additionally meet certain income and net worth requirements, with consideration given to qualifying deductible medical expenses. Veterans in need of higher levels of care may be eligible for non-service connected Aid and Attendance benefits, or special monthly pension. The requirements for establishing this higher level of care are as noted above, however special monthly pension does not require that this need for additional care be related to any service connected condition.Survivors BenefitsThe surviving spouse of a Veteran may be eligible for Dependency and Indemnity Compensation (DIC), or service connected death benefits if the Veterans death is determined to be related to service. A surviving spouse may also be eligible for non-service connected Survivors Pension based on income and net worth, if the Veteran met the above listed service requirements for non-service connected pension. Additional benefits may also be paid to surviving spouses if a need for higher levels of care, or Aid and Attendance is established.More InformationInformation, to include payment rate tables for both service connected and non-service connected benefits can be found at www.va.gov. Compensation and pension benefits are tax-free, and are not paid concurrently, rather the Veteran will receive whichever benefit is greater. To apply for any benefits, contact your local Veterans Service Organization or apply online at www.ebenefits.va.gov.

You know that youll die someday, and hopefully you have a good estate plan in place for that. But have you planned for incapacity?We all know people whove had an unexpected stroke, brain injury, or even dementia and if that happens to us without a good plan in place, the hassles for our family can be overwhelming.Financial AffairsEither a financial Power of Attorney or a Revocable Living Trust is needed to allow someone to manage your affairs if youre incapacitated. Talk to an attorney who really knows estate planning to find out whats right for you, so your family doesnt have to involve the court in the middle of a difficult time.Medical DecisionsThere are several documents you need to ensure someone can carry out your medical wishes. These include a Medical Durable Power of Attorney, Living Will, and Universal HIPAA Release.Payment for Long-Term CareAlthough youve worked hard your entire life, you may end up with nothing if you need care. Almost 70% of Americans turning 65 will need long-term health care, and the biggest concern for many of them is how to pay for it.Out of Pocket With the monthly cost for care in a nursing home averaging over $7,500 per month, the majority of your lifes savings may be eaten up quickly.Insurance Long-term care insurance can pay your nursing home expenses, but you need to get it while youre still healthy.Medicaid Medicaid can pay most of your long-term care costs if you meet certain income and asset requirements including no more than $2000. The rules are complex, particularly if youre married. By working with a good Elder Law attorney you may be able to save some of your hard-earned money even if you end up in a nursing home.For help with planning for disability, including qualification for Medicaid, call our office at 719-520-1474 or visit our website at ColoradoEstatePlan.com.Editors Note: Article written by Catherine Hammond, founder of Hammond Law Group. She can be reached at 719.520.1474 or by email at info@ColoradoEstatePlan.com

Any provider can elect to provide day/night services on a short or long term basis. Rates typically include a place to rest, one or two meals and snacks and activities for the day. Licensed communities are prohibited by law to promote these services without a specific license.#listing_mgr{1 basic_search}##listing_mgr{7 basic_search}#

For more information on the author Good Life Healing Center, CLICK HERE.Anger is the emotion associated with springtime in Traditional Chinese Medicine. For most of us, we consider anger a bad emotion, something to avoid or get rid of, so why would it be one that TCM would shine a light on?Well, no emotion is inherently good or bad, its how we deal with challenging emotions that can end up hurting ourselves or those we love.According to TCM, springtime is a very yang time of year, full of new energy and growth in nature, and in us. In humans, when growth or change occurs in our lives, there often is a catalyst, something were not satisfied with or something were inspired by, something compelling enough to move us to make a change.Anger can be a very compelling emotion. When anger is channeled into action, it can be very powerful. All of this to say, TCM connects the high energy and potential growth of springtime with anger, a strong catalyst for growth if its acknowledged and channeled well.Of course, its not a given that when we feel anger, well be able to use it to catalyze an important change or even recognize why were angry in the first place. Too much anger can also cause harm to the physical body over time.One of the most common causes of anger, according to TCM, is chronic or acute stress resulting in energy stagnation, especially in the liver. The liver is responsible for the healthy flow of qi around the body. When qi is stuck in our bodies, emotions too can become stuck, and hard to express or even identify.According to TCM, there are several modalities that can help the flow of qi and emotion in our bodies.Acupunctureis a great modality for supporting the healthy flow of qi through the liver.Stretchinghelps release blood and qi through the body and into the tendons, maintaining a healthy physical body.Eye exerciseshelp support the health of the liver and vice versa. The liver is partly responsible for the function of the eyes. Remember to take breaks from looking at computer or phone screens throughout the day.Eating greenshelps maintain healthy liver function and the movement of qi.Spending time outside, especially combined with exercise, helps qi movement and overall mental health.Qi stagnation is very common, especially in springtime as we move out of the lower energy of winter. But when qi is flowing smoothly, we can fully engage with all the opportunities springtime can provide. Getting seasonal acupuncture tune-ups is a great way to stay healthy all year long. Call me today for an appointment!

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*

If the patient is not a Medicare Recipient and is covered by the VA, the VA will make payments directly to their contracted agencies. If a patient is a Veteran, but is a Medicare Recipient, they may choose any Medicare approved hospice agency for their care.#listing_mgr{1 basic_search}#

Few words can make a senior more nervous than Assisted Living. Images of losing independenceand the foreboding 1970s Nursing Home are invoked. Some envision neglected loved ones with poorcare and minimal socialization for a hefty cost. Others prefer the stability and predictability of stayingin the home theyve lived in for years instead of somewhere new, even if that change theyre dreadingmay be for the better.In todays modernized world, where seniors have more choices now than ever before, communities aredesigned for social activity, personal care, health management, nutrition, affordability, safety, and mostof all, independence. Maintaining independence is a top priority for residents and communities alike.Once seniors get help with the activities theyve been struggling with, theyre now empowered in everyother aspect of their life. Every community that we partner with keeps a spotlight on keeping residentsas independent on possible.The best way to overcome the misconceptions is to go in person and see for yourself. By examiningcurrent residents quality of life, one can overcome their anxious memories of the Nursing Home. WithOasis Senior Advisors, were at your every step of the way, from finding the right communities,accompanying you on your tours, and representing you through the agreement process.It is always best to start this process early to guarantee the senior can participate in the selection andtouring process. Its lower stress (and even fun!) to embark on this journey when you have time andresources instead of a panic when theres an emergency.Aging can be a scary process when one looks in the mirror and asks how the last decades of life flew byso quickly. People dont like to be treated differently or talked down to just because their bodies havechanged while theyre the same people on the inside. Seniors dont get to be bossed around now ortreated any differently just because they need some help.The senior living industry has revolutionized itself into something to be celebrated. Seniors canset themselves up for a future of independence through the reassuring avenues of care, safety, andsocialization. Assisted living can and should be the beginning of a new adventure.Editors Note: This article was written by Steven Moses, CSA CDP CPRS, owner of Oasis Senior Advisors ofOrlando. He can be reached at 407 250 8300 or visit www.OasisSeniorAdvisors.com/Orlando.

Why is Fall Prevention Important for Aging Adults?More people are living longer into the later stages of their lives and wish to stay active and remain healthy and productive. However, falls are a major threat to the health and independence of aging adults 65 plus. Serious falls can result in physical pain, such as hip fractures and head injuries which could end up in a prolonged hospital stay. Recovery from a traumatic event usually is more complicated than a planned elective surgery, due to severity. Not only do falls come at a high price for an individual emotionally, physically, and financially, the fall itself may be preventable.Changes come with ageAging is a complex process involving progressive degeneration of ones body and mind, influenced by genetics, gender, and a wide range of environmental factors. Systemic changes occur as we age, impacting the heart, lungs, digestive system, vision, hearing, bone mass, brain function, joints and muscles. Aging individuals may experience a reduction in their level of energy, changes in sleep patterns, and cognitive challenges, like memory loss. These changes can affect balance and increase the chance of falls; therefore, maintaining physiological functions is important to the well-being of an aging individual.Understanding fall risk factorsAlthough maintaining a healthy lifestyle reduces the risk of falls, inevitable physiological changes occur as a person gets older that increases the risk factor. As we age, the chances of developing complex medical conditions increases, such as diabetes, stroke, heart attack, osteoporosis, arthritis, chronic obstructive pulmonary disease, and congestive heart failure. A fall resulting in immobility can amplify physiological changes associated with the normal aging process. Various medication side-effects and interactions can cause dizziness/drowsiness, which can increase fall risk. Vision or hearing loss can contribute to falls by disturbing balance and by obscuring tripping and slipping hazards. Environmental factors should also be considered. Remove throw-rugs, install grab bars, wipe-up spills, use rubber mats, and clear outdoor walk paths. Increasing awareness about fall risk factors and ways to reduce fall risk is crucial in effectively preventing falls.Editors Note: This article was submitted by Bonnie M. Leavy-Mello, M.B.A., Director of Community Outreach, Laurel Ridge Health Care Center, managed by Athena Health Care Systems. Bonnie has 25 years of experience in healthcare and has extensive knowledge in long-term care and can be reached at 203-438-8226.

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.

I have spent many years assisting caregivers just like you. Caregivers frequently ask for the right way to respond to the challenges they encounter. While there is no one-size-fits-all formula, there are tried and true proven techniques to help you. Utilize these five techniques that can empower you and make your situation more manageable:1. Take Time and Just BeSpend time with no pressure, no agenda, no tasks, no judgment and no expectations. Allow the person to be who they are now. Keep in mind you can only tell the person with dementia what they can handle, and they can handle less and less.2. Don't Ask Questions or Give Too Much InformationQuestions can be distressing at the best of times and can put pressure on people. Questions simply become too much information for the person with dementia to process. KEEP IT SIMPLE!3. Remain Calm, Confident, Patient and Present in the MomentAlthough people with dementia may seem distant or confused at times, their emotions and feelings remain. Hold their hand, give them a hug. Show them compassion and care. Think of these three lines of my favourite Maya Angelous poem:People will forget what you said,People will forget what you did,But they will never forget how you made them feel.4. Ask for Help from Family and Care Professionals.Caregivers often feel obligated to sacrifice themselves for the sake of the person they are caring for. Regular family meetings and good communication can help clear the air before things reach a breaking point. If you are the primary caregiver, be sure you remember to take care of yourself. It is essential to everyone's well-being that you remain in good health and can balance your care responsibilities with your own happiness.5. Educate YourselfThe more you understand about the various causes of the dementia symptoms, the more youll see that your loved ones behaviors and changes are par for the course. Keep in mind it takes a village to care for someone presenting dementia symptoms. You must gather your villagers (family members, friends, trained professionals, community resources) in order to successfully make it across the finish line in the dementia care marathon.By Laura Wayman, The Dementia Whisperer; Director of Dementia Education Services for Comfort Keepers (South Metro Denver); Author; A Loving Approach to Dementia Care, Publisher; Johns Hopkins University Press

For more information on Gulfshore Home Care, Click here.Make Holiday Memories with SeniorsTake on these simple projects with seniors to make special holiday memories together this season. The crafts are easy and fun. Part of the joy of the holidays is making memories together. Senior mobility and energy may be limited, but making simple crafts at home are special ways to brighten the holidays.5 Nostalgic Projects to Make This Holiday SeasonThese crafts are fit for seniors because they are calm and simple. Theyre also nostalgic, adding joy to the time spent making them. Seniors might also enjoy making these crafts to give as gifts over the holidays.1. Recycled Card Bookmarks Use ribbon, glue, and old Christmas cards to make simple bookmarks.2. Mason Jar Snow Globes Encourage seniors to put knick-knacks collected over the years in their mason jar snow globes. Only a few materials are needed.3. Memento Ornaments Clear Hollow ornaments can be fun to fill with special mementos. These are often valued as priceless memory holders and conversation pieces.4. Scrapbooks/Photo Albums Good old-fashioned scrapbooking allows seniors to reminisce and share stories with a sense of purpose and delight.5. Needlework/Sewing Projects There are a ton of easy, fast, adult crafts seniors can make using fabric, needle, and thread (or yarn). Search online for adult sewing ideas and directions.Simple, Decorative Holiday Crafts Seniors Will LoveBeing able to decorate or make decorations to give as gifts can brighten the holidays for seniors. Decorative items seniors can easily make include:Holiday pinsBasic JewelryCandleholdersGift tagsOrnamentsPinecone decorationsCheck sites like goodhousekeeping.com or countryliving.com and look up holiday craft ideas.Benefits of Crafting for SeniorsMaking something offers a number of benefits to seniors, especially during the holidays. Benefits include:A sense of purposeThe joy of giving giftsFun and laughterSomething to share with othersNostalgic feelings and reminiscingHoning skillsLearning something newMemory makingConversation startersAdding cheer to living environmentMental boostsMake Holiday Projects More SpecialWhether seniors really love making crafts or not, spending time working on projects over the holiday can create precious, joyful memories. There are many ways to make these activities more meaningful to seniors: Turning on holiday music while crafting Planning projects as gifts to loved ones Inviting friends or family to participate Using the projects to decorate Encouraging storytelling and memory-sharing while crafting Completing projects to donate to charity Incorporating mementos or favorite knick-knacks into crafts Making regular time to work on crafts over the seasonHome Care TipSome seniors fine motor skills deteriorate over time. If that is the case, offer to help seniors write cards and select crafts that dont require precision. Seniors should retain a sense of ownership over projects, even if they are unable to do some of the tasks independently.

Why choose hospice? The word hospice often brings negative emotions like fear and failure and worries about the cost.Many families are not ready to let their family member go or they are angry that they do not have more time. I experienced these emotions as my mother-in-law, Barbara, was struggling to breathe with her chronic condition of heart failure. Her son was very adamant that if she got up and walked around with the assistance of a physical therapist or stopped taking her medications she would get better and live a long time. I could see the signs of her decline and realized she needed additional help with basic activities like bathing, dressing and transfers. After several family conferences, the family agreed to place her on hospice.The hospice services provided a nurse on a regular basis to help manage her pain and other health conditions that come with living with a chronic illness. A physician trained in palliative care directed the management of her care. Hospice aides helped in keeping her clean and well groomed. Additional emotional support came from an involved Medical Social Worker. Barbara enjoyed having the opportunity to unpack her life with a Chaplin and resolving past issues with her spirituality. An added bonus was the music therapist, who played songs of her youth and often would ease her breathing by the type of music which he played. Barbara became very close to those who served her at this critical time of her life.The biggest miracle of hospice was mending of family relationships which had become strained. Forgiveness was given for mistakes of the past and the family was able to heal. When Barbara passed there was a sweet peace that filled the room.Hospice is a way of caring that brings comfort to persons living with a terminal illness, and gives support to them as well as to their families. As a family member, I am grateful for the hospice services which are available. What is so helpful to families in this situation, Medicare pays 100% of all of these necessary services.Editors Note: This article was submitted by Kris Carter. Kris Carter is the Executive Director of Aspire Home Health and Hospice and may be reached at 801-292-0296 or by email at kcarter@aspireutah.com.

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

These are divisions of the state government and they oversee licensing and services provided by senior housing, home care, and other services.#listing_mgr{7 basic_search}#

Legacy Corps is now available in southwest Idaho! Legacy Corps is an award-winning national service project that provides volunteer-powered caregiver support for veterans and military families. A growing and specialized need for caregiver support exists among veterans and military families. Research indicates that caregivers of veterans report more than twice the emotional stress of caregivers of adults nationally, almost three times the level of physical strain, and almost four times the level of financial hardship. Legacy Corps was launched by Friends in Action in 2012 to help address these caregiving needs. Legacy Corps programs operate in 15 cities across 10 states, and all Legacy Corps programs partner with the University of Maryland and the Corporation for National and Community Service to provide support services to many veteran and military families. Legacy Corps volunteers provide weekly, quality assistance to veteran/military families who care for a loved one at home. Volunteers serve as companions with the veteran being cared for so the family caregiver can have a weekly break; volunteers provide transportation and prepare light meals; and volunteers help connect families to other community support services, peer-to-peer support groups, and other related services. Volunteers are well-prepared as a result of 90 hours of pre-service and ongoing in-service trainings! Legacy Corps volunteers commit to 450 hours of service over a one year period, which means every volunteer serves 10-12 hours per week helping 3 to 4 families each. Legacy Corps volunteers become a close-knit team who make a huge difference in the lives of many, many families across the Treasure Valley. All volunteers must complete an application, agree to criminal and sex offender back ground checks, participate in a national research study and have mid-year and end-of- year evaluations. Legacy Corps volunteers receive many benefits from their service. In addition to life-changing experiences helping others, volunteers receive a monthly taxable stipend and are eligible to receive an Educational Award of nearly $1,500 when they complete their year of service. For volunteers age 55+, the education award can be given to a child or grandchild. The Educational Award may be used to attend classes at most colleges/universities or to repay qualified student loans. Legacy Corps volunteers assist many veteran and military families who care for a chronically ill or disabled adult at home. This service project helps family caregivers maintain their own health and well-being; it helps volunteers develop new skills and knowledge; and it fills a growing need in our communities. For further information about Legacy Corps, please contact Friends in Action (www.fiaboise.org) at 333-1363. Friends in Action Friends in Action is a unique volunteer-powered program serving family caregivers and those they care for. We are a program of the nonprofit Mountain States Group. Highly trained volunteers lead award-winning education programs; provide caregiver respite and support/ and assist with the annual southwest Idaho Family Caregiver Conference.

Aging in America has never been a popular subject. We know it happens, but we never really want to think or talk about it. When we do, the conversation usually revolves around how to hide the signs of aging instead of how we can embrace and prepare for the next phase of life. Believe me, life can be enjoyed through the end, Ive seen joyful aging in action. However, education and preparation is pivotal to understanding how to age well and have the best care and quality of life.For instance, do you know the difference between a Nursing facility (medical model of care), an Assisted Living facility (non-medical model of care, but can provide some healthcare services) and a Personal Care Home (non-medical model of care)? Are you aware that Therapy Services can be provided in your home? Did you know that Home Care, Home Health and Hospice are similar but offer distinctly different services that can be provided anywhere you call home?As an industry, Long Term Care has not done the best job educating our future consumers on what is available to them as they age. With new technology and a growing older population, the industry is expanding and evolving by leaps and bounds. You need to be proactive, research and plan for the inevitable, not avoid it. The better the research the better the outcome.Thankfully the days of the Old Folks Home are gone, replaced by vibrant senior living communities that focus on hospitality, wellness and aging gracefully with dignity and independence, but you need to make sure the community is the right fit for you. All communities are dynamic and have their own living culture regardless of whether they are owned by a large corporation or a small regional provider. You need to tour, ask questions of residents and staff, and attend a meal and/or activity. The same due diligence applies to researching home care agencies. Research and prepare now. Form a plan. Meet with an estate planner if needed, but do not put off for tomorrow, what you need to do today. If you wait until you need the help your options may become significantly limited.Editors Note: This article was submitted by S. Denny Granahan. Denny is the Executive Director with Greenfield Senior Living in Harrisburg, Pennsylvania.

To learn more about A Call To Order,CLICK HERE.We hope and pray that nothing will happen to our home or business, but its a good idea to be prepared just in case. You likely have insurance on your home or business and many material things in your house can be easily replaced should disaster strike. Other things like photos and important documents can be hard or impossible to replace. Missing documents can make it harder to rebuild after disaster strikes. Thats why it is a good idea to keep them safe and secure.Invest in a Fire SafeA good fire safe will survive a lot of damage. Invest in a quality one for any documents you want to keep at home. You can get a fairly small box that can be stashed away in a closet or cabinet. Make sure both you and your spouse know where the safe is kept and has a key to open it. Be sure that the rating is over 2400 degrees.Get a Bank Deposit BoxYou may also want to rent a bank deposit box and store important documents, or notarized copies of them there. This will come in handy when you need the information on the documents (i.e. your insurance policy number), or you need to replace documents that didnt survive a home emergency. Place in sealable plastic bags or folders.Make Physical CopiesIts amazing how much easier it is to get a replacement passport or birth certificate if you have a copy of the original. Thats why its helpful to make these paper copies and keep them in a secure offsite location (like a bank deposit box). You could also keep them at a family members home. Make sure the copies are stored safely to avoid issues like identity theft.Make Digital Copies and Store them Online or CloudLast but not least, go ahead and scan the documents or take pictures of them with your phone and store them on a secure online server. Places like Deposit Box, or even Google Photo will store quite a bit of information for you free of charge. Since your document scans are living in the cloud, you can easily access them from anywhere with your phone or a borrowed computer. This also makes it easy to email them off to insurance agents, or government officials to get replacement documents made.Spend a little time this week to sort through your most important documents and get your paperwork in order. It wont take you long to scan them, take pictures of them, and/or make photocopies. The little work youre doing now to be prepared will potentially safe you a lot of headache down the road.Make it a point to revisit your documents every 6 months to make sure everything is up to date and in order. Once the original setup is done, it will be much easier to keep up with it. Youll likely only need to change out one or two document copies a year.

Assisted Living Locators is a free referral and placement service, and we have been matchmaking seniors with caring providers since 2003.Since theres no cost for our service, youll be free to access the best senior care options, information and resources available for you and your loved one. You can rest assured that the services, communities and homes that we recommend have been pre-screened and personally matched to your loved ones needs. Whats more, our compassionate professionals will be at your side every step of the way, advocating for your family to ensure that everyone will feel comfortable and at home with the decisions that are made.Just like you, we cant do it alone, which is why Assisted Living Locators is at the center of a network of extraordinary community partners who share one common goal: bringing excellence and dignity to senior care services and living solutions. So, wherever you are or whenever you need information, we invite you to come to us with questions about in-home help and personal care, adult day care, respite, independent living and retirement apartments, assisted living homes and communities, memory care and access to other related professional resources, including financial, legal, and real estate. If you cant tour facilities in-person because of location or physical limitations, you can always view your options any time from the comfort of your own home with our extensive website.Were here and ready to help you now. Our process is easy and individualized for every client. We will start with an in-depth personalizedassessment of your needs so we can get to know you and your family. Based on our analysis of your unique circumstances, we will provide our best recommendations to meet your needs. We will provide hands-on guidance and feedback to help you evaluate services, amenities and care options until you find the best choice. Once your family has made a decision, we will facilitate your transition and provide on-going support and follow up for you and your loved one.Leave the worry to us.Editor Notes: Contact Jaime Daniels at 941.479.3500 or email JDaniels@AssistedLivingLocators.com. Visit us online at www.AssistedLivingManasota.com

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

With the Medicare annual election period right around the corner its that time again when your mailboxes will be filled with fliers and ads from every insurance company you have heard of and some you may not have heard of; but the question is? What do I need to know?Oct. 1st - This is the time when brokers and insurance company representatives can tell you about their plans details, but no selling allowed!Oct. 15th thru Dec. 7th AEP, is the election period in which a Medicare beneficiary may shop around and make a change to their current MAPD plan, which stands for Medicare Advantage plan (HMO or PPO type Plan) with Prescription Drugs, or they may elect a plan for the first time if they hadnt done so previously. If a beneficiary is on a Medicare supplement and a stand-alone Part D drug plan, they may change their plan to a MAPD plan and vice-versa. It is important to know that the last plan you enroll in is the plan that will be in affect for Jan. 1st.Jan. 1st thru Feb. 14th is also an election period called the Medicare Advantage Disenrollment period. This period is a time where a beneficiary who has a MAPD plan can switch from the MAPD and go back to Original Medicare with a Medicare supplement and a Part D Rx Plan. Coverage would start on the first of the following month.How to pick a plan? What company? $100 vs $0 premiums?Words of advice: Be sure to find a plan your doctors accept, and make sure all your prescriptions are covered. Find a broker who represents all the companies who offer MAPD plans, and multiple Medicare Supp. plans so you can have choices.When shopping for MAPD plans take careful notice of your Out Of Pocket Maximum, this is the part where during one calendar year it is the most you are responsible for paying in co-payments and co-insurances for the medical expenses covered by your plan. Prescription co-pays and co-insurances have their own guidelines. Supplement or Medigap Plans vs. MAPD plans?Medigap supplement plans are going to run around $220 a month in premium but have little or no co-pays or coinsurance during the year for qualified Medicare expenses not fully covered by Original Medicare.Medigap plans do not have prescription coverage but must be purchased separately for around $25 to $45 a month.MAPD plans will have a co-pays for doctors and hospital visits and typically will have a network, so it is very important that you check with your doctors to make sure they except the plans. A plan that has no premium will have a larger out of pocket maximum, and a MAPD plan that has a $100 premium will have less of an out of pocket maximum.Can I get some help paying for all this?The answer is YES: Its called the Medicare Savings Program.If you are married and make under $3266 a month in income, or $2413 as a single, you will no longer have to pay the Part B premium that is deducted from your Social Security Check every month, and you will also get Prescription help.Paying less than $7 dollars a month for brand named drugs, and about $2 dollars for generics.If you make below 2,069.11 as a single and $2,802.08 as a couple, you are also entitled to extra benefits that will help you with co-payments and co-insurances in hospitals and doctor visits.More info can be found on the following information on Www.figlarinsurance.com, www.medicare.gov, and www.ct.govThis article was submitted byMarc Figlar, Certified Senior AdvisorMarc can be reached at 203-394-3447

Meniscus tears are among the most common knee injuries. When people talk about torn cartilage in the knee, they are usually referring to a torn meniscus. Your meniscus is a wedge-shaped piece of cartilage that sits between the thigh bone and the shin bone. It acts as a shock absorber and provides some stability to the knee. The meniscus is tough and rubbery to help cushion the joint and keep it stable.Sudden meniscus tears commonly occur with sports. Players may squat and twist the knee causing a tear. Older people are more prone to degenerative meniscus tears due to the cartilage weakening and thinning over time just an awkward twist when walking or getting up from a chair may be enough to cause a tear.When a meniscus tear occurs, people typically feel or hear a pop. The majority of people can still walk. Over the next 2-3 days, there may be the following symptoms: Increased pain with twisting the knee Stiffness and swelling Catching or locking of the knee The sensation of giving way Decreased range of motionDiagnosisWhen diagnosing a meniscus tear, a thorough examination is done to check for range of motion, swelling and tenderness along the joint line, as well as pain or a clicking sensation. Some imaging tests may be ordered to help confirm the diagnosis, such as an x-ray or MRI.Treatment OptionsBased on the type, size and location of the tear, there are a few options. If the meniscus has rich blood supply, it may heal on its own over 2-3 months. If symptoms persist but the knee is stable, nonsurgical treatment may be all that is needed. This involves protection, rest, ice, compression and elevation. Non-steroidal anti-inflammatory medications may be prescribed to help reduce pain and swellingIf the meniscus lacks a good blood supply, however, these tears do not heal. Tears in this zone are usually surgically trimmed away. So, the type of tear, your age, activity level and any related injuries help determine the treatment plan. Immediately after surgery, weight-bearing and activities are restricted for a period of time. Once the initial healing is complete, exercises are prescribed for rehabilitation exercises to restore range of motion and strength if necessary. For the most part, this can be done at home. Rehabilitation takes about 3 months. Stay the course and your therapy team will partner with you for your health and wellness.___________________________Editors Note: This article was contributed by Dr. Todd Curran, an orthopaedic surgeon with OSS Health.

Loveland Center was established in 1962 by a group of parents who sought to provide a productive and safe place for adults with developmental disabilities.What we provide at Loveland Center is Focus on the individual. Our programs utilize the latest technology and instructional techniques to help our students gain new skills and experiences. Our students first philosophy helps our students achieve the goals they set.We are now thrilled to introduce The Loveland Village, dedicated to providing adults with developmental disabilities an affordable housing option that allows them to maximize their abilities and maintain their independence in the least restrictive environment. This independent living model is one of only a few of its kind throughout the nation and could be replicated nation-wide.Loveland Center has existed for over 50 years in our community. Throughout those 50 years, there have been many trials and triumphs that individuals with developmental disabilities have faced. Now individuals with developmental disabilities are facing a new trial: they are outliving their parents, or parents ability to be caretakers.Thanks to many factors, individuals with developmental disabilities are living longer. Many parents are asking, what will happen to my child when I am gone? For some, the answer is living with siblings, but many are unprepared for the challenges that come with caring for an individual with developmental disabilities.That is why the Loveland Center has created the Loveland Village: A planned residential community tailored specifically for adults with developmental disabilities. This community is being built around all of the needs that many people with DD encounter.The Village is setup in a way that residents can: live amongst their peers. choose from whom they receive services. control their living situation. thrive in a safe environment. be active in community organizations and events. maintain an active lifestyle. have a community of natural supports.Editors Note: The Loveland Center can be reached at 157 Havana Rd, Venice, FL 34292. (941) 493-0016 www.lovelandcenter.org

To learn more aboutSYNERGY HomeCare, CLICK HERE.Every home care agency will tell you, "they're the best." But how do you really know?If youre shopping around for in-home care for a parent, a loved one, or yourself, youre probably a little stressed about the processand quite possibly tired of every home care agency telling you were the best.Its hardbut doesn't have to be.Feel your way to reason:Heres our best recommendation to help you choose a home care agency: Read the reviews to help you feel your way to reason as you make your decision. Reviews are the windows into the core of trust, competency, and compassion---something everyone searching for the right home care agency should read.Once you've narrowed it down to a handful of agencies, how do youselect the right one?Begin your feel-to-reason by meeting the agency's staff and discussing your needs. Have a list of questions prepared. Listen. Ask. Observe. Evaluate how you feel in their presence and whether they seem like a good fit to care for your aging mother so that she is well cared for, and you can breathe a sigh of relief.Ask for a complimentary in-home safety and care assessment. During this visit, the agency will learn more about your needs to develop a customized care plan for your mother. And remember, during this time, continue to feel your way to reasonyou can't trust Mom with just anyone.

Youve earned that red, white and blue Medicare card, and deserve all the coverage that comes with it. But there are other health plan options available, and you may find that the extra benefits and comprehensive all-in-one coverage of a Medicare Advantage plan fits you and your budget best.Original Medicare vs. Medicare Advantage Original Medicare (Part A and Part B) is the federal plan that provides hospital and medical insurance coverage to those who qualify. For the basics of your health care, it works well. You get easy access to most of the care you need, with minimal paperwork and widespread acceptance by doctors and medical facilities.But, even though Original Medicare is intended for older adults, it does not cover many of the health issues that become more critical as we age - like prescription drugs, vision, hearing and dental. And it may leave you open to financial burdens that dont fit your budget.So its no wonder that the Medicare Advantage category is growing rapidly as our country gets older. (Enrollment in Medicare Advantage plans has tripled since 2004*).Medicare Advantage plans (also known as Medicare Part C) are contracted with the federal government to provide Medicare coverage. These plans must provide all the benefits that Original Medicare offers, and often include additional benefits for more complete health care coverage. And because they operate as managed care programs, Medicare Advantage plans can provide all this coverage, and limit your financial risks as well.Coverage you cant get from MedicareMost Medicare Advantage (MA) plans include prescription drug (Medicare Part D) coverage for your medication needs. Look for plans that have low or no copays on widely used generic drugs, and offer additional savings on higher cost prescriptions at in-network or preferred pharmacies.Dental, vision and hearing issues can become more prevalent as we age, and coverage for these important conditions can be key to maintaining a healthy, functional lifestyle. These benefits are often included in MA plans; the coverage can vary from plan to plan, so try to find one that can help offset the costs of big-ticket items like hearing aids, glasses and dentures.Protecting your financesBecause incomes often become limited or fixed at the same time health issues increase, Medicare Advantage plans can be a good financial solution as well.With deductibles, copays and co-insurance, Original Medicare generally covers only 80% of medical expenses. Youd be responsible for the other 20%. Keep in mind there is no limit on this expense, so a chronic health condition or extended hospital stay can be financially devastating.Medicare Advantage plans cover many of the out-of-pocket costs that Original Medicare does not; you pay little (or nothing) of that remaining 20%. And, while you still must pay your Medicare Part B premium, many MA plans offer coverage with no additional plan premium. In any case, MA plans have maximum out-of-pocket limits, so you know exactly what your potential financial liability looks like.(In 2019, the average out-of-pocket limit for Medicare Advantage enrollees is $5,059*.)Make sure that you use doctors, specialists, hospitals and services that are in your plans network to keep your coverage affordable and take the utmost advantage of your Medicare Advantage membership.Do your research.Once you become eligible, youll need to enroll in Medicare and choose a health plan. Then, every year, the Annual Election Period (October 15 December 7) allows you to change your coverage, so thats a good time to review your current health, financial situation and Medicare options to make sure that you still have the plan thats right for you. You can find out more at www.medicare.gov.*Kaiser Family Foundationhttps://www.kff.org/medicare/fact-sheet/medicare-advantage/_______________________________________Editors Note: This article was contributed by PA Health & Wellness.

LTACH is an acronym for long-term acute care hospital.The name itself is misleading. Long-term often leads people to assume that its similar to a long-term care facility, but a more accurate description would be a post acute care hospital. The main difference between a traditional hospital and an LTACH is the length of the patients stay. Traditional hospitals are focused on caring for a patient for an average of four to five days. While a long term acute care hospital typically cares for a patient an average of 25 days.The purpose of a LTACH is to provide critical care-level services but with a stronger rehabilitative focus permitted by the longer length of stay. Patients referred to an LTACH must meet admission criteria designated by their insurer including Medicare, Medicaid and commercial insurers. Arrival to an LTACH for a patient will feel similar to their acute care hospital stay. The nursing ratios for patients will be similar and they will continue to have a physician round on them daily for their care.At a LTACH, patients can continue to receive intensive interventions, such as ventilator-weaning, cardiac monitoring, aggressive wound management, antibiotic infusions and TPN, while being managed by a patient care team specialized in rehabilitation. Long term acute care hospitals offer specialized programs for patients who require ventilator-weaning, wound care, infectious disease management, or intensive management of medically complex conditions. Typical services include daily physician visits, telemetry, laboratory, pharmacy, radiology, rehabilitation, dialysis, and an intensive staff-to-patient ratio.Most common questions about LTAC servicesIs a LTACH like a nursing home?Not at all. Patients in a Long Term Acute Care Hospital are too medically complex for nursing homes to typically accept. In addition, admission to an LTACH avoids using precious skilled nursing facility days granted by Medicare, which do not replenish. So the patient wins, with continued acute hospital-level care and conservation of precious Medicare eligibility.Is a LTACH like a hospice?Although many fatal diseases or injuries are serious enough to require specialized care, the Long Term Acute Care Hospital is for patients who can be treated, recover and then return home or to a lower level of care. Hospice care is primarily for those not expected to recover and have a terminal illness.Are there Out-Patient Services?It depends on the individual LTACH, but many offer a full complement of therapy services.For those looking to understand what services and conditions may be available for treatment at a LTACH, the following are the most commonly associated with LTACH: Ventilator-Weaning Respiratory Failure Wounds Medically complex Rehabilitation Amputation Cardiovascular Disease COPD CHF Head Injury Infectious Diseases MRSA Malnutrition Pneumonia Post-Operative Patients Renal Disease/Failure Vascular Diseases Spinal Cord Injury Stroke Trauma Uncontrolled Pain VREPlease contact Brad Miner of Utah Valley Specialty Hospital, 801.226.5881, for more information.Author:Utah Valley Specialty Hospital

Continuing care retirement communities, or CCRCs, offer independent living, assisted living and nursing care in a single setting or campus. You can start on the independent level and progress as need be, staying on one campus. These communities normally require an entry fee and offer a living unit, meals, and health care up to the nursing level.#listing_mgr{1 basic_search}#

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.

When its time to move to a senior living community, there are a lot of emotions involved. This can be a difficult change in a seniors life, and the lives of their family members. Adult children may be nervous about suggesting the move to their parents, and senior parents may feel they dont need to move, or they may think its a hassle.These feelings are natural, and as a senior getting ready to make the transition, its important to understand how they can be managed.Converse. Address any key issues you may be having, such as mobility issues, health issues, or difficulty with everyday activities. Listen and respect what your family members and loved ones believe is best for you and have an open dialogue for the greatest outcomes.Prepare. Youve probably been living in your house for a number of years. Set aside some time to truly enjoy your home, whether that means having friends over for dinner, or spending an afternoon in the garden. Create some memories to take with you to your new home.Decorate. When you get to your new home, fill the space with items old and new. Make plans to decorate the new apartment with items from your current home, but also mix in a few new items as well. New items can be a reminder that the new home has the potential for new, exciting experiences.Plan. Now that you have a new home, its time to invite people to visit! Plan ahead with family and friends and get them to visit regularly to make your transition smooth. If youre used to a certain activity, such as a weekly lunch with a family member, try to stick to that routine. But dont have visitors too often, because youll want to spend time socializing with new friends at the senior community.As a family member, be encouraging to your loved one during this time. Continue to talk openly with them and encourage them to engage in activities and social opportunities at the senior community. Speak with staff members regularly to stay current on how your loved one is adjusting to their new home.During the initial conversations about the transition, consider visiting a senior living professional to help you. There are many resources in your area that can provide you with assistance with planning or moving to make it easier for everyone involved.Editors Note: This article was submitted by Mike Lapinsky. Mike Lapinsky is the Marketing Director at Traditions of Hershey Independent Living and Personal Care.

For more information on Comfort Keepers, CLICK HERE.Stroke is the third largest killer of Canadian adults, after heart disease and cancer. Its also the primary cause of physical disabilities and is second only to Alzheimers disease as a cause of mental disability. While people at any age can be susceptible to suffering from a stroke, nearly three-quarters of strokes occur in people over the age of 65.Women are disproportionately affected by stroke: 45% more women die of stroke than men in Canada, and because they live longer, more women are living with the effects of strokeRisk factors for a stroke include high blood pressure, genetics, gender, tobacco use, heart disease, diabetes, weight, age and the use of some medications.There are three main types of stroke that can occur:Ischemic stroke Most strokes fall into this category. In an ischemic stroke, arteries narrow or are blocked, reducing blood flow to the brain.Hemorrhagic stroke During a hemorrhagic stroke, a blood vessel leaks or bursts, causing damage.Transient ischemic attack Sometimes referred to as mini-strokes, this is a condition that is also caused by a narrowing of the arteries, but only causes temporary symptoms.Its important to note that medical attention after a stroke is critical, and time is of the essence. Anyone suffering from the symptoms of a stroke should not wait for the effects to go away or get worse. They should call 9-1-1 or visit their physician as soon as possible. Quick treatment can minimize damage and potentially save someones life.Symptoms can include:Trouble speakingConfusion or trouble understandingParalysis of the face, arms or legsTrouble seeingHeadacheTrouble walkingHeadacheVomitingNeck stiffnessDizzinessComfort KeepersCan HelpWhether the goal is healthy living to prevent strokes, or recovery after, Comfort Keepers can help. Our caregivers can provide wellness support, remind clients to take medication, provide transportation to scheduled appointments, and support physician-prescribed exercise regimens and diets. As part of an individualized care plan, caregivers can let a seniors care team know if there are changes in behavior or physical characteristics. Our goal is to see that clients have the means to find the joy and happiness in each day, regardless of age or acuity.To learn more about our in-home care services, contact your local Comfort Keepers location today.ReferencesWebMD. Top Causes of Stroke. Web. 2017.Mayo Clinic. Stoke Web.2019.Healthline. Massive Stroke Web. 2018.Center for Disease Control and Prevention. Stroke. Web.Canada.com. Stroke. Web 2018.Heart and Stroke Foundation. Stroke Report 2019. Web. 2019.

I sneak around the corner in my red shoes. If he sees me, he will scold me. I shouldnt be wearing them, he says. They are dangerous. Maybe he is right, but I love my red shoes. They make me feel alive. They make me want to dance. They remind me of when I was young and could wear any shoes I wanted. Now, at age 91, my step is slower. I no longer dance. The physical therapist at the assisted living facility where I live tells me I should be wearing sensible shoes, flat with Velcro closures. I do most of the time, but today I want to feel young. I slip on my red shoes. Everyone notices. They all like my red shoes, expect for Elizabeth, who thinks red shoes are risqu, no matter your age. That adds to the fun. My step is lighter in my red shoes and so is my spirit. Perhaps that will help me move quickly enough not to get caught by the physical therapist. It is easy to tell our aging loved ones what they should and should not be doing. Often the motivation is genuine concern for their safety. But it is important to remember that each thing they are asked to give up represents part of their identity. Something as simple as the shoes one wears can impact the way they view themselves. So, approach the topics which need to be addressed to keep your loved one safe, but do so gently, respecting the person and recognizing what youre asking them to do may not be as simple as it seems. Patty Masterson-Kane, LCSW and Patty Hemphill, LCSW are partners in Elder Care Options, a Geriatric Care Management Agency. They help families coping with issues related to aging and changing care needs and can be reached at 201-848-8539.

Veterans Benefits that Increase Income to Pay for Long term CareTwo 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.Author: *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.

When seniors health issues or functional capabilities worsen as they age, its entirely likely that they will require more care at home, whether they live in an assisted living center or nursing home, or whether they receive care from a hospice provider.Its also quite possible that the majority of their day-to-day care will be provided a nurses aide, certified nursing assistant or hospice aide. June 13-20 is designated as National Nursing Assistants Week in 2019, honoring nursing assistants and aides who provide up to an estimated 90% of nursing care, according to the National Network of Career Nursing Assistants.HOSPICE AIDES PROVIDE DAY-TO-DAY CARE At VITAS Healthcare, the nations leading provider of end-of-life care, 35% of our 7,328 nurses are hospice aides, and in 2018, 94 of them were recognized as outstanding employees. Their nominations tell powerful stories of caring: She spent three days in lockdown in the inpatient hospice unit during Hurricane Irma as part of the staff that looked after the patients who were hospitalized during the event. "...He sees many patients a day, and he treats all of them as if they are the only patient he has. Even when they cant communicate with him, you can see the appreciation in their faces. Whenever she has visited a patient, a family will call and say, Please send the aide who worked last night. She was outstanding. I was finally able to get some sleep.According to one 2018 VITAS honoree: When I arrive at a patients home, my spirit is to serve. My approach is to smile and to advocate. I let them know I am here for them, and whatever I can do to make things better, I will certainly give my all to achieve that. Be sure to say thanks during National Nursing Assistants Week to a hospice aide or caregiver who made (or is making) a difference in your life or the life of a loved one.Editors Note: Article Submitted by Cathy Carlson, General Manager for VITAS Healthcare in Chicago. For more information about end-of-life care options, call VITAS Healthcare at 866.759.6695 or visit VITAS.com.

Abuse of a senior or vulnerable adult happens much more often than most of us have any idea. Approximately 9.5% of the US population over the age of 65 experiences some type of abuse, neglect and/or exploitation. We like to think that it wont happen in our families. Unfortunately, it can and very well may. Females are abused more frequently than males, and the older the individual is, the more likely they are to be abused. The vast majority of abusers are family members (approximately 90%); most abusers are adult children, spouses, or partners. Family members who abuse drugs or alcohol, who have a mental/emotional illness, and those who feel burdened by their caregiving responsibilities abuse at higher rates than those who do not. Abuse comes in many forms, neglect being the most frequent, followed by physical abuse, financial exploitation, and emotional abuse. Neglect is the refusal to provide an elderly person with life necessities such as food, water, clothing, shelter, personal hygiene, medicine, comfort, and personal safety. Physical abuse is a physical force that causes or is likely to cause injury, pain or impairment to an elder. Financial abuse or exploitation is the illegal or improper use of an elders funds, property or assets. The elder is often reluctant to acknowledge or report abuse themselves because of fear of retaliation, fear of abandonment, lack of physical and/or cognitive ability to report, or because they dont want to get the abuser, often a family member, in trouble. We must be willing to stand up to protect our elders. If you have concerns, or suspect abuse, do your part - talk to someone, call Adult Protective Services (APS). APS provides services in each state to insure the safety and well-being of elders and adults with disabilities who are in danger of being mistreated or neglected, are unable to take care of themselves or protect themselves from harm, and have no one to assist them. A staff member will make contact with the elder to assess their current risk factors. With the help of the elder, the APS worker will develop a plan to assist them. Those who have the capability to understand their circumstances have the right to refuse services, regardless of the level of risk. If you suspect abuse, call 208-334-3833.Author:Dee Childers, Lifechanges Eldercare consulting

An orthopedic surgeon is a doctor who treats musculoskeletal conditions and injuries, and is trained to perform surgery when needed. Orthopedic surgeons are responsible for treating and diagnosing musculoskeletal conditions and injuries.  Many people believe that orthopedic surgeons only use surgery as an option to treat orthopedic injuries and ailments. That is not true. Orthopedic surgeons use a variety of treatment options, surgery is only one option that orthopedic surgeons use to treat orthopedic injuries or ailments. Other treatment options that orthopedic surgeons use are injections, physical/ occupational therapy, braces, and splints. The injury or condition is what determines what kind of treatment options will be available.Orthopedic surgeons can see patients and treat a variety of different orthopedic conditions. Some orthopedic surgeons may choose to specialize in one area which could be foot and ankle, spine, or hip and knee. Other orthopedic surgeons may choose to not specialize, and work in general orthopedics. Conditions that orthopedic surgeons treat can include:ArthritisOsteoporosis FracturesSports InjuriesTendon or Ligament Issues Nerve ConditionsDegenerative Bone & Joint ConditionsOrthopedic surgeons provide both surgical and non-surgical treatment options for a variety of different treatment options. They are in charge of getting their patients back to doing what they love to do. If you are looking to make an appointment with an orthopedic surgeon, please contact our office at 239 - 325 - 4090.  325 - 4090. 

Managed Care is a health care delivery system organized to manage cost, utilization, and quality. Medicaid managed care provides for the delivery of Medicaid health benefits and additional services through contracted arrangements between state Medicaid agencies and managed care organizations (MCOs) that accept a set per member per month (capitation) payment for these services.#listing_mgr{7 basic_search}#

Losing a loved one is an extremely difficult part of life and the loss we experience has lifelong effects on us.Queen Elizabeth II stated, Grief is the price we pay for love. This is so true in any loving relationship.It was said by a European psychologist that, Americans are the only people on earth that think death is optional. This is a somewhat comical statement but it also highlights the fact that we have a tough time recognizing the reality of death which affects our ability to mourn or be prepared. The afterlife should not be an afterthought and the best way to prepare for death is to Preplan your own funeral and encourage family members to do the same. When a death occurs, there are literally 100s of decisions that need to be made in a short amount of time. Planning ahead will relieve stress, anxiety and confusion because surviving family members dont need to make all the decisions at such an emotional time. There are many reasons why families feel that preplanning is an excellent choice for them. Many do so because it makes sense financially. You can stop inflation and freeze costs that could otherwise double every 10 to 12 years. At the time of death, the funeral home and cemetery require payment in full. With preplanning, you can customize plans that fit your budget and you can eliminate the temptation that your family will emotionally overspend at the time of death.The most common reasons that families preplan is to protect their loved ones emotionally. They want to put their house in order. They want peace of mind knowing they have made decisions together and that nobody will have to make them alone on potentially one of the worst days of their life. Ultimately, they want to remove both the financial and emotional burden from their loved ones, giving them one last gift after they are gone.It has been a privilege to serve the community for over 130 years and we have 4 convenient locations around the Salt Lake valley to serve you.Editors Note: This article was submitted by Spencer Larkin.Spencer Larkin is the COO/Vice President with Larkin Mortuary and may be reached at 801-363-5781or by email at larkin@larkinmortuary.com

What comes to mind when you think of retirement? Do you picture a view of the ocean or the mountains? A mild climate? Your home town? The comfort of the place you call home? A sense of community & interaction with others?Everyone has different hopes & desires when it comes to aging & retirement. No matter the goal, a realistic mindset & planning must occur.Regardless of social & economic status, there are options to age the way you want to. Life does not always go as planned but it is best to be prepared. Being prepared will help to navigate the obstacles of life.There are a few key questions to ask yourself regarding how you want to age:1.) Do I want to live in a senior community or age in place?2.) What are my available resources?3.) Who do I want to help me with decision making if I am not able to?There are a few key action items to help prepare for the future:1.) Write down your wishes.2.) Formalize your wishes. This can be in the form of advanced directives, MOST form, living will, etc...3.) Talk with those who will help you through the process & fulfill your plan.Answering these questions & completing the action steps can place you in a position to age the way you want opposed to aging placing you!Millions of Americans face difficult decisions during a time of need. The more prepared you can be for the aging process, the better.Northern Colorado is full of many educated professionals & resources for seniors & families navigating the aging process. If aging the way you want is your goal; you must take action & plan. There are many local companies & resources to get in touch with such as:-Home Care Companies-Social Workers & Case Managers-Primary Care Physician-Area Agency on Aging-Care Management ProfessionalsProfessionals from these fields & resources will assist with planning your goals before the time of decision arises.Editors Note: This article was submitted by Greg Kelley. Greg is the Director of Operations & Administrator with Phoenix Home Care & Hospice and may be reached at (970)270-1541 or by email at GKelley@PhoenixHomeHC.com with any questions.

NFTs, or non-fungible tokens, are the latest sensation in the cryptocurrency universe, or as we like to call it the Cryptoverse. And if you havent heard about NFTs yet, now is a great time to learn because they are likely to be a big part of our collective future. So what is an NFT?In the most basic terms, an NFT is a cryptographic token that exists on a blockchain and is used to establish proof of ownership of digital artwork, videos, GIFs, collectibles, and other digital assets. While NFTs use the same blockchain technology that underpins cryptocurrency, NFTs themselves are not a traditional currency, though they can operate similarly to currency. Some people call them JPGs because they are literally graphic images, but they represent much more than just a simple JPG file.NFTs have been generating a major buzz in the tech and art sectors for years now, but after Christies auction house sold a single NFT collage from the digital artist Beeple for a staggering $69.3 million this March, NFTs have begun making mainstream headlines. Since then, a number of other big-money NFT sales have made the news, including Twitter co-founder Jack Dorseys first-ever tweet made into an NFT, which sold for $2.9 million; a video clip of a LeBron James slam dunk sold for more than $200,000; and a GIF of Nyan Cat (a flying cat with a Pop Tart for a body) went for $600,000.At this point, you might be wondering why anyone would spend such vast sums on digital images that you can download from the Internet for free. Here, well answer that question and explain the basics of what you need to know about NFTs, including how they work; what makes them so valuable; where you can get them; and why they have the potential to revolutionize the way in which we own, exchange, and consume both digital and real-world assetsalong with how to ensure your estate plan covers them if you happen to own one.Whats the Difference Between Cryptocurrency and NFTs?While NFTs and cryptocurrencies like Bitcoin and Ethereum are all part of the Cryptoverse, cryptocurrency is a fungible asset, meaning it can be traded or exchanged with another identical unit of the same value. For example, one Bitcoin is equal in value and can be exchanged for another Bitcoin, just like one dollar is always worth the same as another dollar. However, NFTs are non-fungible, meaning each NFT is totally unique and not mutually interchangeable. Given this, no two NFTs are ever the same, and they cannot be replicated. Think of it in terms of traditional artwork: anyone can buy a Mona Lisa print, but only one person can own the original artwork. How Did NFTs Get Started?Although primitive versions of NFTs, such as Colored Coins, have existed since 2012, the first NFTs to really become popular were CryptoKitties. Launched in 2017, CryptoKitties is a virtual game that allows players to adopt, raise, and trade virtual cats on the Ethereum blockchain. Each CryptoKitty has unique attributes, and they can even reproduce to generate entirely new offspring, which have different attributes and valuations compared to their parent kitties. CryptoKitties became immensely popular, and within a few weeks, fans of the virtual cats had spent $20 million worth of ETH (Ethereum token) on the game, with some virtual cats selling for over $100,000.How Do NFTs Work?As with cryptocurrency, a record of who owns each NFT is stored on a blockchain ledger. The vast majority of NFTs reside on the Ethereum blockchain, though other blockchains like Bitcoin Cash and FLOW also support them. Whenever a new NFT transaction is verified, its added to the blockchain, where it cannot be changed, replicated, or forged.The code embedded in NFTs can include specific information about the asset and its creator. For example, an artist can sign their digital artwork by including their signature in the NFTs metadata. The unique information related to an NFT is stored in whats known as a smart contract, which is one of the most unique and powerful features underpinning NFT technology. A smart contract is a digital contract in which the terms of the agreement are set in code. A smart contract can be programmed to execute a specific action when a set of predefined conditions are fulfilled. For example, a smart contact can be programmed to make royalty payments to an NFTs creator whenever their digital art is sold to a new owner.Why Do NFTs Have Value? Traditional pieces of art like paintings are valuable precisely because they are one of a kind, yet digital art can be easily duplicated an infinite number of times. With NFTs, digital art and other assets can be tokenized, which creates a digital certificate of ownership that allows the buyer to own the original item. The value comes from both the scarcity and collectibility of the asset, as well as its potential for future sale. NFTs work like any other speculative asset, in that you buy it and hope that the assets value increases over time, so you can sell it for a profit. NFTs typically increase in value for three reasons: 1) they are part of a series that gives you access to an exclusive club or community, 2) if they include licensable or brandable content that could be used to increase the value of the intellectual property, and 3) they can be used to flex or signal for status purposes (aka bragging rights).Essentially, NFTs transform, or tokenize, digital art, videos, and other collectibles into one-of-a-kind, verifiable assets, which allows them to be easily bought, sold, or traded on the blockchain. NFTs are basically like any other collector's item, such as a painting or a vintage baseball trading card, but instead of buying a physical item, you're instead paying for a digital file and proof that you own the original copy. Yet its the intellectual property (IP) aspect of NFTs that make them most interesting. Once you own an NFT, you have ownership of the IP representing the content of the NFT. As the owner of this now licensable content, you can use the content for branding, or you can even develop an entire persona or creative pursuit around your NFT.You can see this in action with some of the owners of NFTs from the Bored Ape Yacht Club (#BAYC) NFT Collection. Universal Music Group bought 4 Bored Apes, and has begun branding them as the newest band theyll promote, called KINGSHIP. KINGSHIP will release music and products, building a fan base around this collection of four digital apes.Building upon the success of the BAYC series of NFTs (a collection of 107 Bored Apes recently sold for $24.4M in a Sothebys auction), other creators have begun to release sets of 10,000 NFTs with hopes of mimicking the success of the BAYC series.What Else Are NFTs Being Used For?Currently, the majority of the NFT market is focused on collectibles, such as digital artwork, GIFs, virtual trading cards, videos of sports highlights, digital music, virtual avatars, and video game skins. However, NFTs are now even attracting the attention of major brands, and were seeing a number of big-name companies capitalizing on the trend.For example, Nike has patented its own blockchain-based NFT sneakers, which it calls CryptoKicks. Marvel Comics has released its own NFT collectibles based on Spider Man and Captain America. Even Taco Bell has jumped on the NFT bandwagon with a collection of taco-themed images and GIFs. In collaboration with the NFT marketplace VeVe, Disney released its Golden Moments NFT collection, which features digital statues inspired by some of the most beloved characters and moments from Disney, Pixar, Marvel, Star Wars, and other Disney franchises. And in September 2021, Hollywood got in on the action, when the film Zero Contact became the first feature-length movie to be released as an NFT.Musicians have also been releasing NFT-based songs, albums, and other music-related items with major success. For example, pop stars like Kings of Leon, Grimes, and Steve Aoki have all created NFTs. Moreover, Rolling Stone reports that NFTs could revolutionize how musicians connect and market their music to fans by including not only songs and albums as NFTs, but also videos, artwork, 3D avatars, wearable accessories, and even tickets that give fans a chance to have a virtual meet-and-greet with the artist.How Can You Buy An NFT?If you are looking to get in on the NFT Cryptoverse, youll need to access the proper technologyand load up on cryptocurrency to fund your purchase. First, youll need to get a digital wallet that allows you to store your crypto and NFTs. Metamask is a popular option because it connects directly to marketplace platforms, such as OpenSea, where you can buy and display your NFTs. Then youll need to purchase cryptocurrency to make the purchase, and since the most popular blockchain for NFTs is currently Ethereum, your best bet is to get their version of digital coins, which are called ether (ETH). From there, youll want to visit the NFT marketplace where the NFTs are sold. Some of the most popular NFT marketplaces include OpenSea, Mintable, Nifty Gateway, Axie Marketplace, and Rarible. Additionally, there are also niche marketplaces for more specific types of NFTs, including NBA Top Shot for basketball video highlights; Valuables auctions off famous autographed Tweets like Dorsey's; and Autograph, which is a platform launched by NFL superstar Tom Brady that offers a variety of NFT collectibles from sports icons like Tiger Woods, Simone Biles, Wayne Gretzky, and Tony Hawk. Due to the high demand for certain NFTs, the tokens are often released in batches, known as drops, much like when batches of concert tickets are released at specific times. As with any other popular event, theres often a rush of fans eager to snatch up the most in-demand NFTs when the drop starts, so youll need to pre-register and have your wallet full of crypto and ready to buy.What Are the Future Potential For NFTs?While buying a virtual cat may sound like an extremely trivial venture, the future potential for NFTs and how they can be used has more serious implications, especially in business and finance. For example, NFTs have already been used in a real estate transaction, in which a millennial from Silicon Valley purchased an NFT that gave him ownership of a studio apartment and a piece of art by the famous local street artist Chizz.By allowing for the digital representation of physical assets, NFTs offer the potential to reinvent the way we own, exchange, and consume just about any asset. Perhaps the most obvious benefit of NFTs is increased market efficiency. The conversion of a physical asset into a digital asset streamlines the process of identifying IP, removes intermediaries, and creates entirely new markets.Obviously, the digital representation of physical assets is not exactly new or novel. However, when you combine this concept with the benefits of the trustworthy and tamper-proof nature of blockchain-powered smart contracts, NFTs stand to become a potent force for change. While many see NFTs as merely another passing fad and expect the NFT bubble to burst any day now, skeptics said exactly the same thing about Bitcoin. With this in mind, we remain cautiously optimistic about the future of NFTs, and only time will tell how this new technology pans out as the future unfolds.Safeguard Your Digital AssetsAs with cryptocurrency, if you currently own or plan to acquire NFTs, the first and most important step in securing these assets is to let your family, trusted partners, and of course, your lawyer, know you own it. If no one knows you own these assets, they will be lost forever when you die. You can document ownership of these assets by including your NFTs and cryptocurrency in your Family Wealth Inventory (a key component of our Life & Legacy Planning Process) listing all of your assets and liabilities. Along with the amount of cryptocurrency and number of NFTs you own, you should also include detailed instructions about where these assets are located and how to find the instructions to access them, including the encrypted passcodes needed to unlock your account. Just make sure to keep these instructions in an absolutely secure location because anyone who has them can take your crypto and NFTs. As part of our Life & Legacy Planning Process, well work with you to ensure that your cryptocurrency and NFTs are properly documented, as well as secure.As technology continues to evolve and our lives become increasingly digitized, its vital that you adapt your estate planning strategies to keep pace with these changes. As your Personal Family Lawyer, we can assist you in updating your estate plan to include not only your traditional wealth and property but all of your digital assets, as well. Contact us today to learn more.This article is a service of Sharek Law Office, LLC. We dont just draft documents; we ensure you make informed and empowered decisions about life and death, for yourself and the people you love. That's why we offer a Life and Legacy Planning Session, during which you will get more financially organized than youve ever been before, and make all the best choices for the people you love. You can begin by calling our office today to schedule a Life and Legacy Planning Session and mention this article to find out how to get this $750 session at no charge.

If your retirement plans include downsizing and moving, a Continuing Care Retirement Community (CCRC) may be the perfect fit for you. But do you know what a CCRC is? Lets take a closer look.What is a Continuing Care Retirement Community?A CCRC is a residential community for older adults (typically age 65 and older) that provides a variety of housing options along with services, amenities and a continuum of care designed to address the changing needs of residents as they age. One advantage of a CCRC is that residents are able to remain in the same community as their needs change. This alleviates the stress of moving multiple times and enables residents to maintain existing relationships in a familiar environment.How does one choose a CCRC?Structure, services and fees vary greatly among CCRCs, so its good to ask questions. For example:- What types of contracts are available?- Is there an entrance fee? Is it refundable?- What types of care are available?Do they offer Assisted Living, Skilled Nursing Care, Memory Support or other levels of care?- What services and amenities are included? Which ones are available for an additional fee?- Is the CCRC financially stable?Can I evaluate a CCRCs finances?When you choose a CCRC, you're planning to be there for the long term. So its important to know the community is actively planning for that, too. Some questions to ask include:1.Is the organizations most recent audit or annual financial report available for review? Are statements of financial position, operation and cash flow included?2. Does the organization have a positive net worth? If not, how is its long-term financial health affected?3. In the past few years, have operating revenues exceeded expenses?4. To what degree does the organization rely on non-operating income from donations, endowments and investments?5. Do the organizations financial ratios indicate it has the resources to ensure its ability to provide services now and in the future?6. Does the organization have an endowment? If so, what size?How is it used and managed?7. Is there a resident assistance fund? How can residents qualify?8. Does the organization have a formal risk management program?9. What type of insurance does the organization have?10. How are residents involved in strategic and financial planning and decision making?Source: Consumer Guide to Understanding Financial Performance and Reporting in Continuing Care Retirement CommunitiesEditors Note: This article was submitted by The Arlington of Naples, a new CCRC coming to Naples, Florida. For more information, call 239-206-2646 or visit www.ArlingtonNaples.org.

Alzheimers Association Article for Seniors Blue Book Spring Edition 2014 Our history In 1979, Jerome H. Stone and representatives from support groups met with the National Institute on Aging to explore the value of an independent, nonprofit organization to complement federal efforts on Alzheimer's disease (AD). That meeting resulted in the April 10, 1980, formation of the Alzheimer's Association. Today, the Association reaches millions affected by AD across the globe. As the largest donor-supported, voluntary health organization for AD, we are a catalyst for advancements in Alzheimer's care, research and advocacy. We enhance care and support The Alzheimers Association works to enhance care and support for all those affected by AD and related dementias. Our Helpline offers information, counseling and advice 24/7. We offer support groups that meet right here in the Treasure Valley. Our online resources provide families with information through our Alzheimer's and Dementia Caregiver Center, which features sections on early, middle, and late-stage caregiving and local education programs. TrialMatch makes it easy for people to enroll in clinical trials, while Comfort Zone and MedicAlert + Alzheimers Association Safe Return provide location management to keep people safe and give caregivers peace of mind. Walk to End Alzheimers is held annually in Idaho to raise awareness and funds. We advance research As the largest non-profit funder of AD research, the Association is committed to accelerating progress of new treatments, preventions and ultimately, a cure. We have been a part of every major research advancement over the past 30 years. We advance the understanding of AD through our research grant program, which has awarded over $315 million to scientists since 1982 and, also publish a scientific journal, Alzheimers & Dementia, which provides a single publication for the scientific community to share its knowledge. We advocate The Association is the leading voice for AD advocacy, fighting for research, prevention and care initiatives at the state and federal level. We worked with a state-wide task-force to ensure that Idahos state legislature approved a plan for addressing AD and continue to work on the implementing it to make certain that Idahoans have the best possible resources available. Take a little step today to have a big impact on AD tomorrow. Join a support group. Attend an educational seminar. Advocate for research funding. Start a team and Walk to End Alzheimers. Do a little, big thing to end Alzheimers call 1-800-272-3900 or go to www.alz.org/Idaho.Author:MacKenzie Rodgers

Being a family caregiver is not an easy task.There are numerous physical, emotional, spiritual and financial challenges in caring for an older family member. Family caregivers will spend on average 4 to 5 years of their life caring for their loved one.Its a long, hard, tough job caring for a family member. Many family caregivers report their health has gotten worse since they became a caregiver. Elderly caregivers have a 63% higher mortality rate than their non-caregiving peers. Thirty five percent of family caregivers are depressed which is twice the national average.Why is this important to know? Because non-caregiving peers say things that sound helpful but are really hurtful. Comments like, Youre so lucky to be able to care for your mom/dad. Itll get better once they get used to living in your house. Just give it some time. I dont know how you do it.They dont feel blessed or lucky because mom is always screaming at them. Dad is constantly fighting the help the caregiver is trying to provide. Many caregivers are in survival mode constantly going from one appointment to another. Many are hanging on by their fingertips struggling to figure out how to keep from getting fired at work or carving out time for their own kids.In a recent focus group here in Colorado Springs family caregivers were asked what they wanted non-caregivers to know about caregiving. One caregiver said; Having to drop what youre doing in order to care for your loved one is frequent and very frustrating. Another said; People dont understand how much it takes to care for a family member. A 3rd caregiver said; What about me? Everyone asks about the care receiver. No one asks about me!Many caregivers feel invisible, isolated and alone. What they need is your support. Not your verbal support but concrete physical help. Ask what kind of physical help they need and then offer your valuable time to complete that task for them. It may not seem like much but it may be the difference between life and death for that caregiver.Editors Note: This article was submitted by Kent Mathews MSW. Kent is the Care Manager for the Family Caregiver Support Center at the Pikes Peak Area Council of Governments-Area Agency on Aging. He may be reached at 719-471-2096 ext. 115 or by email at kmathews@ppacg.org.

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.

The Covid-19 Pandemic has changed the world in many ways. One thing that has not changed, and has become more important, is the need to have legal planning in place if you get sick or worse. So, Powers of Attorney to have a trusted person in place to pay your bills and handle your finances; Health Care Proxies to have a someone in place to make medical decisions if you cant make them for yourself; and estate planning documents like Wills and Trusts are even more important now than ever.Covid-19 also has put limits on how you can put these documents in place. Seniors cant easily or safely meet in an attorneys office to discuss planning and to sign the documents, many of which need to be signed in the presence of witnesses and a notary public.Fortunately, we humans are a resourceful species and some solutions have been put into place so that you can get these important documents in place; such as:-a computer, tablet or smartphone, using video conferencing software (ZOOM and similar), can allow meetings to take place between your lawyer and you remotely.-if your lawyer and you are comfortable with you coming in to the office, many offices now have protective shields and air purifiers in place so that you can see and hear your lawyer in person safely with masks.-meetings to execute documents can take place in many ways. There are three options my office has been using:Meet in person with the protective safeguards (shields, masks and air purifiers) with witnesses and the notary keeping social distance but still being in your presence to meet legal requirements.When the documents are finalized, meet through a video conference with the lawyer to confirm the choices you have made in the documents. Then follow up with a drive in document signing in the office parking lot where the notary and witnesses provide the documents through the car window and watch as they are executed (and no, you cant get fries with that).Massachusetts passed a remote notarization law that allows documents to be witnessed and notarized remotely using a computer or smart-phone (not easy or simple, but it works).If you havent done legal planning before or need to make changes to your plan, the Pandemic should not be an excuse not to do it now.Editors Note; This article was submitted by Estate and Elderlaw Attorney Timothy R. Loff, Esq. of the Law Offices of Timothy R. Loff, Newton, who may be reached at 617-332-7021 or information@lofflaw.com.

As a Senior Real Estate Specialist, I work with families and clients to lessen the stress of moving.We market and sell the home, in the least amount of time and for the most money.Senior Realty Services of Naples provides assistance with packing, storage, or moving the contents of the home while treating everything as if it were our own.If aging in place is being considered, we also provide decluttering services that include a complete clean out so you and your family can concentrate on what is most important.Our valued repair people can fix anything that would allow us to show your home in its best light, and our they can address any repairs needed before, during or after the move.We have carefully chosen moving contractors that we manage and coordinate with to get your possessions safely to your new property.After all contents of the home are removed we offer complete cleaning of the residence.Our services include wrapping, packing, unpacking, decluttering, donating, selling, disposing, moving, delivery, cleaning and repair and more and they are customized to meet your specific needs.Editors Note: We offer a FREE in-home consultation. Please call and let us help you transition to a new home or declutter yours. Call (239) 821-6047.

There are many different orthopedic injuries and conditions that can occur. Some orthopedic conditions are more common than other orthopedic conditions. Everyday in our office, we see a variety of different orthopedic injuries and conditions. We have put together a list of the most common conditions and injuries we see in our office.FracturesFractures are seen frequently in our office. Fractures can occur anywhere from the hand and wrist to the spine to the foot and ankle. When a fracture occurs, it is important to see an orthopedist soon after the injury, because fractures begin to heal themselves soon after the initial break. An orthopedist needs to be able to assess the fracture, before it starts to heal, in order to create a plan for the bone to heal correctly. Treatments such as using a brace or possibly even surgery, may be used to treat the fracture. ArthritisArthritis is a condition that can cause pain, swelling, and stiffness in the joints. There are a few different kinds of arthritis, such as osteoarthritis and rheumatoid arthritis. Arthritis can decrease the range of motion of a joint, which can interfere with normal daily activities. Treatment for arthritis can include physical therapy, medications to reduce inflammation, and possibly surgery. Ankle and Foot InjuriesAnkle and foot injuries are some of the most common orthopedic injuries that occur. Ankle and foot injuries can affect all aspects of life because they keep you off your feet. Injuries that occur in the foot and ankle can keep you from doing the things you love to do. When an injury happens in the foot or ankle, it is important to see an orthopedist as soon as possible so that they can help you get back on your feet and be able to do the things you love to do.Knee PainExperiencing knee pain can be a symptom of an orthopedic condition. Knee pain can make it difficult to walk and do daily activities. An orthopedist will be able to discover the cause of the pain and create a treatment plan. Depending on the source for the pain, the treatment plan can include physical therapy, injections, and possible surgery. Back and Neck painBack and/or neck pain can range from mild to severe. Depending on the intensity of the pain, it can cause reduced mobility and even limit normal activities. Orthopedists can help identify the root of the pain and create a plan of treatment for back and neck painIf you are experiencing any of the conditions, symptoms, or any other musculoskeletal conditions, please contact our office at 239 - 325 - 4090 to schedule an appointment for

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

While LTCC's are not cheap, they may still be less expensive than living at home when all things are considered. The options for paying for a LTCC include:Private Pay - your income and liquidized assets (annuities, IRAs, etc.), help from family members and veterans benefits (see below).Long Term Care Insurance (LTCI) - if you purchased LTCI, it can be used for certain in-home care and LTCC costs. There are monthly and lifetime caps on payment - you will need to consult your policy to get the specific details. There are also services available that will review your policy and negotiate with the insurance company to make sure you are getting any and all benefits that you are entitled to.Medicaid - While most states (44 + D.C.) allow Medicaid to pay for your LTCC costs through what is called theMedicaid Waiver Program(which comes with many different names), there are income and asset limits. You must apply and qualify for Medicaid.Veterans Aid & Attendance (VA&A) - qualifying as a Veteran or Surviving Spouse can add quite a bit to your income but there are specific asset, income and service requirements to qualify, including:90 days active duty1 day during a wartime period. These are:WW II - 12/7/41 thru 12/31/46Korea - 6/27/50 thru 1/31/55Vietnam - 2/28/61 thru 8/4/64 (must have served physically in Vietnam)Vietnam - 8/5/64 thru 5/7/75Gulf War - 8/2/90 thru current (requires 24 months service)Other than the earlier Vietnam period, you need not have served directly in a theater of operations to qualify.There are also the asset and income limitations. On the income side, whatever you use on help with things like ADLs is deducted and not counted. That means is you have $5000 a month in income and move into a community that costs $5000 a month, in the eyes of the VA, your income is $0 and that qualifies. Or let's say you're living at home with that same income but you are receiving 4 hours a day of home care (aides) to help you with ADLs. At $25/hour, that's $100/day = $3000/mo. That $3000 gets deducted from your $5000 income, leaving you at $2000/mo and qualifying for most if not all of the maximum benefit.It is strongly recommended that you work with an accredited VA claims agent through this process.If you do qualify, the benefits for 2020 can be as high as:Married veteran - $2,266/moSingle veteran - $1,911/moSpouse needs care, living veteran doesnot- $1,500/moSurviving spouse (must be married at time of veterans death) - $1,228Unlike Medicaid, which is paid directly to the service or product provider, VA&A is paid to you (like Social Security) so it really falls under the private pay category for LTCC's since the money passes through you.Qualifying for Medicaid or VA benefits (you can't get both) is a complex process that requires the guidance of an expert lest you make a mistake that costs you dearly and cannot be corrected. There are "look back" periods for assets (in case you thought giving stuff away would help - it won't) and certain assets like investments and bank accounts are counted while others like your house and car are not. Some assets that are counted for Medicaid are not counted for the VA and vice versa. If you sell your house thinking you'll need that money, you've just converted an asset that is not counted into one that is counted and set back your date of qualifying by months or probably years. This has been said in other articles but here more than anywhere it bears repeating:Whether for Medicaid or VA benefits, work with an expert to make sure this is done properly.I hope this series of articles has been helpful in educating you about the LTCC world. As the baby boom generation begins to pass the 80 yo mark, that tsunami of people will begin crashing on the LTCC world in a big way. New communities are being built and new pricing models are being developed and tried. More and more dementia units are being built as cases of Alzheimer's and other forms of dementia continue to explode. Being educated on the current state of affairs in at least a general sense can help you plan and be prepared for whatever it is that you may face.Written & Submitted By: Care Patrol- Click for more information*

For More Information on the Author Paul Andrews, ERA Advantage Reality, CLICK HERE!This month Charlotte County will celebrate its centennial anniversary. What a difference a century makes!Southwest Florida has been inhabited for thousands of years, first by indigenous people and Seminole Indians, and later by European explorers, fisherman, pioneers, homesteaders and cattlemen. Still, it wasnt until the early 1900s that modern development began.The Boom YearsCharlotte County itself was created in 1921 when it was carved out of Desoto County. Real estate developers began to attract people from the North during the brief land boom of the 1920s. Railroads helped develop industry and tourism, and by mid-century vacationers flocked to our area to enjoy fishing, boating and nature. Ultimately, air conditioning changed life dramatically in Florida, and the thriving Charlotte County we know today began to take shape.Charlotte County TodayTodays homebuyers share the same dream as many of Charlotte Countys early settlers: natural beauty, economic opportunity, and a refuge from cold, overcrowded city life. Sadly, $6,000 wont buy a single-family home the way it did in 1921, but the dream of home ownership is still within reach if you have the right guide.Todays medium home price is $275,000, but its lack of inventory that is driving the local market. As potential sellers ride out the pandemic, inventory has plunged to a scant 1.3-month supply, down 67.5% year-over-year. Fewer options continue to drive higher prices and quick sales for those who decide to downsize or cash out. If you have a house or property that you been thinking about selling, now is the time. Give me a call!For buyers, preparation and decisiveness are key. Buyers need to be pre-approved, know what they want and be prepared to make a quick offer when they find it. The good news is that interest rates remain historically low in the 3% range. New construction in Punta Gorda and Port Charlotte also promises to bring fresh options to a constricted market.Looking ForwardSouthwest Florida isnt the rugged outpost it was a century ago, but much of its wild beauty remains in pristine beaches, coastal marshes and inland waterways, attracting a throng of new inhabitants to our little slice of paradise.As a longtime Charlotte County resident, Ive witnessed much growth and change over the years and join my fellow citizens in honoring its centennial celebration.The dream of homeownership is as palpable as it was 100 years ago. If your housing needs have changed and youre ready for anewhappily ever after, it would be my honor to help make your dream a reality.

To learn more aboutThe Wellington - MBK Senior Living,CLICK HERE.We all know that a balanced fitness program is important to maintain, but how many of us do it? Between our busy lives and the daily aches and pains, we associate with aging, going to the gym slips further and further down our to-do list. We constantly tell ourselves Ill do it tomorrow or Ill start next week until the excuses become our mantras. When we look at the proven plethora of benefits associated with staying active (it helps to control our blood pressure, it can lower cholesterol levels, it strengthens our bones, muscles, ligaments, and tendons, it reduces our risks of falling, it can reduce our chances of getting osteoporosis, it helps prevent depression and isolation, it helps us maintain our independencethe list goes on and on), its amazing how many of us still find excuses. Its not the benefit of the fitness program that is the issue; its our internal dialogue. We let ourselves off the hook, we make excuses that today is just not right, and well do it tomorrow. Or maybe the next day. Or the next.We need to change the way we look at ourselves and our fitness routines. Our ability to stay fit is not measured in our desire to go to a gym and sweat to the oldies for 90 minutes. We dont need to run in the NYC marathon to be considered fit or be able to do 100 laps in the pool. Changing our internal dialogue to reinforce what we can do today and set a goal for tomorrow will turn the stay fit mantra from excuses to the excitement.Think about it! If today we walk around the reservoir, then tomorrow well stroll through the museum with our grandson and then when it gets warm out, well be out playing in the sand on the seashore with him too! Instead of thinking of fitness as a chore, much like cleaning the kitty box or taking out the trash, lets view it more as a path to greater enjoyment.Just 30 minutes of activity several times a week will open a whole world of possibilities for us. Think about it. In the time it takes us to watch one episode of Jeopardy, we can be creating a healthier, happier and more active future.Does walking on a treadmill still send boredom shivers down your spine? So instead, how about we do chair exercises? Gentle Yoga? Tai Chi? Swimming? Water Aerobics? Biking? Rowing? Play with an exercise ball? There is a huge array of options limited by our imagination. Do 30 minutes sound like a marathon? Lets start with 10 minutes instead, or 5 minutes. The point is that we need to move. We can do this. Our exciting, active, and adventurous future is waiting for us!(See your doctor before beginning any exercise regime!)

In the beginning, it felt as if new guidance, protocols, emergency health orders, and ideas about how to manage this disease were changing every 15 minutes. The pace was unbelievable.During that time, I told myself dont look back. The decisions that were made from a national, state, local, and at our facilities was made with the best information at the time.Our medical director told us this could go on for 2 years. I hoped she was wrong. I dont think she is. I told myself Im going to have to buckle in for the long haul. So, I take each day as it comes and dont worry too much about next week or next month. 2021 is not even on my radar.Grace. I say this word to myself many times throughout each day. As this pandemic affects EVERYONE, we need to have grace with each other.I know all health care providers are better at infection control. I know regular citizens are better at infection control. I know that most everyone wants to protect their family members, their neighbors, and their community. I think all of us have had the opportunity to evaluate our priorities what makes us happy and where do we want to focus our energy.The Long Term Care profession is becoming more focused, together. Efforts through the Institute for Healthcare Improvement (IHI) and the ECHO training program will help to ensure we have the best information, from experts, and the educational model to teach all staff. The national focus on Long Term Care is a positive. We have been the forgotten part of health care for way too long. I look forward to what the next 1-3 years bring for the profession I have dedicated 37 years to.The pandemic has been hard. It has taught us knew ways of caring for each other. It has brought Long Term Care, public health, CMS, CDC, HHS, and others together. Our new learning and experiences must make us better going forward. Otherwise, what was it all for?Editors note: This article was submitted by Yvonne Myers, Health Systems Director with Columbine Health Systems and may be reached at 970-482-0198 or yvonne.myers@columbinehealth.com

Below is a guideline on choosing the best Caregivers at any agency.Simply ask the below questions to any agency, then record and compare your answers!Does your agency have a drug testing policy? Most agencies: dont have a drug testing policy because its currently not mandatory from the state health department (Colorado), plus it increases costs. These types of agencies could be considered dangerous by allowing themselves to be open for possible issues, law suites, etc. Also, you may find some agencies that do one 5-panel drug test upon hire and to be frank, thats not enough! Instead: try and find an agency that conducts a 14-panel drug test that includes some major pain medications on the panel. Also, ask if they do it upon hire, annually & at random. This will ensure you have a clean Caregiver within your home as long as they are providing care. What kind of background checks does your agency provide? This can be tricky, because not all background check companies are created equal! If the agency: simply conducts a BG check online with any company, you may not be getting the full report. Why you ask? because depending on where the data was pulled, it may be stagnant and outdated, thus your critical results may be tainted. Instead: try and find an agency that conducts at least a 150 point checks that include DMV reports (including DWI and DUI), Social Security trace, county and state-wide searches for felonies and misdemeanors but most importantly freshly updated data! Also, try and use an agency that does the BG check upon hire, annually and at random. This will ensure you have solid, historically clean Caregivers within your presence for the entire time they work in your home. The first visit, do the Caregivers just show up? Most agencies: will do this; they will assign a Caregiver without an introduction. This can be awkward and unnatural because both parties are unfamiliar with each other, their role, duties, etc. Instead: try and find an agency that has an Area Manager that will set up a meeting between the Client and Caregiver for a warm introduction. This is a huge ice-breaker and allows a friendly, comfortable introduction between both parties. Editors Note: This article was submitted by Steve Lee, Founder & Owner of Veterans Aide at Home, a non-skilled home care agency dedicated to Veterans, Spouses and their Widows/ers. He can be reached at 720-326-0319 or by email at steve@VeteransAideAH.com to learn more

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.

People often say, If you dont use it, you lose it This phrase certainly pertains to brain function. As with any part of the body, the brain can atrophy if it isnt exercised. The best cognitive workout is hearing, which may seem simple enough but actually involves various portions of the brain that influence our memories, perception, and communication.At Better Hearing at Home, Dr. Anne Reap is trained to treat all types of hearing issues including the connection between hearing loss and dementia. Her intensive training coupled with her in depth study of how the brain processes sound has helped serve her patients well for more than 28 years.When hearing loss becomes a reality, the connection between our brains and our ears is often forgotten. Unfortunately, those patients with undiagnosed or untreated hearing loss increase their risk of physical complications or mental and emotional struggles. According to the Better Hearing Institute, numerous studies link unmanaged hearing loss to a wide range of physical and emotional conditions, including depression, impaired memory, compromised ability to learn new tasks, and the increased risk of personal safety.Hearing loss can impact the lifestyles and relationships of those individuals with dementia, negatively impacting their well-being and leaving loved ones and care-givers to wonder, whether communication and memory issues are due to dementia OR hearing loss??? Confusion surrounding dementia can worsen over time, but it is possible to break the cycle with the appropriate hearing care by a trained doctor of Audiology.Dr. Reap understands that individual needs are unique and treatment plans must be personalized in order to be effective. At Better Hearing at Home, we will work with you to insure that you and your loved ones can reach hearing and lifestyle goals. Remember, early intervention and treatment provides the best possible outcome. Dont wait, better hearing can make all the difference.Editors Note: This article was submitted byBetter Hearing at Home - Dr. Anne Reap500 West Putnam Avenue, Suite 300Greenwich, CT 06830www.betterhearingathome.com203 542-7323

CBD (cannabidiol) is one of hundreds of chemical compounds, including TCH (tetrahydrocannabinol), found in the hemp or cannabis plant. While THC is known for producing a high, CBD is non-psychoactive. Because of this, its appeal as a potential therapeutic option for a myriad of conditions has grown. Extensive preclinical researchmuch of it sponsored by the U.S. governmentindicates that CBD has potent anti-tumoral, antioxidant, anti-spasmodic, anti-psychotic, anti-convulsive, and neuroprotective properties. CBD directly activates serotonin receptors, causing an anti-anxiety effect. It works by modulating the endocannibanoid system, a hitherto unknown and complex neurochemical system encompassing most of the human body, including the brain, central and peripheral nervous systems, immune system, and peripheral organs.Recently there has been an onslaught of CBD products hitting the market amid claims that it is a cure-all. While certainly not a panacea, a solid body of research shows CBDs numerous potential benefits.When navigating the purchase of CBD, determining which products and appropriate dosages for specific conditions can be a challenge. Over the past year Ive undertaken a lot of study on this topic and consulted with other experts in the cannabis medicine field in order to give my patients solid advice on the therapeutic benefits and which products are of highest quality. Groundbreaking research is showing that Whole Plant CBD (as opposed to CBD isolate) provides superior therapeutic properties. Whole Plant CBD includes CBD, less than 0.3% THC and other phytocannabinoids, terpenes, and anti-inflammatories. Before purchasing, the key is to look for products that are rigorously tested and high quality. As always, check with your medical provider before using CBD products.For more on CBD, visit ProjectCBD.org or visit bouldermedicalcenter.comEditors Note: This article was submitted by John Kelley, MD, family practice physician at Boulder Medical Center. Call 303- 440-3001 for more information or to make an appointment.

For more information on CapTel, CLICK HERE.Follow these steps to get captions during a Zoom callIn light of social distancing, many families and businesses are using Zoom or other video-conferencing tools to hold virtual phone calls. The benefit of a Zoom-type of meeting is that multiple people can participate and you are able to see everyone on the call.You can use your CapTel phone to call into a Zoom meeting, as you would with any other phone, and get the benefit of reading captions during the call.Instructions:On your computer, click on the link provided in the Zoom invitation to connect to the meeting.On your computer, after electing to join the Zoomwith video,select Join with Computer Audio.Next, on your CapTel phone, lift the handset anddial aphone number provided in yourZoom invitation. (Please be aware that there might be long distance charges associated with calling the Zoom phone numbers.)Watch the CapTel signal meter and display to know when your call has connected.Once connected, use the CapTel dial pad to enter the Zoom Meeting ID number (andif necessary, enter the Participant ID number) and press #.Lower the Volume as much as possible and press Mute on the CapTel phone, and then rest the handset down somewhere without hanging up.You will be able to see the participants on your computer screenwhile reading the captions on yourCapTel phone.Once the Zoom meeting has ended, hang up the CapTel handset and increase the Volume so that the CapTel is ready for the next call.You will be able to see the participants on your computer screen while listening to the call, and then read captions on your CapTel phone.Tips:The time-out allowed for entering your Meeting ID and Participant ID can be brief. Be ready with the numbers you need before you place the call.If there are multiple people on a call, you may ask participants to state their name before speaking so that the captions can indicate who is talking.These same instructions apply to using CapTel with other video-conferencing options, such as Skype, GoToMeeting, Google Meet, etc.

When planning a funeral for a loved one, you want to make this time as easy as possible. You want them to take care of all necessary details, including taking your loved one into their care from the hospital, nursing home, or home. They will contact all interested parties on your behalf, obtain all required permits, file the death certificate and guide you through the decision-making process as it relates to services and funeral merchandise.There are many services that your funeral director can provide for you. The following is a partial list of service that may be offered:Creating a personalized and meaningful funeral honoring your loved ones lifeExplaining service and merchandise optionsCoordinating a newspaper & online obituariesPreparing and filing the death certificateAssistance and filing of Life Insurance ClaimsCoordinating with clergy and/or your church and musiciansArranging for a funeral celebrant or clergy if you do not have oneCoordinating cemetery and cremation arrangementsSelecting floral tributesCoordinating memorial contributions to your favorite charityNotifying the Social Security Administration of your loved ones deathProviding information on Veterans benefits and military honorsArranging or assisting with meals and receptionsAftercare Guidance (prearranged funeral/cremation services) for the future.Additional InformationFrequently Asked QuestionsFacts about Funerals (PDF)General Price List (PDF)Hospice Groups in DFW MetroplexHospitals in DFW MetroplexFlying with Cremated Remains (PDF)Social Security Information (PDF)Appointment of Agent to Control Disposition of Remains (PDF)Area CemeteriesTexas Prepaid Funeral ContractsWhat to Bring to the Arrangement ConferenceEditors Note: This article was submitted by John P. Brooks and Family Funeral Homes. They include North Dallas Funeral Home and Aria Cremation Service and Funeral Homes. We are proud to be family owned and operated for more than 42 years.North Dallas Funeral Homes|Aria Cremation Service and Funeral Homes DallasAria Cremation Service and Funeral Homes IrvingJohn P. Brooks and Family Funeral Homes |Strength of Family Tradition

There are companies that provide home modifications for seniors and others with disabilities who are finding it too challenging to perform their normal daily activities around the house.AARP says the correct adjustments to homes can increase the safety, accessibility and independence for older adults, eliminating the need to consider a move.Home modifications can include installing a ramp or stair lift to provide accessibility inside or outside of the house. Using a ramp at an entry way or a stair lift to get to a bedroom or bathroom on a second story can keep individuals safe and independent. Installing walk in showers, grab bars, widening doorways, replacing doorknobs with lever handles, are just a few modifications that can make life accessible.According to studies reported by AARP, more than a million older adults are living in homes with barriers that keep them from leading safe and normal lives and forcing them to either adapt their behaviors in unsafe ways or move to assisted-living facilities.Safe accessibilityAccessibility specialists say a modular ramp system could provide safe accessibility to a home, with installation that takes less than a day. Ramps can be installed for people who haven't been out of their homes for months and in some case years. The misnomer is that older people think if they're living in a two-story home, they have to move, but it's cheaper to install a stair lift, A stair lift will work if there is 5 steps or 20 steps.More cost-effectiveAARP states that making modifications can be more cost-effective than moving to an accessible house or living situation, and safer than remaining in the inaccessible home.The organization noted a survey of older adults with two-thirds of respondents believe that modifications could be the answer to allow them to remain at home.Take the time to investigate the products and services that are available so you can enjoy your life and stay living in own home. Look for a reputable company like Amramp, who has years of experience assessing and installing equipment that will help you age safely in place. Locally-owned by Nick Marcellino, Amramp is available to assist you and your loved ones today.Editors Note: This article was contributed by Kristin Swanick of Amramp.

To learn more about AccentCare Hospice, CLICK HEREWhat are some common post-op discomforts?The amount of discomfort you have after surgery depends on many things, includingthe type of surgery. Typical discomforts may include:Nausea and vomiting from general anesthesiaSore throat caused by the tube placed in the windpipe for breathing during surgerySoreness, pain,and swelling around the incision site or minor pain around IV sitesRestlessness and sleeplessnessThirstConstipation and gasWhat complications may occur after surgery?Complications can sometimes occur after surgery. The most common complications include:ShockShock is a severe drop in blood pressure that causes adangerous slowing of blood flow throughout the body. Shock may be caused by blood loss, infection, spine injury, or metabolic problems. Treatment may include any or all of the following:Stopping any blood lossHelping with breathing. This might be with a breathing machine.Reducing heat lossGiving IV fluids or bloodGiving extra oxygenPrescribing medicines to help raise blood pressure.BleedingRapid blood loss from the site of surgery, for example, can lead to shock. Treatment of rapid blood loss may include:IV fluids or blood plasmaBlood transfusionMore surgery to control the bleedingWound infectionWhen bacteria enter the site of surgery, an infection can happen. Infections can delay healing. Wound infections can spread to nearby organs or tissue, or to distant areas through the bloodstream. Treatment of wound infections may include:AntibioticsSurgery or procedure to clean or drain the infected areaDeep vein thrombosisA deep vein thrombosis is a blood clot in a large vein deep inside a leg, arm, or other part of the body. Symptoms are pain, swelling, tenderness, and skin redness in a leg, arm, or other area. If you have these symptoms, call your healthcare provider. In some cases, the clot can break off and travel to the lungs or brain. This can cause a pulmonary embolism or a stroke. Compression stockings are often used for treatment. They can also prevent DVTs.Pulmonary embolismThe clot can break away from the vein and travel to the lungs. This clot is called a pulmonary embolism. In the lungs, the clot can cut off the flow of blood. This is a medical emergency and may cause death. If you have the following symptoms, call 911 or get emergency help right away. Symptoms are chest pain, trouble breathing, coughing (may cough up blood), sweating, very low blood pressure, fast heartbeat, light headedness, and fainting. Treatment depends on the location and size of the blood clot. It may include:Blood-thinner medicines (anticoagulants) to prevent more clotsThrombolytic medicines to dissolve clotsSurgery or other procedures to remove the clotLung problemsSometimes lung problems happen because you dont do deep breathing and coughing exercises within 48 hours of surgery. They may also happen from pneumonia or from inhaling food, water, or blood into the airways. Symptoms may include wheezing, chest pain, shortness of breath, fever, and cough. Getting up and walking around, deep breathing, and coughing often can help reduce the chances for these problems. Treatment depends on the lung problem and the cause.Urinary retentionThis means you arent able to empty your bladder. This may be caused by the anesthesia or certain surgeries. It is often treated by using a thin tube (catheter) to drain the bladder. This is kept in place until you have regained bladder control. Sometimes medicines to stimulate the bladder may be given.Reaction to anesthesiaThis is rare, but it does happen. Symptoms can range from mild to severe. Treatment of allergic reactions includes stopping specific medicines that may be causing the reaction. You may also be given other medicines to treat the allergy. Tell your healthcare team about any allergies you have before the surgery to minimize this risk. If an allergic reaction does occur, ask what caused the allergy so you can stay away from it for any future surgery.

In response to the needs of an aging population, Saint Alphonsus Health System opened Senior ERs this past year within all their emergency departments in Boise, Eagle, Nampa (2 locations), Ontario and Baker City.Saint Alphonsus emergency staff are highly skilled and trained to provide the most advanced medical care for patients of all ages, said Sally Jeffcoat, President and CEO, Saint Alphonsus Health System. As part of our mission to heal body, mind, and spirit we have chosen to seek additional training and education and go even further to address an unmet need for this growing segment of our population. We are proud to be the first in Idaho and Oregon to create Senior ERs.Saint Alphonsus Senior ERsTM address the special medical needs, preferences and physical comforts of older adults and their caregivers. Beyond the typical ER visit, where staff focus on treating the medical issue at hand, the Senior ERTM goes deeper, assessing and addressing root causes for each visit . The care and attention senior patients receive is intended to make them feel more calm, safe, secure, informed and cared for. And caregivers can have greater peace of mind that staff are looking at their loved ones long-term needs.To create the Senior ERTM, Saint Alphonsus implemented fundamental changes in culture, physical environment and operations. Each Senior ERTM is run by a specially trained care team focused on providing a better, gentler, more patient-centered experience that produces better patient outcomes.Emergency Nurses have completed in-depth courses on Geriatric Emergency Nursing EducationEmergency physicians have specialized knowledge in the care of seniorsPharmacists may review medications that could pose a problem or may have contributed to the patients ER visitLicensed social workers or case managers may be available to discuss care options and screenings with both the patient and the caregiverFacility modifications have been made to address the safety, comfort and communication for seniors, and may include:quieter setting for carepressure reducing mattresseshearing and vision aidslarge printappropriate flooring and lightingSaint Alphonsus has physical variations in each ER. In some locations, seniors will be treated in dedicated Senior ERTM space and in others all patient beds are outfitted for seniors. The Boise ER is currently under construction to expand to better serve the needs of seniors, so the accommodations will change during each phase of construction.No matter what physical variations you may encounter, all Saint Alphonsus staff have received the additional, specialized training and are committed to offer a similar Senior ERTM experience to all seniors accessing emergency services.Locations:Boise 1055 N Curtis RoadEagle 323 E Riverside Drive (Eagle Road/State Hwy 44)Nampa 1512 12th Avenue RoadNampa 4400 E. Flamingo Road (off I-84/Garrity Exit)Ontario 351 SW Ninth StreetBaker City 3325 Pocahontas Road

For the last three years, Deborah Mills has been caring for her mother, who has Alzheimers and needs constant supervision. While Mills is happy to be in a situation in which shes able to help, the experience has been stressfulespecially given the high financial cost of caregiving. Kamilah Williams-Kemp, vice president of long-term care at Northwestern Mutual, has seen firsthand the struggles of family caregivers, having watched her mother-in-law care for a family member. Northwestern Mutual s C.A.R.E. (Costs, Accountabilities, Realities, Expectations) study found that expenses relating to caregiving made up around one-third of a caregivers monthly budget.What we saw in the study was that many of the people needing care had used up their assets to cover the costs of care, said Williams-Kemp.The Costs of CaregivingWhen it comes to the impacts of caring for a loved one, the financial burdens of caregiving were cited in the study as the second biggest impact after reduced personal time. Thats not surprising given the rising costs of caregiving.Many people dont expect these expenses, according to Williams-Kemp. In the study, only one in four potential future caregivers said that financial support was a key attribute of caregiving, but nearly two-thirds of caregivers actually end up providing financial support.How to Plan Ahead:Four in ten Americans are current or past caregivers, and one in five non-caregivers expect to provide care in the future. Still, a financial plan that includes long-term care can be a sensitive topic.Ensuring that you have a plan can give you more options to make choices about care and protect your family.How to Cope Financially if You Didnt PlanWhile the financial demands of caregiving can feel overwhelming, there are strategies that can help caregivers manage. The first thing youll want to do is work with the financial advisor and attorney of the person who needs care, Williams-Kemp said. Look at his or her assets to figure out how to best leverage them in caregiving situations.Planning Ahead Provides Certainty in Uncertain SituationsThose who do have a plan in place feel comforted, according to Williams-Kemp. Ive been told by people whom weve helped plan ahead that theres an incredible peace of mind to not having to worry about the financial aspects of their care or feel like theyre a burden to the family members who otherwise would have stepped in to help, she said. The full article can be found at www.northwesternmutual.com/life-and-money/long-term-care-should-be-a-part-of-your-financial-planArticle prepared by Northwestern Mutual with the cooperation of Bruce Mozinski. Bruce Mozinski is a Wealth Management Advisor with Northwestern Mutual, the marketing name for The Northwestern Mutual Life Insurance Company (NM), Milwaukee, Wisconsin, and its subsidiaries. Bruce Mozinski is based in Southborough, MA. To contact Bruce Mozinski, please call (508) 251-7223, e-mail at bruce.mozinski@nm.com, or visit brucemozinski.com.

Whether your estate is small or large, planning is essential to maintaining control of your health and assets, ensuring your loved ones are provided for, protecting your hard-earned dollars, and preserving your legacy.There are several issues you may want to consider. First, have you planned for the possibility that you might have long-term healthcare needs, either in your home or in a nursing facility? Do you have savings or long-term care insurance to cover the costs? If not, have you sat down with an Elder Law attorney to discuss Medicaid planning?What legal documents do you have in place, and how recently have you had them reviewed? Most people need either a Will or a Revocable Living Trust as the foundation of their estate plan, depending on their goals, the size of their estate, and the types of assets they own. If you own any real estate or at least $50,000 in other property and want to avoid probate, a Living Trust should be considered. Many people falsely believe that a Will avoids probate and are surprised to discover that their families will endure a process typically taking between 9-24 months and costing an average of 3-4% of the gross value of their estate that's $15,000-$20,000 on a $500,000 estate!Not only will a properly drafted Living Trust avoid death probate, but it also keeps your family out of the legal process that might otherwise be required if you become disabled. The other documents you need in case of incapacity, either temporary or permanent, are financial and healthcare Powers of Attorney, Living Will, and a Universal HIPAA Release that will enable your family members to communicate with your medical providers in the event of an emergency.A qualified estate planning attorney can help you put your plans into place, giving you and your loved ones a sense of peace don't put it off!Editors Note: This article was submitted by Catherine Shell, founder of Hammond Law Group, LLC. and an estate planning lawyer in Colorado Springs. For further information she can be reached at 719.520.1474

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}#

Knee replacement surgery is one of the most commonly performed surgical procedures in the United States with more than 700,000 knee joints being replaced each year. There are more than 5 million people in this country currently living with knee replacements. The first knee replacement surgery was done in 1968 and the medical community has been working since that time to make the procedure better and safer. Knee replacement today is a highly technical, highly successful procedure that looks nothing like it did 50 years ago, or even 5 years ago.So What Exactly is a Knee Replacement?A knee replacement (also called knee arthroplasty) might be more accurately termed a knee "resurfacing" because only the surface of the cartilage and bones are actually replaced. Arthritis damages these cartilage surfaces and then a knee replacement replaces these damaged surfaces with metal and high-grade plastics. The muscles and ligaments around the knee are retained so that the knee will still bend and move like a normal knee joint.How do I know if I am a candidate for knee replacement surgery?There is no one symptoms or test that can tell you if knee replacement is right for you. It usually will require a medical evaluation with an orthopedic surgeon who will take X-rays, perform a physical exam, possibly order some lab tests or more advanced imaging studies like a CT scan or MRI, before sitting down with you and discussing your options. Knee replacement surgery is considered an elective procedure, so the patient is always in charge of the decision making process the surgeon merely provides instruction about the patients individual condition, education about the various options and will make recommendations based on their training and experience.There are no absolute age or weight restrictions for total knee replacement surgery. Most patients who undergo total knee replacement are aged 50 to 80, but knee replacement surgery can be performed in patients of all ages if clinically appropriate.What Can I Expect From Knee Replacement Surgery?More than 90% of people who have total knee replacement surgery experience a dramatic reduction of knee pain and a significant improvement in the ability to perform common activities of daily living. But total knee replacement will not allow you to do more than you could before you developed arthritis.With appropriate activity modification, knee replacements can last for many years most studies report that knee replacements last between 15-20 years. When they wear out, they can be redone or revised.What Else Should I Know About Knee Replacement Surgery?Not all knee replacement surgeries are the same. There are major differences between surgeons and hospitals with regard to outcomes and costs. It is important to be an educated consumer and ask questions and do some research. We are lucky that in Central Pennsylvania we have a number of highly qualified surgeons and hospitals that can provide the latest techniques and highest quality knee replacement surgery that can be found anywhere in the country. It is perfectly appropriate to ask about your surgeons qualifications and the hospital where the surgery will be performed. There are differences amongst hospitals with regard to cost, complication rates, infection rates, readmissions and patient satisfaction.OSS Health is proud to be nationally recognized by multiple organizations including the Joint Commission, HealthGrades and Press-Ganey for excellence in joint replacement surgery and patient satisfaction. Editors Note: This article was contributed by Dr. Joseph Alhadeff, an orthopaedic surgeon with OSS Health.

According to CBS News (2012) nearly a quarter of senior citizens have an interest in participating in more social events. The data collected by Statistics Canada (2012) analyzed the barriers many seniors face that may prohibit social outings or participation in activities. The connection between social engagement and self-esteem is very important to observe as our population ages. Here is a guide to understanding the barriers to peer socialization and some key benefits of peer socializationThe Barriers to SocializationUnderstanding barriers to peer socialization is an important next step in building social capital.Health Limitations- Many seniors feel health issues prevent them from participating in social activities. Solution: Researching senior based activities can highlight the diversity of social engagement. Not all activities require physical strength or you leaving the home for participation. Consider activities such as a puzzle project with a friend, arts & crafts, sewing, jewelry making or learning a new language at a local college.Not Wanting To Go Alone The fear of conquering activities or outings alone is a major concern for many seniors. Solution: Why not ask a friend or family member to attend an event or outing with you until you are comfortable? Take a chance and take the opportunity to meet new people!Benefits of Socialization: Research suggests that seniors who are more active members of society through volunteering, visiting friends, attending church, and other outings have a better perceived idea of health. Although this is a subjective assessment of health this perception can positively correlate with self-esteem. If one has positive self-esteem they are more likely to engage in social activities, avoid feelings of being lonely, and have a better quality of life. Improved self-esteem and healthcare can lead to improved relationships with friends and family members. The constant contact between family members or friends through social activity helps one to develop a better support system and better social capital among a diverse group of people. The increased social capital from different relationships increases the chances of new friendships developing as well as new interest. Research shows that an increased quality of relationships can help with feelings of loneliness and depression. Those individuals who are active throughout the day in social activities have a greater sense of internal control and independence.Editors Note: The article was submitted by Zanetta Miller, Marketing Director with Brentwood Senior Living in Hobart, Indiana. She may be reached at 219.945.1968 or by email at marketing@hobartalc.com

To learn more aboutThe Retreat at Palisade, CLICK HERE.One of the most difficult tasks we face as humans living in a society is how we take care of our beloved elders. There may come a point in time when a senior can no longer live on their own, though, so as members of their families, we must make difficult decisions regarding how we handle this situation. On one hand, its emotionally taxing to see someone you love not be able to take care of themselves when they used to be the one taking care of you. But on the other hand, theres only so much you can do to take care of a senior in your family until it becomes overbearing and inhibits your ability to live a normal life. Theres a middle ground that can often be found when its necessary. Thats particularly true at a certain point where it makes sense for both the senior and the caregiver to develop a plan for senior care. But this is an expansive industry, so its important to determine which type of care you or a loved one may need. Ourarticle about the future of senior carecan also help you plan for new types of care that may be better suitable for you or a loved one.HOW DO I KNOW WHAT TYPE OF CARE I NEED?One way to measure the level of care a senior needs is through charting ADLs, which are activities of daily living. This concept was developed by a doctor named Sidney Katz back in the 1960s, and it helps professionals understand how well a senior can complete routines and basic activities that contribute to daily life. Katz broke these routines down into six main categories:BathingDressingToileting (going to the bathroom)Transferring (the ability to get in and out of bed)Continence (being to control your bowels)FeedingEach category has equal value of importance inKatzs chart. A number1 if you can complete the task, or 0 if you cantis assigned to each category. Once that is done, you add up the numbers. The higher the score, the more independent a patient is able to live. For example, if a senior scored a five out of six on the model, he or she has a relatively easy time completing basic functions of life. But if a senior scores a one or two out of six, its clear that he or she needs a lot of care and attentiveness, and thus will need a type of senior care that is more hands-on. Once professionals measure ADLs, there are other types of more broad activities they gauge to get a deeper understanding of the type of care a senior needs. These activities are called IADLs, or instrumental activities of daily living. These include activities like:Paying the billsCleaning the houseCooking food for yourselfBeing able to transport yourself outside of the houseSocializingThese activities are measured in a similar fashion as ADLs, with numbers being assigned to specific activities. But because IADLs are far more expansive than ADLs, the number ranges are different. The ranges are different for men and women, too, in order to avoid any potential gender bias. For men, the scores range from zero to eight, and for women, the highest number is lowered to five. Theyre similar to ADLs in how theyre measured, though, because the higher the score, the more likely that someone can live more independently (and vice versa).SIGNS IT MAY BE TIME FOR ASSISTED LIVINGOutside of understanding exactly what ADLs and IADLs are and how important they are to senior care, there are general warning signs and hints that it may be time for assisted living. Many of these signs are directly related to the activities of daily living discussed before and can be explained medically. That could be because the senior in question is depressed or they have something more severe like dementia or cancer. For example, a bad odor can mean they dont know how to or simply dont have the physical strength to bathe anymore. Unpaid bills may mean they dont have the cognitive ability to understand numbers like they once could. Now without filling out an ADL chart, what are some signs that may indicate its time to seek professional help regarding your loved ones living situation?Worsening Medical ConditionsAs seniors age, the likelihood they develop a chronic medical condition skyrockets. TheAARPreported that more than 70 million people (aged 50 and older) have at least one chronic medical condition, and these can be debilitating issues like Alzheimers disease or heart disease. When seniors with conditions like this get older, they need more and more medical attention and are less capable of taking care of themselves. Outside of chronic conditions, thepotentialfor medical emergencies increases with age. If your loved one indicates thathe or she has fallenand struggled to get up on more than one occasion, its not safe for them to be living on their own. Nearly one third of seniors fall at least once every year, andthe death rate for fallshas climbed steadily in the past decade.Monetary IssuesMany aging seniors have less of an ability to keep up with all their financial responsibilities. Bills from banks and insurance can pile up because seniors either dont have the motivation to pay them or they simply cant. Diseases like dementia also affect seniors ability to think abstractly and handle numbers on a complex level. This can lead to difficulties when doing taxes or taking care of multiple bills at one time. Seniors can also often be susceptible to financial scams, whether it be from telemarketers or their own family members. These scams can put seniors in debilitating financial spaces, which can prevent them from taking care of themselvesif they live in their own home or not. Many aging seniors have less of an ability to keep up with all their financial responsibilities. Bills from banks and insurance can pile up because seniors either dont have the motivation to pay them or they simply cant. Diseases like dementia also affect seniors ability to think abstractly and handle numbers on a complex level. This can lead to difficulties when doing taxes or taking care of multiple bills at one time. Seniors can also often be susceptible to financial scams, whether it be from telemarketers or their own family members. These scams can put seniors in debilitating financial spaces, which can prevent them from taking care of themselvesif they live in their own home or not.IsolationSenior isolation is a serious problem. More than 11 million seniors live alone, according to theU.S. Census, and isolation can affect seniors overall health. When seniors isolate themselves, that means they decrease how often they participate in things their hobbies, social interactions with family and friends, or just simply leaving the house at all. Some health issues associated with isolation include:Depression: The lack of community or sense of purpose can cause seniors to become depressed, which is an agent for disease like dementia and heart disease.Addiction: Seniors who are isolated often develop bad health habits like drinking, smoking cigarettes, and prescription drug abuse.Mortality: Simply put, isolation is directly related to seniors mortality rate, according toone study.Messy Living SpaceAn untidy and odorous living space can indicate a senior may not be able to live on his or her own anymore. These can often be explained with a seniors physical ability to clean up after themselves, because it can get to the point where they cant vacuum the house or clean the dishes (or even get dishes into the dishwasher). Its also important you look at the food your loved one is eating. Open up the fridge and look around. Is there spoiled food stacked on top of spoiled food? Are there a lot of foods past their expiration date? Is there a lot of the same food, like leftovers of the same thing from the same restaurant? All these may be signs that your loved one 1) cant cook for him or herself anymore and 2) arent eating healthy food or full meals, which causes a general unhealthiness. An untidy and odorous living space can indicate a senior may not be able to live on his or her own anymore. These can often be explained with a seniors physical ability to clean up after themselves, because it can get to the point where they cant vacuum the house or clean the dishes (or even get dishes into the dishwasher). Its also important you look at the food your loved one is eating. Open up the fridge and look around. Is there spoiled food stacked on top of spoiled food? Are there a lot of foods past their expiration date? Is there a lot of the same food, like leftovers of the same thing from the same restaurant? All these may be signs that your loved one 1) cant cook for him or herself anymore and 2) arent eating healthy food or full meals, which causes a general unhealthiness.Poor Hygiene and FrailtyWhile a loved one may have some level of ability to take care of him or herself, a big sign it may be time for assisted living is the lack of motivation for doing so. Some signs of poor hygiene include messy grooming habits and a bad odor, which could indicate they arent bathing as often as they should or doing laundry. This can also mean theyre starting to lack the ability of taking care of themselves, too. Seniors can also start to become frail as they age, meaning they look skinnier or thinner than usual. This can be caused by a lack of eating, or something more serious like a medical problem that hasnt been addressed yet.WHAT KINDS OF SENIOR CARE ARE THERE?The senior population (adults 65 and older) is taking up a greater portion of the overall United States population every year thanks to the baby boomer generation (those born between 1946 and 1964). In 1985, seniors took up about 12 percent of the population. Current levels are at about 13 percent (more than 40 million people), and that number is expected to rise toup to 21 percent by 2050. That means there will be more than 80 million seniors living in the States at one time, which will require a great deal decision-making for a lot of families as to when and what type of care they should get for their loved ones once they can no longer live on their own. Luckily, though, senior care is a wide-ranging and highly inclusive industry. There are plenty of options to make sure your loved ones are in the best hands. The amount of inclusive senior care you or a loved one needs varies depending on the level of care thats needed. Lets look at the different types of care there are and what fits your situation best.Nursing HomesNursing homes feature round-the-clock assistance for patients who need highly attentive, long-term care. The average patient who enters a nursing home is there for around two and a half years. Seniors who reside in a nursing home usually have lower ADL and IADL scores. According to asurveyin 1999, more than 95 percent of nursing home residents needed help with bathing, and 88 percent of residents needed help with getting dressed. Nursing homes require that a registered nurse (RN) be present at all times when patients are being cared for, though nursing homes can have different levels of skilled nurses present. Because of the amount of assistance each patient needs, the plans for each patient vary and there usually isnt one overarching plan to take care of all the patients in the home. Usually, nursing home care isnt covered byMedicare. Theofficial websitestates the reason is: most nursing home care is custodial care, like help with bathing or dressing. Medicare doesnt cover custodial care if thats the only care you need. As of 2012,one reportrevealed that the average yearly cost of nursing home care is about $90,000 for a private room, and about $80,000 for a semi-private room. These prices vary depending on what state you live in and sometimes even what part of a state you live in. Depending on your insurance, part of the cost can be covered.Assisted Living CareAssisted living facilities are similar to nursing homes in that theres 24-hour care, but usually patients in assisted living dont need as intrusive care as nursing home residents. Like nursing homes, patients in assisted living facilities are expected to be there for the long-term, with an average patient staying for around three years. About seven times more women live in nursing homes than men, but thats often attributed to the fact women are expected to live longer than men. Those who enter assisted living facilities can often do many activities on their own, but not enough to where they can comfortably and safely live alone anymore. Residents usually have their own living space and are still allowed to socialize with other residents freely. Meals are provided to residents, but some facilities allow patients to cook for themselves (if they are able). Assisted living communities are often paid for out of pocket, and yearly averages range from $25,000 to $50,000, depending on where and which facilities you choose to enter.Home Health CareHome health care is the most popular form of senior care because it allows seniors to live in a place theyre comfortable with, and it allows family to come and visit freely without any restrictions or time-sensitive rules. Depending on the type of care needed, some patients can travel and leave the home. Patients who receive home health care have a wide range of care from once or twice a week, to 24 hours a day. Professionals who treat patients withhome health care usually assist patients with activities like:BathingGoing to the storePreparing foodGetting dressedTransportation to appointmentsBecause of the wide range of care, home health services are usually offered hourly and can be covered through Medicaid and Medicare.Independent Living CommunitiesThere are also known as retirement homes and villages. Usually residents of independent living communities score pretty high on ADL and IADL scores, meaning they dont need too much medical help. However, there are usually medical facilities in these communities. Because of this, the lifestyle can be relatively similar (or even better) than before because of the amount of people similar in age and the overall sense of community. These communities are particularly advantageous to seniors who are isolated. Isolation can cause depression and affect your overall well-being and health, so the sense of community given in a retirement village can help combat that. Retirement homes sometimes have social and entertainment activities like golf, tennis, gyms, and performing arts centers to help keep seniors engaged. Independent living communities are often one of the cheaper senior care options around, too, because of the lessened need for round-the-clock care. Because of the opportunity for entertainment and advanced amenities,costs can rangeanywhere from $2,000 a month to up to $4,000 a month.Hospice CareOne of the toughest decisions you can make is putting a loved one into hospice care, but its the best and most comforting choice in certain situations. Hospice care is described as the model for quality, compassionate care for people facing a life-limiting illness or injury by theNational Hospice Organization. It focuses on making sure patients live their last days in the most comfortable and pain-free environment possible. Hospice care has some of the most expansive rules on theMedicare websiteas to what is and isnt covered, but they largely revolve around if the care is focusing on treating and attempting to cure any sort of malady.Alzheimers CareThis type of care is specifically made for people with Alzheimers disease. Though that sounds like a specific type of care, more than five million people every year are affected with the disease. Alzheimers disease is the most common form of dementia (memory loss), and, at its more advanced stages, can cause patients to become immobile. Alzheimers care is tailored specifically for the disease. For example, there is greater security because patients with Alzheimers are known to wander, and its important to make sure that patients cant escape the area. There are many different forms of care, though, just as there are different types of senior care that vary based on the severity of the disease. Sometimes, Alzheimers care is incorporated to other types of senior care like nursing homes and assisted living facilities. Its through understanding these different forms of senior care that you and your loved ones can feel more confident and comfortable with making such an important decision.

FACT: 1% of Realtors in the United States is qualified to work with Seniors.As a Senior Real Estate Specialist I help seniors navigate the sale of their home by providing a patient, specialized, and compassionate one-stop service from start to finish. My full team eliminates all of the extra phone calls, interviewing, hiring, stress and costs that youll have to endure. A Realtor who knows how to help seniors and their family through this transition of selling their home and downsizing is very important. The National Association of Realtors created a special designation for Realtors who work with seniors. The Seniors Real Estate Specialist (SRES) & Accredited Senior Agent (ASA) credentials guarantees that a Realtor has learned how to be the best best serve the needs of seniors who are selling their home. Call for a list of TRUSTED RESOURCES!

Alzheimers/Dementia is a major illness in the United States. You do not think it will happen to you, and then one day it does.You come home to visit your Mom and she is frantically looking for her car keys. You ask her to back track her steps, and she is unable to do so. The only thing she can tell you is someone took them. She turns to you for help and when your eyes meet she starts yelling help me, help me, as she reaches for the phone to call 911. As she is speaking to the person on the other line, a look of clarity comes over her, and her facial expression starts to soften as she realizes her son/daughter is there to help.She puts the phone down, and you gently ask her what is going on. She states, Nothing dear, everything is fine. I am just watching a little TV. You notice the TV is not on, the house is in disarray, and the dishes are in the bath tub. You think to yourself, what is going on?As you start to clean the house and put the dishes where they belong, you realize something is not right. Could it be a urinary tract infection? You faintly remember reading an article on how a urinary tract infection could cause some type of psychosis in the older population if left untreated. Off to the doctor you go.At the doctors appointment you speak about the behaviors your mom is experiencing as they test for a UTI. The test results come back normal, and the doctor diagnoses your mom with Alzheimers/ Dementia. They provide you with brochures, websites to look up more information, support groups, and when to seek additional help. As time passes, mom is now going outside during the night in 23 degree weather with no coat on. As you try to help her into the house she starts hitting, biting, and throwing objects at you. You realize she is a danger to herself and others. Its time to call for help.Editors note: Article submitted by Jane Cassady, RN, Outreach Manager for NeuroPsychiatric Hospitals and may be reached at 877.398.4186 or by emailing jane.cassady@n-p-h.net

Alzheimers disease is the sixth-leading cause of death in the United States and the fifth-leading cause of death for individuals age 65 and older. This devastating and debilitating disease is the ultimate thiefof memories, independence, control, time, and, ultimately, life.The disease is often dealt with in silence. Those facing the disease feel a stigma surrounding their diagnosis and often dont seek the support they need. At the Alzheimers Association, we hear from individuals daily that they feel alone. Family and friends stop visiting because of abnormal behaviora symptom of the diseaseand caregivers become more and more isolated.We want patients and their families to know that there is hope, and there is help, through the Alzheimers Association of Greater Pennsylvania Chapter. We are here to provide education and support to the millions who face dementia every day, while advancing critical research toward methods of treatment and prevention, ultimately to end Alzheimers disease. Our offices are located locally and support groups are available to attend throughout the region. To find one near you, please visit www.alz.org/pa or call our 24/7 Helpline at 800-272-3900.The Greater Pennsylvania Chapter also hosts the Walk to End Alzheimers. This is the Alzheimers Associations largest annual awareness and fundraising event, which occurs every fall. The Walk to End Alzheimers is a day of hope, an opportunitya day we all come together to see that were not alone in our fight.Some walk to honor and remember those they have lost. Some walk to share stories of living with Alzheimers or related dementias. Some walk so that future generations wont have to face the debilitating and devastating effects of the disease. Some walk because they want to help make a difference and bring this disease to the forefront. The money raised allows our chapter to contribute to research to find a cure. These funds also help support free programs and services that advance accurate and timely diagnosis of people with Alzheimers and other dementias.Help us break the silence and start the conversation today! Register today at www.alz.org/walk or call our Helpline at 800-272-3900.Local Walks include:Harrisburg September 16thAdams/Franklin County Walk - September 30thLancaster September 23rdYork October 7thThis article was submitted by Jeremy Bland. Jeremy is the Director of Marketing and Communications with the Alzheimers Association Greater Pennsylvania Chapter.

Non-medical homecare can be difficult asking a stranger to come into your home and provide care for your loved one. Its even more difficult finding the right agency a reputable one that you feel you can trust to provide the best care and offer you peace of mind. There are many benefits of using homecare: Keeping your loved one in the comfort of their own home Homecare is personalized to the individuals needs and allows you to be in control It is safe and reduces the burden for familiesWhen you start your search, use this partial list of questions to interview homecare agencies:Important Starting Questions:? Is your agency licensed by the state (ask to see the license)?? Is your agency and caregivers bonded and insured? Do you have workers compensation insurance?? May I have a copy of the results from your most recent state survey?About the Staff:? Are the caregivers employees of the company or independent contractors?? Do you run criminal background checks on employees?? Is a Department of Transportation check done to verify driving record?? Do you check references?? Do you do drug screenings?? Do you require caregiving experience? How many years?? Do you provide ongoing training?About the Services:? What specific services does the agency provide?? What type of service agreement is required?? Do you have guidelines or standards of conduct for the caregivers?? Will we be able to meet the caregiver before they start working?? Is a supervisor available 24/7 if there is an emergency?? How often will you review the plan of care?The Details:? Do you have consistent assignments or will the caregivers change on a regular basis?? What happens if my caregiver is sick or there is inclement weather?? Can the caregiver provide transportation to appointments or social outings? Is there a charge for mileage?? How do I communicate with my caregivers?? Do you have current or former clients that I can call for references?Whether you need specialized care, personal care, meal preparation or friendly companions, homecare keeps your loved one in their home surrounded by family. Start the discussion now and interview agencies so you are prepared. Homecare giving you and your family the peace of mind you need and deserve.Editors Note: This article was contributed by Sandy Sferrella-Taylor, Public Relations Manager at Visiting Angels or York, Lancaster and Hanover.

1. SRES Realtors communicate with seniors the way they want to be communicated with. Many homeowners want/need to have personal visits verses email, text, or even phone.2. SRES Realtors understand that homeowners may need to have several visits from them before they can gain their trust enough to allow them to put their house on the market.3. SRES Realtors know there may be some physical limitations that the homeowner has that may make showings difficult. The homeowner may not be able to leave the home every time its shown. The Realtor can help them to make an alternative plan for showings.4. Other family members may be involved in the decision-making process when listing the property. An SRES Realtor is prepared and knowledgeable about properties as part of a trust, or properties as part of an inheritance.5. If the homeowner is downsizing to a smaller home or adult community, they may want to consider a HECM (Home Equity Conversion Loan) loan. An SRES Realtor can help them determine if they might be a good candidate for this program, which is specifically for buyers 62+.6. They may be part of a larger Senior Concierge Services program that offers other services related to the move and provides one stop shopping. Services may include senior move management, financial planning, estate sale services, mortgage services, closing attorneys, and elderly law and estate planning firms.7. If the homeowner is moving from another state or city, A SRES Realtor can refer them to a designated SRES Realtor in their departure city.8. A SRES Realtor tailors their marketing pieces and documents to meet the needs of seniors. Larger print, easy to read, and easy to handle.9. A SRES Realtor will make all efforts to price the property at fair market value to maximize the sellers proceeds, while also pricing for a quicker sale. Many sellers need the proceeds to be able to move on. In some cases, they may need them immediately.10. Most importantly, an SRES Realtor cares about seniors, and has made a commitment to cater to their needs!Editors Note: This article was submitted by Karla Casertano, Realtor, SRES, RRS - RE/MAX Select Real Estate. She can be reached at 412-287-5541 or by email at KarlaCasertano@remax.net. Visit her website at www.casertanoreagent.com

The challenges faced by individuals with Parkinsons disease (PD), even within their own homes, can be many and varied. PD is a disease that develops and worsens slowly over time.Symptoms range widely from motor symptoms (like tremors, coordination, balance, walking deficits, lack of facial expression, decreased vocal volume and inflection) to non-motor symptoms (like depression, anxiety, constipation, lethargy). Symptoms can vary greatly from person to person, depending on how long they have had the disease, what sorts of treatments they employ, as well as other disease processes and other factors which may impact them. Treatments which can be used to successfully manage the symptoms and may assist with slowing the disease progression include medication management, evidence-based, PD-specific exercise programs and possibly surgery.Skilled home care agencies working with these individuals are in the unique position of seeing exactly what challenges patients with PD and their care partners face in their homes. Symptoms can fluctuate, sometimes in an unpredictable manner. Skilled home health staff can help to improve safety and function within the home, as well as help with the transition back to the community.Within the home, individuals with Parkinsons disease may struggle with slow, small movements which can affect their ability to dress, bathe, move in bed and prepare food efficiently and safely. Deficits in walking caused by PD may make it difficult to negotiate changes in flooring, small spaces and doorways, and may also increase an individuals risk for falls.Individuals with PD and their care partners may require community resources and/or may need to find additional caregiver help in the home and information regarding finances and planning for the future. Lack of facial expression, deficits in speech and decreased breath support may impact communication and individuals may have cognitive deficits. Correct and timely medication regimens are also integral to safe and efficient management of symptoms.Home health clinicians with specialized training coordinate closely with all team members to target the deficits associated with Parkinsons disease. RNs, PTs, OTs, STs, MSWs and CNAs enable their patients with PD to meet their goals and maximize their potential.Editors Note: This article was submitted by Susie Lefebvre, PT, of Boulder Community Home Care. For more information she can be reached at 303-415-4515

As a Nation, improved longevity is a reality. Enhanced medical care, better diet and exercise, and less invasive medical technology are adding years to our lives. Living longer is a blessing but can propose significant financial worries.Here are the main reasons to consider protecting yourself by investing in Long-Term Care insurance. The odds are in your favor that you will need it. The cost of care is steadily rising. Family member cannot be counted on. Family sizes are shrinking. Self-insuring is not a reasonable option. The Government will be trimming benefits, not enhancing them. Assistance is currently being scrutinized for a reduction. The Medicaid program is even more fragile.The Long-Term Care plans offered today have many options and innovative benefit parameters to help put together an affordable policy to offset these financial woes. There are even plans that offer your premiums back. Regardless of how you tackle this problem, you must act before a health problem arises. It is MUCH less expensive to seek this protection BEFORE poor health makes it difficult or impossible to purchase.You will never save money by waiting until you are older, even though you will pay premiums longer statistically before you need the benefit. And the healthier you are the less you will have to pay for premiums. Be smart, plan ahead.Editors Note: This article was submitted by Rosemarie Hurley, President of Senior Insurance Solutions, 239-274-6678, www.longtermcareinsurance-online.com

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}#

When the Crisis Hits, families may have very little time to decide on the best care facility for a loved one. Trying to find a Skilled Nursing Care center as the clock races can make you feel overwhelmed or even paralyzed. Fortunately, there arealwayscare options available, even when time isnt. We recommend breaking down your decision into three steps:Step 1: ResearchAsk family and friends to recommend caregivers or centers. Find and compare Skilled Nursing Care Centers online with Medicare's Nursing Care Compare, a rating site for Medicare- and Medicaid-certified nursing homes, professionally called Skilled Nursing Care centers. Medicare has developed a five-star quality rating system based on health inspection results, care center staff data, quality measures, and fire safety inspection results. Though there is plentiful information you can find, relying on ratings alone is not sufficient enough to make a decision. Be wary of for-profit placement services, you want your decision to be based on careful consideration, not their commission.Step 2: ConsiderBased on your research, choose about three centers to visit. Call each to schedule a tour. Communicate the immediacy of your situation and ask to speak with an admissions coordinator. The admissions coordinator can tell you more about thecenter and availability. Only visit centers that you know have available accommodations.Step 3: SelectAfter visiting and doing your research, select the center that best meets your care needs and consider giving yourself one night to sleep on your decision. Once you have made your care choice, learn more about what to expect during the transition.As you go through the decision process, remember your loved one will need you as much now as ever. Youll remain an integral part of your loved ones care and decisions. You are your loved ones strongest voice and advocate.This article was submitted by Karl Bieber, Public Relations Coordinator for Vetter Senior Living. He can be reached at kbieber@vhsmail.com or 402-895-3932

Seniors and those recovering from surgery/injury can often feel isolated and/or afraid. Caregivers, whether family or professional, can participate in their care and provide personal interaction, but often are only in attendance as needed. Fortunately, we have come a long, long way in how technology can help create needed connections to the outside world. Most of us cannot imagine a world without computers, or at least tablets and smartphones. But, many seniors still find these to be intimidating, having grown up in a time where telephones had wires and dials! The good news is that technology has made the new tools incredibly simple to use.We at Just Like Family, encourage our clients, families, and friends to take advantage of the technological connections that are possible. Minimally, todays cell phones can provide access, inexpensively, to basic phone calls, email and texting to family and friends, even internationally. Helping seniors, especially, understand the service they have, and how much access it can provide is critical.While the phone can handle much more than basic calls and texting, access to a tablet and/or a computer makes access to these other tools much more enjoyable, if only for the size of the screen. Phones & TabletsWe encourage seniors and patients to obtain a tablet/computer and learn how to participate in the following:FaceTimeHaving a conversation where you can actually see the other party is amazing. Not only can the senior see how the grandkids have grown, but the other party can check on the condition of their loved one and even their surroundings. Simple explanations of how FaceTime works are offered via YouTube and other how to sites. Other programs, such as Skype, offer similar service, but FaceTime seems to be the most popular and easiest to use.MusicWith a little help, seniors can set up their tablet (or phone) to play their favorite music, perhaps re-living special memories connected to certain songs. Most of us find that music lifts our spirits, if even just for short periods of time.Brain ActivityTablets or computers are especially good for activities that keep the brain engaged, as a larger screen makes these more enjoyable. We encourage seniors to use technology for:ReadingThe ability to adjust the font, colors, etc. is very helpful to those whose vision is not as sharp. Online e-books can be found for free, or at a low cost. Those who struggle with memory issues find that highlighting certain passages improves memory, and appreciate the ability to search for a person or action that they dont remember. In addition to e-books, newspaper subscriptions are available at a significantly lower cost than print versions and can help the reader stay current with local events.Mind/Brain Exercise Apps, many for free, are available for many games or activities that help keep the brain sharp. Examples are Sudoku, Scrabble, and crossword puzzles. A simple search for brain games, however, identifies many more.Technology Supporting Seniors Living At HomeBeyond the basic computer/table/phone ideas, new technologies provide other services that specifically help senior and the homebound. Three specific components we recommend be considered:Emergency Response SystemWe tend to think of this as the Ive fallen and I cant get up system, but much more is available. A button you can push to summon help is still there, but the systems can also track whether the client has been still for too long, or has actually fallen. Seniors report that the button makes them feel much more secure about continuing to live at home, as well as feel connected to the outside world. In the worst situation, this technology can literally be a life-saver.Medication Management (Reminding/Dispensing)You dont have to be a senior to have trouble remembering to take your medication, but many of our clients report this as an issue. Simple options, such as a weekly box that is loaded with medications for each day of the week, and even for A.M. and P.M., are widely available. Many pharmacies, and companies, now package prescriptions for their clients by the day, or multiple times a day. Technology is also bringing us systems that remind us what to take when, and how much. These systems can include alarms and reminders (such as take at bedtime.) Use of these systems is encouraged, and we look forward to even more options in the future.SmartHome TechnologyThe ability to see what is going on, inside and outside of the home, as well as to control ones surroundings is the latest technological advancement. The ability to see who is at the front door, and even to talk to that person, is a technology our clients might find useful. Many report that they feel much safer, and therefore more comfortable being alone, with this simple device. Other technologies to consider include those that allow the resident to address comfort issues without moving, including applications/devices that allow the resident to use their phone to adjust the temperature, turn the lights off and on, and even lock/unlock doors.Technology And Home CareTechnology will never replace personal care, but it can help reduce the amount of care needed and increase self-sufficiency. Technology will never replace the joy of an in-person visit with a caretaker, family member or friend. But, the ability to connect via technology can overcome long distance, and well as time challenges. We all can find technology a challenge, but the joy and connection it brings make the effort worthwhile. Written and Submitted By: Just Like Family Home care - click here for more information

What happens when you reach that point in life where you are required to take medications daily but can't seem to remember to do so? It might be time for an Automatic Medication Dispenser.What is this you might ask?Automatic Medication Dispensers are medical devices that can be programmed to organize and remind you when and what medications to take. They come in a variety of sizes to accommodate those who take few medications daily and those whose medication list never seems to stops growing. You can program the device with morning, afternoon and night reminders; many have flashing lights, audio alarms, and buzzing vibrations for those who are hard of hearing. At the set time the device will alert you and then dispense the appropriate medications. Most of these devices are programmed and monitored by your registered nurse (RN) or other assistant providers.What are the benefits of having one?- Set it and forget it. Once the device is set for the week there is no more worrying about taking the right pills at the right time- Convenience. Having all your medications stored in one secure place- No cost! That's right; many home health care companies provide this service free of charge while using their services.- Reduces the risk of forgetting to take your medication or taking the wrong medication at the wrong time.- Medication Protection. The devices typically have locks on them so that your medications don't go missing. Automatic Medication dispensers are great for anyone who struggles to remember to take their medications or who is maybe struggling to remember things in general!Editors Note: This article was submitted by Adrienne Sirstins, with Midas Creek Home Health and may be reached at 801.302.8526 or by email at midascreekhh@digis.net

Kare Works presents Seniors Blue Book Senior Care Spotlight with Kathleen Warshawsky, BSN, RN; featuring Laurie Miller, Owner and Administrator of Apple Care and Companion. Laurie shares her expertise on the many factors to consider if you are thinking about bringing your loved one home from a senior living community.Laurie shares additional information on this important topic on the Apple Care and Companion blog post:Thinking about bringing your loved one home from a senior living community?Learn more about Apple Care and Companion

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

I was working with an Adult Protective Services representative just a few days ago, and she said something very profound. We were attempting to help a family whose mother was showing signs of either rapidly advancing dementia or some other medical issue. They had no powers of attorney in place; they had no authority to step in. She needed help, but they were stuck between not having any power of attorney documents and not being able to make the required showing to get a guardianship. The woman from APS said, "It's always to soon, until it's too late." How true.Many families keep putting off the very critical act of executing the proper set of documents to insure that they can legally pitch in to help, if a loved one needs assistance. Procrastination can cost - BIG TIME! A will, financial powers of attorney, medical powers of attorney, HIPAA releases, advance directives, declaration of guardians in the event of later need are essential for every adult member of the family. If there are minor children in the mix, there should also be a declaration of guardian for your children in the event of later need. People often assume that, just because they are family, they will be able to jump right in, take over the finances, help with medical decisions, etc. WRONG! And the consequences of not having the right authority when you need it can be dramatic. When a family member needs help, the bills don't just automatically stop! Imagine the anguish that results from not being able to access that family members finances. No one realized the need to plan ahead. It's frustrating, gut-wrenching and expensive, if you have to come out of your own pocket to pay those bills. Consult with an elder attorney. There are issues that you probably haven't thought of and questions that you don't know the answers to. Please do it NOW! Remember, it's always to soon, until it's too late.Editors Note: This article was submitted by J. Clarke Wilcox, attorney with Whatley Wilcox, PLLC. He may be reached at 888-593-5337. Article on page 39

Talking with your aging parents and loved ones when they need assistance is often not an easy thing to do. Each family is unique; each set of circumstances is unique. But there are common threads with many. First, the aging person of concern needs to be considered for their capacity to make decisions. An individual's decisional capacity is based on their ability to:? Understand relevant information? Process the available information? Personalize the context in which the decisions being made? State their preferenceOften times, families step in when they realize their aging loved ones needs hands on care. This would include help with meals (preparation, cooking, shopping); medications; safety issues (falls) and socialization (depression and isolation). Many families struggle knowing when it's time to reach out for help. Here are some questions to help determine this:? Emergency: Would your loved one be able to get help in an emergency?? Risk: Is your loved one at risk for being taken advantage of? (financially, discussing private information, health, personal possessions)? Your Life: Is the amount of care you are doing interfering with your quality of life? Are you resentful of the time? Are you missing opportunities that you dont want to miss out on?Families often face real obstacles when dealing with an aging parent. Common obstacles to having the conversation and to the acceptance of care often include:? Not starting the conversation early enough? Family members not being on the same page? Thinking too far ahead and not focusing on the here and now? Having a factual conversation when that might be difficult for the aging person to understandCathy Pisarz is Corporate Director of Memory Care for Maplewood Senior Living. Maplewood Senior Living, a premier senior living provider, based in Westport, Connecticut, is known for its upscale senior living residences, offering a broad range of services, amenities and care to its residents. Ms. Pisarz is a professional with over 25 years of experience in working with those with dementia and aging. She can be reached at cpicarz@maplewoodsl.com. Maplewood Senior Living is based in Westport, CT and can be found online at www.MapleowodSeniorLiving.com.

The Centers for Disease Control and Prevention estimate that each year in the US, nearly one-third of people aged 65 and older experience a fall. One out of 10 falls in this age group result in an injury requiring hospitalization.Be proactive in your quest for maintaining independence. Here are some tips to reduce your chances of falling.Dont multitask while walking. This interferes with your ability to notice that you are about to fall. Be aware of your surroundings, including surface changes and obstacles.Exercise. Tai chi, water workouts and walking all build strength while improving flexibility. Take a balance class, strength training, Tai Chi, yoga, Zumba, or play pickleball. Cross train and add a new activity or exercise class into your day. Keep moving, working for coordination and balance. Use it or lose it!Get your eyes tested. Identify and treat vision problems so you can clearly see where you are going. Be good to your eyes, and get regular check-ups.Consider your medications. Some prescriptions may cause excessive drowsiness or dizziness; talk to your doctor about possible alternative medications. The combination of several drugs or over the counter medications can sometimes cause unexpected problems.Make your home safer. Remove all floor clutter, secure throw rugs, and place non-slip mats in showers and tubs. Paint the top edge of steps a contrasting color, or use solid-color carpeting to better see edges of individual stairs.Choose shoes wisely. High heels can throw you off balance. Floppy slippers can trip you up, and brand-new shoes might have slippery soles. Choose the right shoe for your activity.Know where your pet is at all times. Small dogs can get underfoot, and big ones can knock you off balance.Seek out social events or senior activities at local wellness centers. Several places may have life-long learning for a small cost or may even be free. The social aspect is not only fun but also encourages those around you.Editors Note: This article was submitted by Cindy Luebke. Cindy is the Director of Wellness for the J Leonard Levy Family Wellness Center located on the Shalom Park Campus. For more information, she can be reached at 303-400-2293 or Cindy.Luebke@shalomcares.net

Naples, Florida is full of delightful sights; Cruise Naples connects with them all. Enjoy five daily 1.5 hour narrated cruises aboard the M/V Double Sunshine. See luxurious mansions. Catch a glimpse of dolphins, manatees, bald eagles and more while discovering Gordon River history. Enjoy twinkling harbor lights during our spectacular sunset cruise departing daily one hour before sunset! Also choose a savory Wine & Dine Cruise or explore with our weekly Kids Cruise.Cruise Naples also offers private boat rentals. Cruise at your own pace with a new, easy operation Hurricane deck boat equipped with cruise chart, safety gear and a Bimini top for added sun protection. Enjoy lunch at beautiful Marco Island or take the family calm bay fishing.At Adventure Naples, a division of Cruise Naples, exploring has never been more fun! Catch grouper, snapper, redfish and more during one of our daily deep sea, coastal, private or calm bay fishing charters. Party boat charters are also offered daily for the group fisherman.Explore Naples inland waterways on your own with a Jet Ski rental! Encounter dolphins up close or adventure through a vast mangrove jungle with an experienced guide during a guided Jet Ski adventure tour! Custom beach picnics, shelling adventures and more are also available.Editor's Note: This article was submitted by Cruise Naples. For more information they may be reached at 239-263-4949 or on the web www.cruisenaplesflorida.com

Patients who have undergone tracheotomies or use ventilators for mechanical breathing have often experienced different levels of care beginning with the onset of events. Typically a patient in respiratory distress arrives at a Hospital Emergency Room to begin treatment and care. Severe cases will transfer to an Intensive Care Unit, Cardiac Care Unit or Trauma Unit within a hospital. Patients may spend several days or weeks in these units until conditions have stabilized. Once stabilized respiratory patients will often be assessed for placement in a Long Term Acute Care Unit or a Subacute Respiratory Unit.Subacute Respiratory Units are located within Skilled Nursing Facilities and offer services to care for the specific needs of individuals affected by respiratory disease. Services include customized care and recovery plans directed by an interdisciplinary medical team.Patients on ventilators are assessed by Respiratory Therapists for weaning and tracheotomy patients may be decannulated. Physical and Occupational therapies work with patients to rebuild strength. Speech therapy treatments include swallow evaluations and speaking. Nutritionists address patient diet and meal options. Social Services work with patients and families to determine long term placement goals and monitor the well being of a patient while residing on the Subacute Unit. Residents work with an Activity Staff to identify appropriate activities. The Business Office is available to assist with insurance coverage and financial planning. All care of the respiratory patient is overseen by a Medical Director and Pulmonologist.Questions to ask prior to placement at a Subacute Respiratory Unit:What are the unit staffing ratios?Will I have a patient care conference and how often?What style of ventilator and alarm system are utilized?What does routine patient care include?How often is a trach tube changed?Will patient have the ability to set realistic goals?Are there patient and/or family training opportunities?Does my insurance cover subacute respiratory care?Entering a Subacute Respiratory Care Unit is often a second or third transition in patient care but also indicates a patient is stable with improved conditions. Prior to discharge your hospital case manager will present you with appropriate options for care.Article submitted by Advanced Lifeline Services. They can be reached at 801-458-5122 or www.alsvents.com

At the law office of Beth Prather, you will find a team ready to help you through some of lifes most difficult moments.Beth Prathers credentials as a board certified elder law attorney with expertise in the areas of estate planning, probate, trusts, guardianship, Medicaid, and VA planning bring clients through the door. Her down-to-earth approach and skill at communicating in a manner that can make sense out of difficult topics keep clients coming back.Beth is passionate about helping older adults create a proactive plan for successful retirement: a plan which gives them peace of mind. She treats clients with respect and dignity while navigating them through difficult conversations to get at what matters most to them for their care.Her undergraduate math major and MBA both complement her legal knowledge as she skillfully maps ways for clients to stretch resources to pay for care at each step in their journey. Her thoroughness and analytical skills are essential to draft critical legal documents and help clients develop the comprehensive plan for care they are likely to need throughout their life journey.When Beth is not hard at work at the office, she strives to make her analytic skills work in her favor on the golf course.