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Posts Tagged ‘Caregiving’

Long Distance Caregiving - Our Journey Begins…

Thursday, June 17th, 2010

I got the call that so many of my clients have already received. My sister-in-law called me after she visited her mother, Ruth, at her home in Central New York. She was concerned. Her mother looked like she was losing weight. She did what I always recommend to my clients and checked the refrigerator. It was empty.

Ruth is 87 and has macular degeneration.  She has not been able to drive for a few years. All of her children have moved away but her sister, Bette, lives close by and has always taken her to the grocery store and physician’s office making sure her needs were met. Unfortunately, Bette was recently diagnosed with Alzheimer’s. Her family has decided she can no longer drive.  Did Ruth let any of her children know that she was no longer able to get to the grocery store easily? Of course not!

We are now in the process of finding a good non-medical home care company that can provide transportation and support to Ruth. Being a long distance caregiver is challenging. Situations change and can be easily overlooked when you are not physically there to see the impact. Many people are struggling with this so I have decided I will start to blog about my own experiences as a long distance caregiver. I will share all the ups and downs even if it means swallowing my pride and sharing my own mistakes during this process.

Our first step?  Interviewing home care companies.  I always recommend to clients that if they are long distance, they should consider hiring an agency instead of an individual. There are many reasons for this. If the agency is a good one, their caregivers and management team can become your eyes and ears and let you know if they start to notice any changes in your loved one. They also send replacements if the primary caregiver is sick or can’t be there. They also do criminal background checks, driving checks and reference checks before hiring. If something goes wrong, you have a management team you can speak with who can solve the problem. Because none of us live close by, I feel we need that level of support so an agency is the right decision for us.

Because Ruth does not require any medical care, we are only speaking to companies that provide non-medical companionship care. Here are some questions you need to ask a potential non-medical home care company to be sure you are bringing a reputable agency into your home.       

1. What is the background of your company?

Search out the history and ownership of the company. Find out who owns the company and weigh how the ownership affects the company’s service and reliability. Is this agency backed by a nationally strong firm? Is it reputable and in good standing?

2. How long has your company been in business?

The number of years an agency has been in business is not always pertinent to the quality of care given, but it does reflect on the stability and success of the company.

3. What qualifications, certifications, experience and training do you require of your workers?

Find out if caregivers’ credentials are investigated. Plus, determine whether caregivers undergo a thorough, professional testing and screening process.

4. Are your employees insured and bonded?

For your protection, ensure that all caregivers are insured and bonded by the home care agency.

5. How do you supervise your workers to make sure the proper care is given?

Some agencies make scheduled quality assurance calls and visits. To further ensure quality care, see that all caregivers are regularly and closely supervised by a qualified company representative.

6. Will the same employee continue with my case?

It is difficult to receive good care if different people show up every week. A good home care provider will be concerned with continuity of care.

7. Do you conduct a home visit before starting the home care service?

When choosing the home care services that are right for you, it is important that the patient and family members discuss the kind of care needed with a home care representative. This will help you determine whether the home care provider can meet your needs.

9. Can you give me some references from previous and current customers?

Ask for names of people. One good question to ask is “Would you use this company again for yourself or your loved ones?”

10. Do you guarantee customer satisfaction?

Find out if there is a length of time you will be committed to the home care provider even if you are unhappy with the care they are providing. The home care provider should guarantee care and cancel charges for unsatisfactory service.

Thanks to the Area Agency on Aging of Pasco-Pinellas for these questions. More information about non-medical home care companies, including the names of companies in your area, can be found at your local area Agency on Aging.  

 

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Do Your Parents Want To Stay In Their Home As They Age? Here are the Top 4 Things You Need To Know

Tuesday, January 12th, 2010

If you talk with anyone over the age of 65, 98% will tell you they want to stay in their homes as they age. People want to stay where they have lived for so long, are comfortable and are surrounded by memories of earlier times. As a society, we have come a long way medically so there are very few medical issues that would prevent someone from aging in place. Instead, other factors can have more of an impact on someone’s ability to successfully stay home. Here are the top categories which should be considered by anyone who is planning on aging in place:

1.      Availability of caregivers – Many people count on friends and family to meet their needs as they age. Initially, they might just need a little help around the house with cooking and cleaning. As they progress, their needs will also include more personal care including bathing and transferring them from one location to another or on and off the toilet. Every family caregiver needs to ask themselves if they can be there for their loved ones as their needs grow. Are you comfortable helping a parent bathe or dress? If not, do you have the finances needed to hire professional caregivers?  These are difficult questions that only you can answer. What is most important is ensuring your loved one has support around them for all of their needs. If this isn’t possible, aging in place would not be a safe option.

2.      Accessibility – It is important that the home be as accessible as possible for someone who is aging. Are doorways wide enough for a wheelchair? Are there grab bars in the bathrooms and are they positioned properly? Are all major living areas on one floor? If the answer is no, the home can be modified to fit your needs. It is important to bring in someone who is familiar with “universal design” so they can help you to determine what needs to be changed. Then compare the cost of home modification to the costs of assisted living. This will help you to determine if modifying the home is a realistic option for your family.

3.      Transportation - As people age, there comes a time when it is no longer safe for a person to drive. Many people count on their friends and family to drive them where they need to go. This works well but what happens when you are not available? Are there services in the area (including buses, cabs, etc.) they can use to get to the store or the doctor’s office?  If not, can you create a team of individuals who can take turns with the driving? If a person cannot get out to do their errands or to go to the doctors, and there are no support services in the area, then aging in place would not be a good option for them.

4.      Socialization – Everyone wants to age in place but many people don’t realize that it can be a lonely option. If a person is alone most of the time and counts on weekly visits by family for their socialization, then they might become very lonely and depressed. It is important that people have activities and people to share them with. Having friends their own age to speak with is very important. Setting up times for them to get together and making transportation easy, will go a long way to having a successful aging in place experience.    

 

I hope that by focusing on these four items, you and your loved ones will have a safe, rewarding aging in place experience.

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The Paradox of our Time

Thursday, December 10th, 2009

I found this article and thought  it would be a wonderful tribute to all of the family caregivers in our community. It touched me and I wanted to share it with you. Some people say it was written by George Carlin but he always denied it. Even though I don’t know who wrote it, please take a few minutes to read this. It helps to remind us of what is really most important in this world.  Happy Holidays!

The Paradox of our Time

The paradox of our time in history is that we have taller buildings, but shorter tempers; wider freeways, but narrower viewpoints. We spend more, but have less; we buy more, but enjoy less. We have bigger houses and smaller families; more conveniences, but less time. We have more degrees, but less sense; more knowledge but less judgement; more experts, yet more problems; more medicine, but less wellness.

We drink too much, smoke too much, spend too recklessly, laugh too little, drive too fast, get too angry, stay up too late, get up too tired, read too little, watch TV too much, and pray too seldom. We have multiplied our possessions, but reduced our values. We talk too much, love too seldom, and hate too often.

We’ve learned how to make a living, but not a life. We’ve added years to life, not life to years. We’ve been all the way to the moon and back, but have trouble crossing the street to meet a new neighbor. We conquered outer space, but not inner space. We’ve done larger things, but not better things. We’ve cleaned up the air, but polluted the soul. We’ve conquered the atom, but not our prejudice.

Remember, spend some time with your loved ones, because they are not going to be around forever.

Remember, say a kind word to someone who looks up to you in awe, because that little person soon will grow up and leave your side.

Remember, give a warm hug to the one next to you, because that is the only treasure you can give with your heart and it doesn’t cost a cent.

Remember, say “I love you” to your partner and your loved ones; but most of all, mean it. A kiss and an embrace will mend hurt when it comes from deep inside of you.

Remember, hold hands and cherish the moment for someday that person will not be there again. Give time to love, give time to speak, and give time to share the precious thoughts in your mind.

Remember, Life is not measured by the number of breaths we take, but by the moments that take our breath away.

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The Top 6 Things to Look For On Your Next Visit Home For the Holidays

Monday, December 7th, 2009

Most people as they age want to stay independent and remain in their own homes. This is no longer just a dream. There are many services now available to help elders age in place. As a result, most people can remain independent in their own homes far longer than in the past. The key is to know when an elderly loved one is beginning to need some help.

 

Understanding that aging is a continuum requiring some adjustments is the first step in assuring that elders can maintain the independence they so desperately want. In most instances, a decline in their ability to perform small, daily activities is usually the first sign that a person’s needs are changing. Here are some warning signs that an aging loved one may need some help.

 

  • Grocery Shopping and Meal Preparation
    • Is the refrigerator empty? Is food old or moldy? Is basic nutrition being ignored? Are meals being skipped?

 

  • Housework
    • Is there a change in the way the house is being kept? Is the once clean and tidy home showing signs of neglect?

 

  • Transportation
    • Is the individual having “close calls” or accidents? Are people honking? Do they act confused in traffic? Do they drive too slowly?

 

  • Personal Hygiene
    • Is the person wearing the same clothes day after day? Are clothes clean? Does he/she still care about grooming – showering, washing hair, etc.

 

  • Money Management
    • Are bills piling up? Are they being paid on a timely basis?

 

  • Medication
    • Does your loved one remember to take daily medication on schedule and as directed?

 

These very common signs of aging are, in and of themselves, not cause for alarm. Yet once the number of signs starts to increase, family members should develop a strategy for making sure their loved ones needs are being met. Assistance with any of these tasks is widely available – whether it be from family, friends, neighbors or professional caregivers. It is comforting to know that the majority of people, with just a little bit of help, can retain their independence and continue to age in place.

 

 

Being mindful of the first initial signs of aging allows families and loved ones to help the elderly maintain their independence and quality of life at home – right where they want to be.

 

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A New Study Documents the Negative Emotional, Physical and Financial Impacts of Caregiving on Boomer Women

Thursday, December 3rd, 2009

Women have changed. Boomers today are very different than female caregivers of previous generations. They are still the primary caregivers of their aging relatives but they also work, have children of their own and more of them are divorced and have fewer support structures. This results in very stressful situations for them and their families.

The International Longevity Center recently released “Caregiving in America: The Health Consequences on Boomer Women”.  The brief provides statistics that show the negative health, financial and social consequences that women caregivers of the baby boom generation face now and will continue to face as the demand for family caregiving increases with the aging of the population. 

The report states:

 

Reduced savings, reduced employment, earlier retirement, high out-of-pocket expenses of providing care, and increased likelihood of poverty are par for the course among many boomer women providing care to family members.

 

The stress and pressures resulting from caregiving may result in increased depression and significant health issues as well.

 

This is a very depressing picture and with the aging of America it is only going to continue to get worse. People who are caregiving need help. They are taking on more responsibilities as more and more aging people are staying in their homes and counting on their families for support. If the government were to pay for the services provided by our nation’s female caregivers, it would cost taxpayers between $207 billion and $263 billion annually.

 

What can be done? This report recommends 3 key approaches:

1.    Families must do more to plan for their aging and the aging of their loved ones. Families must talk more with their aging relatives about their wishes and plans for the future. Researching options and having a plan agreed to by everyone can greatly reduce the stress from a health care crisis. As women are helping their loved ones through their aging issues, it is critical they also start to put a plan together for their own successful aging.

2.    Employers should establish a clear dialogue with employees about their eldercare needs, and be committed to providing supportive resources that are needed. On-site eldercare programs, referral services, and subsidies for adult day care are among the possibilities. Alternative work arrangements are often very helpful to caregivers.

3.    Policymakers at all levels of government need to do more to fund initiatives to help caregivers.

 

Boomer women have always had to lead the way to change our culture through the ‘60s and on. They will do so again as more and more begin to accept the caregiver role and see all the needs that exist that aren’t being met. Hopefully, we will see a change for the better for family caregivers. To read the complete study, please click here.    

 

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Obama Challenges Employers To Do More To Help Family Caregivers

Monday, November 9th, 2009

President Obama has declared November as National Family Caregivers Month. I am most impressed by his call to employers. He states:

“Families are best able to care for their loved ones when they can take time away from work without fear of losing their job or their income. We all have roles to play, including employers, by providing paid leave, flexible work arrangements, and other programs when feasible, to help ensure that caregivers are able to successfully meet their work and household responsibilities.”

That is just what I have been saying! Caregiving is a huge responsibility and families cannot do it alone. Employers need to support their employees who are caregiving not only because it is the right thing to do but it also benefits the employer in the long run by contributing to a committed, focused workforce.

Even though I like having a month to bring attention to those individuals who are doing so much to help their aging loved ones, please don’t limit your appreciation for family caregivers to one month. They need our support and appreciation every day. They are the foundation of our long term care system and our country could not do it without them.

To read Obama’s complete proclamation, please go here.

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