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BobDeMarco says...

If I can stop laughing I'll give you my take on the article below. If you are one of my good buddies you already heard my story.

If you read -- The Metamorphosis of This Alzheimer's Caregiver (Part One) -- you know I am a curious person. I am always coming up with wacky ideas for new businesses. Not all of them are as wacky as they seem.

For several years now, I have been envisioning a great new business that I would start when legal marijuana comes to Florida.

To continue reading follow the link....

From: http://www.alzheimersreadingroom.com/2009/12/cannabis-caregiver.html

Filed under: caregiving

BobDeMarco says...

I have heard a frequent phrase throughout my decades working with seniors.

I promised I wouldn’t put my parents in a nursing home.

The decision to keep a parent home or place them in a facility is never an easy choice, and is usually contemplated for a long time. The horror stories we’ve all heard about nursing homes can make anyone cringe.

So how do you decide what is best for you loved one, especially when a parent has Alzheimer’s or dementia?

To continue reading go here.....

I promised not to put my parents in a nursing home

Filed under: caregiving

russ says...

Normal changes in the aging eye include losing focus, (have you tried taking off your readers and quickly looking at a distance?), declining sensitivity, trouble distinguishing subtle contrasts like sidewalk curbs, and needing more light to read fine print like the menu at a dimly lit restaurant.

   But low vision extends beyond that. One definition of low vision is described as a significant reduction of visual function that cannot be restored with glasses, contacts, medicine or surgery and can result in profound lifestyle, physical, economic, social and psychological consequences. The most common diseases of the eye as we age are Macular Degeneration, Cataracts, Glaucoma, and Diabetic Retinopathy.

   There are some valuable programs that help individuals through vision loss and prepare them for possible blindness. One program is Low Vision Rehabilitation (LVR) which Medicare will cover with a doctor’s order from either your primary care physician or ophthalmologist.

   Only a few home health care companies offer an extensive LVR program because it takes specially trained Occupational Therapists who teach adaptive techniques on personal care, food preparation, money and medication management and training on the use of optical and non-optical devices. They also perform home safety evaluations and adapt the home with tactile and contrast modifications.

A very important part of LVR is the behavioral health nurse who will teach coping techniques in dealing with fear, anxiety, stress and anger. Some home health care agencies offer cognitive screenings and brain stimulating exercises by Speech Pathologists. Here are just a few websites related to vision impairment that can be of help: www.dbs.myflorida.com, www.nfbflorida.org, www.maxiaids.com, www.indpendentliving.com



((tag: health, caregiving))

Filed under: caregiving

stonyeagle says...

The actual title of this relatively new field is Professional Geriatric Care Manager. I purposefully left out “geriatric” from my title because some of my agency’s clients are also disabled adults. In a nut shell, a Professional Care Manager (PCM) is usually from a social work, nursing or gerontology background, who specializes in assisting seniors and their families with assessing needs, developing a plan of care, and arranging for appropriate community services to meet both needs and budget. PCMs continually monitor the care plan, adjust services as needed, and oversee the client’s care, whether they are at home, in an assisted living facility or a nursing home. PCMs can be the local point of contact in case of an emergency for distant family members providing a peace of mind.

Be aware that not all PCMs are created equal. What sets apart a true PCM from the “self-proclaimed” ones are expert credentials, high level of education, extensive experience in a healthcare related field, active memberships in professional associations and a national certification in the field of care management. So please be diligent when interviewing and hiring a PCM.

Because Care Management is a relatively new field in health care, it is not as regulated as other professions such as nursing. Being a member of the National Association of Professional Geriatric Care Managers and being Certified in Care Management is a means of regulation and in governing our industry.  Each member has to uphold strict standards of practice and a code of ethics.

My care management agency, Advanced Senior Solutions, will be entering its 9th year of being in business this fall. I’ve been in social services/case management for over 17 years and hold a degree in psychology and a masters degree in public health. I am a Certified Care Manager and a Certified Dementia Practitioner. My team of Social Workers and Nurses have many years of experience in their profession, have a high level of integrity and an excellent work ethic.
Our agency has worked hard in developing specialized programs to meet the needs of most and if for some reason we can’t assist, we certainly know the right resources who can, and we will refer out to others as needed.

Our agency has worked hard in developing specialized programs to meet the needs of most and if for some reason we can’t assist, we certainly know the right resources who can, and we will refer out to others as needed.

PCMs usually get involved when the family is at wits end and don’t know where else to turn. I always tell my team that if it were easy, then they wouldn’t need us.

The most commonly asked question is, “can you give me some guidance and direction on where to get help for my aging loved one?” I would just say, “Ask a Care Manager”.

Filed under: caregiving

stonyeagle says...

Q. What’s the difference between Home Health Care, Home Care and Homemaker/Companion Services?

A. The term Home Health Care (HHC) is generally used to describe Medicare covered HHC services where there’s a doctor’s order for skilled care such as Nursing or Therapy. Home Care is private pay services that provide “hands on” care such as bathing, dressing, grooming, etc. And Homemaker/Companion Services is private pay providing chore type services such as transportation, shopping, preparing meals, light housekeeping, laundry, etc. They are all licensed differently through Florida’s Agency for Health Care Administration (AHCA).

If you have a specific question that you would like answered, please call 727-443-2273 or email us at Lory@advsrs.com
Visit us on our website at www.advsrs.com

Filed under: caregiving

stonyeagle says...


 • Falls represent a serious public health problem in the United States.
• One out of every three older Americans, about 12 million seniors, falls each year.
• The government recorded more than 19,000 deaths from fall-caused injuries in 2005.  Three-fourths were among people over 65.
• Nonfatal falls trigger 500,000 hospitalizations and almost 2 million emergency room visits.
• Of all fall- related injuries, hip fractures not only cause the greatest number of injury deaths, but they also lead to the most severe health problems.
• Early intervention after a fall reduces the risk of serious complications and increases the chances of maintaining a comfortable, independent life at home.

Filed under: caregiving

stonyeagle says...


How do you know when it’s the right time to intervene with your parents care?  This can be a very delicate situation. You don’t want to alienate your parents by prying too much into their affairs, but you certainly don’t want to wait until you get a call from the State’s Department of Children and Families either.  To know when it’s the right time to intervene might take “seeing out of the box”. As children, we tend to see our parents as they once were instead of how they are today. Look at your parent as if you were someone other than their child such as a neighbor or a caregiver.
   Of course most families are ready to act when there are obvious issues or serious incidences, but here are some early signs to look for on your next visit to indicate that your parent may need some intervention:

• They drive only when absolutely necessary and only to places nearby home. I suggest to my client’s families that they have their parent drive them around and go outside of their local comfort zone.

• Unopened mail, insurance or bank statements and junk mail are hidden out of view in drawers, under sheets of a spare bed or under the table cloth. (I’ve really seen this). Of course some obvious clues are late notices and returned checks because of over payment.

• Household maintenance projects are left unattended because maybe they can’t see the water leak stain on the ceiling or they can’t hear the toilet running.

• Look signs of malnourishment.  Check the pantry for outdated canned foods and the refrigerator for spoilage.

• Missed medical appointments, vague responses to your questions related to their latest doctor visit, or using more than one pharmacy can all be cause for concern.

    These are just a few examples of early signs that your parent’s functional status is declining to a point of concern. A Professional Care Manager can help assess their level of functioning and recommend the most appropriate type of intervention.

For a Complimentary Consultation, call 727-443-CARE (2273)

Filed under: caregiving

stonyeagle says...


I will never forget the day my uncle stepped into my office. An intimidating man who I almost feared as a child. However, today was different. He was sitting in my office looking humble. His widowed mother, my grandmother, was no longer safe to stay at home alone and she could not afford around the clock care. Yet, he made a promise to her years ago never to “put her away” and as her only son, he felt obligated to uphold his promise. Now, he realized that he could not keep that promise. He didn’t know where else to turn.
     Grandma had become increasingly forgetful, leaving the stove burner on, not showering, eating poorly, letting strangers into her home, and not taking her heart medications. She was open to neglect and exploitation and was at risk of being reported to the state. Thankfully, years ago my uncle pre-arranged to be her Power of Attorney over finance and healthcare which also makes him responsible for her well being. Yet he wasn’t able to step up to the plate. At that moment, I realized just how reluctant he was in becoming the parent to his parent..   
     He finally conceded that he cannot do it alone and asked for my help. He asked that I counsel them on their options, convince her that now is the best time to make a transition into an assisted living facility, research and recommend the best place that fits her needs and budget and coordinate the move. By no means was this an easy process and this is coming from a Professional Geriatric Care Manager who has been working in this field for over 8 years.  When the day finally came for her to move, she became so angry she took a swing at me. I easily redirected her by showing her where all her belongings and special treasures were placed and she calmed down and settled in.

Filed under: caregiving