Senior Care in Alabama

Signs That A Senior Is Becoming Dehydrated

2012-01-13T15:48:00.002-06:00

Written By: Susan K. Ross

There are three different types of dehydration that can occur and each has different signs and symptoms. There are different ways to treat each of these types of dehydration and they can sometimes occur together. When caring for the elderly, it is very important to look for these signs and symptoms. It becomes crucial when the elderly person suffers from a condition that:

Makes it difficult for them to communicate
Makes it difficult for them to obtain what they need on their own
Makes it difficult for them to understand what is going on around them
Puts them at risk for medical complications even without dehydration (i.e. diabetes, anorexia, renal failure, or other diseases)

The first type of dehydration, isotonic, occurs when there are equal amounts of water and sodium lost from the body. The most common reason for this type of dehydration is illness which results in prolonged vomiting or excessive diarrhea. Other causes include fasting, internal bleeding or use of suctioning (this occurs in patients who are already medically compromised. Individuals with isotonic dehydration may experience thirst, dizziness, weakness, a drop in blood pressure, a drop in body temperature, changes in the tongue, and rapid weight loss. There are not typically mental changes that occur with this type of dehydration. Most patients remain alert and oriented and are usually aware that they need hydration.

Hypernatremia, or hypertonic dehydration, is usually seen in both children and the elderly. It occurs when there is a greater loss of water than sodium. It is typically caused by a fever and the cause of the fever must be determined and addressed before adequate hydration can occur. Providing hydration can be a challenge because water begins to evaporate through the lungs and skin more quickly than hydration can be provided. While the most common cause is fever related to an illness, it can also be seen in patients who have cognitive problems and do not recognize the feeling of thirst, those who have problems swallowing because of a stroke or other illness, or those who are unable to care for themselves and cannot physically obtain water. The onset of dementia can be gradual in nature and caregivers may not realize that an individual is not drinking enough until they begin to exhibit signs or dehydration.

Hypotonic dehydration, or hyponatremia, results when the amount of sodium in the system is less than the amount of water. Symptoms can include muscle cramps, headaches, personality changes, nausea, vomiting, anorexia, impaired taste, and seizures. If left untreated, it can cause the person to lapse into a coma. Hyponatremia is often associated with renal failure, compulsive water drinking because of a psychiatric condition, or prolonged use of diuretics.

By knowing the risk factors for dehydration in the elderly, cases can be prevented. When signs and symptoms are spotted early, treatment can begin quickly. If you suspect that someone is suffering from dehydration, seek medical treatment as quickly as possible.

Osteoarthritis Pain Relief on the Go

2012-01-05T14:33:00.001-06:00

If you need osteoarthritis pain relief, whether it's in your hip, knee, hand, or neck, try these exercises to ease what hurts. Changing positions and doing some light stretching can help.

By Madeline Vann, MPH

Medically reviewed by Lindsey Marcellin, MD, MPH

Finding osteoarthritis pain relief during your day is not that difficult: The key is not sitting or standing in one position for too long. Shifting positions and doing light stretching provides some osteoarthritis pain relief, whether your hips, hands, or neck trouble you.

People with arthritis have to be creative problem solvers. One question you should ask as you go through your day is, what can I change about my environment to get some osteoarthritis pain relief? For example, consider the grocery store, a place that everyone has to go several times a week and where you may, on occasion, be forced into long lines.

“A lot of stores have driving carts that people can use,” recommends Karen C. Smith, an occupational therapist and practice associate at the American Occupational Therapy Association in Bethesda, Md. If you prefer to be in motion or don’t trust your in-store driving abilities, here are some other ideas for osteoarthritis pain relief while you shop:

Use the cart for support. You can lean on the cart and, when standing, you can use one of the lower bars to put one foot up for a minute or so, and then the other. “Changing your weight from side to side takes some stress off your back,” says Smith.

Pick the right time of day. You may want to shop at times when the store is less crowded. If you don’t know when this is, talk to the store manager. Another option is to let store personnel know you have arthritis and ask for permission to use the quick checkout lanes.

Get help. Ask for help with products that are heavy, such as big bags of dog food, or are too high up for you to reach comfortably.

You can apply these kinds of tips to any environment in which you need osteoarthritis pain relief.

Osteoarthritis Pain Relief: Take Five

Whether on the job or on the go, staying in one position can increase your discomfort. When you are out and about, or even at work, you may be limited in how much movement you can get in your day.

“Any prolonged position is going to make you stiff. Take breaks and move around. Even wiggling can be of some assistance,” says Smith. “You need to lubricate those joints.”

Osteoarthritis Pain Relief: On Long Car or Plane Trips

If you are going on a long drive, take frequent breaks. Get out of the car and walk around a bit. Sitting on a heated seat pad can bring some osteoarthritis pain relief (try this as well if you put in long days at a desk job).

Learn seated exercises if you are going to be confined for a long time:

Stretch out your legs instead of sitting with them bent.

Lift straightened legs up one at a time as much as you can, using thigh muscles.

When your feet are flat on the floor, try lifting your toes, hold for about 10 seconds and then put them back down.

Gently twist your upper body from side to side to exercise the spine.

Osteoarthritis Pain Relief: In the Office

Stand up to exercise your hips: Pulling each knee up to your chest and rolling it around a bit will ease hip pain.

Try this simple stretch for osteoarthritis neck pain relief:

Pull your chin down and back, as if to make a double chin.
While your chin is tucked in, turn your head to look over your right shoulders and then your left.
Again while your chin is tucked in and you are facing forward, lean your head over as if to touch one ear to the same-side shoulder. Slowly come back to center and then lean the other way. Note: Each ear does not have to actually touch your shoulder.
Learn finger and hand stretches or carry a soft ball that you can use to exercise your grip.

The goal of all these suggestions is to practice range-of-motion exercises. "Any motion that your body can normally make is a motion that you should let it do," says Smith. By including this strategy for some light stretching into your daily routine, you can stay active despite osteoarthritis.

Coping with Stress Incontinence

2011-12-22T12:24:00.001-06:00

Episodes of urine leakage can affect your home and work life, but there are ways to overcome the challenges.

A sneeze. A cough. A laugh. Moving too quickly. Lifting too much weight. Any of these can trigger stress incontinence, causing a person to uncontrollably leak a small amount of urine.

And since these triggers are all things that occur regularly throughout life, people with stress incontinence can find it very difficult to maintain a normal work and social life. This is particularly true of women, for whom stress incontinence is the most common form of urinary incontinence.

Stress incontinence does not have to force you to withdraw from work, friends, and family, however. There are ways to protect yourself from urine leakage, and ways to communicate your problem to co-workers, friends, and loved ones.

Stress Incontinence and Work

Researchers have found that urinary incontinence can affect your work life, especially if you are suffering from severe incontinence. A recent study revealed that two out of every five women with incontinence had leaked urine on the job during the previous month. That same study revealed that women with severe incontinence said they had trouble concentrating, performing physical activities, maintaining their self-confidence, and completing tasks.

There are ways to avoid embarrassment from stress incontinence while on the job. They include:

Using absorbent pads or undergarments to protect against leaking. Be sure the pads contain odor-controlling material.
Limiting your physical activity to avoid placing stress on your bladder.
Taking frequent bathroom breaks to keep your bladder empty.
Strengthening your bladder control by performing Kegel exercises at home.

You must discuss your stress incontinence problem with your employer, particularly if it is severe. Otherwise, you might face criticism for poor concentration or taking too many breaks. And keep in mind that the Occupational Safety and Health Administration has ruled that employers cannot place unreasonable restrictions on employees’ use of toilet facilities, especially if the employee is suffering from a medical condition.

Stress Incontinence and Social Life

So much of life involves physical activity that can cause stress incontinence. At least half of women who exercise regularly are at risk for developing stress incontinence, and athletes in high-impact sports are more likely to report stress incontinence symptoms than those participating in low-impact sports.

Sports that can increase pressure on the bladder, and make stress incontinence more likely, include:

Martial arts like judo or karate.
Team sports like basketball or volleyball.
Horseback riding.
Body building with heavy weights.
Track and field.

On the other hand, there are a number of sports that carry little risk of stress incontinence, including:

Bicycling.
Swimming.
Rowing.
Walking.
Low-impact aerobics.
Activities in which at least one foot is on the floor at all times.

Social activities that lead to stress on the bladder, like very active dancing, should be avoided unless you're wearing absorbent pads. When attending a social event, you might want to limit your fluid intake and go to the bathroom just before leaving for the occasion. Dark clothing also can help you mask any inadvertent leaking. Finally, don't be afraid to talk about your problem with friends and loved ones. They will accept what you tell them with understanding and good humor.

By Dennis Thompson Jr. Medically reviewed by Pat F. Bass III, MD, MPH

Overcoming Caregiver Burnout

2011-12-15T16:06:00.000-06:00

Written By : Mark Jordan

Home caregivers are under a great deal of stress, there is no denying. But, along with this it is the ultimate way to show your love. These two types of feelings converge to cause many problems. The daily schedule of care giving, especially for an elderly parent, can cause burnout pretty quickly. You may go from being a person who is concerned and motivated to one who is pessimistic and resentful. Farther down the road you may hit physical exhaustion from the extra work and stress. There is simply too much work and not enough help much of the time. Getting to the burnout stage may cause depression and anxiety. But your love for the person can also then cause guilt.

How Do You Identify The Symptoms Of Care Giver Burnout?

The burnout you may suffer can manifest itself in a variety of ways. It can creep up on you before you even realize what has happened. Do you have one or more of these symptoms?

1. Is your weight fluctuating more than normal? Perhaps you are using food to comfort yourself or withdrawing from food due to a lost appetite.

2. Are you more irritable and having trouble controlling it? This may spill over to the way you treat other family members.

3. Have you quit doing the things in life that used to make you happy such as hobbies or visiting people?

4. Are you experiencing extreme feelings of being overwhelmed with guilt? Sometimes this can even lead to wanting to hurt your self due to the powerful feelings of this stress.

5. How are you sleeping? You may have a change in your habits that you can't seem to break due to feelings of worry and stress. This can mean too little or too much sleep. It goes both ways.

6. Physical Exhaustion. Are you experiencing new pains in joints or your body? How about headaches? This can be from care giver burnout.

Why Does Care Giver Burnout And Guilt Occur?

The physical burnout you suffer may simply be because you have no time to take care of yourself. You may not only have the elderly person to take care of but you may have children and a spouse too, all demanding some time.

Think of the role reversal that may be taking place as well. You now find yourself taking care of a loved one who once was healthy, self-efficient and could communicate with you better. It is difficult to now see this person as something different. You may encounter an identity crisis as you are now the care giver of a parent or friend who once was your equal, or who may have taken care of you in the past.

Home care giving becomes so stressful at times and so burdensome that the extra burden on your time and money makes it unfathomable and difficult to manage. It sometimes seems like everything happens at once and there is little or no good and steady help.

As well the new demands on your physical and mental heath take its toll rather quickly. You may feel you aren't doing all that you can and so are hard on yourself. This is usually just the result of feeling overly responsible.

What Should You Do To Prevent Burnout?

First off you have to be realistic about your loved ones situation and condition. You need to realize from the beginning that you can't do it on your own. Talk to friends and family about the situation to see if they have ideas. They may have gone through already what you are going through.

Set some specific goals for yourself and set schedules in caring for your loved one. Make an effort to enlist the help of others if for no other reason than to get an hour of free time to take a breath or get some exercise. Put this time on a written schedule so you have a clear picture of this new life of yours. On this schedule you should also put things to do that you enjoy such as taking a bath, phoning a friend or catching up on a hobby.

Read and research all you can on your loved ones condition so you have the knowledge to make better decisions. You can only do so much and don't rule out institutional care, or a visiting nurse, if necessary. Seek backup care such as home health care agencies or adult day cares.

Make sure you take physical care of yourself. You will be under more physical stress than usual so this means you should get the necessary exercise, eat well and take vitamins if you can. Support groups for some comradeship are a big help. The last thing you want to feel is alone. Help may be just a question away or at the end of a short phone call.

Seniors List; Home Care Agency; Assisted Living; Senior Care

Watch Out For These Warning Signs

2011-12-08T12:05:00.001-06:00

	Watch Out For These Warning Signs
	*by Carol Bradley Bursack*

Holiday visits are a good opportunity to check on your parents' health and determine if they need extra help. Observe how they behave during your visit to get an accurate view of their needs.

Do they seem depressed? If your parents are sleeping too much, have no interest in their hobbies, or have a decreased appetite, they may be suffering from depression. Ask someone who sees them frequently about their moods when you aren't there.

Are they having balance problems? If a parent is walking unsteadily, insist they see a doctor. Balance problems could be an early sign of an inner ear infection, bad joints, or dementia.

Have they lost a lot of weight? Look in their refrigerator and pantry to make sure they have nutritious food on hand. If eating isn't the issue, suggest they get a complete physical to discover the reason behind the weight loss.

Services that can help

Often, elders don't want to disclose that they are having trouble because they fear they'll have to move to a nursing home. Let them know there are other options, including:

In-home care. These services offer trained professionals who visit your loved one to provide companionship, help with daily tasks, and more.

Adult Day Care. Adult day care centers offer coordinated programs, including a variety of social, health and support services in a safe, protective environment.

When you visit, don't try to change everything right away. Just get a feel for what is going on and note what needs to be done to keep your parents safe, happy, and healthy.
_________________________________________________

Here at Touching Hearts Senior Care, we can help in assessing what services your parents or loved ones may need. We can also assist in setting up those services. Please do not hesitate to call us at (251) 445-4204 if you any questions.

Merry Christmas and Happy Holidays!

Living With COPD

2011-12-01T14:57:00.001-06:00

With ongoing care and preventive strategies, you can manage your COPD symptoms and keep them under control.

COPD has no cure yet. However, you can take steps to manage your symptoms and slow the progress of the disease. You can:

Avoid lung irritants
Get ongoing care
Manage the disease and its symptoms
Prepare for emergencies

Avoid Lung Irritants

If you smoke, quit. Smoking is the leading cause of COPD. Talk to your doctor about programs and products that can help you quit. Many hospitals have programs that help people quit smoking, or hospital staff can refer you to a program.

Try to avoid secondhand smoke and other lung irritants that can contribute to COPD, such as air pollution, chemical fumes, and dust. Keep these irritants out of your home. If your home is painted or sprayed for insects, have it done when you can stay away for awhile.
Keep your windows closed and stay at home (if possible) when there's a lot of air pollution or dust outside.

Get Ongoing Care

If you have COPD, it's important to get ongoing medical care. Take all of your medicines as your doctor prescribes. Make sure to refill your prescriptions before they run out. Bring all of the medicines you're taking when you have medical checkups.

Talk with your doctor about whether and when you should get flu and pneumonia vaccines. Also, ask him or her about other diseases for which COPD may increase your risk, such as heart disease, lung cancer, and pneumonia.

Manage COPD and Its Symptoms

You can do things to help manage your disease and its symptoms. Depending on how severe your disease is, you may ask your family and friends for help with daily tasks. Do activities slowly. Put items that you need often in one place that's easy to reach.

Find very simple ways to cook, clean, and do other chores. Some people find it helpful to use a small table or cart with wheels to move things around and a pole or tongs with long handles to reach things. Ask for help moving things around in your house so that you will not need to climb stairs as often.

Keep your clothes loose, and wear clothes and shoes that are easy to put on and take off.

Prepare for Emergencies

If you have COPD, knowing when and where to seek help for your symptoms is important. You should seek emergency care if you have severe symptoms, such as trouble catching your breath or talking.

Call your doctor if you notice that your symptoms are worsening or if you have signs of an infection, such as a fever. Your doctor may change or adjust your treatments to relieve and treat symptoms.

Keep phone numbers handy for your doctor, hospital, and someone who can take you for medical care. You also should have on hand directions to the doctor's office and hospital and a list of all the medicines you're taking.

Article found on www.everydayhealth.com.

Guide to Gift Card Giving

2011-11-21T16:10:00.001-06:00

BBB Advice for Purchasing Valuable Gift Cards

With the holiday season right around the corner and the economy putting the

squeeze on budgets, many shoppers are going to be looking for the best gift

options this holiday season. For those looking to give gift cards to family and

friends, BBB is recommending that you do your research before purchasing a

gift card.

So far, in 2011, BBB has already received more than 440 complaints against

the gift card industry, a huge increase from the 33 complaints received in

2010. In some cases, consumers are disgruntled when they are given an

expired gift card with loaded cash that isn’t usable until the expiration date is

corrected. After sending the expired card in for replacement, the consumer is

left empty handed when the card fails to ever return to them.

“Consumers need to be on the lookout for gift cards that appear to be ‘open’

or out of their original package, and cards that state an expiration date that is

coming up or that has passed,” said Tina Waller, president and CEO of the

Better Business Bureau of South Alabama, Inc.. “Shoppers should be wary of

online auction sites that promise ‘full value guaranteed’ gift cards. It’s sites

like these that are prone to selling old, valueless cards that leave the gift

giver and receiver distraught.”

BBB recommends the following tips for both givers and receivers of gift cards:

Know the rules.
New federal rules that took effect in August of 2010 are designed to protect

consumers, and will restrict fees and affect gift card expiration dates. These

new rules apply to two types of cards: Retail gift cards, which can only be

redeemed at the retailers and restaurants that sell them; and bank gift cards,

which carry the logo of a payment card network like American Express, Visa,

or Mastercard and can be used wherever the brand is accepted.

Check it out.

Make sure you are buying from known and trusted sources. Always check

out a business at www.bbbsouthal.org. Avoid online auction sites, because

the cards sold there may be counterfeit or may have been obtained

fraudulently.

Read the fine print before buying.
Is there a fee to buy the card? Are there shipping and handling fees for cards
bought by phone or online? Will any fees be deducted from the card after
it is purchased?

Inspect the card before buying it.
Verify that no protective stickers have been removed, and that the codes
on the back of the card haven't been scratched off to reveal a PIN number.
Report any damaged cards to the store selling the cards.

Provide the receiver with back up.
Give the recipient the original receipt in case the card is later lost or stolen.
Also, before you buy retail gift cards, consider the financial condition of the
retailer or restaurant. A card from a business that files for bankruptcy or
goes out of business may be worthless. If the business close a store near
the recipient, it may be hard to find another location where the card can be
used. A business that files for bankruptcy may honor its gift cards, or a
competitor may accept the card. Call the business or its competitor to find
out if they are redeeming the cards, or if they will do so at a later date.

Treat the gift card like cash.
For receivers, it's important to report lost or stolen cards to the issuer
immediately. Some issuers will not replace cards that are lost or stolen,
while other issuers will, for a fee. Make sure to use gift cards as soon as
possible, because it's not unusual to lose or forget about them.

For more consumer tips you can trust, visit www.bbbsouthal.org.

Three Numbers to Know to Prevent Heart Disease

2011-11-16T16:17:00.001-06:00

The equation for a healthy heart is pretty simple: all you need to know are three numbers to help prevent heart disease.

By Diana Rodriguez

Medically reviewed by Lindsey Marcellin, MD, MPH

If you're active and you feel healthy, you may think you've got plenty of time before you have to start worrying about medical issues like heart disease. But don't assume that you have a healthy heart just because you haven't been diagnosed with heart disease. The beginnings of heart disease could be present in your body even if you feel well.

To know whether you’re at risk, you need to know three numbers: your cholesterol, your blood pressure, and your waist circumference.

Cholesterol Numbers

High cholesterol puts you at risk for heart disease and other cardiovascular problems, such as stroke. Cholesterol is often reported as a single number referred to as “total cholesterol”. But there are both bad and good forms of cholesterol. The bad kind — LDL cholesterol — flows through your blood and sticks to the inside your blood vessels, forming plaques and making it tough for blood to flow freely and get to your heart and brain. The good cholesterol — HDL — can help to minimize this damage. Your levels of LDL and HDL cholesterol are more important than your total cholesterol level.

If your total cholesterol is too high — above 200 mg/dL — you also need to know your LDL cholesterol level. Your LDL cholesterol should ideally be below 100 mg/dL, says C. Noel Bairey Merz, MD, spokesperson for the American College of Cardiology and director of the Women's Heart Center and the Preventive and Rehabilitative Cardiac Center at Cedars-Sinai Medical Center in Los Angeles. And you want your HDL cholesterol to be as high as possible; 60 mg/dL or higher is the most protective level for your heart.

Blood Pressure Numbers

High blood pressure can make your arteries rigid instead of flexible, which can also restrict blood flow to essential areas such as your heart and brain. When your blood pressure numbers go up, you're at an increased risk of developing heart disease or having a heart attack or stroke.

Ideally, you want your blood pressure numbers at 120/80 or below. Prehypertension is considered anything above that level up to 139/89, and full-blown hypertension is 140/90 and up. If you fall into these categories, it's time to take action to help prevent heart disease.

Waist Size

You may already know that obesity is a major risk factor for heart disease — and it's a huge problem in the United States. If you carry your weight in your belly (think of a body shape like an apple), you're at an even greater risk. Women should have a waist circumference of no more than 35 inches, while men need to stay below 40 inches. Above those measurements, heart disease risk rises.

Keeping Tabs on Your Numbers

Knowing your heart-health numbers is one of the first steps in preventing heart disease.

While you may know if your waist size is getting too large, high cholesterol and high blood pressure usually don’t cause symptoms. So it’s important to have these numbers checked regularly by a family physician. If the numbers start creeping up, your doctor can advise whether you need to take medication.

The best option to prevent heart disease is to keep your heart numbers in control before they get too high. And monitoring these numbers regularly is key to a healthy heart.

Recognizing the Symptoms of Bipolar Disorder

2011-11-07T09:22:00.003-06:00

The signs of bipolar disorder can vary, but are often a combination of extreme highs and extreme lows.

By Krisha McCoy, MS

Medically reviewed by Lindsey Marcellin, MD, MPH

People with bipolar disorder can have a range of symptoms. Many experience dramatic mood swings, going from emotional highs to emotional lows with more normal moods in between, while others have much milder mood changes.

Bipolar Symptoms: Mania

Mania is a term that describes the emotional highs of bipolar disorder. Mania, or a manic episode, is usually characterized by feelings of extreme energy, restlessness, or irritability.
In general, symptoms of a manic episode may include:

High energy, excessive activity, and/or restlessness
Overly good mood
Irritability
Fast, erratic talking
Racing thoughts
Inability to concentrate
Little need for sleep
Feelings of power
Poor judgment
Reckless spending
High sex drive
Alcohol or drug abuse
Aggression
Refusal to admit that there is a problem

The severity of manic symptoms can vary in bipolar disorder, and most people will not experience all symptoms. In some forms of bipolar disorder, people will experience hypomania, a milder form of mania that usually feels good. People who are experiencing hypomania often can function well and be more productive than usual. But if left untreated, hypomania can develop into severe mania or can change to depression.

If your elevated or irritable mood is accompanied by manic symptoms most of the day, nearly every day, for at least one week, your doctor may diagnose a manic episode.

Bipolar Symptoms: Depression

In bipolar disorder, manic episodes alternate with periods of emotional lows, which are known as depressive episodes. Signs of a depressive episode may include:

Sadness, anxiety, or a feeling of emptiness
Hopelessness
Feelings of guilt, feeling worthless, or feeling helpless
Lack of interest in activities that were once enjoyable, such as sex
Low energy
Trouble with concentration or memory
Restlessness or irritability
Excessive sleeping or insomnia
Changes in appetite or weight
Pain or other physical symptoms not explained by an illness or injury
Thoughts of death, or suicidal thoughts or attempts

A diagnosis of depressive episodes is made if at least five of these symptoms are present for most of the day, nearly every day, for two weeks or longer.

Bipolar Symptoms: Mood Swings

Symptoms of mania and depression can vary dramatically among people with bipolar disorder. All people with bipolar disorder experience mood swings, but the severity of these mood swings can vary.

In the form of bipolar disorder known as bipolar I, there are recurrent episodes of mania and depression. In bipolar II, severe mania never develops, but periods of hypomania alternate with depressive episodes.

The severity and symptoms of bipolar disorder can change over time, and the way the condition is treated may need to change as well.

If you are experiencing mood swings that are disrupting your life, speak to your doctor, who can recommend a mental health professional. Mental health professionals can talk with you about the symptoms, and diagnose and treat bipolar disorder if that is necessary.

Medication and other therapies can help you manage the bipolar symptoms and smooth out the highs and lows that interfere with living a normal, productive life.

Source: www.everydayhealth.com

Greater Purpose For Internet Communities and Games in Caregiving

2011-10-26T16:05:00.000-05:00

More than 65 million Americans are caregivers to family members with a vast array of illnesses, including Alzheimer's Disease, advanced diabetes, Parkinson's Disease and many others, according to the National Alliance for Caregiving and AARP. Government data show they experience a higher risk of stroke, double the rate of chronic health conditions and enjoy a 40% to 70% increase in the rate of suffering from depression. In addition, they cost U.S. businesses more than $33billion in lost productivity, which makes job security an additional source of stress.
"What's more is that caregivers never give themselves a break," says Sharon Brothers, a social worker with nearly two decades experience with caregivers and their families. "Most caregivers are adding this role on top of their work, their children, marriage and other commitments. Just finding time for a break can seem impossible, given the increased demands on an already busy life."
A Cyber Space Solution

Brothers is also executive vice president of Caregiver Village, an omnibus internet community and resource hub for caregivers that includes expert forum hosts and even an online caregiver game. Her view is caregivers need real tools with a side order of recreation to relieve their stresses.

"Caregivers really value contact with other caregivers who share their experiences and challenges," Brothers says. "Despite the large numbers of people affected, you'd be amazed how alone they often feel. And the truth is that no matter the situation that made them a caregiver, many of the challenges they face are the same. They have more in common with each other than just about any other group of Americans."
Gaming the Stress Away

The lack of recreation is also a factor, which is why Brothers and the Caregiver Village team created an interactive online game for caregivers to help them enjoy a little guilt-free entertainment.

"Computer games are being used productively in a wide array of critical pursuits," says Brothers. "Just recently it was announced that a group of gamers used a puzzle game they created to help AIDS researchers map a key enzyme that could be used as a protease inhibitor for AIDS patients. Researchers had worked for 10 years to unlock the code that gamers deciphered in three weeks. If they can use games to save lives, we figured we could use a game that is based on the mission of caregiving to offer people a little relief from their daily grind.
"We've divided the game into episodes that can be played in a short amount of time and we've embedded information that can help caregivers in their mission," continues Brothers. "That way, they don't have to feel guilty about playing it -- they're actually learning from it. At the end of the day, we believe some of these elements can help bring a little stress relief to people whose days never truly end."
Info:Sharon Brothers, Executive VP of Caregiver Village, holds a masters degree in social work from the University of British Columbia. She built and managed some of the very first specialty care centers for people with Alzheimer’s and dementia in both Washington and California, and has more recently developed an e-learning company for caregiving professionals. She works with family caregivers both in
Caregiver Village and in her leadership of a family support group for her community hospital.
Caregiver Institute LLC, the parent company of Caregiver Village, is headquartered at 12 East 49th Street, 40th Floor, New York, NY, 10017; phone: 212/355-1954.
To learn more about Caregiver Village, please visit http://www.caregivervillage.com/

Feeling Lousy? Here's What You Should (and Shouldn't) Eat

2011-10-20T10:38:00.001-05:00

By Charles Stuart Platkin

When you have one of the following aliments, there are certain foods and/or activities that can make you feel either better or worse. What are they and why?

Condition: Headache

What is it?
Headaches come in many forms, but all cause pain in the area of the upper head and skull. The pain may be dull and steady or throbbing, on one side or both. Visual changes, nausea and vomiting may also occur, says Holly L. Phillips, M.D., the medical correspondent for CBS 2 News and an internist in New York City. According to the National Institutes of Health, there are four types of headaches: “vascular, muscle contraction (tension), traction and inflammatory. The most common type of vascular headache is migraine.”

Does food cause or affect this condition?
Many foods are thought to trigger headaches. Some of the biggest offenders: aged foods (in particular cheese and red wine) and tyramine (which is a breakdown product of amino acids, basically a metabolic waste product) found in foods like canned, cured or processed meats, pickles, canned soups and nuts. Foods with preservatives and additives (sausage, hot dogs, luncheon meats, MSG in Chinese food), can also cause headaches, says Phillips.

Alcohol can cause headaches through dehydration or, some say, the byproducts associated with the metabolism of alcohol. But, according to George R. Nissan, D.O., of the Diamond Headache Clinic in Chicago and spokesperson for the National Headache Foundation, alcohol is not necessarily a trigger, whereas red wine, sparkling wine and beer (particularly draft), because they’re aged, can cause headaches.

Cold foods and liquids may also trigger headaches. Controlled trials suggest that caffeine withdrawal can increase the likelihood of migraine and tension headaches. There is also some evidence that missing meals could cause headaches.

Some foods that contain niacin (even some specialty waters such as Propel contain this nutrient) can cause headaches because niacin is a vasodilator, says Nissan. There is also some controversy surrounding the use of artificial sweeteners, in particular Aspartame, and headaches; however, according to Nissan, there is not enough supportive evidence, and it is still anecdotal. And there is no particular physiological mechanism for Aspartame to cause headaches, says Nissan.

What should I eat?
If dehydration (e.g. after drinking alcohol) is contributing to the headache, drink electrolyte-rich fluids like Gatorade or clear juices. Ginger ale is also a stomach-soothing hangover option. You should also have more water, adds Nissan.

What foods shouldn’t I eat?
Avoid any known triggers as above.

Should I avoid physical activity?
Avoid exercise if you’re dehydrated, says Phillips. However, regular exercise, such as swimming or vigorous walking, can also reduce the frequency and severity of migraine headaches.

Condition: Vomiting and Nausea What is it?
Nausea is, according to the National Institutes of Health, “an unpleasant, wavelike sensation experienced in the back of the throat and/or the epigastrium [the upper-middle part of the abdomen] that may or may not culminate in vomiting.” Vomiting is not an illness in itself; rather, it’s a symptom of another illness. It’s the forceful expulsion or spitting up of food (the contents of your stomach) associated with contractions of the stomach and nausea, says Phillips.

Does food cause or affect this condition?
Having too much of any food often exacerbates vomiting, says Phillips. Also, according to Lisa Feinberg, M.D., a doctor of pediatric gastroenterology at the Cleveland Clinic, “Vomiting can be prevented, once nausea sets in, by consuming small amounts of clear, sugary liquids such as soda, fruit juices and popsicles.”

If you are trying to prevent nausea, eat small meals throughout the day, eat slowly, avoid hard-to-digest foods and avoid foods that have smells (you might have to eat cold foods, because heating foods up creates odor). If you wake up nauseated, eat crackers in the morning or have a low-fat, high-protein snack before you go to sleep, says Feinberg.

What should I eat?
For vomiting, Phillips recommends starting with 4-ounce portions of clear liquids (chicken broth, apple juice, ginger ale), then work your way up to soft foods like Jell-O, bananas, rice, applesauce and oatmeal. It’s most important to avoid dehydration, she adds. Feinberg says to “Consume your foods and drinks slowly and eat smaller, more frequent meals. Do not mix hot and cold foods. Avoid brushing your teeth after eating. Choose foods from all the food groups as you can tolerate them to get adequate nutrition.”

Are there certain foods that I should definitely NOT eat?
Avoid milk and dairy products as they can contribute to nausea, says Phillips. And according to Feinberg, for nausea you “should avoid fried, greasy or sweet foods.”

Should I avoid physical activity?
Avoid exercise to prevent further dehydration. Plus, activity might make nausea worse and could lead to increased likelihood of vomiting.

Condition: Diarrhea

What it is it?
Diarrhea is characterized by frequent, loose, watery stools. It is usually not an illness in itself but rather a symptom of another illness, says Phillips.

Does food cause or affect this condition?
“Food poisoning” is a common cause of diarrhea. It may be viral or bacterial and can be spread by contaminated food products. Diarrhea can be caused by an acute problem, such as an infection (usually viral) or a food intolerance (such as lactose). Chronic diarrhea can be caused by intestinal diseases (like celiac sprue or ulcerative colitis) or functional bowel disorders (like irritable bowel syndrome, also known as "spastic colon"), says James Tebbe, M.D., a doctor of internal medicine at the Ochsner Medical Center in New Orleans.

What should I eat?
With diarrhea, one should drink plenty of clear liquids (water, juices, bouillon/broth) to help prevent dehydration. Sugared liquids are preferred, because they provide calories as well. “I often recommend half-strength sports drinks (like Gatorade), to add some electrolytes (like potassium and sodium). I usually don’t recommend OTC (over-the-counter) diarrhea medications. Some intestinal infections can be made worse by these medications,” says Tebbe. Some encourage the BRAT diet: Bananas (great for potassium), Rice, Applesauce and Toast. If the diarrhea is accompanied by nausea, ice chips may help.

Are there certain foods that I should definitely NOT eat?
Avoid fatty, greasy foods, which may worsen symptoms. Avoid alcohol and spicy foods, which can also worsen diarrhea. And, according to Tebbe, once symptoms are controlled for 24 hours, the diet can be advanced slowly. Start with starches (breads, pastas, etc.), then eggs and lean meats. Avoid dairy products, spicy foods and fried foods for about one week.

Should I avoid physical activity?
You can resume physical activity in a few days, once your fluid losses have been replaced. “If your urine is clear, you're probably well-hydrated. If your urine is dark, you probably still need to replace some of the fluid loss. Also remember that your stamina will not be exactly what it was before your illness,” says Tebbe.

Talking About Independent Living

2011-05-13T14:07:00.003-05:00

As your parents get older, they probably will feel very strongly about wanting to continue living independently, despite health problems or other concerns. While adult children often worry about their parents’ situation, it can be difficult to know whether they need or want their children’s help. Finding out what to do means talking with your parents about issues such as their health, finances, and day-to-day capabilities. Because such topics can make both parents and children uncomfortable, many families never discuss, until a crisis occurs, what might be needed for parents to remain living independently.

What You Can Do

For your parents’ welfare and your peace of mind, it’s important to have family conversations about staying at home before problems arise. In fact, an AARP survey found that most parents feel better about having this discussion when things are going well, as part of the planning for their future. Here are some tips for beginning the conversation, dealing with resistance, focusing on the most important points, and keeping the conversation positive.

Beginning the Conversation

For many adult children, finding the right way to bring up the subject of independent living is a major stumbling block. Experts in communication and aging suggest the following ways to break the ice:

- Let your parents know what you need.
Example: “What kind of help would you want if you were not able to do everything yourself and you wanted to continue to live safely in your home?”

- Share your own emotions about your parents’ changing situation, and encourage them to do the same.
Example: “Dad, I know you’ve always prided yourself on being independent. I imagine it’s very difficult for you to ask for help. Is that right?”

- Raise the issues indirectly, related to someone else’s experience or something you have read about or seen on the news.
Example: “I know you’re taking pills for arthritis, your heart, and cholesterol. How do you keep track of which pills to take when? Would it help if you had one of those medication organizers you can buy in the drugstore? There is a compartment for each day of the week so you can put all your pills in at the beginning of the week, and then know if you’ve taken what you need for each day.”

- Watch for openings your parents give.
Example: “You mentioned having problems with your eyesight. Have you seen the eye doctor lately? How does it affect what you normally do, like reading or driving?”

- Give your parents a list of questions or concerns you have about their current and future situations, and schedule a later time to sit down and talk about them. (Consider your own relationship with your parents when attempting this.)
Dealing with Resistance

Your parents may not want to talk about these issues; in fact, some resistance is normal. They may put you off with reassuring statements or tell you to mind your own business. Should you back off or stick with it? Professionals offer this advice:

- Respect your parents’ feelings when they make it clear they want to avoid a subject. You may want to try again another time using another approach.

- Consider pushing the issue if your parents’ health or safety is at risk. This must be a personal decision, recognizing your parents’ right to be in charge of their own lives. Other kinds of crisis situations may also increase your sense of urgency, such as health care expenses depleting a bank account or parents denying the need for critical legal documents.

- Act firmly, but with compassion, if you decide you cannot avoid intervening.
Example: “Dad, we can’t ignore this any longer. We have to deal with it.”

- Involve others, such as other family members or a third party that your parent respects. You may want to hold a family meeting during which everyone discusses concerns and develops a specific, mutually acceptable plan to resolve them.

- Find out on your own about community resources to help older people remain independent, such as transportation or home health care. Then, if it’s clear to you that your parents do need assistance, you’ll be ready to share the options with them.

Focusing on Key Points

The first topic to address is your parents’ own perceptions about their current needs, concerns, worries about the future, and hopes and goals for their older years. Guessing or making assumptions about your parent’s preferences and needs can be destructive. While each situation is unique, major issues that can affect an older parent’s ability to remain independent include those listed below:

- Where they live.
Questions to ask: Is your home still appropriate for your needs? Can you still manage the stairs in your home, or could you do better on only one floor? Does your home have safety hazards that could be removed? Could simple modifications make it easier or more convenient? Should you think about living somewhere else?

- Everyday activities.
Questions to ask: Do you need help with household chores, such as cleaning, fixing meals, or taking care of the house or yard? Does trouble seeing interfere with your daily activities? Can you hear a knock at the door or the telephone ring?

- Getting around.
Questions to ask: Can you get out to your doctor appointments? Is driving the car getting difficult? Do you have reliable transportation for shopping, medical visits, religious services, and visiting with family and friends?

- Health.
Questions to ask: What health problems do you have? Are your prescriptions current? Have you been to your doctor lately? What did he or she say about your health? Did the doctor review all your medications for possible bad reactions? Are you having any problems with taking your medications? Could you use some help remembering what pills to take and when to take them? Can you pay for the medicines the doctor tells you to take?

- Money.
This topic is a particularly tricky area for adult children and their parents to discuss. You may want to be less direct than the following questions, depending on your comfort level.
Questions to ask: What are your current and likely future bills? Can you pay for what you need? Do you need help getting government or pension benefits? Would it be useful to get financial planning help to make your money last? Are your Social Security and pension checks deposited directly in the bank? Is all your financial information in one place? What about getting extra income from the equity in your house? Have you thought about how you might need money in the future to help pay for assistance with everyday activities you might not be able to do yourself? Do you have any bills you can’t pay?

- Paying for health care.
Questions to ask: What kind of health insurance do you have? Medicare? Medicaid? Other insurance, such as a Medigap supplement policy? Has it paid your health care bills so far? Do you have long-term care insurance or life insurance? Have you paid your insurance premiums, and are they up-to-date? Would you like some help in filling out forms like insurance claims? Have you been told that insurance won’t cover some medical tests or procedures that the doctor has ordered? Do you have any questions about Medicare or Medicaid?

While you probably won’t want to discuss all these matters in one conversation, they are issues to keep in mind and to raise as your parents’ situation changes. You may want to ask your parents what issues concern them the most.

Keeping It Positive

Even in the closest families, communicating with parents about their needs is likely to require focus and determination. Several strategies can help keep your interactions positive and productive.

- Use communication that states your concern in the “I” form. Terms like “I feel,” “I need,” or “I expect” are less threatening than “you” statements.
Example: “I’m feeling concerned that you may fall coming down the stairs. I could put a 100-watt bulb at the bottom of the stairs and install a handrail. That would make the stairs safer for everyone.” NOT "Going upstairs in your condition is ridiculous. You’re sure to fall.”

- Avoid role reversal. Talking to parents and helping them meet their needs doesn’t mean you are "parenting” them. The most productive interactions come when parents and adult children are equal in the relationship.

- Be prepared to let your parents make their own life choices, even if you don’t agree with them. Your parents have a right to make their own decisions (as long as they are not cognitively impaired with Alzheimer’s disease or other dementia). Growing older does not diminish that right. Even when they make what you consider an unsafe choice, it doesn’t necessarily mean that they are no longer capable of living independently. You should set your own limits as to how involved you can be, so that their decisions don’t run your life.

Article written by AARP.

Elder Care Case Management by Touching Hearts Senior Care

2011-04-27T15:18:00.001-05:00

Touching Hearts Senior Care is a privately owned company that specializes in offering assistance to seniors to help them maintain their independence. THSC provides in-home non-medical services to seniors and those with disabilities. As such, THSC's caregivers can help with anything ranging from light housekeeping and laundry to bathing and dressing needs to incidental transportation. All THSC caregivers are thoroughly screened before hire and are licensed, bonded, and insured. Caregivers are available for time frames ranging from one hour to around-the-clock care.

THSC also specializes in Elder Care Case Management. With these services, THSC Case Managers are able to help older adults and their loved ones with all of the following:

CARE MANAGEMENT
THSC works with older adults and their loved ones to develop a plan of care and services that promotes autonomy and independence. We assist with Long-term Care Policy Reviews, Asset Protection Planning, Alabama Medicaid Exempt Trust Accounts, and Medicaid/VA Eligibility.

FAMILY MEDIATION
We work with the older adult and their loved ones to facilitate communication and informed decision making. This process can help avoid expensive and emotionally taxing court involvement. Voluntary mediation can help families confidentially settle disputes concerning: Care assessment and assignment of responsibilities; Living arrangements; Who should be appointed power of attorney, health care proxy, etc.; How finances should be managed; Estate and trust planning and administration.

DAILY MONEY MANAGEMENT
We encourage individuals to remain in control while receiving the right amount of support in an effort to avoid errors that could potentially lead to both financial loss and loss of independence. We can assist the senior with any of the following: Paying bills and resolving billing discrepancies; Identifying need to create or update important legal documents; Inventorying documents for monthly budget and year-end tax planning; Negotiating with creditors.

MEDICAID AND VETERAN'S BENEFITS
We can help in accessing public and private benefits and entitlements, and can answer the following questions: How can I qualify for Medicaid and still protect my home and assets? How do I possibly avoid Medicaid spend-down and understand look-back periods? What is a Medicaid Exempt Trust and how does it benefit me? Do I understand VA benefits and what is Aid & Attendance? Do I understand what my long-term care policy provides?

PATIENT NAVIGATION
Have you or a loved one just been released from the hospital? We can help you identify and prioritize your unique needs such as utilizing employee benefits and health and long-term care insurance claim reconciliation.

Questions? Please contact Certified Senior Advisor Gina Germany
Phone 251.445.4204
gina@touchingheartsseniorcare.com

Ten tips to help you adjust to retirement....

2011-02-02T14:03:00.003-06:00

1. Partial disengagement - In order to transition smoothly, you must partially disengage yourself from your full time working life. This isn't to say that you must go cold turkey. Instead, you have to develop a different mindset that retirement, although a time for change, is a period of new growth and a time for self fulfillment. At this point, many go from full time to part time and some go from full time to no work at all. Trust your instincts and go with what you feel works for you.

2. Changing our image - You must change your internal image about what your career means. After all, don't focus on 'What am I to do now that I'm retired?" instead think "What will I become once I'm refocused and retired?" Therefore, you have to change your perception and realize that you can succeed as a retiree if you believe that you can.

3. Appreciating ourselves - Remember that you're a unique individual and you need to celebrate this fact, every single day! Your personal worth is far beyond the work you did in the past. You have so much to give and contribute to the world and retirement is the perfect time to let your "inner light shine" and let this light shine as far as you can see.

4. Staying connected - You should be committed to interacting with people with whom you have a common interest. Finding such people can be done by improving your social life to include more people, places and things. Make it a point to get to know people with similar interests as yours. Join clubs and groups, participate in activities, and have a great time.

5. Remain active - Do not think of retirement as only a period of rest and relaxation. Times have changed, and so has the concept of retirement. Being inactive is "OK" if this is all that you want to do. This is about you. Some people take a period of a few months to a year to just cool out and relax before moving on into a more active life. Whether you decide to be "active" or "inactive" and how long, it is totally up to you. You know yourself better than anyone else and you must do whatever makes you happy.

6. Consider your options- Consider your many available options. Whether you 'ease' into retirement, take a course at a college, or work some part time job or pursue a volunteer position, do what you want to do and let no one tell you what you need to do while in retirement. This is your personal time and you are in control of your life.

7. Increase our knowledge - There is no end to educating yourselves. As long as you've got breath in your body, you should increase your knowledge base. After all, learning is a lifelong process and there are many things that you can do to increase your knowledge and in the process share your knowledge with others. For instance, you can learn computers. You can learn how they operate, how to fix them, and many other things. The possibilities are endless.

8. Explore Your Dreams - Retirement is a perfect time to fulfill your dreams, especially now that you have some time to devote primarily to your needs. Take some time and really think about what you want to accomplish in life and then make those dreams a reality!

9. Join a Cause - Retirement does not mean that you are worthless. To derive a feeling of self worth and fulfillment, commit yourself to a worthy cause that you truly believe in. For instance, you might chose to help people become aware of the devastation of HIV or breast cancer.

10. Maintaining youthful attitude - Retirement from a job does not mean that you give up everything and retire to 'watering plants'. Just because you are so does not mean you have to act your age! It is the attitude that counts.

Redefining yourself after retirement is not as difficult as you might imagine. By maintaining a youthful attitude, joining a cause, exploring your dreams, increasing your knowledge, considering your options, remaining active, staying connected, appreciating ourselves, changing your image and partially disengaging from work force, you can redefine yourself.

2011-01-20T14:53:00.004-06:00

Selecting an In Home Care-Giver

So the “Aha” moment arrives. Circumstances make you realize two things. 1) I’m not as young as I used to be, and 2.) “Old age ain’t for sissies” as the great Bette Davis once said.

Gradually, or sometimes suddenly, it happens… we can’t keep up with household chores, we can’t see the street signs to drive safely, we give up cooking or we can’t walk without holding on to the furniture. And it begins, a nagging fear that we’re losing our independence. In fact, loss of independence is the biggest fear among seniors. So what is the typical senior response? Pull ourselves up by the bootstraps and keep on going, of course! Call in the kids to help out! They’re supposed to take care of us in our old age, aren’t they? Unfortunately, the kids have spouses and children of their own. And they have full time jobs, not to mention they live out of town. It’s time for a new strategy.

Many seniors are finding the solution to remaining independent at home lies outside the family circle with paid caregivers. Gina Germany, of Touching Hearts Senior Care explains, “Most seniors find caregivers in two ways.
The old way is to run a classified ad or hire through a temporary service. The senior bears all the “employer” responsibility for this kind of caregiver.”

Germany recommends seniors ask the following questions of independent caregivers:

1. What client references can you provide?
2. What is your experience/background?
3. Do you have any certificates or training? Is it current?
4. Have you worked with ( Alzheimer’s disease, cancer, etc)?
5. What would you do if I had medical emergency?
6. How much notice would I have if you could not come in for a day?
Can you arrange your own substitutes?
7. How do I contact you?
8. Are you bonded? Have you ever been convicted of a crime?
9. Do you have liability insurance?

“These folks are usually less expensive but there’s a lot of risk involved in hiring them”, Germany says. She continues, “The downside is:

 It‘s difficult to find the right person.
 You are responsible for performing a criminal background check
 You are responsible for finding a replacement if the caregiver is absent
 You bear the burden for withholding payroll taxes, and providing state mandated worker’s compensation coverage.
 You bear the burden for liability problems like theft from or damage to your property. “

The new way is to contract with a Senior Care Agency. These private agencies provide “in-home, non-medical care”. The number of agencies is growing quickly to meet the demands of a fast-growing senior population. They provide a wide range of services including light housekeeping, meal preparation, laundry, transportation, shopping & errands, and in many states including Alabama, assistance with personal care. These one on one services can continue should the senior move into assisted living or even a nursing facility or hospital.”

Companion Care is usually available anywhere from a few hours up to 24 hours a day. Payment is private pay and may be covered by long term care insurance policies.

Some questions Germany suggests you ask a Companion Care agency:

1. Do they have references from other clients?
2. What services will they be providing?
3. What training/experience do the caregivers have?
4. How do they supervise their caregivers?
5. Are the caregivers bonded and covered by workers compensation insurance?
6. What is the schedule for service?
7. How do I change the schedule?
8. What if I have a problem with a caregiver?
9. Does the agency have an emergency or after-hours phone number?
10. What are the financial arrangements?
11. Who owns the agency? Is it part of a larger organization?
12. Are the caregivers employees held accountable by the agency or independent contractors accountable to no one?
13. Does the agency carry Professional Liability Insurance?

The Pros:

 Service is easily customized for each client’s needs
 Extensive hours available
 Staff is screened and supervised
 Agency is responsible for all employer tasks like payroll, taxes, liability insurance, workers compensation, bonding
 Agency is responsible for providing a replacement should the assigned caregiver fail to arrive or need a day off.

Germany says, “This service is more expensive than independent caregivers but the right agency will provide the most customizable, reliable, worry free, in- home service available.”

Veterans Benefits

2011-01-03T15:26:00.003-06:00

If you are a Veterans or if you know of a Veteran, please read this important article about benefits that are available for those who qualify.

You cannot be charged for assistance with your VA application.

The applicant will only be paid back to the date that the application is TURNED IN.

It is not difficult to apply if you have trained advocates to assist you.

The Facts:
-VA Pensions are available for Veterans OR surviving spouses of Veterans.
-$22 Billion dollars is set aside each year for pension but very little is ever used.
-Millions of WWII and Korean War Veterans have no idea that it is even available.
-Surviving spouses of Veterans can qualify if they were married to the Veteran at his time of death, and have not remarried since (unless the most recent marriage was to a Veteran).

Preliminary Qualifications:
-90 days of active duty (anywhere in the world), with 1 day during wartime
-Honorably or Medically discharged
-Privately paying for Medical Expenses

Pension amounts:
-Married Veterans receive $1,949.00 per month / Both spouses Veterans $1,291 each
-Single Veterans receive $1,632.00 per month
-Widows of Veterans receive $1,055.00 per month

Department of Veterans Affairs pensions do not work like Medicaid. They are based upon the amount of medical expenses paid out of pocket for:
• Home Health Caregivers and Nursing Homes
• Assisted Living Communities and Alzheimer’s Communities
• Prescriptions and Medicare Supplement Insurance

There are other internet sources that may give out incomplete information to those who are asking for it. Please call even if you feel that you may not qualify.

Please call Gina Germany with Touching Hearts Senior Care at 251-445-4204
or visit our website at www.touchingheartsseniorcare.com

You cannot be charged for assistance with your VA application.

The applicant will only be paid back to the date that the application is TURNED IN.

It is not difficult to apply if you have trained advocates to assist you.

The Facts:
-VA Pensions are available for Veterans OR surviving spouses of Veterans.
-$22 Billion dollars is set aside each year for pension but very little is ever used.
-Millions of WWII and Korean War Veterans have no idea that it is even available.
-Surviving spouses of Veterans can qualify if they were married to the Veteran at his time of death, and have not remarried since (unless the most recent marriage was to a Veteran).

Preliminary Qualifications:
-90 days of active duty (anywhere in the world), with 1 day during wartime
-Honorably or Medically discharged
-Privately paying for Medical Expenses

Pension amounts:
-Married Veterans receive $1,949.00 per month / Both spouses Veterans $1,291 each
-Single Veterans receive $1,632.00 per month
-Widows of Veterans receive $1,055.00 per month

Department of Veterans Affairs pensions do not work like Medicaid. They are based upon the amount of medical expenses paid out of pocket for:
• Home Health Caregivers and Nursing Homes
• Assisted Living Communities and Alzheimer’s Communities
• Prescriptions and Medicare Supplement Insurance

There are other internet sources that may give out incomplete information to those who are asking for it. Please call even if you feel that you may not qualify.

Please call Gina Germany with Touching Hearts Senior Care at 251-445-4204
or visit our website at www.touchingheartsseniorcare.com

2010 Senior Fest

2010-08-07T14:07:00.002-05:00

A fundraising event to honor our Senior population and raise money for the United Way of Southwest Alabama and the Area Agency on Aging

INTRODUCTION
Touching Hearts Senior Care (THSC) is proud to present the 2010 SENIOR FEST, October 23, 2010 from 9 am – 2 pm with Opening Ceremony beginning at 10 am. This event is created to be an annual event to honor our senior and veteran populations with entertainment, food, beverages, and education. All the proceeds raised will be divided equally between United Way of Southwest Alabama and the Area Agency on Aging in Mobile.

BACKGROUND
For over three years THSC has been helping the elderly in our community with activities of daily living, including transportation, personal care, light housekeeping, meal planning and preparation, running errands, medical reminders, and performing other duties that will help our seniors stay safe and independent in their homes.

THSC realizes that there are many seniors and veterans that feel they have been forgotten and we want to show them they deserve to be honored for their lives and contributions to society. We also realize that our seniors’ and veterans’ families and friends need to have information available to them to help understand how the long term care process works, and how it is changing in order that they can successfully care for their loved ones.

You have been carefully selected to participate as a sponsor for this event because of your dedication to seniors in our community, and because of your ethical business practices. We are offering your company the Sponsorship opportunities in this proposal to seek maximum exposure for your Company by linking your organization with this wonderful event.

OPPORTUNITY
• Premiere Sponsorship Package
• Presenting Sponsorship Package
• Platinum Sponsorship Package
• Premium Sponsorship Package
• T-shirt Sponsor
• Contributor

THSC 2010 SENIOR FESTIVAL
Saturday, October 23, 2010, 9 am – 2 pm, 1301 Azalea Rd, Mobile, AL

BENEFITING UNITED WAY OF SOUTHWEST ALABAMA AND THE AREA AGENCY ON AGING

EVENT SPONSORSHIP

PLEASE CONTACT TOUCHING HEARTS SENIOR CARE FOR A COMPLETE SPONSORSHIP PACKET:

Touching Hearts Senior Care, 1301 Azalea Rd. Mobile, AL 36693 Tel: 251-445-4204
Email: gina@touchingheartsseniorcare.com

Sponsorship Levels
Premiere Sponsors $5,000 - Three sponsorships available

• Our Premiere Sponsor’s Name will appear predominately on all media announcements, i.e., radio, television, and social media sites
• Our Premiere Sponsor’s Name will appear predominately on all printed material, including newspaper announcements, fliers, posters, programs, and T-shirts
• Premiere Sponsors will receive recognition at the beginning of the event and have the opportunity to provide a corporate banner on stage
• Premiere Sponsors will have the opportunity to be recognized and speak on the main stage during opening ceremonies in front of the attendees and throughout event
• Premiere booth location provided
• Web link to all social media sites and web site link
• Sponsor may provide a product sample, coupon, or literature for attendees

Presenting Sponsors $2,500 – Five sponsorships available

• Our Presenting Sponsor’s Name will appear on all media announcements, i.e., radio, television, and social media sites
• Our Presenting Sponsor’s Name will appear on all printed material, including newspaper announcements, fliers, posters, programs, and T-shirts
• Presenting Sponsors will receive recognition at the beginning of the event
• Booth provided
• Web link to all social media sites and web site link
• Sponsor may provide a product sample, coupon, or literature for attendees

Platinum Sponsor $1,000 – Five sponsorships available

• Our Platinum Sponsor’s Name will appear on all printed material, including newspaper announcements, fliers, posters, and programs
• Our Platinum Sponsor’s Name will appear on T-shirts
• Web link to all social media sites and web site link
• Sponsor may provide a product sample, coupon, or literature for attendees
• Booth location provided

Premium Sponsors $500 – Seven sponsorships available

• Our Premium Sponsor’s Name will appear on all T-shirts
• Recognition on fliers, posters, and programs
• Booth provided
• Web link to all web sites and all social media sites
• Sponsor may provide a product sample, coupon, or literature for attendees

T-shirt Sponsor $250 – Ten sponsorships available

• Our T-shirt Sponsor’s name will be appear on all attendee’s T-shirts

Contributions of $100 or more names will be listed in the program.

Event date: October 23, 2010
• Vendor exhibits – 9 am – 2 pm
• Opening Ceremony begins at 10 am

For more information or questions call: Gina Germany at 251-445-4204

Let's Talk About Elder Abuse

2010-07-15T16:18:00.003-05:00

Elder abuse refers to any action or inaction that results in harm to a senior citizen or puts the senior at risk of harm. This may be physical, emotional, or sexual abuse. It may involve neglect or desertion of a senior citizen. Or, it may be the misuse or theft of an elderly person's property or money. A family member or friend may commit elder abuse. It may also be perpetrated by health care providers in the home or in a facility.

Elder abuse is a serious problem in the United States. Every year, there are hundreds of thousands of senior citizens who experience this type of abuse. Legislatures in all 50 states have passed laws preventing the abuse of senior citizens. Although these laws differ, Adult Protective Services (APS) agencies in each state investigate reports regarding elder abuse.

Types of Elder Abuse

Elder Abuse is a general term that refers to any deliberate or negligent act that puts a senior citizen in harms way. It may be committed in various ways, and they are listed below:

Physical abuse
Sexual abuse
Psychological or emotional abuse
Material and financial exploitation
Neglect
Self-neglect
Abandonment

Signs of Elder Abuse

Although a single sign may not necessarily indicate abuse, there are some signs that are highly suggestive of elder abuse. These include:

Bruises, burns, broken bones, or abrasions
Withdrawal from normal activities without explanation
Bruises around the breasts or genital area
Sudden change in finances
Unattended medical needs, poor hygiene, or unusual weight loss
Verbal belittling or threats to the senior

Reporting Elder Abuse

In the case of an emergency, always call 9-1-1. If the elder abuse does not result in medical emergency or pose an immediate threat, one can contact Adult Protective Services (APS). In most cases, APS will conduct an investigation. Services for victims who may need crisis intervention are also available.

If you suspect a senior citizen you know is being abused, get help. If the person is in immediate danger, call 9-1-1. If not, call your state's APS agency. You will not need to give your name or provide proof. All reports are kept confidential.

Written by: The Caring Space

2010-06-29T13:08:00.004-05:00

POP-IN SERVICE

This is how the Pop-In Service works:

Aunt Mary Lynn wants to stay in her home for as long as possible. She is a little unsteady on her feet, and sometimes doesn’t bother to make herself a hot meal because it is too much trouble and easier to eat cold cereal. A Touching Hearts Senior Care Caregiver will pop-in for 30 minutes in the morning to help her out of bed and get a hot meal for a fee of $15.00. Each Pop-In Service is customized to each individual’s needs. The service guidelines are as follows:

· Requires a consistent, week-to-week schedule
· Is offered Monday – Friday between the hours of 8:00 AM & 9:00 PM
· Is available in increments of 15, 30, 60, or 90 minutes per visit
· Is typically used by clients who only require a short visit in situations like those below:

§ Check on a loved one and make sure s/he is okay
§ Ensure that a loved one is taking medications
§ Help with quick dusting, vacuuming, or other light cleaning
§ Help with a quick trip to/from the grocery story or an appointment
§ Take out the garbage, get the mail, heat up a quick meal
§ Provide peace of mind that a loved one is cared for
§ Help with or monitor bathing/showering
§ Help getting in and out of bed
§ Help putting on / taking off support stockings

Pop-In Service
15 minutes: $11.00
30 minutes: $15.00
60 minutes: $22.00
90 minutes: $27.00

Warning Signs that a Senior Might Need Help Managing Finances

2010-06-14T15:03:00.005-05:00

The following is Provided by CSA: http://www.csa.us/

Even though many seniors have planned for their retirement by investing in IRAs and 401(k)s, paying off large debts such as cars and homes, and reducing their discretionary expenses, there is one factor that people tend to overlook: planning for the day when they turn their money management over to someone else.

Because seniors are living longer than ever, thinking about the possibility of a time when they need help with financial matters is increasingly necessary. For many independent seniors, the idea of turning over their money management is frightening, but advance planning can make the transition easier both for seniors and their adult children.

Where to Start
It's best to discuss finances before a problem arises. Once the money is running out or a medical emergency arises, it might be too late for a financial plan to be effective.

Signs that a senior might need help in managing his or her finances include the following:
• bounced checks
• piled up mail
• unpaid bills
• mounting credit card debt
• calls from creditors
• forgetfulness

Financial Document Checklist
In organizing a senior's finances, the caregiver must obtain a variety of information. The following financial information and/or documents should be located (or created), then stored in a safe place.

• Bank account numbers/brokerage statements
• Names and contact information for lawyer, broker and insurance agents
• Social Security cards
• IRA/401(k)/pension statements
• Tax returns for the past 3-5 years
• Deed to the house
• A list of debts (loans, etc.)
• Copies of all insurance policies
• Copies of wills
• Copies of all power-of-attorney documents and trusts
• Prepaid funeral contract

Tread Lightly
Children and other caregivers should raise the subject of finances during a stress-free time, and in a non-threatening manner. It's often helpful to include an attorney or financial advisor in this discussion. Focus on planning for financial security rather than sharing opinions about financial priorities.

A good first step is to get a firm handle on the senior's income and expenses. Remember to approach this stage in a non-judgmental manner, simply gathering information. Determine the following:
• Monthly income
• Monthly expenses
• How bills are paid (by written check versus automatically)
• Medical and other extraordinary expenses
• Outstanding debt
• Investments

Be sure to over-estimate how long the senior will need to live on his or her fixed income.

Other Considerations
In addition to financial records, the caregiver should obtain information about the senior's:
• Will
• Living Will
• Power of Attorney
• Insurance: life, medical, long-term care, disability
• Estate planning

Seniors often delay writing wills or planning for the disposal of their estate in the event of their death. But the best time to address these topics is while the senior is still fully cognizant and able to make sound decisions.

Get More Involved
Once the caregiver has a full picture of the senior's finances, a collaborative financial plan can be created. In the short term, the caregiver should be added to all of the senior's accounts (financial accounts, as well as household-type accounts). Adult children might need to monitor their parents' finances periodically, perhaps simply by regularly reviewing financial statements.

Over time, the caregiver can take over managing the senior's finances. Because this is a delicate transition, it's helpful to follow some guidelines:

• Maintain complete and accurate records.
• Approach the task with a professional attitude, rather than personal.
• Keep the senior involved and aware of his or her finances as long as possible.

Security in the Golden Years
Discussing finances with an aging parent can be difficult for adult children. Seniors can be reluctant to give up their independence, so it's helpful to let them maintain a sense of control over their financial situation. A shared approach is best at first, with a gradual transition of financial responsibility to the caregiver. The ultimate goal is to ensure the senior's financial security, to make the "golden years" as comfortable as possible.

EIGHT AREAS OF AGING

2010-05-13T16:31:00.002-05:00

1. Brain: Memory and Alzheimer's Disease
Many people become anxious about developing memory impairments as they transition into being senior citizens and begin to worry that forgetting details is the first sign of Alzheimer's disease (AD). Confusion and loss of memory were thought to be inevitable parts of aging in the past, but we now know that people can still be able and alert despite aging. Senior citizens and those responsible for providing their elder care should be aware of these changes in memory and work to prevent, identify, and treat them.
Over the past several years, researchers have been looking at a type of cognitive change known as mild cognitive impairment (MCI). This is separate from cognitive changes related to aging and often progresses to AD over some years. Senior citizens with amnesic MCI have a specific memory difficulty and have ongoing problems with memory, but they do not develop other losses seen in AD like confusion, attention problems, and problems with language.
2. Bones and Joints
As we age, our bones and movable joints are subject to wear and tear. The most common conditions among senior citizens in this area of the body are as follows:
Osteoporosis. This is a disease that causes bones mainly in the hips, backbone, and wrists to weaken to the point of breaking easily. As people, especially women, age into their 40s and 50s, bones start to weaken, and the outer shell of the bone gets thinner.
Arthritis. This is not one type of disease; there are many types of arthritis, and each has different symptoms and treatments. In general, arthritis can become a problem in most any joint in the body. Osteoarthritis (OA) is the most common type in senior citizens. It begins when cartilage begins to wear away, and at its worst, all the cartilage in a joint is worn away, causing bare bones to painfully rub against each other. Conversely, rheumatoid arthritis (RA) is an autoimmune disease. People with RA have immune systems that attack the lining of their joints as if it were an injury or disease. It leads to inflammation in the joints, causing pain, swelling, and stiffness for hours.
Consuming enough calcium and vitamin D and including regular weight-bearing exercise in your lifestyle are extremely important in preventing weak bones in senior citizens. Methods of improving quality of life and reducing the symptoms of osteoarthritis include weight loss and exercises in light resistance and flexibility. In rheumatoid arthritis, the most effective treatment is drug therapy to modify the immune system response and decrease joint damage.
3. Eyes and Ears: Eyesight and Hearing Changes with Age
Eyesight usually declines around age 40, and cataracts and macular degeneration may develop around age 60. Hearing weakens with age.
Sight:
Presbyopia. This is a gradual loss of ability to see objects close to you or read small print. This condition is normal in senior citizens, and a usual treatment is simply to get a pair of reading glasses.
Cataracts. These are areas of cloudiness in the lens of the eye that cause loss of sight. Generally, these form slowly without symptoms, and some remain small and do not interfere with vision. Others may grow large or dense, harming vision. Cataract surgery, which is very safe and common, can be very helpful.
Glaucoma. This is a result of fluid inside the eye causing too much pressure. Gradually, this pressure can damage the optic nerve, leading to loss of vision and blindness. Often, senior citizens with glaucoma lack early symptoms of pain or pressure, but annual eye exams that include dilating your pupils can protect you from developing this disease.
Retinal disorders. These disorders are some of the most common causes of blindness in the United States. The most prevalent among senior citizens is age-related macular degeneration (AMD), which affects the area of the retina that provides sharp central vision. Treatment of AMD includes photodynamic therapy, which uses a drug and a strong light to delay the progress of the disorder. Another common retinal disorder is a degenerative disease that affects vision and is called diabetic retinopathy. It is important that senior citizens seek appropriate medical care, maintain a healthy lifestyle, and have frequent follow-ups to help reduce its prevalence.
Two new drugs, ranibizumab (Lucentis) and bevacizumab (Avastin), are now being used to treat neovascular macular degeneration in senior citizens.
Hearing:
Presbycusis. This is slowly progressing hearing loss caused by aging.
Tinnitus. This is a ringing, roaring, or other noise that may come with hearing loss. It may be caused by loud noise, hearing loss, some medicines, and other health problems like allergies or problems in the heart and blood vessels.
4. Digestive and Metabolic
Gastrointestinal problems are more common in senior citizens. Gastroesophageal reflux disease (GERD) is when the lower esophageal sphincter (LES) fails to close properly, causing the contents of the stomach to leak back-or reflux-into the esophagus. If this sensation of heartburn happens more than two times per week, it may be considered to be GERD, which can lead to more serious health risks.
Many senior citizens are pre-diabetic, which raises their risk of developing type 2 diabetes, heart disease, and stroke.
5. Urogenital
Incontinence. This is the term for loss of bladder control, from mild leaking to uncontrollable wetting, that is very common in senior citizens. It is not caused by aging alone; factors causing it may be urinary tract infections, vaginal infection or irritation, constipation, or certain medicines. Many cases of incontinence can be controlled or cured with treatment, so it is important to talk to a doctor or another involved in your elder care about this.
Benign prostatic hypertrophy (BPH). The urethra, which passes urine, is surrounded by the prostate gland. Since the prostate gland grows with age, it may begin to squeeze the urethra. Tumors in the prostate may also contribute to this problem. This growth or unrelated infections may cause problems with passing urine. Some men experience this symptom in their 30s or 40s, whereas others do not notice this until a later age.
Prostate cancer. This is the second most common type of cancer in men in the United States. Frequent check-ups are important in identifying and treating this disease.
6. Dental: gingivitis, periodontitis, loss of teeth
Tooth decay can occur regardless of age as long as you have natural teeth. It ruins the enamel that covers and protects the teeth. Plaque forms when you neglect your teeth and bacteria clings to them, forming a sticky, colorless film that can lead to cavities and tooth decay. Another factor in causing tooth decay is gum disease. Using a fluoride toothpaste can help protect your teeth, as it is just as helpful for senior citizens as it is for children.
Gum diseases. These are sometimes called periodontal or gingival diseases, and they are infections that harm the gum and bone holding the teeth in place. If plaque stays on the teeth for too long, it forms tartar, which brushing doesn't clean and which continues to damage the teeth. When plaque and tartar remain on the teeth, gingivitis is formed. Gingivitis can form areas in which your gums lift away from your teeth, forming easily infected pockets. This is called periodontitis, which, if not properly treated, can ruin the bones, gums, and tissue supporting the teeth. It could even loosen your teeth in time, warranting removal of those teeth.
7. Skin Care for the Elderly
Staying out of the sun is the easiest and least expensive way of avoiding skin damage. Sunlight is the main cause of our changing appearance as we age-including wrinkles, age spots, and dryness. Smoking can also increase the number of visible wrinkles because the chemicals in cigarettes damage elastin proteins in the skin. Skin changes with age; for example, you sweat less as you get older, leading to more dryness. Skin also loses fat, causing it to appear less smooth. Still, senior citizens can take steps to protect themselves from the sun's harmful effects.
Dry skin. This appears mainly on the lower legs, elbows, and forearms and affects many senior citizens. Skin may feel rough, scaly, and itchy. This could be aggravated by low humidity, which can be worsened by overheating in the winter and air conditioning in the summer. Dryness is also caused by the loss of sweat and oil glands that accompanies aging. Other things that may lead to dry skin are overusing soaps, antiperspirants, perfumes, and hot baths or dehydration, sun exposure, smoking, and stress.
Skin cancer. This is the most common kind of cancer in the United States. Three types of skin cancer are the most prevalent. These include basal cell carcinomas, the most common, which grow slowly and rarely spread; squamous cell carcinomas, which seldom spread but do so more often than basal cell carcinomas; and the most dangerous common skin cancer, melanoma, which can (often fatally) spread to other organs.
Shingles. This affects nerves, causing pain and blisters in senior citizens. It is caused by the same virus that afflicts people with chickenpox. After you recover from chickenpox, the virus remains in some of your nerve cells and, for reasons unknown, can become active again rather than remaining inactive. This regained activity produces shingles.
Senior citizens with shingles feel sick with a rash on their body or face. Shingles targets older people rather than children, and about 20 percent of people who have had chickenpox as children will develop shingles after the age of 50.
8. Functional Abilities
Senior citizens often suffer from injuries caused by falling. This may be caused by other changes, including loss of sight, hearing, muscle strength, coordination, or reflexes. Diabetes, heart disease, or complications with your circulation or nervous system may negatively affect balance, and some medicines can cause dizziness. Any of these could cause a senior citizen to be more prone to falling.
As with most problems experienced by senior citizens, the better you take care of yourself, the less prone you will be to falling. A test called a bone mineral density test can tell you how strong your bones are. If necessary, your doctor can use the results of this test to prescribe medications that will make your bones stronger and less likely to break.

Healthy Aging Tips

2010-01-23T14:04:00.001-06:00

As you grow older, you experience an increasing number of changes, including retirement, the loss of loved ones, and the physical changes of aging. How you handle these changes is the key to aging well.

Healthy aging is about much more than staying physically healthy—it’s about maintaining your sense of purpose and your zest for life. While the specific ingredients of aging well are different for everyone, knowing the basic recipe for healthy aging will help you live with meaning and joy throughout your senior years.

Coping with change is difficult, no matter how old you are. The particular challenge for older adults is the sheer number of changes and transitions—including the loss of friends, family, your career, your health, and even your independence. It’s natural to feel those losses. But if that sense of loss is balanced with positive ingredients, you have a recipe for aging well.

Healthy aging means continually reinventing yourself, finding new things you enjoy, learning to adapt to change, staying physically and socially active, and feeling connected to your community and loved ones. Unfortunately, for many, aging brings anxiety and fear instead. How will I take care of myself? What if I lose my spouse? What is going to happen to my mind? However, many of these fears stem from myths about aging that are exaggerated or simply untrue. The truth is that you are stronger and more resilient than you may think.

Myths About Aging

MYTH: Old age means poor health and disability.
Fact: There are some diseases that are more common in older adults. However, getting old does not automatically mean poor health or that you will be confined to a walker or wheelchair. Plenty of older adults enjoy vigorous health. Preventive measures like healthy eating, exercising and managing stress can help reduce the risk of chronic disease and fall risk later in life.

MYTH: Memory loss is an inevitable part of aging.
Fact: You may eventually notice you don’t remember experiences as easily as in the past, and memories may take longer to retrieve. However, significant memory loss is not an inevitable result of aging. Brain training and new learning can occur at any age. And there are many things you can do to keep your memory sharp.

MYTH: You can’t teach an old dog new tricks.
Fact: One of the more damaging myths of aging is that after a certain age, you just won’t be able to try anything new or contribute things anymore. Quite the contrary. Older adults are just as capable of learning new things, thriving in new environments, and sharing their wisdom and experience with many generations. If you believe in yourself and have confidence in yourself, you are setting up a positive environment for change no matter what your age.

Healthy aging: Tips for coping with change

As you age, there will be periods of both joy and stress. It’s important to build your resilience and find healthy ways to cope with challenges. This ability will help you make the most of the good times and keep your perspective when times are tough.

Focus on the things you’re grateful for. The longer you live, the more you lose. But as you lose people and things, life becomes even more precious. When you stop taking things for granted, you appreciate and enjoy what you have even more.

Acknowledge and express your feelings. You may have a hard time showing strong emotions, perhaps feeling that such a display is inappropriate and weak. But burying your feelings can lead to anger, resentment, and depression. Don’t deny what you’re going through. Find healthy ways to process your feelings, perhaps by talking with a close friend or writing in a journal.
Accept the things you can’t change. Many things in life are beyond our control. Rather than stressing out over them, focus on the things you can control such as the way you choose to react to problems. Face your limitations with dignity and a healthy dose of humor.
Look for the silver lining. As the saying goes, “What doesn’t kill us makes us stronger.” When facing major challenges, try to look at them as opportunities for personal growth. If your own poor choices contributed to a stressful situation, reflect on them and learn from your mistakes.
Take daily action to deal with life’s challenges. When challenges seem too big to handle, sweeping them under the carpet often appears easier. But ignoring the problem doesn’t make it go away; it allows both the problem and your anxiety to build. Instead, take things one small step at a time. Even a small step can go a long way to boosting your confidence and reminding you that you are not powerless.

Depression is not a normal part of aging

The difficult changes that older individuals often face—such as the death of a spouse, retirement, or medical problems—can lead to depression, especially if you don’t have a strong support system. But depression is not a normal or necessary part of aging, and with treatment and support, you can get back to enjoying your golden years.

Healthy aging: Tips for finding meaning and joy

A key ingredient in the recipe for healthy aging is the continuing ability to find meaning and joy in life. As you age, your life will change and you will lose things that previously occupied your time and gave your life purpose. For example, you may retire from your career or your children may move far away. But this is not a time to stop moving forward. Later life can be a time of exciting new adventures if you let it.

Aging well means finding activities that you enjoy

Everyone has different ways of experiencing meaning and joy, and the activities you enjoy may change over time. If you’re not sure where to get started, try some of the following suggestions:

Pick up a long-neglected hobby
Play with your grandchildren or a favorite pet
Learn something new (an instrument, a foreign language, a new game)
Get involved in your community (volunteer or attend a local event)
Take a class or join a club
Go on a weekend trip to a place you’ve never visited
Spend time in nature (take a walk, go fishing, enjoy a scenic view)
Enjoy the arts (visit a museum, go to a concert or a play)
The possibilities are endless. The important thing is to find activities that are both meaningful and enjoyable. Whatever your preference, taking time to nourish your spirit is never wasted.
Better health through humor, laughter, and play
Laughter is strong medicine for both the body and the mind. It helps you stay balanced, energetic, joyful, and healthy. A sense of humor helps you get through tough times, look outside yourself, laugh at the absurdities of life, and transcend difficulties.

Healthy aging: Tips for staying connected

One of the greatest challenges of aging is how your support network changes. Staying connected isn’t always easy as you grow older—even for those who have always had an active social life. Retirement, illness, death, and moves can take away close friends and family members. And the older you get, the more people you lose. What’s more, getting around may be difficult.
But it’s important to find ways to reach out and connect to others. Loneliness and isolation are major threats to aging well. Having people you can turn to for company and support is a buffer against depression, disability, hardship, and loss.

The good news is that there are lots of ways to be with other people. It doesn’t matter what you do, so long as you get out of the house (if possible) and socialize:

Connect regularly with friends and family. Spend time with people you enjoy and who make you feel upbeat. It may be a neighbor who you like to walk with, a lunch date with an old friend, or shopping with your children. Even if you are not close by, call or email frequently to keep relationships fresh.

Make an effort to make new friends. As you lose people in your circle, it is vital to make new connections so your circle doesn’t dwindle. Make it a point to befriend people who are younger than you. Younger friends can reenergize you and help you see life from a fresh perspective.
Spend time with at least one person every day. You shouldn’t be alone day after day. Phone or email contact is not a replacement for spending time with other people. Regular face-to-face contact helps you ward off depression and stay positive.

Volunteer. Giving back to the community is a wonderful way to strengthen social bonds and meet others, and the meaning and purpose you find in helping others will enrich and expand your life. Volunteering is a natural way to meet others interested in similar activities or who share similar values. Even if you’re housebound, you can get involved by volunteering on the phone.

Find support groups in times of change. If you or a loved one is coping with a chronic illness or recent loss, it can be very helpful to participate in a support group with others undergoing the same challenges.

Healthy aging: Tips for boosting vitality

Don’t fall for the myth that aging automatically means you’re not going to feel good anymore. It is true that aging involves physical changes, but it doesn’t have to mean discomfort and disability. While not all illness or pain is avoidable, many of the physical challenges associated with aging can be overcome or drastically mitigated by eating right, exercising, and taking care of yourself.

It’s never too late to start! No matter how old you are or how unhealthy you’ve been in the past, caring for your body has enormous benefits that will help you stay active, sharpen your memory, boost your immune system, manage health problems, and increase your energy. In fact, many older adults report feeling better than ever because they are making more of an effort to be healthy than they did when they were younger.

Tips for eating well as you age

As you age, your relationship to food changes along with your body. A decreased metabolism, changes in taste and smell, and slower digestion may affect your appetite, the foods you can eat, and how your body processes food. The key is to figure out how to adapt to your changing needs. Now, more than ever, healthy eating is important to maintain your energy and health.
Load up on high-fiber fruits, vegetables, and whole grains. Your whole digestive system is slower, so fiber is very important. Consume fiber-rich foods such as whole grains, fruit, and vegetables. They will help you feel more energetic and give you fuel to keep going.
Put effort into making your food look and taste good. Your tastebuds aren’t as strong and your appetite may not be the same, but your nutritional needs are just as important as ever. If you don’t enjoy eating like you used to, put a little more effort into your meals, including the way you flavor, prepare, and present your food.

Watch out for dehydration. Because of physical changes, older adults are more prone to dehydration. So make sure you are drinking plenty of fluid, even if you don’t feel thirsty. If you’re not getting enough water, you’re not going to be as sharp and your energy will suffer.
Make meals a social event. It’s more enjoyable to eat with others than alone. Invite people over.

Tips for exercising as you age

Many older adults don’t exercise. However, exercise is vital for healthy aging. It helps you maintain your strength and agility, gives your mental health a boost, and can even help diminish chronic pain. Whether you are generally healthy or are coping with an ongoing disability or health problem, regular exercise will help you stay physically and mentally healthy and improve your confidence.

Check with your doctor before starting any exercise program. Find out if any health conditions or medications you take affect what exercise you should choose. Find an activity you like and that motivates you to continue. You may want to exercise in a group, like in a sport or class, or prefer a more individual exercise like swimming. Start slow. If you are new to exercise, a few minutes a day puts you well on the way towards building a healthy habit. Slowly increase the time and intensity to avoid injury.

Walking is a wonderful way to start exercising. Exercise doesn’t have to mean strenuous activity or time at the gym. In fact, walking is one of the best ways to stay fit. Best of all, it doesn’t require any equipment or experience and you can do it anywhere.

Getting quality sleep: Tips for seniors

Many older adults complain of sleep problems, including insomnia, daytime sleepiness, and frequent waking during the night. But aging doesn’t automatically bring sleep problems. Learning and practicing healthy sleep habits may be all you need to, once again, get a good night’s rest.

Healthy aging: Tips for keeping your mind sharp

There are many good reasons for keeping your brain as active as your body. Keeping your brain active and maintaining creativity actually may help to prevent cognitive decline and memory problems. The more you use and sharpen your brain, the more benefits you will get.

WHAT IS A CERTIFIED SENIOR ADVISOR?

2009-11-18T17:53:00.001-06:00

A Certified Senior Advisor is a professional who has received specialized training in aging and the important issues that affect seniors. CSA candidates must past a challenging national exam to demonstrate their comprehension of what is taught in the CSA curriculum. Typically, CSAs already have expertise in a professional discipline; and while many are licensed in a specific profession, it is only after they pass the exam, meet all the requirements and agree to live up to high ethical and professional standards that they may use the designation Certified Senior Advisor.
When you work with a professional who has added the CSA, designation to his or her credentials, you know you’re working with someone who has invested time and effort in learning about the things that are important to seniors. They have made a special effort to earn your trust, and are committed to CSA continuing education standards.
You now have the opportunity to work with a Certified Senior Advisor in the Lower Alabama region, Gina Germany, Owner, of Touching Hearts Senior Care, 251-445-4204. Please call Touching Hearts Senior for more information or visit www.touchingheartsseniorcare.com

KEEP THE PRESSURE ON CONGRESS

2009-08-25T15:39:00.002-05:00

Keep Up the Pressure on Congress! Reconnect With Your Legislators During August Recess and Press for Inclusion of LTSS and Project 2020 in Health Reform Encourage your Senators and Representatives to support long-term services and supports (LTSS) provisions including Project 2020 as part of health reform legislation.

The House and Senate will be in recess through Labor Day. The August recess is a perfect opportunity to reconnect with your legislators and their staff to urge them to support Project 2020 and do more to expand the availability of home and community-based services for seniors in the health insurance reform bills.

Thanks to those of you who have already contacted your legislators and customized and sent letters in support of Project 2020 to Congress. We need to keep up the pressure on Congress to pass Project 2020 during this critical recess period. Even if you have connected with your legislators before, it is critical that you reach out to them again over the month-long recess while they are back home holding “town hall” meetings on health reform and meeting with constituent groups. They must hear from you and the older adults who benefit from your agency’s programs and services. Without your voices, Project 2020 and other key LTSS provisions will not be included in health reform.

For a list of town halls and district events, visit: http://chn.org/pdf/2009/HealthTownHallsAug09.pdf.

Background: As detailed in previous n4a Advocacy Alerts, Project 2020 was introduced as S. 1257 by Senators Maria Cantwell (D-WA) and Debbie Stabenow (D-MI) and H.R. 2852 by Representatives Bruce Braley (D-IA) and John Sarbanes (D-MD). Working with our partners at NASUA, n4a is recruiting Members of Congress to sign on as co-sponsors of S. 1257/H.R. 2852 and to push for inclusion of Project 2020 provisions in the House and Senate health insurance reform packages currently under discussion. Health insurance reform remains front-and-center this recess. The House Democrats completed committee mark-ups on their tri-committee health reform bill just before leaving for recess and the Senate Finance Committee continues to work to negotiate a bipartisan agreement on its health reform package. n4a and NASUA are working closely with the Project 2020 bill’s congressional champions on amendment strategies for committee and floor consideration in September and we will keep you posted on these efforts. In the meantime, it is crucial that every single AAA and Title VI Native American aging program also weigh in directly (and/or indirectly through your advisory boards, community leaders, etc.) with your state/district’s congressional delegation.

Action Steps to Take:

Call the local offices of your legislators and request a meeting to discuss Project 2020 and health reform.
To find contact information for their state offices, visit their web sites, which you can find at: http://www.senate.gov and http://www.house.gov.

Introduce yourself to staff and identify what agency you represent; mention how critical the services included in Project 2020 would be to older adults in your community; and then ask your legislators to consider co-sponsoring the Project 2020 bill (S. 1257/H.R. 2852).

If you haven’t done so already, customize the sample Project 2020 letter on your agency’s letterhead and send it to your legislators’ DC offices via fax or email. Ask others to do the same! Urge colleagues, advisory board members, volunteers and clients to make calls and send faxes/emails to your agency’s House and Senate congressional delegation.

The more calls, faxes and emails, the more likely Project 2020 will be included in health reform. Resources: Not sure where to start? n4a’s Project 2020 Campaign Page http://www.n4a.org/advocacy/campaigns/?fa=project-2020 has all you need to craft your correspondence, educate others about the bill and ultimately persuade your Senators and Representatives to get on board.

Letters: We have developed state-specific sample letters that you can use to form the basis of your letter to your Senators and Representatives. Simply cut and paste the text into a new document and personalize as you see fit. But feel free to customize your correspondence, borrowing from other Project 2020 resources, like… Talking Points for Advocates Project 2020 Overview (Short and detailed) Documents to Share: If you already have a relationship with a Member’s office, please follow up on your letter with a phone call. Engage the staff member by offering to share more details on the bill, including… S. 1257/H.R. 2852 Bill Summary S. 1257/H.R. 2852 Bill Section-by-Section If they want more information on how the bill saves money, direct them to the Lewin Group report.Keep Up the Pressure on Congress! Reconnect With Your Legislators During August Recess and Press for Inclusion of LTSS and Project 2020 in Health Reform Encourage your Senators and Representatives to support long-term services and supports (LTSS) provisions including Project 2020 as part of health reform legislation.

Thanks for all your support! We have to stick together to help our elderly Age In Place.

Discussion on Capital Hill

2009-08-25T15:31:00.003-05:00

Thank you for the opportunity to visit with you today about Long Term Care. My name is Gina Germany, and I am co-owner of Touching Hearts Senior Care in Mobile, AL. This position allows me to work with the elderly population and their families every day.

What I have learned… Our society is in denial when it comes to aging. We spend millions trying to avoid looking like we have grown older. Sooner or later, however, we have to deal with aging, particularly when it affects our parents. This raises the issue of elder care and long term care. Most people view life as a simple time line. You are born, your parents raise you, you become an adult and then you raise your own family. Most people do not factor in the subject of caring for their parents, nor plan for their retirement. When it becomes a necessity, it can be a huge wake up call from a financial, emotional and practical point of view.

I want to tell you a short story about an 80 year old man who was placed in a nursing home with a number of aliments. He had been in the hospital for 3 days and then transferred to a nursing home for rehab (which would last 21 days). Because of his terminal illnesses, he should have been put on hospice services. When I met his wife she was overwhelmed with all the information about Medicare, Medicaid, long-term insurance, and VA benefits, but the one thing that upset her the most was the quality of care her husband was receiving. She told me he was repeatedly left in his own feces for hours, even after he pulled the call switch. He should have been receiving physical therapy, but not once did a therapist see him and the facility charged his Medicare insurance for PT visits. This was a man who was not a millionaire, but had planned for a respectable retirement and had good insurance and plenty of money to pay for quality care. His wife told me that she was working with an elder law attorney who advised her to spend down their money to less than $2,000 to qualify for Medicaid – which would make them destitute. After listening and doing a complete assessment of the situation, I asked them both what they wanted to do. Their answer was to go home. I told them we could help them do that and within 24 hours the man was home with hospice services and caregivers in place, saving them almost $2,000 per month and receiving one on one care with his very own caregiver. This is just one example of the kind of situation our elderly population is faced with and how our Medicaid is being tasked. I see it over and over. I could tell you more stories, but I think you get the idea.

Due to funding cuts in public programs, the lack of consistent information, and the demands of our aging population, we have to focus on: 1) Educating our elderly and their adult children by providing consistent information about resources available at the community level. 2) To also educate our elderly and their adult children on disease prevention and health promotion. 3) Developing, identifying and supporting services that assist an elderly person to “Age in Place”.

The strategy, which has evolved out of the Project 2020 builds on the promise of home and community based services and will also generate significant savings for federal and state governments.

The three components of the project are:

EDUCATION
By making information readily available, our seniors and their caregivers will be empowered to make informed decisions about services that will affect their lives. Caregivers need to be educated on taking care of themselves to avoid burnout. Educating our seniors to plan early in their lives for retirement and their health care, as well as educating our young people while they have the time to make a future plan.

DISEASE PREVENTION AND HEALTH PROMOTION
Through this component, individuals will receive services by the Aging Services Network at the community level in areas such as fall prevention, physical activities, nutrition, chronic disease management and medication management.

NURSING HOME DIVERSION SERVICES
Eligible individuals will receive intense case management through the single point of entry system (Aging & Disability Resource Centers). This program component will provide prescreened individuals who will receive case management that will coordinate personalized services and support to allow them to “Age In Place”. Some of the services provided will be: Home-delivered meals, homemaker services, personal care, medical transportation, home modification, assistive technology and adult day care and more. Analysis has shown that by implementing these three components across the country, and utilizing the existing activities of the State Units on Aging (SUAs) and Area Agencies on Aging (AAA) while targeting the population in need, it will cost less in the aggregate than if the aging services community maintains the current patchwork approach to services. I am confident the strategy of Project 2020 is a good start to help our aging population and their family members understand what is necessary to retire with dignity and “Age In Place”. The estimated gross federal savings for the program over five years totals $2.7 billion!!!, with over 40 million served.

I ask that the state advocate for the passage of federal legislation, policies and funding to support Project 2020. And while we await a federal response, I ask that the state use its resources to support this model, including providing resources to the Area Agency on Aging serving the large metro areas of Mobile and Baldwin counties. Additional funds are needed to strengthen Information and Referral services, and become a fully operational Aging and Disability Resource Center.

ELDER LIVING OPTIONS

2009-07-20T15:09:00.000-05:00

For most of us independence and privacy is an important condition for a comfortable life. We each have our habits and methods of doing things, and life has a rhythm that just "fits" our personalities. But as people age and physical changes occur, we may find ourselves or loved ones dealing with those changes ineffectively. Sooner or later the question starts ringing in our heads, "When should I look for help?"

But then we think, "Oh, I don't need help. I don't want to be a burden to anyone." or "I can't tell Mom what to do - she'd never listen to me, anyway." Or "Dad would never accept help, he's too proud." or "It's not time yet, let's wait." As so we wait and do what we can ourselves, all the while still wondering, "When should I look for help?"

The good new is we don't have to guess. There are some common indicators that help us tell when it's time to get some help. We don't have to wait for a crisis situation to throw everyone into a panic. If fact, the goal should be to avoid a crisis, for everyone's benefit.

Here are some indicators to consider...

1. PHYSICAL CONDITION:
Have you or your loved one been diagnosed with a medical condition that affects their daily living? For example, dressing, grooming, shaving, toileting, or eating.

2. PERSONAL CARE:
Are baths/showers being taken regularly? Is there any body odor? Are teeth and hair brushed and washed regularly? Are incontinence products worn if necesary and changed regularly and correctly?

3. DRIVING?
Has driving become difficult, uncertain or scary? Have reflexes and decision making slowed? Have new dings, dents or scratches, appeared on vehicles?

4. NUTRITION:
Are you or your loved one's weight stable? Are you/they eating regularly and nutritiously? Is the refrigerator properly stocked with a variety of foods? Does all the food have current expiration dates? Is there spoiled food in the refregerator or on the counters?

5. HOUSEHOLD TASKS:
Are household chores being done regularly? For example, dusting, laundry, or vacuuming. Are bed linens changed regularly? Have household chores become frustraing, physically demanding, or time consuming?

6. SOCIALIZATION:
Do you or your loved one have moods of loneliiness, despair, depression, frustration, irritability, or anxiet? Is there fear or insecurity about going out of the house?

7. MENTAL HEALTH:
Are there memory lapses? Is there difficulty finding the right words? Is there inconsistency between words and action? Is anxiety or moodiness evident?

8. MEDICATION:
Are medications being taken regularly and on time? Are medications being refilled on scheduled? Does the senior understand what the medications are being taken for?

9. FINANCES, MAIL, PAPERWORK:
Is the senior having difficulty managing their checkbook, finances, bills and personal affairs? Are there past due notices arriving? Is mail piling up? Is there a reasonable amount of cash on hand? Are important documents or similar items like purses, wallets and keys being misplaced frequently or for long periods of time? Are they appearing in unusual places?

10. SAFETY, SECURITY AND SANITATION:
Are appliances being left on, such as the stove or coffee pot? Does the senior fall asleep with cigarettes burning? Is the house allowed to get too hot or too cold? Is the house always unlocked? Has the senior fallen in the past 6 months? Have there been multiple falls? Is there clutter on the floor? Is trash piling up in or around the house? Are toilets functioning properly? Is pet debris evident?

Family members often see the changes in the way a senior moves, acts, thinks, and responds to situations around them, but dismisses them until one of two things happen. Either the family beings to spend so much time helping the senior themselves that they have little time for their own responsibilities, or the senior experiences a physical or medical crisis. Both of these result in undue stress for the family and the senior. If you have a concern with even one set of indicators, it's time to acknowledge it, learn more about what is causing it and what options are available to overcome it. Speak openly, calmly, and honestly about the issue and the type of assistance needed to overcome it. Frequently, simple changes can make a big improvement. We encourage you to be proactive and avoid a crisis situation that throws everyone into an emotional reaction. Calm, rational transitions are easier on everyone than stressful ones.

Finally, keep your efforts as informal as possible. Rather than going through the house like an inspector with a checklist, make your observations through normal, casual interaction. Make a mental note when you see things that are of concern. Keep conversations non-threatening and cooperative. Make every effort to respect the seniors wishes while assisting with their needs.
For more information go to http://www.touchingheartsseniorcare.com/