This blog is a knowledge newsbasket an on-line Internet publication containing comprehensive aggregated collections of information. MainZone Knowledge Networks focus on developing, distributing and applying knowledge
Thursday, October 1, 2015
Moving Aging Family Member into Your Home .. sure?
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.
--
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."
--
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!
Thursday, March 25, 2010
Finding / Acessing Services available from your City
311 Service
Non-Emergency Government 311 Services
311 Service has been approved by the US Government as a 3-digit dedicated phone number to reach important government services from any location and at any time. Simply dial 311 from any telephone and you will reach various non-emergency services thru out the nation.
Call 311 -- 311 is a simple, easy-to-remember telephone number which connects citizens with specially-trained city customer service representatives. They are ready to help you with your City service requests ... so next time you need a service from your City . . . CALL 311!
How does 311 work? When you dial 311, a Customer Service Representative will answer your call. You will be asked for detailed information regarding your request. This information is immediately sent to the appropriate City department for action. 311 Customer Service Representatives understand the importance of providing quality customer service the first time you call.
The mission of 311 phone service is to provide access to City services and City information with the highest possible levels of customer service. The "3-1-1" initiative strives to help City agencies provide efficient service delivery by allowing them to focus on their core missions, manage workloads efficiently, provide insight into the needs of residents, and measure how well services are delivered.
Since 311 is a relatively new service not all localities offer 311 service at this time, especially lesser populated areas. However, its use is rapidly gaining momentum as more and more local agencies are offering it.

Saturday, February 20, 2010
DOOR ALARMS, ENTRY ALERTS, DOORWAY ANNOUNCERS, ROOM MONITORS
WIRELESS LISTENING MONITORS such as baby monitors have drawbacks: signal blockage by concrete walls, conflicts with cordless phones, multiple monitors can mess up you hear on your unit. Never to discuss anything private when audio unit is on they broadcast to anyone's monitor in range. However, wireless audio monitors don't require installing wiring. There are millions of baby monitors in use.
When buying a listening device such as a baby monitor consider: size, portability, low battery warning, sound activated alarm light, multiple receivers for a single monitor, talk back features.
---------------------------------------------------------------------
ABSOLUTE AUTOMATION INC http://www.door-aarm.com/l
Wireless Door Alarms, Entry Alerts and Doorway Announcers. The wireless transmitter may be above or beside your door and be alerted of someone. There are door alarm systems which can be used to alert you when an individual has left their area. Other systems can alert caregivers of a person moving in their room or wandering in a hall.
They have Magnetic door switches which can be used to trigger monitors, chimes and/or send wireless signals back to other receivers or alarm units.
Fall Savers© | 59 Fulham High Street | London, SW6 3JJ, UK
http://www.fallsavers.co.uk/content/product.php
The Fall Savers company in the UK has monitors that are versatile portable battery powered bed and chair alarm designed for use with a sensor pad. The monitor sounds an alarm when the patient's weight moves off the bed or chair sensor pad.
---------------------------------------------------------------------------
AMEDS.com 451 Warwick Industrial Drive, Warwick, RI 02886
http://www.ameds.com/product.php?
Door Guards which provide a strong visual reminder to individuals not to proceed through certain doorways.
UMP Infrared Bed Monitor which alerts the caregiver when an individual attempts to leave the bed.
The Smart Caregiver Wireless Fall Prevention Monitor System is a unique product that offers multiple functions. The Alarm can be silent or volume can be controlled, while continuing to transmit an audible alert to a caregiver in another location. The alarm in silent mode is ideal for situations where you don't want to disturb people in the room. It has a radio signa thatl is transmitted to a pager / alarm. Runs on 3 AA batteries and requires no plugs or wires.
--------------------------------------------------------------------------
ABLEDATA 8630 Fenton Street,Silver Spring, MD 20910.
http://www.abledata.com/abledata.cfm?pageid=19327&top=10771&trail=22,10756
Accudata wandering patient detection system uses coded identification tags and sensors mounted at exits, and monitored areas. The Waterproof tags contain a miniature transmitter receiver and a microchip memory which contains the patient identification The sensor sets off an alarm when the presence of an identification tag is detected.
Alarm Cushion which is a foam or gel and foam seat cushion designed for use with geri chairs. It features a built-in weight sensor factory sealed inside a vinyl compartment in the cushion to protect it from urine and wear and to prevent it from shifting beneath the user's weight. When a person attempts to leave the chair or as a result of sliding, an alarm sounds..
The AliMed Seat Belt Alarm, is a seat belt and wandering patient system designed for use by individuals with Alzheimer's disease. This dual-function seat belt keeps the person in the chair and sounds an alarm if disconnected.
The Bed-Check System is a wander's system designed to alert caregivers if an individual with balance disabilities, Alzheimer's disease, or other disabilities tries to get out of bed unattended.
They offer a Professional series Care Trak Mobile Locator which is a wireless system for a clinical setting. This portable device can be used alone or with a Invisible Perimeter System to locate an individual who has wandered off by as much as a mile. One model can locate up to fourteen different individu
The Care Trak Sentry Door System is a system designed to prevent individuals from entering or exiting a door without assistance. It can monitor up to eight doors in a residential setting. The system uses a tamper-resistant transmitter that can be worn on a wrist or ankle
The Care Trak Invisible Perimeter System is a system designed to prevent individuals from entering or exiting a specific area. The system features a monitoring unit with controls to adjust the range of the invisible perimeter, a Care Trak wrist transmitter, and the Care Trak Mobile Locator (see separate entry). The system establishes an invisible circular boundary around the monitoring unit.
Professional series Care Trak Wrist Transmitter is a wireless signal transmitter designed for use by caregivers of individuals in a clinical setting. This portable device can be used when the police or emergency rescue personnel have the Care Trak. Care Trak registers the frequency number of the transmitter with the appropriate agency.
They offer a The Door Mural system designed for use with individuals with Alzheimer's disease, dementia, or cognitive disabilities. When applied to a door leading to a cleaning supply storage closet or a stairway, the door is completely obscured.
Their Door or Window Alarm is a system featuring an insert that fits in the gap between a closed door and the doorjamb or between a window and the window frame. Once the insert is in place, if the door or window is opened even slightly, a loud alarm sounds
Their door Knob Guard prevents a disoriented or wandering individuals fro entering or exiting a door without assistance, fits most standard door knobs and is easily removed in case of emergency.
Motion Detector with Remote Alarm made up of a motion detector and a receiver chime alarm. The detector can be placed where needed (bedroom, stairs, exit door, etc.) to detect movement. The receiver can be carried in a caregiver's pocket.
They offer an alarm unit featuring a cord held in with a pin. At the other end of the cord is a clip that attaches to clothing excess tension on the cord sounds the alarm.
Another Personal Alarm enables family members, friends, or caregivers to record a spoken message to remind an individual to request assistance before getting up plus it offers five selectable alarm tones which can be use in conjunction with or separately from the voice message.
Passive Infrared Red, PIR, Alarm requires no pads or sensors and relies on passive infrared technology similar to that used by automatic doors and lights. The unit emits an IR invisible fan-shaped beam that covers the entire bedside and may be adjusted to detect only undesired motion.
A toilet mounted alarm warns of a person leaving a toilet. The sensor mounts beneath the seat and sets itself automatically.
Bed-Safe Alert and Chair-Safe Alert units emit a loud audible alarm when the user begins to get up out of bed, chair or wheelchair. The systems are portable .
The QualCare VOICE Alarm has a cord that can be clipped to the patient's clothing. When the cord is pulled from the alarm unit, a recorded message plays for 20 seconds, then an alarm tone sounds.
The Stray Away Alarm has a transmitter pendant and a receiver. The pendant features a lanyard for wearing around the neck and the receiver includes a belt clip. When the person is separated from the caregiver distance from 10 to 20 feet, a signal is sent frrom the pendant to the receiver, sounding an alarm.
The Talking Motion Detective is a wireless, two-piece, motion detector announces specific information to alert the caregiver. One speaker unit can monitor up to six motion detectors, each providing different information for different exits or areas of the home . For example, the system might announce "Dad is trying to go out the back door!" or "Mom is in the kitchen."
Telecom 4000 automatic dialer is an emergency alert, call signal, or wandering person system designed for use by individuals who are at risk for medical emergencies. Used in conjunction with a wireless pendant transmitter, this enables the user to summon help by pressing a button. Used in conjunction with motion sensors, it can monitor activity in the residence and send an alarm when the resident has been inactive
TrackerPAL is a system with a fully active global positioning (GPS) and interactive voice capability. The system covers virtually all of the United States and Canada and is monitored through a monitoring center. All voice communications with family members and the individual monitored are recorded and are kept in a WAV file for future use if needed.
---------------------------------------------------------------------------
SECURITY2020 1680 Roberts Blvd. Kennesaw, GA 30144
Voice Alert System http://www.security2020.net/va6000s-voice-alert-system-6.html is ideal for residential and small business notification, security, and property protection. It combines wireless and digital voice technology to create the most flexible and cost-effective annunciation system available today. System monitors up to six zones using wireless PIR Sensor Transmitters and a remote Receiver/Speaker Base Unit. When a zone is breached, a signal is sent up to 1000 feet (300' through walls) to the remote Base Unit. Upon signal reception, the Base Unit plays a user (voice-recorded) message identifying that specific zone.
----------------------------------------------------------------------------
TUNSTALL GROUP LTD.,Whitley Lodge, Whitley Bridge, DN14 0HR, United Kingdom
http://www.alzheimers-support.com/en-GB/solutions-a-to-z.html
Bed/chair sensor detects when a person leaves their bed (or chair) and can turn on a light gradually. It will also set a timer running (which can be set for varying periods of time) and if the sensor fails to detect a return to bed within this time it will raise an alarm call. This alarm can either be directed to a caregiver or to the monitoring center. It is then possible to speak to the person via the speaker on the central Lifeline unit. Alternatively the sensor can also be set to raise an alarm if a person has failed to get out of bed after a preset time in the morning or if they have failed to go to bed by a preset time. The pad can also be used with chairs and wheelchairs.
Wet bedding sensor. Placed between the matress and sheet, this sensor provides immediate warning on detection of moisture
Tunstall's fall detector automatically detects a serious fall and setting off an alert to the designated caregiver.
Flood detector will raise an alarm if sinks or baths overflow
The Lifeline Connect+ home unit is supplied with a personal pendant, and can be used to raise a call from anywhere in the home or garden by simply pressing the pendant or red buton on the unit. Calls are received at the dedicated 24 hour response centre where the most appropriate action is taken. Requires an existing telephone line and electrical outlet.
Sensors can be added to the Lifeline unit, which are connected wirelessly and unobtrusively. Lifeline Connect+
Medication dispensers provides an effective solution to support medication compliance by automatically dispensing medication and providing audible and visual alerts to the user each time medication should be taken.
A wireless movement sensor/detector for both activity and inactivity monitoring, for example, to check if a person has got out of bed or visited the kitchen.
Tunstall is currently trialling safer walking technology , which allows freedom for the user to walk about in a safe environment and sends an alarm call should the user go outside a preset safe zone. The system comprises a wrist worn locatable alarm device, a home base, a secure location data processing system and a 24/7 Monitoring Center. The system uses Assisted GPS and GSM technology and recognizes when the wearer leaves a predefined safe zone . This will trigger an alert at the Monitoring Center who will contact the responsible carer/organization and assist with the provision of an appropriate response.
Monday, February 1, 2010
Raise your hand if you're a caregiver.
from: HealthBridge's In-Home Care Blog
Dr. Pauline Chen took an insightful look at this topic in her "Doctor and Patient" column in the New York Times. She writes:
For all our assertions about the importance of caring in what we do, doctors as a profession have been slow to recognize family members and loved ones who care for patients at home. These “family caregivers” do work that is complex, physically challenging and critical to a patient’s overall well-being, like dressing wounds, dispensing medication, and feeding, bathing and dressing those who can no longer do so themselves.
Many of these caregiving tasks were once the purview of doctors and nurses, a central component of the “caring professions.” But over the past century, as these duties increasingly fell to individuals with little or no training, doctors and even some nurses began to confer less importance, and status, to the work of caregiving.

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

Tuesday, October 27, 2009
Long-term care insurance program
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
--------------------------------------------------------------------------------
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
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
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 vanThe 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

Sunday, October 4, 2009
Home safety for elder care or alzheimer's patient
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.

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

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.

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.

RunMyErrand Boston community
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
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
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
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
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.
