Moving Aging Family Member into Your Home .. sure?

Joy Loverde addressed Moving Aging Parents into Your Home on the EldercareABC Blog

Joy's information is applicable if you were to substitute "Aging Parents" with Brother, Sister, In law, Relative. What can start as a loving arrangement can turn very sour as we age and what was done on a handshake is hammered by fading memories, assumptions, and unforeseen changes in the needs of everyone.

Verbal contracts are bound to be regretted. After you read Joy's excellent article do not do anything until you have had a family meeting with a elder affairs attorney and review every point she raises. Then put the results in writing with signatures of the principles and your attorney. There is nothing so difficult as a house guest who comes to live in your home without a written agreements, who won't accept consequences of lifes changes, your health needs, your needing to relocate, selling your home and all the emotional, financial and other dynamics of living together.

Don't skip any of Joy's questions or suffer the consequences. They are available on line.

Dave Mainwaring.
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Moving Aging Parents into Your Home Are you sure?
Sep. 17th, 2009 By Joy Loverde

"When times are tough, like they are now, sometimes well meaning caregivers of aging parents insist that their parents Moving aging parents, eldercare, senior helpmove in with them without full consideration of what can happen. The most serious stories include elder abuse and neglect, the fastest growing crime in America today. The arrangement of sharing one’s home with aging parents often stirs ambivalent feelings for everyone involved."

"We mean well when we ask our loved ones to move in with us; but we may not realize the potential negative consequences – emotionally, financially and otherwise. For example, if parents move in and contribute to the cost of remodeling the house to accommodate their needs, do they gift their portion of the house to the caregiving child? How do siblings feel about this financial arrangement? Should parents have a contract in which they pay the children for caring for them? How does this living arrangement affect a person’s eligibility for Medicaid?"

"I’d like every caregiver who is currently thinking about this under-one-roof lifestyle for them and their aging parents to take a deep, deep breath and proceed cautiously and slowly. If you have already exhausted the multitude of senior-housing options I offer in my book, The Complete Eldercare Planner, and you have made the decision that combining households is the best option, then promise me before anything else that you’ll take a family consensus as the final checklist before the move."
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She is 1000% on target when she said:
The arrangement of sharing one’s home with aging parents is not for the faint at heart. If you succeed, you are beating the odds!

Loosing contact, personal letter is a thing of the past

The personal letter is quickly becoming a thing of the past - The Boston Globe

Last lines
As the longtime practice of writing personal letters by hand to family and friends is quickly becoming a thing of the past in the age of cellphones, text messaging, and e-mails, Globe writer Milton J. Valencia sat down and penned his own letter to the lost art.
By Milton J. Valencia
Globe Staff / September 20, 2009

Skype lets you talk and video conference over the Internet

"Enjoy the World, hobbies, crafts, creative pastimes, e-mail,web based Conversations, Blogs, Articles"

Skype is a little piece of software that lets you talk and video conference over the Internet with anyone, anywhere in the world for free while viewing each other on your computer screens.

This Listen-Zone describes one of several ways to set up and use Skype

Basic Requirements for Skype
# A high speed Internet connection
# a personal computer (Your computer must have Windows 2000, XP or Vista to run Skype)
# a webcam, a microphone (some web cams have a built in microphone) and speakers attached to your computer). Many lap-tops have built in speakers, some have built in webcam. If you are concerned with the audio being overheard you can use a headset with microphone
# first install the camera's software on your computer
# Then Connect the camera with the USB cable to any of the the computer's USB sockets (ports).
Many computers will automatically recognize that you plugged the webcam in and it will tell you there is a new device on the computer
# With the webcam connected you have also connected the microphone that is built into the webcam to the computer. You can now adjust the audio settings using the webcam controls or wait until you have installed Skype.
# The Logitech installer will guide you through the con figuration of the audio. You may download from the Logitech site or from Skype.
# Skype provides the software free of charge. After you have Skype installed they have additional services that you buy into.
# This article is limited to free services over the Internet to anyone, anywhere in the world for free while viewing each other on your computer screens.
# You will be asked to choose a Skype name
This the name or nickname that people will use to call you (connect with you) on using Skype. The Skype Setup Wizard will appear and guide you through the rest of the installation.
# Make certain peakers are plugged in and volume turned up. (or if using a head set plug it in)
# Now call the Skype Test service. It is an automated service that you call and it calls you back so that you know you are ready to Skype.
# Make your first call
Select your friend's Skype Name and press the big green call button.
# Sign up for a Google Account and for a Google gmail account

Alzheimer Dandyfunk for Caregivers

DANDYFUNK, a seafaring term from the days of the windjammers. It was a meal concocted from of all sorts of ingredients. Sort of a one-pot meal.

Alzheimer Dandyfunk is a potpourri collection of information and stuff for caregivers. As a new caregiver I sought out advice and information from Alzheimer support groups, associations and organization in addition to searching topics on the Internet. There is a mind bending amount of information. To keep track of the results I set up blogs to store my findings and share with others caring for elders and individuals with Alzheimer’s.

Things To Look for in a Retirement Home

5 Things to Look for in a Retirement Home
good article on www.smartmoney.com
"Continuing care retirement communities are probably the best prepared to deal with healthcare issues that arise as one gets further on in their golden years. This type of community hosts independent living quarters, assisted living facilities and nursing homes. That way, if a resident's health deteriorates, he or she could get the proper treatment without changing facilities. 'There will come a day when [a patient] will need [in-house, health] services,' says Holohan. 'You don't want...to change homes three or four times.'"

Fell On Floor and Can't Get Up, how to help

About Human Kinetics

Human Kinetics, mission is to produce innovative, informative products in all areas of physical activity that help people worldwide lead healthier, more active lives.

Human Kinetics is committed to providing quality informational and educational products in the physical activity and health fields that meet the needs of our diverse customers.
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So you or your caring partner fell and is having trouble getting back up.

Here is an edited excerpt from Health Professionals’ Guide to Physical Management of Parkinson’s Disease
found on http://www.humankinetics.com/excerpts/excerpts/assisted-floor-transfer-techniques-for-patients-with-parkinsons-disease


"Assisted floor transfer techniques for patients with Parkinson's Disease
By Miriam P. Boelen, PT"

"Assisted Floor Transfer Techniques"

When the caregiver helps the patient up from the floor, both must be kept safe. If this is not possible, additional help such as a medical alert system may be needed. If possible, the gait belt should be snug for better leverage.

Transfers should be coordinated between the patient and caregiver to ensure simultaneous maximal effort and to minimize strain on both. The caregiver can accomplish this by giving instructions such as “On the count of three try rolling onto your hands and knees” or “On the count of three try to stand up.” Because of Parkinsonian symptoms, the patient may not initiate movement at the count of three.

The caregiver should be advised of this possibility so that she or he can delay giving assistance until the patient starts. Coordination of effort will avoid placing excessive strain on the caregiver. Caregivers should be encouraged to use optimal lifting body mechanics. .....

* Assisted side lying to hands-and-knees position. The optimal hand placement of the caregiver is to position one hand under the bottom hip and the other hand under the gait belt. The caregiver pulls up on the patient’s hips as if turning a big wheel (figure 11.6, a and b). The caregiver should flex the knees to facilitate lifting with the legs rather than the back.





* Assisted prone to hands and knees. If the patient has strong arms, the caregiver (with proper body mechanics) can straddle the patient, grab the gait belt, and lean back while pulling up on the belt. At the same time the patient pushes with the arms (figure 11.7). As the patient walks her or his hands backward, the caregiver walks backward and guides the hips into the all-fours position.


* Assisted half kneeling to standing. The caregiver stands on the side of the patient that requires greater support. This positioning allows the patient to assist with his or her strongest side, which reduces difficulties in general. The caregiver places one hand on the gait belt and the other arm under the patient’s axilla (figure 11.8).

What to Do After a Fall

Patients often want to get up from the floor immediately after a fall. This desire may be due to the embarrassment of falling or their concern about their ability to get up. Sometimes patients do not think about the fact that after they have fallen, they cannot fall any farther and should be in no hurry to get up. Bystanders occasionally offer a helping hand, but their help may cause greater destabilization or irritate an already arthritic joint. Educating the patient about how to guide bystanders will help minimize these problems. Here are some general guidelines about what to tell your patient:

1. Do not try to get up right away.

2. Before attempting to get up, mentally note whether any areas feel injured. If you suspect injury, seek medical attention.

3. Attempt to relax for a moment before getting up.
.....

5. Before attempting to get up, someone should bring a chair close to you if needed so that you can use it for support to get up.

6. An additional chair could be placed behind you if you have difficulty turning. After you are standing, you can sit on the chair without having to turn.

This is an brief excerpt from Health Professionals’ Guide to Physical Management of Parkinson’s Disease. found on http://www.humankinetics.com/excerpts/excerpts/assisted-floor-transfer-techniques-for-patients-with-parkinsons-disease

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A gait belt is a device used to transfer people from one position to another or from one thing to another. For example you would use a gait belt to move a patient from a standing position to a wheelchair. The gait belt is customarily made out of cotton webbing and a durable metal buckle on one end. The gait belt is worn around a patient's waist. The purpose for this is to put less strain on the back of the care giver and to provide support for the patient
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Points to Remember: More than one caregiver may be needed. Belts with padded handles are easier to grip and increase security and control. Always transfer to resident's strongest side. Use good body mechanics and a rocking and pulling motion rather than lifting when using a belt. Belts may not be suitable for ambulation of heavy residents or residents with recent abdominal or back surgery, abdominal aneurysm, etc. Should not be used for lifting residents. Ensure belt is securely fastened and cannot be easily undone by the resident during transfer. Ensure a layer of clothing is between residents' skin and the belt to avoid abrasion. Keep resident as close as possible to caregiver during transfer. Lower bedrails, remove arms and foot rests from chairs, and other items that may obstruct the transfer

The number of unpaid family caregivers in the United States now tops 65 million

The Secret Caregivers

The Secret Caregivers

By Gail Sheehy, May & June 2010

Men care for their loved ones more often than we know. Why do they hide it? Inside their silent burdens and bittersweet rewards

The number of unpaid family caregivers in the United States now tops 65 million, involving more than three in ten households, according to "Caregiving in the U.S. 2009," a report conducted by the National Alliance for Caregiving (NAC) in collaboration with AARP, and funded by the MetLife Foundation. Despite a common stereotype that caregiving is women's work, one third of American caregivers are men, the report reveals.

NFCA, National Family Caregivers Association

The National Family Caregivers Association educates, supports, empowers and speaks up for the more than 50 million Americans who care for loved ones with a chronic illness or disability or the frailties of old age. NFCA reaches across the boundaries of diagnoses, relationships, and life stages to help transform family caregivers' lives by removing barriers to health and well being.

Membership is free to family caregivers, and includes a quarterly, e-mailed newsletter. For those who would rather receive a print copy of the newsletter, NFCA offers an upgraded, Family Caregiver Plus membership at the special introductory rate of $10/year. Click here to join on-line.

nightmare for those with disabilities who are struggling to stay at home.

http://www.kaiserhealthnews.org/Columns/2010/February/020110Gleckman.aspx

Howard Gleckman, Senior Research Associate at the Urban Institute

Feb 01, 2010

There are programs run by states and similar projects run out of Washington. This is a particular nightmare for those with disabilities who are struggling to stay at home. If you don’t believe me, try to find a local phone number for elder care assistance.

A Study of need for services when reaching age 65

Comparing Costs For In-Home Care, Nursing Homes, RCFE Assisted Living And Adult Day Care | Elder Care Residential Services

A 2008 long term care study done by Prudential insurance has some surprising information regarding the costs of care for services needed as we age. This is information is important to assist in making plans for the “golden years”.

The study shows that the average cost of a nursing home can exceed $70,000 a year for a semi private room. A break down of the daily charges is $194 per day. A private room can exceed $79,000 a year or $217 a day. These costs will, of course depend on the area of the country you live in. Some areas will be more and some less. It was also noted that there has been a 7% increase in the cost of living in a nursing home over the past 2 years. Nursing home costs have had an increase of over 30% in the past 5 years.

Assisted living facilities have seen the greatest increase in costs over the past 2 years. The average for living in an assisted living facility rose to nearly $39,000 per year. This is an average daily charge of just over $100 per day.

There was an average of a 15% increase in rates for the assisted living facility that provide care for Alzheimer’s and dementia patients.

In -home care has had the smallest increase rate of all the service providers. The rate of in-home care has had an increase of 5% over the past two years and only 17% over the past 7 years.

The average cost for a certified nursing assistant providing in-home care is $21 per hour. The services provided by a certified nursing assistant are bathing, dressing and care provided under the supervision of a register nurse. These services are ordered by a physician and generally covered by insurance. These services are only provided intermittently and for a limited amount of time.

The 2008 Genworth Financial study of cost of care also covers the non skilled in home care. This is a growing segment of the in-home care services, as many individuals want to remain in their homes as long as possible.

The average cost for homemaker services is $18 an hour. The rate of these services has increased by 4% over the last year. A homemaker provides companionship, light housekeeping duties, assistance with cooking and running small errands.

In- home care also provides home health aides. These individuals are able to provide basic assistance with personal care, but are not permitted to perform and medical tasks.

The average rate of a home health aide is $19 an hour. This is an increase of 3% over the past year.
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This lengthy article is well worth the read. http://ow.ly/15YGwf

NOTE: they show average values, you will find costs in your area may differ wildly.

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I suggest following the blog http://ow.ly/15YGwf provided by:

Elder Care Residential Services

Mailing address:
610 Cypress Street
Pismo Beach, CA 93449
805-473-7400
FAX: 805-473-4704

Cell: 805-452-3225 9am TO 5pm Pacific Time

info@eldercareresidentiaservices.com

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.

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.
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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

The Diabetes Health Care Crisis

http://oregoneldercareservices.com/?p=712

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

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The following options may be available to you.

Medicare
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
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
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:

• Health Reform Task Force Recommendations
• Health Care Insurance Options for People with Diabetes
• Discrimination Based on Diabetes
• Coalition of Health and Consumer Advocates' Joint Statement on Delivery System Health Reform and Chronic Care

Sharing bad news with an aging parent

http://oregoneldercareservices.com/?p=712

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

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,
Arts
Bingo
Card Games
Chair exercises
Chorus & Music Therapy
Cooking
crafts,
Daily Exercise
Discussion groups (books, films, current events)
Discussions: contemporary and devotional
Entertainment
Exercise classes personalized for individual levels of activity and ability.
Gardening
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
Music
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
Pottery
quiet rooms with rest areas and television
recreational classes,
Relaxation time
Reminiscing
Spiritual Program
Stretching or other gentle exercise
Student Interns
Tai Chi Class
Talking about current events
Transportation
Volunteers
Weight Loss Club
Woodworking Shop

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.

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

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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..

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

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

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.