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Are you considering hospice care at home?

What is hospice care?

In this post, I will be talking about hospice care at home. I will also talk about how you and your family can get prepared when you are face with it.

What you should know about hospice care at home.

Hospice is care that is designed to give supportive care to people who are in the final phases of a terminal illness. Usually a hospice patient is not expected to live more than 6 months.

Hospice care is not meant to cure a person.

Instead, hospice care puts on an emphasis on helping patients live pain-free and as comfortably as possible.

Because the focus is on helping people live as comfortably as possible, hospice care at home is usually preferable.

When doctors have exhausted treatment options and a disease is terminal, it is likely they will make a recommendation for hospice care.

This is a tough emotional place to be for any family.

It is possible that as a caregiver, you will feel a sense of guilt for even agreeing to hospice care because it feels like giving up. However choosing hospice care for you and your loved one does not mean you have given up. It just means that in the current situation, the best thing you can do for your family member is help them live out the rest of their days without suffering while living around people they love.

It is therefore alright if you find that you need time to grieve and process the news.

Where necessary, seek counseling.

Hospice care at home- what to expect

A team of healthcare professionals manages home-based hospice care.

This will include:

  • A doctor
  • A nurse
  • Social worker
  • Clergy/chaplain for support
  • Speech, physical and occupational therapists – if needed
  • Home care professionals

Hospice programs also offer respite professionals who can step in to relieve caregivers of their work for a few hours a month.

You will need it as a caregiver so make sure to take as much advantage of it as you can.

A big change you might encounter once hospice care begins at home is that you will have more people in your home.

Home care aides, nurses and other people who work on your loved one’s case will show up at your house as part of their work.

This can be overwhelming for you and your family if you are not used to strangers coming into your home.

Voice these concerns out at the very beginning of your relationships with the professionals.

Let them know if there are things you don’t want them to touch or rooms in your house you don’t want them to enter into.

How to pay for hospice care

Medicare, most Medicaid and private health insurance companies pay for hospice care.

So if you are concerned about the financial cost of hospice care, rest assured that you will get a break when it comes to financing it.

To get more information on how Medicare covers hospice care, you can get more information by following the links below.

  1. The Medicare hotline can answer your questions about hospice benefits and Medicare-certified hospice programs. Call 1–800–MEDICARE (1–800–633–4227); callers with TTY equipment can call 1–877–486–2048.
  2. This e-booklet put out by the Centers for Medicare and Medicaid are also helpful.
  3. Frequently asked questions are on the Medicare website for your perusal.
  4. Talk to your doctor and social worker about your hospice options in your area. Once you get that, speak with the individual hospice service providers to get a clear picture of your financial obligations.

Closing Thoughts

I realize that hospice is not a comforting topic. I however realize that it is a reality thousands of families have to face each year.

In this post, I have given you an overview of what you can expect with hospice care at home and how you can begin preparing for it.

If you found this post helpful, consider bookmarking it or sharing it with someone else.

 

 


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When it comes to home care medical supplies, most people are never sure what to expect.

Perhaps, your family is currently transitioning into a home care situation and you are not sure which supplies you need.

If you find yourself wondering what you need to get and even where you need to get it especially if you live in the Greater San Diego area, no need to worry!

In this blog post, we will go over what home care medical supplies you should have handy.

PLUS, give you a shortlist of area supply stores you can visit to find what you need.

Ready to dive in?

Let’s do it.

Home care medical supplies – Here’s what you really need

Specialized/Hospital bed

Not every senior will need a special bed but sometimes it becomes necessary if there is an underlying condition.

However, specialized beds can be good for several reasons:

  1. They can be lowered, raised or reclined.
  2. They are good if you are considering hiring a home caregiver through your local home care agency
  3. Hospital beds are small, movable and can be easily maneuvered. You cannot do that with a traditional bed.
  4. Specialized mattresses that are designed especially for these beds can also reduce the incidence of pressure ulcers as this study from Ghent University in Belgium showed.
  5. Specialized beds typically come with side rail support to prevent falls.

Bedside support rail

Even if you choose to go with a traditional bed, you can still optimize it for safety.

One way you can do this is by getting a support rail to help prevent falls for your loved one.

Falls are a common health problem for seniors which can have devastating consequences.

Buying a support rail will help your loved one maneuver better in their bed and prevent them from falls and injuries.

Walker

Mobility is an issue for many older adults.

A walker will be helpful in helping your elderly loved one move around and get things done around the house independently.

Wheelchair

A wheelchair is another mobility aid that can increase the independence of your elderly loved one.

Shower chair

The shower is another place where falls can occur.

Taking a shower does not have to become a danger trap for an elder.

A shower chair can prevent that.

Staircase transport

It is best if you can customize the home so that your elderly loved one lives on the first/ground floor and doesn’t have to use the staircase.

However, I know that this may not be feasible for everyone.

In such instances, staircase transport support becomes imperative.

First aid kit

Every home needs a first aid kit!

According to the Red Cross, a good first aid kit should include:

  • 2 absorbent compress dressings (5 x 9 inches)
  • 25 adhesive bandages (assorted sizes)
  • 1 adhesive cloth tape (10 yards x 1 inch)
  • 5 antibiotic ointment packets (approximately 1 gram)
  • 5 antiseptic wipe packets
  • 2 packets of aspirin (81 mg each) (PLEASE NOTE: Aspirin is not good for everyone. It is especially not advised if your loved one is on blood thinners or bleeds easily. Alternative pain killers include ibuprofen (e.g. Advil) and acetaminophen (e.g. Tylenol).)
  • Blanket
  • 1 breathing barrier (with one-way valve)
  • 1 instant cold compress
  • 2 pair of non-latex gloves (size: large)
  • 2 hydrocortisone ointment packets (approximately 1 gram each)
  • Scissors
  • 1 roller bandage (3 inches wide)
  • 1 roller bandage (4 inches wide)
  • 5 sterile gauze pads (3 x 3 inches)
  • 5 sterile gauze pads (4 x 4 inches)
  • Oral thermometer (non-mercury/non-glass)
  • 2 triangular bandages
  • Tweezers
  • First aid instruction booklet

Or you could just go to Wal-Mart or Target and pick one up!

Non-skid bathmats

These help prevent falls in the bathroom.

Compression garments

Compression garments are used in different kinds of situations but their main purpose is to encourage blood circulation.

A common type of compression garment is the compression socks. These can be worn just like regular rocks with daily shoes to improve circulation.

Find out from your loved one’s doctor if they need one.

Adult diapers/Disposable Under-pads

Extra adult briefs and disposable under-pads are must-have home care supplies if your elderly loved one has challenges with controlling bowel movements or urine.

Disposal under-pads are especially helpful for home caregivers when they need to change your loved one in keeping messes off the bed.

Home Care Medical Supplies Stores in Greater San Diego

Here is a shortlist of San Diego home care medical supplies stores in the Greater San Diego area.

San Diego Home Care Supplies

All Home Medical Supply 

Harmony Home Medical

Advanced Medical

Closing Thoughts

Will you need all these items as you transition to home care?

Of course not!

Every individual needs something different and so you will get these items depending on your loved one’s particular needs.

This list is just to give you an idea of what items you may need to get.

If you found this post helpful, please consider sharing it someone else who needs this.

 

 

 


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September 14, 2018 Home Care 1010

Summer is winding down to a close and the Fall season is upon us.

Bye bye lighter clothes; hello jackets that keep as nice and warm.

Unfortunately however, as the year winds down to a close, so does the incidence of the common cold.

And as advanced as medicine has become in the last 100 years, there is still no cure for a cold.

But there are things you can do to help you or your elderly loved one get over a cold quicker.

For your senior loved ones who have a generally weaker immune system, every little bit of help when it comes to preventing and fighting a cold is important.

In this post, we will go over ten home remedies for the common cold that you can try this season.

10 home remedies for the common cold that work

Break out the chicken soup

In a research study that was published in Chest, a journal which is put out by the American College of Chest Physicians, scientists showed that chicken soup is helpful in fighting the cold.

In that study, they showed that chicken soup prevented the movement of a type of immune cell that supports inflammation called neutrophils. By inhibiting the movement of neutrophils, chicken soup prevents inflammation and helps you fight off the cold faster.

If there ever was a reason to drink more chicken soup, here it is!

Ginger

Ginger has long used in traditional medical practices of many cultures. I remember back in the day, my grandmother would actually give me raw ginger to chew when I had a cold. I don’t recommend it but it sure was effective!

Ginger contains a chemical called 6-gingerol. According to a study published by the Natural Products Communications Journal, has anti-inflammatory and antioxidant properties.

This means that drinking ginger tea or consuming something with ginger in it when you have a cold will help your immune system better fight off the cold virus.

Citrus

You have probably heard the advice to drink orange juice when you have a cold.

This is accurate. Citrus plants like oranges, lemons and limes are rich in vitamin C.

Vitamin C is excellent at boosting your immune system which is exactly what you need to fight off a cold.

Blow your nose regularly- but in the right way

Blowing your nose to get rid of mucus that is blocking your airways is helpful in helping you recover quickly from a cold.

It is however important that you blow your nose the right way.

If you/your elderly loved one has recently had surgery, blowing your nose too hard is not advisable.

Go to bed early

Getting adequate sleep is important to your overall well-being; and especially during a cold.

Getting to bed early when you have a cold can be a game changer.

Honey

We will forever be grateful to bees for providing us with honey.

Honey contains several antimicrobial agents that will help you fight off your cold. Additionally, it is well known in research to be a cough suppressant.

But not all honey is created equal. Some brands of honey are 50% sugar syrup!

Make sure whatever you buy is 100% pure honey so you can get all the benefits.

READ A RELATED POST: How to get ready for flu season

Use salt water as a nose rise

Salt water helps to break up the congestion and removes mucus, bacteria and viral particles from your nose.

To prepare your own home nose rinse, mix a quarter teaspoon of salt and a quarter teaspoon of baking soda in water.

Using a bulb syringe and holding one nostril closed, rinse your open nostril 2-3 times.

Repeat for your other nostril.

Stay warm

As I mentioned above, cold weather brings the cold along with it.

Keeping warm during this time will help you recover faster.

Drink hot fluids

Still with the theme of keeping warm, drink hot fluids.

Hot fluids also can help with breaking up mucus and relieving congestion.

Hot tea and hot chocolate are excellent choices.

Try over the counter cold and cough medications

Last but not least, there is no rule that says you cannot pop into your local pharmacy and grab some over-the-counter medication to help with your cold.

A lot of the over-the-counter cold medications typically contain acetaminophen which helps with all those aches and pains. It is also likely to contain an antihistamine such as diphenhydramine which helps with congestion and suppresses any cough you might have with the cold.

Antihistamines also help with sleep- which as we discussed above is important to helping you heal.

Closing Thoughts

The common cold is annoyingly uncomfortable.

But at least once this season, they may be a few days you come down with it.

In this post, I have armed you with 10 home remedies for the common cold that are proven to work.

Did you enjoy this post?

Share it with someone else as we draw closer to Fall!

 


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Back pain is a common complaint for a lot of people.

In fact, it is so common, it can be easy to ignore back pain.

Statistically, 80% of adults will complain of back pain in their lifetimes.

For older adults, the pain can be jokingly dismissed as “old age problems”. But is this always the case?

Should we be paying more attention to back pain and what it means for our elderly loved ones’ health?

Just because the pain is common does not mean you have to live with it.

In this post, we will talk about some of the common causes of back pain and how you as a caregiver (or older adult yourself) can keep this problem at bay.

Causes of Back Pain

Back pain may occur for many reasons, including:

  • Sharp back pain can occur as a result of lifting heavy objects.
  • Traumatic injuries from accidents can also cause back pain.
  • Disc degeneration – This happens when the rubbery discs in between the bones of your spine (vertebra) begin to wear away due to old age. Normally, these rubbery discs will support the movement and pressure of the spine. When they wear down, bones begin to rub against each other and stiffness can also happen.
  • Herniated or ruptured discs – This happens when the rubbery discs we learned of above protrude or become compressed.
  • “Pinched” nerves/Nerve damage – If some some reason the nerves to your spine/back become compressed, this can also contribute to back pain. Inflammation or an injury could cause this.
  • Sciatica – This a form of “pinched” nerve that specifically affects the sciatic nerve. The sciatic nerve is a large nerve that travels through the buttocks to the back of the leg.
  • Spinal irregularities – Any curvature of the spine can also cause pain.
  • Spondylolisthesis – This is a condition in which a vertebra of the lower spine slips out of place, pinching the nerves exiting the spinal column.
  • Excessive weight which puts stress on back muscles can also cause back pain.

Most of these causes of back pain are issues that can be handled with at home therapy or with the help of a chiropractor/osteopathic practitioner.

Sometimes however, back pain may simply be a symptom of a much larger problem.

It is always best to check and make sure so any serious condition such as an infection, osteoporosis, fibromyalgia or even cancer of the spine is not responsible for the pain.

Preventing Back Pain

In the case of back pain that is dependent on an existing medical condition, treatment of the condition will usually help to alleviate the pain.

Treatment may involve surgery and prescription medication.

There are simple practices however that can help you or your elderly loved one keep back pain at bay for as long as possible.

  • Always stretch before exercise or any strenuous activity.
  • Don’t lift heavy objects. If you do need to lift, use proper body mechanics. Instead of bending your back to pick objects up, lower your entire body and lift objects up using your knees as support.
  • Do not slouch when you’re sitting or standing.
  • Place back support on your chairs to help with posture when you sit.
  • Wear comfortable, low-heeled shoes.
  • Eat a healthy, balanced diet to prevent excessive weight gain which can put stress and strain on your back muscles.
  • Exercise regularly. This keeps the blood flowing and muscles healthy. Additionally, exercise releases endorphins. Endorphins are natural “painkillers” which give people a great sense of well-being.
  • Quit smoking. Smoking reduces blood flow to the lower spine. Decreased blood flow to the lower spine can contribute to spinal disc degeneration. Smoking also increases the risk of osteoporosis and impedes healing. Smoke-induced coughing can cause back pain as well.

As a caregiver, these are all things you can encourage your elderly loved one to do to help prevent back pain and keep a healthy back.

If you found this post useful, please consider sharing it with someone else who needs advice on how to prevent back pain.

 


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According to the National Adult Protective Services Association, one in nine seniors have reported financial exploitation.

This is incredibly sad and unfortunate.

And what makes it even more difficult to spot and prevent is that the abusers are typically close relatives.

This post will be useful to you whether you’re a caregiver or a senior.

In this post I will discuss ways to spot, prevent and deal with financial abuse.

But first, let’s start with a definition.

What is financial elder abuse?

Financial elder abuse occurs when a person misuses or takes the assets of a vulnerable senior for his or her own personal benefit without prior, explicit consent of the senior.

If a personal disregards the advance directives/living will or estate plan of a living but incapacitated senior for their personal gain, this can be considered financial elder abuse as well.

Types of financial elder abuse

Per the definition above, financial elder abuse can take different forms.

If you see any of the following going on, you can suspect that financial exploitation is going on.

  1. Fraud. This involves forging signatures, taking out funds in the name of the senior, unauthorized check-writing and basically any financial representation of the senior without their prior consent.
  2. Theft. This would involve taking and/or using any asset of the senior without their knowledge. Clothes, cars and jewelry that are taken out of a senior’s house without their knowledge even if you are closely related to them is theft and is a form of financial abuse.
  3. Investments made without the knowledge of the senior is financial abuse. Even if you think an investment will be good for an elderly relative, it is important to ask first before you make an investment on their behalf.
  4. Lottery scams.
  5. Electronic phishing scams that target retirement funds or any other financial asset is also financial abuse.
  6. Real estate fraud which involves transferring property titles out of the name of the senior into another person’s name.
  7. Insurance fraud. This involves life insurance and health insurance.
  8. Businesses can also commit elder abuse if they charge money for work they have not done for a senior just because they think the senior will not check details.

And these examples are just the tip of the iceberg when it comes to financial elder abuse.

If you are a caregiver or a adult child of a senior, a good rule of thumb to follow is to make sure NOTHING is done that with the assets of your relative or parent that they have not consented to or which does not honor their advance directives or living will.

How to prevent financial elder abuse

  1. Know the types of financial abuse that exist. This is what I have listed for you above.
  2. Make sure to fully read and understand all contracts before you sign anything.
  3. Start planning your estate now. Read our previous posts on estate planning and advance directives.
  4. If you are a concerned person and you notice that every time the issue of money is brought up, a spouse, adult child or caregiver does not allow a senior to speak, it is probable that financial elder abuse is going on. Report it immediately to prevent it from getting worse.
  5. If you are a close relative, be careful not to fall into the trap of becoming the financial abuser.

If you are a senior, make sure you only deal with companies who have proven track records when it comes to your money.

Make sure to get everything in writing and not just “take people’s word for it”. As much as you may trust certain people, if a case ever goes to the court of law, unfortunately, “he said” or “she said” will not cut it.

Last but not least, don’t sign any contract you have not fully read and understood. If the person asking you to sign the contract is rushing you or telling you that whatever they are offering is a “limited offer” and that you must “take action now”, these are red flags. If the person is not willing to allow you to take the contract and think about it for at least 3 days so you can make a decision, it may be best that you don’t get into business with them.

How to deal with financial elder abuse once it has happened

What if financial elder abuse is already happening?

What should you do?

Report it.

In the state of California, you can report financial elder abuse by calling your District Attorney’s office.

You can check the California District Attorney’s Association for you DA’s current address and phone numbers by calling 916-443-2017 or by visiting http://www.cdaa.org.

By California law, you are supposed to follow this up with a written report 2 days later.

If you live in San Diego, here is the information you will need.

Hall of Justice
330 W. Broadway
San Diego, CA 92101
619-531-4040
FAX: 619-237-1351

San Diego County Adult Protective Services/Elder Abuse Hotline: 800-510-2020

Failure to report financial abuse is a crime in the state of California that is punishable by six months in county jail and a $1000 fine.

Closing Thoughts

Financial elder abuse is a horrible common problem and moreover it is a crime.

If you are committing this crime, the time to stop is NOW.

If you have observed it happen, it is your duty to report it.

 


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August 27, 2018 Home Care 1010

Estate planning sounds so grandiose that you could easily dismiss it.

The reality however is that everyone has an estate.

It may not be a million dollars in liquid cash, but as long as you own it, it is an estate and thus you should make preparations for it for two scenarios:

  • If you ever are unable to make decisions because of an incapacitating illness
  • In the event of your passing away

What will happen to your finances, homes, cars and investments when you pass away?

Have you appointed a power of attorney if you are ever unable to make decisions that affect your life?

As a caregiver, are these questions you have brought up to your elderly loved one?

I’ll admit. It is difficult to talk about death; let alone plan for it.

However, talking about it and making plans now will avoid a lot of confusion and family drama later on.

Estate planning simply refers to an advance plan you make that decides who (a person/people or organization) gets your possessions once you die.

In today’s post, we will be talking about estate planning basics everyone should be aware of.

This information is useful for you both as a caregiver and as an individual.

Estate Planning Basics- Here’s What You Should Know

7 Facts about estate planning

  1. Everyone needs a plan. Not just seniors or retired people.
  2. If you don’t have an intentional estate plan, your state government will decide what happens to your possessions after you die. It is unlikely that you would be happy with it. All the more reason why you should have an estate plan.
  3. Planning your estate will help you organize your records. Sometimes you may not even realize that certain bank accounts or money due you is part of your estate. By planning now, you can account for all those pieces of property you don’t even think about.
  4. As I mentioned earlier, planning now will avoid family drama later. So many families are thrown into turmoil with lawsuit after lawsuit after a loved one passes away and no will is left.
  5. Pass on your values on money and hard work when you plan your estate.
  6. A good estate plan also includes creating an advance directive where you appoint a power of attorney who can make health decisions for you if you are ever in a state where you cannot make decisions for yourself.
  7. An estate plan will ensure your dependents are taken care of in the event of your death.

Yes it is true- an estate plan will not completely wipe out or solve the issues raised above.

It can however significantly reduce their occurrence.

What should your estate plan include?

Your estate plan should cover as wide of a scope as possible.

Even though we cannot cover them all in this post, your estate plan should the following areas.

PLEASE NOTE: Even though we are including many of the aspects of estate planning here, please talk to your attorney to make sure all your bases are covered.

  1. Protecting your assets. It is important during estate planning for you to take stock of what you own. It is important to make a list of bank accounts, investments, homes, cars, furniture etc that are in your name and nobody else’s. If you co-own something, it is important that you and the person or persons who co-own the asset with agree to what will happen to your portion in the event of your death. Write down this agreement. A lawyer should also witness the agreement. And even with things that you co-own, depending on state law, your portion could go to the surviving co-owners who can then decide whether or not they want to turn your portion over to your family.
  2. Business planning. If you own a business, what happens to the business after your death is also an important thing to include in planning your estate.
  3. Disability and illness. In case of a disability or incapacitating illness, what decisions do you want to be made? Where will the money come for your care?
  4. Elder care. What are your preferences when it comes to elder care? How will your loved ones pay for it? Whether you or your elderly chooses home care or assisted living, there will be a cost involved. Being clear as to your preferences will clear up confusion later on.
  5. The administration of your estate. This involves naming an executor who will oversee the distribution of assets after your death.
  6. Giving. Do you want to leave money to an organization you care about? Estate planning will help you take care of that as well.
  7. Inheritance. Do you plan on leaving portions of your estate to a surviving spouse, children, grandchildren or other relative? Estate planning includes planning the inheritance you will leave behind. Setting up beneficiaries of plans such as life insurance, 401Ks and IRAs are also included here.
  8. Retirement planning. Planning for your retirement starts NOW. Not when you are ready to retire. This is why I mentioned above that estate planning is not just for the elderly.
  9. Trusts.
  10. Guardian appointment. Estate planning is not just for the elderly. If you have minor children, it is important to name a guardian who will take over the care of your children in case of your death. You love your children and want to leave them in the hands of someone who will do a great job. Not someone the state has appointed to take care of your children.
  11. Funeral arrangements. These will include plans for your funeral ceremony and decisions as to where you would like to be buried or whether you would like to be cremated.
  12. Estate taxes. You don’t want to leave your family with huge tax bills for your estate. Speak with a lawyer who is well-versed in tax law about this. It will help to reduce this financial burden for your family after you die.

Recommendations

As you can see, you have to take a lot into consideration when you are planning your estate!

And this is the reason why planning your estate starts right now.

As a caregiver/adult child/loved on of an elderly person who has no such plan in place, it is best if you can encourage them to do so as soon as possible.

As a young person who is reading this, all this advice applies to you too.

We recommend that you or your elderly loved one begin by making a list of all you own and then using the different categories stated above, make a plan for what will happen in case of your death.

Once you have written this down, you can hire the services of a lawyer for a few hours to oversee what you created and offer suggestions.

The point here is to have a plan in place before you ever need one.

Did you find this post helpful?

Please share it with someone else.

 

 


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August 20, 2018 Home Care 1010

Deciding between assisted living and home care is an overwhelming process.

When a loved one has come to a point where they need assistance in their daily routine, you have a big choice to make. You start to research all of the different care options available. Should you look at assisted living or in home care? Which one is better for you? 

How do you make the decision between assisted living vs home care without feeling guilty?

And how do you make a decision that suits your financial situation?

There is no doubt that there are many factors to consider.

In this post, I will be breaking down each side to help you come to decision that works for you, your aging loved one and your family.

Assisted Living Vs Home Care: How Do You Choose?

Assisted Living

One of the biggest reasons people don’t choose assisted living is because of the high costs.

There is also the issue that sometimes aging family members don’t do well when they are away from the rest of the family.

And then of course, there is the guilt a lot of family members feel due to a sense that they are “abandoning” loved ones by choosing assisted living.

Let’s tackle each of these.

Cost

Costs of assisted living will vary based on the city and state you live in.

However, it is easy to look at the price of assisted living listed on the brochure and conclude that it is not for you.

Have you however taken a moment to calculate the costs of providing in-home care for your elderly loved one?

Apart from hiring experienced in-home caregivers who do an excellent job, perhaps providing care at home means you have to take a cut in your work time.

This is a financial cost too.

Perhaps home care requires that you modify your home to assist the mobility needs of your aging relative.

There is a respectable cost incurred here as well.

Factor in additional “fringe” costs of keeping your loved one at home and it is possible that you will come to the conclusion that assisted living costs about the same.

Emotional Guilt

Another reason people choose against assisted living is emotional guilt.

Your parents or aging relative might have been your caregiver when you were growing up.

You love them dearly. And so the thought of signing them up for assisted living feels like you’re abandoning them.

Perhaps your current job is too demanding and you can’t give them the full attention they need.

Your feelings are completely valid.

In such circumstances, it is a good time to talk this situation over with your aging loved one.

During this conversation, it will be important to be completely honest with your aging loved one about why keeping them at home is no longer feasible.

Assure them of your love for them and follow through with visits and constant support if you finally settle on assisted living.

Helping Your Loved One Cope With Separation

This point ties into the one above.

As human beings, we consider change a threat- whether that change is small or big.

Thus, it is natural for your aging loved one to feel that they are no longer wanted when you suggest assisted living as a care option.

This could even lead to a depressive state for your elderly loved one.

If necessary, talk this through with a licensed therapist to make sure you are on the same page with the decision.

To help your aging loved one cope with the separation, it might also be wise to pick them up for family events throughout the year so they don’t feel isolated.

Home Care

We’ve talked extensively about the advantages of home care on this blog.

As a company, we truly believe choosing excellent home caregivers can provide you with the relief and peace of mind you need while ensuring your aging loved one gets the best care.

However, we also believe in doing what is best for your family and particular situation.

With that clarification,  over the long haul, home care is sometimes cheaper than assisted living.

Additionally, your aging loved one will not be separated from their family. Do they verbalize that they feel safer at home? Are they part of community organizations such as a church or volunteer at the local hospital? In these instances it might be a smart decision to keep them at home while they receive in-home care.

It also means you will not have to spend money on gas, tolls and car maintenance to visit your loved one- as the situation would be with assisted living.

In assisted living facilities, one-on-one care is not possible.

With home care, personalized care is the standard.

On average, caregivers spend 20 extra hours per week caring for their loved ones.

Choosing professional home care could help you regain those 20 extra hours back.

And that guilty feeling of “abandoning” your aging loved one? That fear is removed. Why? Because you still get to enjoy your aging loved one in an environment they feel comfortable in.

Do you live in the San Diego area?

Are you in need of reliable home care professionals? Green Tree Home Care can help! Give us a call today at 800-518-9277.

We agree: It is not an easy decision

If the answer were straightforward, we would all know it by now, right?

Ultimately when it comes to choosing between assisted living vs home care, you have to think about what makes sense emotionally and financially in your situation.

This post lays out the broad picture of what you can expect should you go one route or the other.

Enjoyed this post?

Share it with someone else who is making a decision between assisted living and home care.

 

 


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June 29, 2018 Home Care 1010

It might sound absurd, but investing in a shower chair could save you thousands of dollars and save the life of your elderly loved one.

According to a report by the Centers for Disease Control, in the US, falls are the leading cause of death for seniors.

That is ahead of all the common causes of senior deaths including Alzheimer’s, heart disease or any kind of infection.

One in four adults above age 65 falls everyday.

In 2014 alone, there were 29 million senior falls resulting in 7 million injuries and resulting in $31 billion in annual Medicare costs.

In short, when a senior falls it can be both expensive and deadly.

One of the places seniors fall is in the shower.

As an excellent caregiver, you want to avoid this.

In this post, I will go over the reasons you should seriously consider getting a shower chair for your elderly loved one.

5 Reasons A Shower Chair Is A Must For Your Loved One

#1- A shower chair will save your loved one’s life

I already mentioned that over 7 million injuries occur as a result of falls each year.

When these injuries happen, there are several things that could happen.

Broken bones are one such injury. As we age, our bones become less dense and so fractures happen easily.

One of the complications of a fracture are embolisms (blood clots) which are notorious for killing people without them showing any symptoms. A break in the spine or neck could paralyze your elderly loved one.

Skin breaks can also occur during such a fall and lead to a stubborn infection.

Safety with a shower chair to avoid this.

#2- A shower chair will save you money

Yes, a shower chair may not be cheap upfront, but not investing in one could be costlier.

Whether you’re paying out of pocket or you have great health insurance, the costs of a fall soar very easily.

It is likely that when they fall and obtain an injury, they will have to be sent to the emergency room.

In the emergency room, the doctor may determine that it is better for them to be admitted at the hospital.

Surgery may be needed if there are critical muscles/organs/bones injured during the fall.

Hospital-acquired infections are common among the elderly. This could prolong hospitalization.

As you can see, there are costs at every turn when a fall happens and medical attention is sought.

Most of these can be avoided by providing your elderly loved one with a shower chair.

#3- A shower chair promotes independence

I know I’ve talked mostly about a shower chair preventing falls.

However, another great benefit of getting a shower chair for your elderly loved one is that it promotes a sense of independence for them.

As people age, they begin to have a sense that they have lost control of most things in their life.

Kids leaving home, more people their age dying plus progressively getting physically weaker can trigger depression in elders.

One of the areas in life that is private to each one of us is the ability to take a bath/shower without assistance.

Losing that as well can be a big blow.

A shower chair allows your elderly loved one to perform this daily function with little assistance and helps them maintain a sense of independence and control.

#4- A shower chair is also helpful for caregivers

A shower chair is helpful for caregivers too.

In case there is a day they absolutely have to give your elderly loved one a bath, having a shower chair will make a caregivers work easier.

It is easy to maneuver and give a good bath when the other person is seated.

#5 – A shower chair can be used on a trip

Most shower chairs are designed to fit a standard shower.

Going on a trip for a few days?

The shower chair can be folded up and packed up at the back of a van.

No need to worry about falling or injuries while on your trip!

Closing Thoughts

Falls are expensive and are a leading cause of death in seniors.

The good news is that falls are preventable.

One of the common places in the home a senior is most likely to fall is in the bathroom.

A shower chair can keep your senior loved one safe and alive.

Did you find this post useful? Share it with someone else who will find it useful.


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June 22, 2018 Home Care 1010

No matter what age you are, downsizing is a difficult transition.

There is therefore no doubt that downsizing your elderly loved one’s home in preparation for a move to live with you or a move to live at a nursing home is difficult.

In this post, we will go over how you as a caregiver, can make downsizing a home as painless as possible for your elderly loved one.

Downsizing a Home – How to Make it as Painless as Possible

Downsizing and moving a home you have lived in for 20, 30 or 40 years is not a light issue.

When you add in a sense of a loss of control, things get sticky quickly.

As a caregiver, it is important for you to realize that no matter how you slice and sautee it, downsizing will take an emotional toll on you and your elderly loved one.

Have an open discussion

The road to an efficient downsizing and moving transition is paved with discussion.

If there is enough time to prepare, I recommend that the conversation starts at least 3 months before the actual event.

People do need time to grieve losses. Getting rid of items that have sentimental value and moving out of a home triggers a sense of loss in many ways.

First, there is the loss of the physical items.

And then, there is a fear of the loss of the memories those items represent.

Last but not least, there is a sense where the elderly adult begins to feel a sense of loss of control over their very lives.

Those are heavy emotions to navigate.

Having an open discussion will help them come to terms with what is happening and give them an opportunity to psychologically let go.

During the discussion:

  • Mention clearly why downsizing and moving have become necessary for them. Perhaps they currently struggle to move around or they are forgetting to take their medication. Be kind but clear that you have their best interests at heart.
  • Ask them how they feel about downsizing and moving. As I mentioned already, the introduction of this topic will already make an older adult feel like they are losing control over their life. It is therefore important they their input is taken seriously during this discussion.
  • Discuss a plan with them. Once you have their input, it is time to discuss a plan. I’ll expand on that below.

The plan to downsize (PLUS A CHECKLIST)

Having the discussion ahead of time also gives you a long period over which to spread downsizing.

Chances are that you will have to go through a number of possessions that have been accumulated over the years.

Giving yourself time to sort through and get rid of things reduces the stress felt by everyone.

You can print off the checklist below to make sure you help your loved one downsize efficiently.

  • Make a list of what your loved one would absolutely love to keep. It makes it easier when it comes to getting rid of sentimental items. Have a notebook where you make important notes on what they want to keep.
  • Set a firm date for completion of the downsize and/or move. This gives everyone a deadline to work towards.
  • Start by going through the house room by room. It helps to make the de-cluttering and clean up process easier.
  • Get rid of the unimportant things first. Expired food, drinks and medications in shelves can cabinets can be tossed first.
  • Get rid of or donate old clothes and books. Goodwill, churches/places of worship and The Salvation Army are good places to start donating.
  • Alternatively, you can help your elderly loved one start a yard/estate sale to make some money off their old items.
  • Shred old/cancelled checks, banks statements older than 7 years or any other document that is outdated but which has sensitive information on them. Avoid senior scams!
  • Locate and collect important documents like wills and Advance Directives. These need to be stored securely if possible in a safe deposit box until it is needed.
  • Keep de-cluttering for a few hours each week and remember to keep things lively and stress-free.

Selling the home, vehicles and changing addresses

  • Do they need to sell their house? You will need to speak with a real estate agent and make arrangements for listing, showing and finally selling the home.
  • File a change of address at the post-office for your loved one so they don’t miss any important mail. You may also have to change their address directly with banks, financial institutions (if they have investments), insurance companies and publication subscriptions. This is a good time to cancel any of these mailings your loved one will no longer need.
  • Vehicles can also be donated or sold.
  • If there are pets involved, make sure to have plans for them too.
  • Cancel utilities like gas and water.
  • If it is financially feasible, get in touch with professional movers. Otherwise, get the help of friends and family to help with the final move.

Items that have sentimental value

Because sentimental items can be a point of contention, it is best if you do this last.

If you have already made a list of items they want to keep, this should make things easy.

But do expect resistance against getting rid of certain items like heirlooms and even things as simple as particular clothing their children wore.

Closing Thoughts

Downsizing your elderly loved one’s life to a few suitcases and boxes is an immensely difficult decision.

Having a candid discussion and a solid plan ahead of them makes the transition easier.

In this post, I gave you a check-list you can print out and use to help your loved one downsize and move with grace and dignity.

Liked this post?

Share with someone who is helping their elderly loved one downsize.


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San Diego palliative care. What is it?

A serious illness does not just affect a person physically.

It can adversely affect a person’s sense of self-worth and what it means for them to be productive members of society.

A serious illness can affect a person’s ability to eat and enjoy family events. It can affect the ability to do the basic activities of daily living like using the bathroom, taking a shower and putting on clothes.

These serious illnesses are debilitating and can leave individuals feeling depressed.

That is where palliative care comes in.

Palliative care is care that is given during a serious illness to help the person feel better physically, emotionally, socially and spiritually.

The ultimate goal with palliative care is to provide comfort that helps improve a person’s quality of life throughout the course of the serious illness.

Serious illnesses that may require palliative care include:

  • Cancer
  • Heart disease
  • Lung disease
  • Kidney failure
  • Dementia
  • Alzheimer’s Disease
  • HIV/AIDS

While receiving palliative care, people can still receive curative care for the disease from a regular doctor.

Occasionally, palliative care is confused with hospice.

Although palliative care and hospice care are similar concepts, they are not the same thing.

Palliative care is provided for people to receive comfort during their serious illness, as we established above.

On the other hand, hospice care is provided to people who are expected to live for 6 more months or less.

Who provides palliative care?

Different aspects of palliative care can be provided by a number of healthcare professionals including doctors, nurses, physical therapists, registered dietitians and social workers.

Home health and home care agencies can also provide you and your loved one with palliative care.

In San Diego, you can rely on GreenTree Home Care for palliative care if need be.

Does your loved one need it?

Determining if your loved one needs palliative care is a collective decision.

You cannot force it on your loved one.

The decision to start palliative care however is made simpler if there is an advance directive.

An advance directive is a legal document that states what decisions should be made during a serious illness. Palliative care measures can be included in an advance directive.

In the case where the advance directive names a healthcare proxy- the healthcare proxy can decide if palliative care is right.

*A healthcare proxy is a person who is appointed in an advance directive to take crucial healthcare decisions should the seriously ill person become incapable of making healthcare decisions. Such an instance includes if the person becomes unconscious because of their illness.

If an advance directive does not exist however, and the person is conscious, you can have this important conversation with them.

During this conversation, it is important not to force your will or ideas on your loved one.

If a family doctor is present during this conversation, this is great.

The doctor will be able to explain the healthcare implications of receiving palliative care.

It is also important to listen to what your loved one is saying during this conversation.

Not everybody wants palliative care. Even though, research shows that it is beneficial.

If your loved one communicates this to you, respect it.

On the other hand, if they decide to go for palliative care, you can make arrangements with the healthcare practitioners taking care of your loved to start care as soon as possible.

How to pay for San Diego palliative care

One of the reasons people never even look into palliative care is because they are afraid of facing more financial responsibilities.

You will be glad to know however that palliative care is covered by Medicare Part B and Medicaid.

Some private insurance companies cover it too.

You can reach out to your insurance’s customer service or you can reach Medicare at 1-800-MEDICARE and Medicaid at 877-267-2323.

Find out what the options are to pay for palliative care from these sources so your loved one can receive the quality care they need.

Closing Thoughts

Choosing palliative care does not mean a person has given up on life.

Nor does it mean a person is going to die.

Choosing palliative care can in fact be the reason why a person with an otherwise debilitating disease gets to enjoy life in spite of their serious illness.

If you found this post helpful, make sure to bookmark it and share it with someone else who is asking questions about receiving palliative care.


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