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June 28, 2019 Aging In Place0

When it comes to paying for home care, the drawback many families cite is money.

And understandably so.

While home health care is usually covered by most insurance companies (including Medicaid and Medicare), home care usually is not.

So how are you supposed to pay for it?

If the thought of paying for your loved one’s care out-of-pocket is blocking your decision, this post is for you.

In this post, I will share about the PACE program and how it could help you and your elderly loved one pay for home care.

Paying for home care

Find out if your loved one has retirement savings that could cover the costs

Yes, this post is about the PACE program but, it is helpful to find out if your loved one has any money saved up that you can use to pay for home care.

If your elderly loved one worked for a corporation that offered a retirement plan, find out if they still have money in their savings account.

If they do, this will help immensely with out-of-pocket costs.

Look into the PACE program

PACE stands for Programs of All-Inclusive Care for the Elderly. It is a Medicaid and Medicare program that allows the elderly to keep living in their home or community instead of going to a nursing home.

In order to qualify, your loved one has to “in need of nursing home-level services”.

If you live in an area where PACE is offered and your elderly loved one meets this criteria, you could apply for and receive the PACE program.

  • You must have Medicaid or Medicare to join PACE
  • Age must be 55 or older
  • Must be able to live safely with the help of PACE
  • And as I mentioned above, they must need nursing home-level care

What does it cover?

PACE will cover the following services

  • Home care
  • Adult day care
  • Nursing home care
  • Nutritional counseling
  • Occupational therapy
  • Physical therapy
  • Prescription drugs
  • Preventative services
  • Social work counseling

Amongst other services.

But for the purposes of this blog post, it is important to note that PACE will cover home care costs.

And so if you live in an area that PACE covers and meet the criteria above, you should be able to access the program.

This way, your loved one can continue living at home and in the community they love.

To find out if you live in an area where you can get PACE, go here.

You should also be able to get this information by calling your local Medicaid office.


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Summer is here and more than ever, taking great care of your skin is important.

Your skin is the largest organ in your body and it is the vessel with which we interact with people everyday.

Thus, it makes sense to take excellent care of it.

As a caregiver, you may be taking care of a loved one who is unable to take proper care of their skin.

This post is for you too. In this post, I’ll go over a simple 3-step skin care routine for older adults that will work this summer.

A simple skin care routine for older adults

CLEANSE

The key to healthy skin is to keep it clean.

Wash your loved one’s skin during their daily shower or bed bath.

Make sure to clean those areas of the body where sweat regularly gathers e.g the armpits, the elbow area and behind the ears.

Give these areas an extra clean to get rid of all the dirt that has collected there in the last 24 or so hours.

A mild soap or body wash that doesn’t dry out the skin is always an excellent choice.

MOISTURIZE

Once you have helped your loved one clean their skin, it is time to lock in some of that moisture.

During the summer, lotions that hydrate but which are not oily or heavy are best.

Apply the extra moisturizers on those areas of the skin that are prone to drying like the knees and elbows.

I don’t know about you, but I feel dry and will begin to itch if I don’t put lotion on my arms, legs and back after showering.

Make sure to apply some here as well.

SUNSCREEN

It is summer and there are no laws forbidding us from enjoying a walk outside or a day at the beach.

To make sure your loved one is protected from the harmful UV rays of the sun, it is always helpful to apply sunscreen after moisturizing.

If you know you spend most of the day outside with your loved one, apply sunscreen after moisturizing as a rule so you don’t forget.

SOME EXTRA TIPS

  • Encourage your loved one to drink a lot of fluids, especially water. Staying hydrated is great for your skin and will ward off dehydration.
  • Eat citrus fruits. Citrus fruits contain vitamin C. Vitamin is great for your the health of your skin and promotes wound healing.
  • Include a lot of protein in your food. Protein is one of the major building blocks for your body. Including a lot of it in a person’s diet can help keep their skin healthy as well.
  • If you can get a moisturizer that contains antioxidants, this is helpful. Antioxidants also protect the skin from the sun’s UV rays.

Did you enjoy this post?

Share it with someone else looking for a skin care routine for older adults.

 


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June 21, 2019 Home Care 1010

When it comes to home care services, people get confused very quickly.

In fact, it is common for people to confuse home care services with home health care services.

Yet, there are clear differences between the two.

Home health care services are provided by licensed healthcare professionals like nurses and physical therapist.

Thus by definition, home health services are medical in nature and would usually be on the order of a doctor.

Home care on the other hand is care that allows your elderly loved on to stay in their home instead of having to move into an elder care home.

So what kind of services can you expect from your home care agency? Here are over 20 of them (if you combine all ones under each headline below).

20 home care services you can expect from your agency

Light housekeeping

Home care professionals can help with:

  • Dusting
  • Vacuuming
  • Mopping
  • Laundry
  • Kitchen cleaning
  • Bathroom detail
  • Rearranging and organization

Transportation

Need to get to your doctor’s appointment? Your home care professional can get you there.

Meal preparation

Does your loved one love to eat home-made meals?

A home care professional can provide that service so they can have warm and healthy home-cooked meals everyday.

Companion care

Everybody needs somebody.

Home care professionals can double as companions too. They can be around for simple conversation or to escort you and/or your loved one on shopping trips.

  • Movies
  • Shopping
  • Exercise
  • Reading
  • Traveling

These are all services your home care professional can provide.

 Care for bed-bound clients

Is your loved one bed-bound and unable to perform daily living activities themselves? Home care professionals can help here are help.

Transfer and mobility

We can help your loved one move from one part of the house to another.

Home care professionals are trained to use Hoyer Lifts and gait belts to help your loved one get around.

End of life/Hospice care

If your loved one has been discharged home on hospice care, this is something home care professionals can help out with too.

Personal care

A home care professional can help with:

  • Bathing
  • Dressing up
  • Skin care
  • Teeth and denture care
  • Hair care
  • Shaving
  • Perineal care
  • Changing briefs
  • Emptying a catheter

…and basically anything that is related to a person’s daily care.

Dementia/Alzheimer’s care

Adults who are otherwise healthy but have memory problems that are related to dementia or Alzheimer’s Disease will have trouble caring for themselves at home.

In such instances, a home care professional can help them live at home successfully.

 

And this is just the tip of the iceberg.

Your local home care agency can provide with more services than you may realize.

Do you or your loved one need home care? Reach out to us for a consultation.

If you live in the Greater San Diego or Orange County areas, we are more than happy to serve you and your family.


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June 18, 2019 Family Caregiver0

If you’ve read our blog long enough, you know we are advocates for caregivers.

Around half of all the content we put out is to help you as a caregiver provide your loved ones with the best care.

But let’s be honest, even human angels like you make mistakes sometimes.

And in today’s post, we are going to raise those issues; because ultimately, we want you to be the very best caregiver there is.

Three mistakes you might be making as a caregiver

You don’t take care of yourself

An empty vessel cannot care for others because there is nothing to pour from.

This is why we’re adamant here about taking care of yourself as a caregiver.

There are a myriad of ways to take care of yourself so that your loved one can be enriched and you can read more on self care for caregivers here.

But here are a handful of thoughts for you.

  • Realize that you’re not a superhuman. You are amazing by all standards but you cannot do it all. Give yourself grace.
  • Talk to a mental health professional. It is not easy to care for a loved one with dementia. Especially since you may have seen how sharp and quick-witted your loved one was before dementia set in. Therefore, give yourself permission to talk to a mental health professional so you can understand your feelings.
  • Get help! If you live in the Greater San Diego area or in Orange County, Green Tree Home Care is happy to assist your loved one with all their needs so they can continue to live in their home. Give us a call today.

You haven’t hired a fiduciary for your elderly loved one (or helped them get one)

If you live far away from your loved one and they have financial assets that need managing, you should hire a fiduciary that will help them manage their money.

Money mismanagement is a common reason why families have quarrels that last for years.

Hiring a fiduciary is helpful in preventing these.

Start the conversation on this early before it is too late.

You haven’t looked for free resources that may be available to you

Although there may be a lot of bureaucracy involved, there are a number of free resources that you and your loved one could take advantage of.

Websites like eldercare.gov are good in helping you find these resources.

 

So are you making any of these caregiver mistakes?

The good news is that any day is a good day to rectify them!


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June 14, 2019 Family Caregiver6

What is perineal care?

And why should you care about it as a caregiver?

In today’s post, I will share why perineal care for elderly adults is important and how to perform this care as a caregiver.

What is perineal care?

The perineal area or the perineum is the area of the body that surrounds a person’s genitals and anal area.

It is an area that is in the rough shape of a diamond.

Perineal care therefore refers to the care and cleaning of the area especially in people who are unable to do it for themselves.

If you have a loved one who is bedridden and or unable to perform most of their own daily care activities, perineal care is essential for them.

Why perineal care?

  • The genitals and anal area are both prone to infections mainly because this is where waste – feces and urine- pass through.
  • For a person who has an indwelling catheter, proper perineal care reduces the risk for infection.
  • Perineal care also protects the skin around the genitals and anus from breaking down. For bedridden loved ones, the risk of bed sores is high. Proper perineal care helps to keep that at bay.
  • Cleaning the perineum helps to keep your loved one comfortable.
  • For a person who is bedridden and who is unable to clean their own perineum, proper perineal care represents an opportunity for them to maintain their dignity.

How to perform perineal care

You can perform perineal care as a separate event or during bath time.

Prepare your cleaning materials. You will need:

  • 1-2 washcloths (take more if you need it)
  • A container with warm water
  • Peri-wash products – We recommend this product called Sensi Care. We like that it is unscented and good for sensitive skin. This product from Aloe Vesta is a popular, quality line. We like that this product is rinse free and a foaming blend. Soaps can dry out fragile skin. Peri wash products are recommended for each changing. PeriGiene offers an antimicrobial peri wash for those prone to urinary tract infections or pressure ulcers.

How to perform perineal care

  • Make sure to wash your hands first before you start providing perineal care.
  • Wipe your hands and wear gloves.
  • Provide your loved one with privacy during this time.
  • Explain to them you will be cleaning their perineum. If this is the first time you’re doing this, have the conversation and make sure they understand what will happen during this time. Understand that this may be embarrassing for them so make it as comfortable as possible.
  • Wet washcloth with cleaning solution that is a comfortable temperature.
  • For a woman, wipe from the front of the vagina and back towards the anus. This prevents carryover of feces into the vaginal area.
  • For a man, wipe from the scrotum towards the anus. With men, you may need to lift up the penis and the skin around the scrotum to get a proper clean.
  • Use a second wet wash cloth if you need to.
  • Use a dry washcloth to wipe the area of excess moisture.
  • If their sheets need to be changed, this is the best time to change the sheets, so you don’t have to bother them for a while.
  • Make sure to wash your own hands after you are done with the cleaning.

Dressing after perineal care

Make sure the area is thoroughly dry before putting undergarments back on. Make sure to use gentle motions and do not get abrasive while drying.

If your loved one wears cloth under garments, we recommend cotton products for breathability. Make sure these garments remain clean and use gentle cleaners to avoid irritating sensitive skin.

Protective underwear or adult diapers offer a disposable option for dressing between peri care sessions.

All products are not created equally and choosing the right disposable briefs helps control UTIs and skin breakdown.

Never double up on disposable adult diapers. We do not recommend using a diaper with a pad inserted. This can cause too much moisture to build up and encourage urinary tract infections, pressure ulcers, and yeast problems.

We like this pull-on brief from TENA because it offers great absorbency while keeping the skin dry. This pull-on brief from Tranquility is for heavy or overnight use. We like it because it absorbs so fast. There is also a tab version of the Tranquility brief that offers the same protection and absorbency.

Our friend Angel did a video showing exactly why the tranquility product is an exceptional choice for overnight use.

After perineal care

It is important to make sure you respect the dignity of your the person.

Pay attention to them if they mention that something hurts and make sure you are performing care in the most comfortable way possible for them.

Full disclosure: We do make money when you click on the product links. First, we appreciate your support and are confident you will love our partners. Second, Angel is a real person who owns a San Diego based incontinence company called Dependable Daughter.

She will answer the phone personally to make sure you get the right product for your needs! We rarely offer links in our articles, but we think this connection is important!

Did you find this post helpful?

Share it with someone else who needs know about perineal care for elderly adults.

 

 


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June 11, 2019 Home Care 1010

Your job is in one city.

And your elderly loved one lives in another.

You want to be close to them so you can help them out but you are too far away.

What’s an adult child to do?

In today’s post, I will go over 5 things you can do to help your elderly parents from a distance.

How to help your elderly parents from a distance

Get help from a trusted source

Yes it these are your parents and I know this means you may have misgivings about having someone else help them.

However, if you work with caregivers and companions from companies like Green Tree Home Care, they will be in great hands.

To ease your concerns, make sure that the home care company you decide on has great ratings on places like Google and Yelp.

Read what people have to say-both good and bad.

There will always be the people who give a one star and are not happy about anything. So I recommend that you read one-star ratings with a grain of salt unless, a majority of the ratings can be found here.

Three and four-star reviews usually give you the best look at the company.

Look for a company that provides care transparency

At Green Tree Home Care we believe in care transparency.

We keep you up to date on how your loved one is doing using a secure website called Family Room.

Using Family Room, you can check schedules, see what your loved one has been up to during care sessions and even add any pertinent appointments to the schedule.

Using this technology, not only will you see exactly what kind of care your loved one is receiving. You will also be able to stay involved in their care.

Use technology to stay in touch daily

Yes, you cannot be there physically.

But video calling now makes it easier to “be” with your family even when you’re not around.

Tools like Zoom (available on Android, iPhone and desktop computers), Skype or Facetime (Apple devices) are excellent communication tools that will help you stay in touch and help your elderly parents from a distance.

Get friends and family involved

If you have friends and family who still live around your elderly parents, get them involved if it’s appropriate.

Friends and family who are not paid caregivers could:

  • check on your parents to make sure they have everything they need
  • check on them to make sure they are safe and alright
  • send them meals when they are not well
  • help with light house-keeping
  • transport them to appointments

Help your parents hire a fiduciary

When it comes to taking care of parents who live far away, the issue of money always comes up.

If your parents saved up and are currently living on their retirement but are not fully able to handle their own finances, you can enlist a fiduciary to help.

A fiduciary is mandated by the state to help other people handle their financial assets.

Fiduciaries can also help with bill payments and make sure your parent is not behind on their payments as long as they have the one.

To read more about how a fiduciary can do for you and your loved ones, read this post.

 

 


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June 8, 2019 Family Caregiver0

Your loved one has just undergone a major surgery.

What should you expect as a caregiver?

Your health care provider will give you specific instructions after a particular surgery.

In this post, I will give you a general overview of what you can expect after your loved one goes through a major surgery; like hip replacement or organ transplant.

Let’s delve right in.

What to expect as a caregiver after a major surgery

  • One of the things you will find a nurse looking for shortly after a person wakes up from surgery is for them to pass urine. So it is likely that your loved will not be discharged until they have passed urine. However, if you find that your loved one is finding it difficult to pass urine, you should call your healthcare provider.

 

  • It is possible that after surgery, your loved one will experience pain when they cough. One of the ways to help to make this bearable to have your loved one hold and hug a pillow to their chest while they cough. So keep a pillow close by.

 

  • It is common for people to feel very tired after a major surgery-even after discharge. During this time, make sure your loved one is getting all the rest they need. If you have a full-time job, you may need to enlist the help of others. You could get friends and family or hire a professional caregiver to help your loved one during this time.

 

  • It’s important to keep on eye surgical site. Your loved is going to leave the hospital with dressing at the site. The nursing staff will give you pointers on how to change the dressing before your loved one is discharged. You want to make sure the amount of redness and swelling around the surgical site is not increasing. If you do notice that the area is red, painful and oozing white liquid and your loved one tells you they are experiencing fever, you should take your loved one to an emergency room immediately.

 

  • And speaking of surgical sites, the dressing should be dry to keep infections away.

 

  • Even though your loved one will feel weak and needs a lot of rest after surgery, it is also important that they move after surgery. It doesn’t have to be a prolonged event. Movement is good because it allows the heart to pump blood more efficiently to the legs and arms.

 

  • If your loved one still has sutures or staples, it may require that you make an appointment to have them removed.

 

  • For major surgeries, it is important for people not to lift anything heavy for at least 6 weeks. If the person had an abdominal incision, it is important that they don’t lift anything above 10 pounds.

These the general things you can expect and look out for after your loved one goes through a major surgery.

As I mentioned before, before you are discharged, you will receive a lot of information from the doctors and nurses.

If you happen to accompany your loved one here, it is important to pay careful attention.

 


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In 2015, credit monitoring company, Experian revealed they had been hacked.

A few days ago, it was Quest Diagnostics; a medical lab testing company.

These events are scary. And it makes you wonder if your information is safe anymore.

Unfortunately, hackers and scammers like to target seniors.

While there may not be much that we can do to prevent hackers from hacking the companies we do business with, there are simple rules you can follow to keep your information secure

In today’s post, I will share seven rules that will make your information less accessible to hackers.

How to keep your information secure – 7 rules to make your information less accessible

Use passwords that are hard to guess

A survey conducted by the UK National Cybersecurity Center reported that “123456” was the most common password of accounts that had been breached in 2018.

In the same survey, they found that people commonly used words like “password” and “qwerty” (for the QWERTY layout of universal keyboards) as passwords.

The lesson here: Most people set passwords that are easy to break into.

And it is understandable.

After all, you don’t want to forget your password and have to reset it every time.

However, this very train of thought is what is why so many accounts are hacked each year.

If you use social media and online banking services, it is important that you set passwords that are hard to guess.

In general:

  • Don’t use your first or last name
  • Use a combination of letters (upper and lower case), numbers and symbols for your passwords
  • Whatever you do, resist the temptation to use “password” as your password.

Change your passwords frequently

You can make it a rule to change a password every 3-6 months.

In fact, if you work with certain institutions, changing your passwords every 90 days is a requirement.

Even if you don’t work for anyone right now, changing your password frequently will make it harder for it to be guessed.

Use double authentication features

Several online services now have double authentication features that require you to establish your identity whenever you sign in from a new device or a new internet connection.

For instance, with Gmail’s double authentication system, when you try to sign in to your email from an unrecognized device, you will receive a text message or call that will ask you if you are really signing into your account.

Once you are able to verify that you’re indeed the one signing into your account, you will gain access to your email.

So add an extra layer of security with double authentication.

Erase browsing history on public computers

If you ever use an public computer to sign into your email or banking account, make sure you erase your browsing history after you have signed out of your accounts.

Certain internet browsers like Google Chrome will save password information for websites you have visited and signed into.

If someone uses the same computer after you and they go to those websites, they could very easily sign into your accounts because the password information is saved in the browser.

Limit your use of Wifi in public locations

Using free Wifi in public locations is another way you can expose your passwords to hackers.

Yes, I am aware of the lure of free Wifi at your local coffee shop or at the airport.

However, an experienced techie can easily scan the passwords of everyone who is using that particular newtwork and use it for dubious activities.

So, as much as possible, avoid logging into to free Wifi in public spaces.

Be careful what you put on social media

As fun as social media networks are designed to be, there are bad people who use it to glean information they can use to hack you.

So it is important that you don’t put everything about yourself on social media.

One of the ways people can use information from social media to hack you is through those “password answers” you sometimes have to give when you create an account online.

For instance, one of the most common questions is “What is your mother’s maiden name?”

If this information is freely available via social media, a hacker could use it.

Never give your password to anybody you don’t trust.

A recent scam has been people calling pretending to be your bank and then requesting for sensitive information like your social security number or debit card pin.

Most banks clearly state that they will never call you to request this information.

Thus, there is a 99.9% chance that the person on the other line asking for this information is looking to scam or hack you.

Don’t fall for it.

Keeping your information secure is challenging in an era of data breaches.

But following these simple rules will help you do just that.

If you found this post helpful, make sure to share it with someone else who needs to keep their information secure.

 


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