Tuesday, October 27, 2009

Long-term care insurance program

Long-term care insurance program gains in House - Boston.com

a new long-term care insurance program to help seniors and disabled people stay out of nursing homes. The voluntary program would begin to close a gap in the social safety net overlooked in the broader health care debate,
More than 10 million people currently need long-term care services, a number that's only expected to grow as the baby boom generation ages. But most families whose elders can no longer care for themselves have to scrape to find a solution.

The cost of nursing homes averages $70,000 a year, and a home care attendant runs about $29 an hour. Medicare only covers temporary nursing home stays. Middle-class households have to go through their savings before an elder can qualify for nursing home coverage through Medicaid.

The new proposal is called the Community Living Assistance Services and Supports Act, or CLASS Act, and passing it was a top priority for the late Sen. Edward M. Kennedy, D-Mass. The Obama administration also has said it should be part of health care overhaul legislation.

In return for modest monthly premiums while they are working, people would receive a cash benefit of at least $50 a day if they become disabled. The money could be used to pay a home care attendant, purchase equipment and supplies, make home improvements such as adding bathroom railings, or defray the costs of nursing home care.

Saturday, October 24, 2009

NORCs | naturally occurring retirement communities

There are some federally funded programs to bring services to what are called NORCs, or naturally occurring retirement communities. For instance, in Philadelphia and New York City a van with a nurse will come to a building that has a large population of elderly people and provide health services on the spot. Similarly, intentional communities, driven by consumer involvement, bring the services of a retirement community to seniors in their homes. Beacon Hill Village in Boston is an example. Both are examples of trying to let seniors age in place.

Robin Gerber is the author of Barbie and Ruth, the biography of Ruth Handler, the founder of Mattel Toys and creator of Barbie.

Caregivers-in-Waiting: Boomers Struggle to Map Out Plans for Aging Parent s By: Robin Gerber

Get Pharmacy Advice, from two pharmacists – me, Nova Simpson, and Cate Sibley

Welcome to GetPharmacyAdvice.com

This blog is run by two pharmacists – me, Nova Simpson, and my best friend in the whole world, Cate Sibley.

Luckily for you, Cate and I both work in the retail pharmacy environment. That means that we know all the aggravating, frustrating, and mind-boggling questions that are on your mind and we created this blog to answer those questions.

A retail pharmacy is one of the most challenging and fast paced environments to work in. Pharmacists are the most accessible healthcare workers available to you and we hope now that you know about GetPharmacyAdvice.com, you will use our blog to your advantage and visit us as often as you can.

You are more than welcome…in fact…we encourge you to please email us with your questions. We are here to help you and Cate and I are well aware that due to the fast pace of the retail pharmacy, your questions as a patient can go neglected or unanswered.

No matter how you currently feel about your pharmacy, please now consider us your personal pharmacists. We care about you and we want to help you.

As far as we know, GetPharmacyAdvice.com is the only blog of its kind.  http://www.getpharmacyadvice.com/

I am sure everyone has experienced a “counseling” session at a busy retail pharmacy - The pharmacist tries to explain everything the patient wants/needs to know in 30-60 seconds, while the phone is ringing off the hook, technicians are asking questions and three other pharmacy guests are standing around listening.

The Diabetes Health Care Crisis

The Diabetes Health Care Crisis
People with Diabetes Don't Have Access to Adequate and Affordable Health Care

* Health insurance policies don't cover basic diabetes needs and reward crisis care, not the continuous care needed to prevent a medical crisis.
* Pre-existing condition exclusions prevent people from enrolling.
* Health insurance premium surcharges for diabetes drive premiums above what individuals and small businesses can afford.
* Medicaid eligibility limits leave many low income people unable to access health insurance.

Health Insurance Options 65 and Above

The following options may be available to you.

Medicare provides health insurance benefits to persons 65 and older, persons under 65 who are disabled, and individuals with End Stage Renal Disease (ESRD).

Medicaid provides medical care to certain individuals and families with low incomes and resources.

TAA Tax Credit
TAA is a tax credit available to workers who have lost their jobs or whose hours of work and wages have decreased as a result of increased imports.

Prescription Assistance
Most pharmaceutical companies have established patient assistance programs to help uninsured individuals get the medications that they need to stay healthy.

Medigap policies are available to Medicare-eligible individuals. They can be purchased from private health insurance carriers and provide benefits that are otherwise not included in Medicare Part A or B

Additional Resources:

National Institute of Neurological Disorders and Stroke (NINDS

NINDS Overview: National Institute of Neurological Disorders and Stroke (NINDS)
P.O. Box 5801
Bethesda, Maryland 20824
(800) 352-9424
The National Institute of Neurological Disorders and Stroke (NINDS) conducts and supports research on brain and nervous system disorders. Created by the U.S. Congress in 1950, NINDS is one of the more than two dozen research institutes and centers that comprise the National Institutes of Health (NIH). The NIH, located in Bethesda, Maryland, is an agency of the Public Health Service within the U.S. Department of Health and Human Services. NINDS has occupied a central position in the world of neuroscience for more than 50 years.

More than 600 disorders afflict the nervous system. Common disorders such as stroke, epilepsy, Parkinson’s disease, and autism are well-known. Many other neurological disorders are rare-known only to the individuals and families affected, their doctors, and scientists who look to rare disorders for clues to a general understanding of the brain as well as for treatments for specific diseases. Neurological disorders strike an estimated 50 million Americans each year, exacting an incalculable personal toll and an annual economic cost of hundreds of billions of dollars in medical expenses and lost productivity.

The mission of the NINDS is to reduce the burden of neurological disease—a burden borne by every age group, every segment of society, and people all over the world. To accomplish this goal the NINDS supports and conducts basic, translational, and clinical research on the normal and diseased nervous system. The Institute also fosters the training of investigators in the basic and clinical neurosciences, and seeks better understanding, diagnosis, treatment, and prevention of neurological disorders.

Basic research pursues an understanding of the normal and abnormal structure and activities of the human nervous system. The knowledge gained from this research creates the foundation for diagnosing and treating brain disease. Some important areas of NINDS basic research include: biology of the cells of the nervous system, brain and nervous system development, genetics of the brain, cognition and behavior, neurodegeneration, brain plasticity and repair, neural signaling, learning and memory, motor control and integration, sensory function, and neural channels, synapses, and circuits. The great challenge of modern neuroscience is to translate the remarkable findings of basic science into useful therapies for those who suffer the devastating effects of neurological disorders. To facilitate this translation, NINDS supports many specific research projects and research resources that accelerate preclinical therapy development.

Clinical research applies directly to mechanisms of the diseases of the nervous system which can then be translated into disease detection, prevention, and treatment, such as studies of brain imaging techniques, trials to test new drugs, and development of novel therapies such as stem cell implants and gene transfer. Some key areas of NINDS clinical research include: neurological consequences of AIDS, Alzheimer’s disease, brain tumors, developmental disorders, epilepsy, motor neuron diseases, muscular dystrophies, multiple sclerosis, neurogenetic disorders, pain, Parkinson’s disease and other neurodegenerative disorders, sleep disorders, spinal cord injury, stroke, and traumatic brain injury.

Most NINDS-funded research is conducted by extramural scientists in public and private institutions, such as universities, medical schools, and hospitals. NINDS intramural scientists, working in the Institute’s laboratories, branches, and clinics, also conduct research in most of the major areas of neuroscience and on many of the most important and challenging neurological disorders.

Sharing bad news with an aging parent

Crucial Conversations
So, here’s the big question. What can you do to make handing in his car keys something your father wants to do? Or something he is at least willing to tolerate?

Answer: Don’t equate taking away the keys with helplessness, boredom, and the complete loss of independence.

Kerry Patterson is author of three bestselling books, Influencer, Crucial Conversations, and Crucial Confrontations. Read the rest of his answer to this very important question here. http://ow.ly/15X2Vp

Thursday, October 22, 2009

Visit Fifty-Plus Zone | http://www.listenzone.com/

Are you exploring living concepts-options, residence options, adult routine care, assistance, and access to services, avoiding admission to nursing homes or assisted living facilities, finding autonomy, individuality, social relationships and dignity? Everyone wants to avoid loneliness, helplessness and boredom.

"Enjoy the World, hobbies, crafts, creative pastimes, e-mail,web based Conversations, Blogs, Articles"
The Retirement Community website has a extensive directory of subjects retirees will want to browse: Active Adult Communities, Adult Day Services, Assisted Living, Alzheimers Care, Continuing Care, Home Care and Hospice Care, Independent Living, Senior Centers, Choosing a Retirement Community, Driver's Licensing, Medicaid Regulations by State, Property Taxes By State, Retirement Glossary, State Elder Affairs Agencies, Taxes By State, and Types-of-Senior-Housing.

Saturday, October 17, 2009


Absentmindedness or Alzheimer’s? - MyLocalHealth
Everyone has the occasional memory lapse. But sometimes it’s not caused by the natural aging process.

Second Wind Dreams® | Fulfilling Dreams for Elders Nationwide and Changing the Perception of Aging Since 1997

The mission of Second Wind Dreams® (SWD) is simple: through the fulfillment of dreams and the offering of innovative educational opportunities to caregivers and communities, SWD seeks to change the perception and experience of aging, empowering elders to age with dignity, hope and joy.

Second Wind Dreams focuses on those living in eldercare communities or in hospice care. These are our seniors who need our assistance most. Family support may be non-existent, money can be at a premium, especially for our Medicaid supported seniors, and these senior adults are often our frailest— the ones who need a dream fulfilled.

RetirementHomes.com Senior Living Directory

About Us - Retirement Homes, Retirement Communities & Senior Housing - RetirementHomes.com
Senior Living Directory. Covering the continuum of care and beyond, we offer the most up-to-date detailed listing information on the following types of Senior Housing Options:

* Retirement Homes
* Manufactured Homes
* Golf Communities
* Active Living Communities
* Independent Living Communities
* Alzheimer’s Care Communities
* Memory Care Communities
* Dementia Care Communities
* Long Term Care Facilities
* Nursing Care Facilities
* Skilled Nursing Care Facilities
* Rehabilitation Care Facilities

As a gateway to retirement living, RetirementHomes.com offers information and services for seniors, families, directors, vendors, job seekers and health professionals

Thursday, October 15, 2009

Mass. Medicaid program has no job requirements for personal care attendants.

Home-care system leaves elderly at risk, auditor says - The Boston Globe
By David Abel
Globe Staff / October 15, 2009

Massachusetts state program that oversees home health care services for about 18,000 elderly and disabled residents is vulnerable to fraud and has employed personal care attendants who have committed felonies, including manslaughter, assault, and threatening to commit murder, according to a report released yesterday by the Office of the State Auditor.

The report also noted that the Mass. Medicaid program is one of only four out of 238 programs nationwide with no job requirements for personal care attendants.

The audit drew criticism from state health officials because it surveyed only 30 patients, whose cases had been previously reviewed for fraud by the federal government.

But State Auditor A. Joseph DeNucci said the findings illustrate why the state should establish job requirements for attendants, including training, education, and criminal background checks, which nearly every other program in the country requires.

“What we have found is that there are serious problems in the program,’’ DeNucci said in a phone interview. “We have to strengthen protections for vulnerable people. I think it’s very important.’’

The report also found that 14 of the 30 patients had hired attendants who either had been convicted of a felony or a court had found sufficient evidence to find them guilty. Of the 82 attendants who worked for the 30 patients between 2004 and 2008, seven had been in prison, 12 were involved in violent crimes, nine had been convicted of drug offenses, 10 committed robbery, nine had restraining orders against them, and four had outstanding warrants.

In all, auditors found 41 acts of violence, 29 crimes of theft, and 26 drug crimes, including heroin distribution and trafficking cocaine in a school zone.

State Representative Barbara L’Italien, an Andover Democrat and former attendant, introduced a bill this year that would allow patients to run a free criminal background check on attendants they hire, create an online database to help consumers find attendants, and establish a surrogate program to help those who cannot oversee attendants on their own. The bill has yet to emerge from committee.

“David Abel can be reached at dabel@globe.com.

Wednesday, October 14, 2009

The Johns Hopkins White Papers: Research on memory continues to grow.

Amazon.com: Memory (Johns Hopkins White Papers : Memory) (9781933087108): Peter V. Rabins: Books

Memory "Shakespeare called memory "the warder of the brain," charged with keeping watch over an individual's personal account of being..."

The Johns Hopkins White Papers are a series of in-depth special reports written by some of the nation's leading doctors, all specialists in their respective fields. Each White Paper summarizes the very latest research and findings from all of the major medical journals, in easy to use language for the lay person to understand. We currently have thirteen different titles.

Research on memory continues to grow. Every year, investigators learn more about the causes of memory problems and how to prevent and treat them. We review the past year's advances in the understanding of memory disorders like Alzheimer disease, and discuss how people who care for patients with dementia can cope better with day-to-day difficulties.

Tuesday, October 13, 2009

Senior Centers and Adult Day Care activities

Browsing the Web to see what many adult day care programs and Senior Centers were offering. I found the following:

Active floor and table games
Art Therapy,
Card Games
Chair exercises
Chorus & Music Therapy
Daily Exercise
Discussion groups (books, films, current events)
Discussions: contemporary and devotional
Exercise classes personalized for individual levels of activity and ability.
Group discussions on a wide range of subjects
Guest speakers from community organizations
Health awareness talks
health monitoring by a nurse to meet individual needs. There is a
Holiday and birthday celebrations
Horticultural Therapy
individual counseling,
Inter-generational Programs
Kosher Lunch
Local outings.
Mental stimulation games such as BINGO
miniature golf course on site
Musical entertainment and sing-a-longs
nutrition education,
Nutritional Snacks
meals and snacks individualized for specific dietary needs.
field trips,
On Site Library
Organized games of bridge, bingo, cards and trivia,team events
personal care,
Pet Therapy
podiatry care,
Poetry Class
quiet rooms with rest areas and television
recreational classes,
Relaxation time
Spiritual Program
Stretching or other gentle exercise
Student Interns
Tai Chi Class
Talking about current events
Weight Loss Club
Woodworking Shop

Monday, October 12, 2009

KnowItAlz is an Alzheimer's resource focused on the caregiver

Company Info - KnowItAlz.com Blog
KnowItAlz is an Alzheimer's resource focused on the caregiver. We give caregivers the opportunity to get current information, participate in a community and gain additional insights about caregiving for someone with Alzheimer's.

More than 26 million people worldwide have Alzheimer's disease, and a recent forecast says the number will quadruple by 2050. At that rate, one in 85 people will have the brain-destroying disease in 40 years.

Alzheimer's disease not only affects the person who has been diagnosed, but almost always also impacts the family members and friends who become caregivers. Caring for an Alzheimer's patient can be emotionally, psychologically and financially draining, and a support system often difficult to find. As the disease progresses, caregivers often find themselves cut off from friends, other family members and regular social activities.

In addition, most caregivers have the additional responsibilities of full time jobs and caring for a family of their own, as well as the responsibility of caring for a parent, spouse or other loved one. As a loved one begins to experience the many often difficult behavioral changes, even the most dedicated caregivers will struggle with guilt, resentment or frustration, at some point in their role as caregiver. Finding a balance is critical.

KnowItAlz.com provides, information and useful Alzheimer’s related resources, but more importantly a community of caregivers to providing the necessary support as you take on this difficult, yet often rewarding journey.

Our content is a combination of information from experts in both the Alzheimer’s and geriatric fields, as well as “real life” experts like you who have first-hand experience as a caregiver. Our goal is to build a community that connects caregivers to the information that can help them at every stage, as well as the opportunity to see the lighter side of caregiving—and yes, there is one!

The KnowItAlz Group was founded in 2007 by Kathy Hatfield and Nancy Hatfield.

Saturday, October 10, 2009

Grief is a natural part of life–and change–any change can trigger grief.

Grief Starts Early With Alzheimer’s, Ways to Honor The Grief Process «
Ways to Honor Our Grief:

* Take some photographs. See the beauty in vein-riddled hands and silver-white hair. There’s a sense of beauty that comes with aging, I liken it to the beauty and intricacy of a spider’s web. Even when the photographs reveal the ravages of time and disease, there’s something important about acknowledging today–just as it is.

* Dig out some old photographs–baby pictures, grade school, high school, the dating years, wedding photos. Remember who your loved one is–and was. Create a bridge by taking note of each decade, each life event. Display these photos so when grief comes, you can ease its sting by acknowledging what an amazing life journey they’ve had–and you’ve had with them.

* Write letters and share what you’re experiencing. Even if no one ever reads them, you need to write them. Grief is like a suitcase we carry with us–and if we have a place to put it–our thoughts, our worries, our memories–when we write them, we ease our own emotional load.

* Talk to those who share your experience. Call your sister, a cousin, or a friend who has been through a similar situation. Knowing that someone will listen to you, someone you can reminisce with, confide in–makes our grief bearable


Carol O'Dell's blog speaks to caregivers around the country. Carol offers suggestions, ideas and insights that will help others.

While Carol's blog is supported by Dakim Brain Fitness, Carol is not blogging to promote the Dakim company or products..

Motivation And Improving Health In Older Adults, Medical News Today

Boosting Motivation And Improving Health In Older Adults, With The Use Of A Simple Tool
Researchers from Boston University School of Medicine (BUSM) have identified a tool, the "Getting-Out-of-Bed (GoB) measure" to assess motivation and life outlook in older adults. The study, which appears in the October issue of the /i>Journal of Psychosocial Oncology, shows that the tool has the potential to be an easy-to-use measure to bolster motivation and thus, improve health behaviors and outcomes in the growing population of older adults.

Wednesday, October 7, 2009

Bathroom Door solutions from The ElderCare Team

Wheelchairs, Walkers, and a Too-Narrow Bathroom Door: 4 Ways to Widen A Bathroom Doorway
Wheelchairs, Walkers, and a Too-Narrow Bathroom Door: 4 Ways to Widen A Bathroom Doorway

If your bathroom doors are wide enough to accommodate a wheelchair or a walker, count yourself lucky. Most aren't, and families do come up with the most ingenious ways to get their disabled loved ones into the bathroom. Moving is a last resort, but some seniors eventually do that, too. There several are ways to make the bathroom door accessible that don't require a moving van

The ElderCare Team! Resources for senior caregivers, articles, resources, books and fellowship with caregivers all around the country.
The site is dedicated to helping everyone involved in - or who will some day be involved in - caring for an aging adult

Reverse mortgages may be the next subprime crisis

Reverse mortgages may be next crisis - The Boston Globe
NEW YORK - Reverse mortgages may be the next subprime crisis, according to the National Consumer Law Center.

Some of the same US lenders that helped drive the real estate boom with loans to home buyers who could not afford the payments are now targeting senior citizens, the center said. Brokers, who are given financial incentives to sell the loans, may be making misleading claims, according to a report titled “Subprime Revisited,’’ released yesterday by the Boston-based NCLC.

“This market is designed to serve seniors, so when we find abuses cropping up and migrating from the subprime market to the senior market, that sounds an especially loud warning bell,’’ said Rick Jurgens, an advocate at the NCLC who contributed to the report.

Reverse mortgages enable people 62 and older who are looking for extra cash to use the equity in their homes and receive lump-sum payments, periodic checks, a line of credit, or a combination of the three. Lenders are repaid from the sale of the home when the borrowers die or move.


Kohl and McCaskill released a government report in June that said some lenders falsely market reverse mortgages as “lifetime income’’ and sell mortgages coupled with other financial products, such as annuities, even though Congress banned so-called cross-selling in 2008.

The center’s study recommended enhancing borrower counseling prior to taking out a loan and holding lenders and brokers to a suitability standard.

Center for Aging Families Blog | Beverly Parsons

Center for Aging Families - Beverly Parsons Bio
Beverly Parsons, LGSW
Licensed Graduate Social Worker

Beverly is a caregiver, who has spent the last decade finding solutions to the thorny and often very difficult and unclear issues that caregivers face. She is a licensed social worker who has 10 years of geriatric care management experience working with caregivers and aging families.

Beverly draws on 30 years of personal and professional training to provide a unique approach of psychotherapy for caregivers and elders, using self-awareness, working with emotions, conversation and presence. Beverly is an adjunct faculty member at the Community College of Baltimore County, Elder Care. She was a research assistant at the National Institute on Aging and was trained by the Alzheimer’s Association as a group facilitator. She is trained in Elder Mediation to assist families in the decision-making process concerning aging issues.

Twitter: http://twitter.com/AgingFamilies

Some times, dealing with AD, Caring-Partner, is worse than a room full of toddlers

Is Alzheimer’s Behavior Driving You Crazy? Keys to Deal with Difficult Alzheimer’s Issues « Mothering Mother and More
An excellent Read:
Carol D. O’Dell’s "Keys to Dealing with Difficult Alzheimer’s Behavior”

Carol is a Jacksonville University graduate, a family advisor at Caring.com She is alo syndicated on OpentoHopeCaregivers.com. visit her website is www.caroldodell.com

Twitter: http://twitter.com/caroldodell.

Seniors, Care-Partners, take active role in their care

“Doc Tom” Ferguson A Voice of the Patient Engagement Movement
An engaged patient plays an active role in his or her care. Or, as e-patients.net founder “Doc Tom” Ferguson said, “e-Patients are Empowered, Engaged, Equipped and Enabled.”

We who’ve become e-patients don’t wait for our providers to tell us everything; we get it in gear, we ask questions, we do what we can to help.
Trust yourself.
You know more
than you think you do.

Tuesday, October 6, 2009

carrier current technology

Transmitters that use the electrical wiring in home or office and using carrier current technology. You can spot intercoms and monitors when the sending unit plug into the wall electrical socket. When the sending unit does not plug in, it is not a carrier current system.

Carrier current wireless audio intercoms are transmitter and receiver sets use home AC wiring. They get the power for the units from the outlet. They use the same electrical wiring as a antenna to transmit {on various radio frequencies} and receive the signals from one unit to another. This is why sometimes they don't talk to each other if they are plugged into different circuits. They don't pass though some plug strips and

The signals going out on electrical circuits {carrier current signals can be carried over great distances} can be picked up by anyone nearby who has a wireless idevice operating on the same frequency or anyone with a frequency scanner looking for that type of emission.

You might consider child or room monitors amount to self-installed bugs.

Intercoms and sensors that are battery operated or use transformer power adapters use radio signals sent through the air and not your electrical wiring.

Caregiver, Health Care, ALF, Bloggers TAKE note of new FTC guides

IF your getting paid to blog about a product or service you best disclose who is paying you to write endorsements. Disclosure is required. "A blogger who receives cash or in-kind payment to review a product is considered an endorsement. Thus, bloggers who make an endorsement must disclose the material connections they share with the seller of the product or service."

FTC Publishes Final Guides Governing Endorsements, Testimonials
FTC Publishes Final Guides Governing Endorsements, Testimonials
Changes Affect Testimonial Advertisements, Bloggers, Celebrity Endorsements

The Federal Trade Commission today announced that it has approved final revisions to the guidance it gives to advertisers on how to keep their endorsement and testimonial ads in line with the FTC Act.

The notice incorporates several changes to the FTC’s Guides Concerning the Use of Endorsements and Testimonials in Advertising, which address endorsements by consumers, experts, organizations, and celebrities, as well as the disclosure of important connections between advertisers and endorsers. The Guides were last updated in 1980.

Under the revised Guides, advertisements that feature a consumer and convey his or her experience with a product or service as typical when that is not the case will be required to clearly disclose the results that consumers can generally expect. In contrast to the 1980 version of the Guides – which allowed advertisers to describe unusual results in a testimonial as long as they included a disclaimer such as “results not typical” – the revised Guides no longer contain this safe harbor.

The revised Guides also add new examples to illustrate the long standing principle that “material connections” (sometimes payments or free products) between advertisers and endorsers – connections that consumers would not expect – must be disclosed. These examples address what constitutes an endorsement when the message is conveyed by bloggers or other “word-of-mouth” marketers. The revised Guides specify that while decisions will be reached on a case-by-case basis, the post of a blogger who receives cash or in-kind payment to review a product is considered an endorsement. Thus, bloggers who make an endorsement must disclose the material connections they share with the seller of the product or service. Likewise, if a company refers in an advertisement to the findings of a research organization that conducted research sponsored by the company, the advertisement must disclose the connection between the advertiser and the research organization. And a paid endorsement – like any other advertisement – is deceptive if it makes false or misleading claims.

Community caregiver services for caring-partners

The following services may be available in your community (if your so lucky):

  • Adult day care
  • Senior centers
  • Financial management
  • Transportation
  • Meals On Wheels
  • Telephone reassurance
  • Case management

Ten Facts About the Child and Dependent Care Credit, IRS Tax Tip 2009-46

Top Ten Facts About the Child and Dependent Care Credit If you paid someone to care for a child, spouse, or dependent, you may be able to reduce your tax by claiming the Child and Dependent Care Credit on your federal income tax return. Below are the top ten things you need to know about claiming a credit for child and dependent care expenses.

The care must have been provided for one or more qualifying persons. A qualifying person is your dependent child under age 13. Additionally, your spouse and certain other individuals who are physically or mentally incapable of self-care may also be qualifying persons. You must identify each qualifying person on your tax return.

The care must have been provided so you – and your spouse if you are married – could work or look for work.

You – and your spouse if you are married – must have earned income from wages, salaries, tips, other taxable employee compensation or net earnings from self-employment. One spouse may be considered as having earned income if they were a full-time student or they were physically or mentally unable to care for themselves.

The payments for care cannot be paid to your spouse, to someone you can claim as your dependent on your return, or to your child who is under age 19, even if he or she is not your dependent. You must identify the care provider on your tax return.

Your filing status must be single, married filing jointly, head of household or qualifying widow(er) with a dependent child.

The qualifying person must have lived with you for more than half of 2008.

The credit can be up to 35 percent of your qualifying expenses, depending upon your income.

For 2008, you may use up to $3,000 of the expenses paid in a year for one qualifying individual or $6,000 for two or more qualifying individuals.

The qualifying expenses must be reduced by the amount of any dependent care benefits provided by your employer that you exclude from your income.

If you pay someone to come to your home and care for your dependent or spouse, you may be a household employer. If you are a household employer, you may have to withhold and pay social security and Medicare tax and pay federal unemployment tax. For information, see Publication 926, Household Employer's Tax Guide.

For more information on the Child and Dependent Care Credit, see Publication 503, Child and Dependent Care Expenses. You may download these free publications from IRS.gov or order them by calling 800-TAX-FORM (800-829-3676).

Minorities's; resistance to seeking AD assistance | related issues

A Psychoeducational Model for Hispanic Alzheimer's Disease Caregivers -- Morano and Bravo 42 (1): 122 -- The Gerontologist
Extract for discussion:

There is a growing body of literature that examines the use of formal services by minorities, and more specifically by Hispanics <snipped> The extensive use of informal support, such as family members, has been suggested as one reason why Hispanics underuse formal services . structural barriers, such as limited access to multilingual case managers or office locations, that discourage the use of formal in-home services by elderly Latinos.; the discretionary nature of social services were additional barriers to Hispanics' use of formal services. Restrictive hours, such as being open only during the traditional hours of 9 a.m. to 5 p.m., and the location of agency offices are two structural barriers limiting use by Hispanic caregivers ;limited income and lack of insurance as additional structural barriers.

Discrimination and language barriers, particularly for older and less acculturated Hispanics, have also been suggested as reasons why Hispanics underuse formal services . In addition to the suggested barriers that limit use of formal services, the caregivers' perception of the illness could also limit intervention participation . The belief that AD is a mental illness or that nothing will help could also affect a caregiver's willingness to seek assistance. Fabrega found that Hispanics' negative perception of mental illness and psychological services increased their resistance to seeking assistance.
The Gerontologist 42:122-126 (2002)
© 2002 The Gerontological Society of America
A Psychoeducational Model for Hispanic Alzheimer's Disease Caregivers
Carmen L. Morano, PhDa and Marina Bravo, LCSWb
Correspondence: Carmen L. Morano, PhD, University of Maryland, School of Social Work, 525 West Redwood Street, Baltimore, MD 21201. E-mail: cmorano@ssw.umaryland.edu.

Decision Editor: Eleanor S. McConnell, RN, PhD

Sunday, October 4, 2009

Home safety for elder care or alzheimer's patient

Preparing the Home for an Alzheimer's Patient from http://www.webmd.com/
Preparing the Home for an Alzheimer's Patient

Caring for an Alzheimer’s patient at home can be difficult. In taking the proper steps to become a successful caregiver, it is essential that you prepare your home for your loved one's arrival. Likewise, if your loved one's Alzheimer's is mild and they still live on their own, it is important that you ensure that their living environment is safe.

Not only must space often be reorganized, but every room in the house that your loved one will be using should also be made as accident-proof as possible. There are many basic guidelines that can be followed in order to provide safe and effective caregiving in the home.

In order to ensure a thorough approach, a room-by-room checklist can be very helpful. The following guidelines can be used for the caregiver's own home if the loved one is living with the caregiver, or for an elderly loved one's home.

Creating A Safe Home by Anne Marie Mills

Creating A Safe Home
Creating A Safe Home. Santa Clara Signal staff writer, Anne Marie Mills

One of the simplest modifications involves creating a “barrier-free” home. According to Santa Clara Signal staff writer, Anne Marie Mills in her article, “Is Your Home Safe?” what this means is that the home has no barriers prohibiting people with disabilities to freely navigate the home. For example, a person in a wheelchair needs to have door opening sizes increased from the basic 29 inch to 30 inch width to as much as 36 inches to 42 inches. Carpets need to be commercial-contract carpet similar to the type used in banks and office buildings, rather than the traditionally thicker home carpets so that a person in a wheelchair or using a walker will have no problem walking on them.

In addition, there are three other key areas of focus for modifying your home for your elder--lighting, the bathrooms and home furnishings.

The older we get, the more we need to tackle clutter

Surf Net Parents is part of the Surfnetkids.com family of kids sites from syndicated columnist Barbara J. Feldman a syndicated newspaper columnist, online publisher, author, mother, wife and Net surfer.

This information was found on Surf Net Parents and helps with the clearing out clutter tasks faced by many caregivers.

Tackling clutter is not always easy, and most people are not really sure how to do it, so the clutter worsens, and it becomes more and more overwhelming to tackle it later. However, there are ways to tackle clutter, and the following tips will help:

Choose a place to start: Honestly, the biggest problem with clutter is people look at it, get overwhelmed by it, and because they do not know where to start, they never do. So, if you want to tackle clutter, choose a place to start. One of the best places to start is whatever cluttered place you see most often, whether that is your room, your kitchen, your bathroom, or wherever. If you want to tackle clutter you have to start somewhere, so pick somewhere to start.

Reduce and simplify: Once you have your starting point, the best thing you can do is start reducing and simplifying. You want to get rid of as much stuff as you can. If you want to get rid of clutter you have to start by getting rid of as much of the stuff causing clutter as possible. So, make "reduce and simplify" your motto. Make sure you get rid of anything you have not used in a while, anything that you do not need, anything that invites clutter, etc.

Most homes have a certain degree of clutter. Book bags get dropped off at the door, mail piles up on the entry table, and drawers and closets are full of things like coupons, clothing, and other items you are certain at some point you will use.

For people who hate to throw things away, or who find sentimental value with many of the items that clutter their home, it can be difficult to get rid of clutter.

Home Safety Evaluation Checklist, from Toghers

Toghers' {Toe–gers} mission is to provide the roadmap that will guide caregivers along their own caregiving journeys.
They offer a comprehensive
Home Safety Evaluation Checklist .

This evaluation can be used to determine if someone is safe living home alone given the current state of the home.

Any NO response indicates an area of concern. NO responses do not necessarily mean that the person can no longer remain at home, but do indicate areas in which the home may need to be modified or where assistance should be brought in to ensure safety.

If the care recipient is unable to perform a task independently mark NO; if a caregiver is available to assist with the task mark CAREGIVER. This will help determine whether the care recipient is safe without a caregiver present.

What to do as a caregiver/or substitute caregiver if an emergency arises

FAQ from CareLiving, LLC What should I do as a caregiver if an emergency arises?

A: Having an emergency plan is extremely important, especially when a substitute caregiver occasionally takes your place in the home.

*The 911 number for emergencies ( medical, fire, police )
*The physician's number ( emergency and office number )
*The name and number of the hospital the physician / patient prefer
*The number of the home health agency, if one is currently making visits to the home
*The Poison Center phone number
*The number for medical / oxygen supplier, if used
*The caregiver's phone number

Aging in Place Remodeling from Aging in Place Guide (blog)

Aging in Place Guide: Aging in Place Remodeling #1
In a series on the basics of Aging in Place remodeling. The issues are:
1. Getting in and out.
2. Moving around with in the house
3. Safely getting into and out of bed and getting to clothing storage
4. Safe use of the bathroom including ergonomic caregiving
5. Preparing and taking meals
6. Home office function
7. Entertainment- TV, music, reading, guests
8. Enjoying the outdoors

All these issues are not priorities for every client, household or house. It is always important to spend our resources wisely....making sure the problem we set out to solve is taken care of by the work we have done.

Posted by Aging in Place Guide blog

Louis Tenenbaum 's Aging in Place empowers older citizens with Choice and Control, Dignity and Independence - the essentials of happier homes, better lives and more economical housing and care.

Louis Tenenbaum is one of the nation’s leading authority on Aging in Place. He has years of experience helping individual families, builders/developers and communities set the stage for folks to remain safe and comfortable in their own homes.

Contact: louis @ louistenenbaum.com

A Journal for Caregivers, Creating Moments of Joy

Amazon.com: Creating Moments of Joy: A Journal for Caregivers, Fourth Edition (NEW COVER) (9781557534620): Jolene Brackey: Books

Customer reviews
Editorial Reviews
Product Description
Jolene Brackey has a vision. A vision that will soon look beyond the challenges of Alzheimer's disease and focus more of our energy on creating moments of joy. When a person has short-term memory loss, his life is made up of moments. But if you think about it, our memory is made up of moments, too. We are not able to create a perfectly wonderful day with someone who has dementia, but it is absolutely attainable to create a perfectly wonderful moment; a moment that puts a smile on their face, a twinkle in their eye, or triggers a memory. Five minutes later, they won't remember what you did or said, but the feeling you left them with will linger.

Recommended to me by by JAB a trusted source of advice and assistance.

Saturday, October 3, 2009

Day Care Resources from seniorresource.com

Senior Resource for Elderly Care, Adult Day Care Center and Adult Day Health Care Facilities

Quoting: Why Adult Day Care:
Generally, family members are the majority care providers for disabled or impaired adults. This care permits these adults to stay at home versus placement in a nursing home. Senior day care and senior adult day care enables caregivers to:

* Retain a job outside of their home.
* Have help with the physical part of caring for a loved one.
* The time away may be a rejuvenator for your relationship.
* Avoid the guilt of putting a parent in a "home."
* Obtain respite from what can be a 24 hour responsibility.

Brigham and Women's Hospital Care Coordination

Useful Links
Care Coordination

This list of resources was compiled by Brigham and Women's Hospital to assist individuals in obtaining more information regarding health care (& care-giving).

Brigham and Women's Hospital bears no resposibility for any information on these sites.

Mayo Clinic health education outreach coordinator Angela Lunde

Angela Lunde is a dementia education specialist in the education core of Mayo Clinic's Alzheimer's Disease Research Center at the Abigail Van Buren Alzheimer's Disease Research Clinic in Rochester, Minn.

Angela is a member of the of the Alzheimer's Association Program Services Advisory Council, co-chair of the Advanced Practice Professional Education track for the Minnesota State Dementia Conference, and a member of D-BART (Dementia-Behavioral Assessment and Response Team), a multidisciplinary outreach service assisting professional and family caregivers in understanding and managing difficult behaviors often present in dementia.

MayoClinic.com | Alzheimer's care: Practical tips

Alzheimer's care: Practical tips: In Depth - MayoClinic.com
Alzheimer's care is a tough job. These practical tips can make it easier.
By Mayo Clinic staff

In the early stages of Alzheimer's, your loved one may still be able to perform the daily tasks that allow a person to live and function independently. These abilities dwindle as the disease progresses.
Reduce frustrations

A person with Alzheimer's may react with frustration, agitation and even aggression when once-automatic tasks become difficult or impossible. Try these suggestions to limit the challenges and ease the frustration.

* Schedule wisely. Determine the time of day when your loved one is most calm and agreeable. Schedule the most difficult tasks, such as bathing or medical appointments, for that time period. Established routines help make the day more predictable and less confusing.
* Let him or her help. Involve your loved one in tasks as much as possible. Perhaps your husband can shave himself if you turn on the electric razor and put it in his hand. Maybe your wife can dress herself if you lay out the clothes in the order they go on.
* Limit choices. Having fewer options makes deciding easier. For example, provide two outfits to choose between — not a closet full of clothes. Reduce distractions at mealtimes or during conversations so that your loved one can better focus on one thing at a time.
* Take more time. Expect things to take longer than they used to. Schedule more time to complete even simple tasks so that you don't need to hurry your loved one. Provide instructions one step at a time.

Every man, woman and child should enjoy the pleasure of building a wooden boat. Building a wooden model boat is a good place to start

Every man, woman and child should enjoy the pleasure of building a wooden boat

Every man, woman and child should enjoy the pleasure of building a wooden boat. Building a wooden model boat is a good place to start. The files provided here are for building a stand off scaled model of the International Star Boat to be scratch built by novice or seasoned skipper.

RunMyErrand Boston community

Connecting Boston with a community of trusted local Errand runners.

RunMyErrand: Post your errands and get connected with local Errand Runners immediately! A Service Network
You may have seen us mention Service Networking. It's because that's what we do. While RUNmyERRAND is a place to outsource small jobs, what we're actually doing is harnessing the power of a community. Social networking has become quite popular in recent years and capturing this essence, and leveraging it to get real things done, is some pretty exciting stuff.

Caring elderly seniors, parent, elderly spouse, domestic partner or close friend

http://www.aging-parents-and-elder-care.com/ Twitter: twitter.com/mike_gamble

Elder Care - Overcoming the challenges of long term elder care
This article will walk you through the first steps of elder care – whether your loved one has Alzheimers Disease or another form of dementia, is recovering from a broken hip, or you are trying to figure out Medicare benefits. It is a primer - a source of both information and comfort. Each elder care situation is unique, of course. Your loved one's medical history, financial resources, personality, relationships with potential caregivers, proximity to services and other factors all determine the best approach to take.

Citizen Creator project, edit and share compelling narratives.

Introduction to Story Capture | story capture
Introduction to Story Capture

Our goal is to create an easy-to-use tool and process for chronicling non-profit initiatives, volunteer projects, and corporate social responsibility (CSR) programs. But we've also realized that the same approach is useful in a wide variety of fields and communities, including healthcare, marketing, and product development.

Story Capture looks and works like many common blog systems, but provides a set of tools for reversing the sequence of blog posts (putting them in chronological order) and then editing the resulting "story line" into a coherent narrative. Participants and staff can input story material using widely accessible social media (blog posts, email, Twitter, etc.) and then edit that material (through a shared interface) into compelling stories, articles or web pages including photos, video and other types of media files.

The Basic Idea

The basic idea of Story Capture is simple ... create a story, blog about what you're doing (write a paragraph or two) on a regular basis, and attach photos or video that you've shot. Then we provide an easy way to roll up those blog posts and generate a "story line" ... the same content in reverse order (the linear sequence in which we would tell a story), formatted to be easy to read and/or re-edit into a final report or web document.

How Tos and Suggestions

Of course, the tool is just a convenience. What's important is your process for capturing the story. (Building a story can be an individual or group effort; if you're mainly a visual person, you might want to collaborate with a word person, or vice versa.) It helps to think and talk about what's the core story behind your project. What are you trying to do? Why is it important? Who's involved in this story? Who should I interview, what questions should I ask? What's the timeline of the project, and how often should I write and shoot video or take pictures? The depth and quality of the story will depend on thinking deeply about what you're trying to capture.

Check out "How to ..." for nitty-gritty help on using the tool, and "Suggestions for ..." to get tips on how to improve your stories and media.

Who We Are

The Story Capture program is an initiative of the Citizen Creator project, which is being supported by the Learning Worlds Institute. We're hoping to encourage the use of storytelling methodologies to help volunteers and non-profit organizations to document and celebrate the good work they do. We're interested in developing and spreading the Story Capture process and tools through pilot projects and workshops. Please contact us (pilots@storycapture.org) if you'd like to work together.

Short and Long term Care for your Pets, plan now

When Aging Parents Can No Longer Care for their Pets | Tender Loving Eldercare
Short Term Care Options

During a brief illness or a short-term hospital stay, seniors would probably prefer a family member, neighbor or friend to care for their pet(s). Identify who they would like them to be, and also designate one or two back up people just in case the first choice isn’t available for some unforeseen circumstance. Ask the designated individuals or families in advance if they can, and would be willing to, take on this responsibility. Also ask if they would or could consider caring for the pets if your aging parents’ hospital stay is lengthier than anticipated. Prepare a resource list of the pets’ daily routines, favorite foods (and treats), exercise needs, medical records, any medications they take and the veterinarians’ contact information.

Elderly Leave Nursing Homes for Home

Helping Elderly Leave Nursing Homes for a Home - NYTimes.com
A growing number of states are reaching out to people like Mr. Brown, who have been in nursing homes for more than six months, aiming to disprove the notion that once people have settled into a nursing home, they will be there forever. Since 2007, Medicaid has teamed up with 29 states to finance such programs, enabling the low-income elderly and people with disabilities to receive many services in their own homes.

The program in Pennsylvania provides up to $4,000 in moving expenses, including a furniture allowance and modifications to the apartment, and Mr. Brown has a home health aide every morning and a care manager to arrange for services like physical therapy. The new programs, financed largely by $1.75 billion from Medicaid, are a sharp departure from past practices, where Medicaid practically steered people into nursing homes.

Friday, October 2, 2009

Helping cash-strapped family members, Erickson Tribune

Helping cash-strapped family members | Erickson Tribune By Meghan Streit

Helping cash-strapped family members: Between layoffs and the troubled markets, many people are experiencing financial hardship. When people fall on hard times, they often turn to family members for help. If you’re the head of your family, you may be grappling with how to best help your struggling adult children or grandchildren.

"The Erickson Tribune has been informing, inspiring, and involving its readers for more than five years." "Read nationally every month by people age 65-plus, the Tribune engages people through a unique blend of feature articles, departments, and contests/puzzles."

CBS video: Caregivers Are Pressed For Cash

Caregivers Pressed For Cash

November 19, 2007 11:11 PM

A recent healthcare study has found that many caregivers are using a large portion of their income to cover costs. Sandra Hughes reports.

View the video report: Caregivers Pressed For Cash - CBS News Video.

Adult Day Care Option

Oct 1st, 2009 Is Adult Day Care A Valid Option?by admin.

From "Caregivers Blog" Resources and Information that Empower Caregivers

If you or someone you love is a full-time caregiver, there is an option that you should know about called Adult Day Care. Perhaps it’s an option that you had heard about in the past, but hadn’t considered pursuing for whatever reason. If you haven’t given it a very good look before deciding not to go ahead and do it, now just might be a good moment to take a closer look and see what adult day care options are available in your area and what they have to offer both the person coming for day care and for the primary caregiver taking care of that person.

An adult day care facility can either be geared toward medical health services or it can be geared toward socialization services. If you live in a large metropolitan area of the country, it’s surely the case that there are multiple options of both types available to you; however, if you live in a more rural area, it may be the case that only one or the other is available in your region. Check out the options before you get too deep into the decision-making process of deciding if it’s a good option for your situation.

From "For Caregivers"; Is Adult Day Care A Valid Option?

Forcaregivers.com | Resources and Information that Empowers Caregivers

Oct 1st, 2009
by admin. For Caregivers Blog, Resources and Information that Empower Caregivers

If you or someone you love is a full-time caregiver, there is an option that you should know about called Adult Day Care. Perhaps it’s an option that you had heard about in the past, but hadn’t considered pursuing for whatever reason. If you haven’t given it a very good look before deciding not to go ahead and do it, now just might be a good moment to take a closer look and see what adult day care options are available in your area and what they have to offer both the person coming for day care and for the primary caregiver taking care of that person.

An adult day care facility can either be geared toward medical health services or it can be geared toward socialization services. If you live in a large metropolitan area of the country, it’s surely the case that there are multiple options of both types available to you; however, if you live in a more rural area, it may be the case that only one or the other is available in your region. Check out the options before you get too deep into the decision-making process of deciding if it’s a good option for your situation. Continue reading ?