Category: Practical Tips and Resources

Hospital to Home Service with Free Month of Lifeline

Blog Post by Mike Brunt

Being discharged from a hospital or skilled nursing facility is a time of mixed emotions for seniors. Sure, they are happy to be getting back to their familiar surroundings, but physical weakness and health concerns can make getting home and settling in a formidable task.

Enter, Home Instead Senior Care. We just launched an area-wide promotional offer that includes transportation home, four hours of caregiving, and Lifeline activation plus month of Lifeline service all for only $99.

Patients who take advantage of this offer will have no obligation to setup ongoing services with Home Instead and may cancel the Lifeline service after the initial month. This is truly a focused, one-time service to make sure people are getting home safely and settled there. The Home Instead CAREGivers are screened, trained, bonded professionals who can help unpack, do laundry, pick up prescriptions, prepare food, help arrange living spaces, and do whatever else may be needed to get  the patient back into their home routine.

Nurses, social workers, and care managers have expressed gratitude for this incredible offer they can pass along to their patients. “This is great marketing,” said one social worker at a skilled nursing facility in Hillsboro. Under normal circumstances, the $99 wouldn’t even cover the activation and first month of Lifeline let alone transportation from the hospital with 4 hours of caregiving attached.

Please help spread the word about this amazing offer to families who are anticipating a discharge from a hospital, skilled nursing facility, or other healthcare setting. Thanks!

 

Link to Printable “Hospital to Home” Brochure

 

How to Help Your Senior Manage Medications – Video

Blog Post by Home Instead Senior Care offices in the Portland Metro Area

In this video, certified senior advisor Mary Alexander, from Home Instead Senior Care, talks about the difficulties many seniors have managing their medications and ways to offer help. This video is designed for anyone who is caring for an elderly person be it a parent, other relative or friend.

How to Help Your Senior Manage Medications - Video

 

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Though Shunned, Exercise Would Help Arthritis

Content from NPR’s Health Blog

People with knee arthritis are doing a lousy job of getting exercise, according to a new study. That’s not a huge surprise. Who wants to run with aching knees? It’s human nature to want to coddle aches, not exercise them.

But exercise is actually good medicine for osteoarthritis according to the Centers for Disease Control and Prevention. It is proven to reduce pain and inflammation, makes it easier to move, and can prevent or delay disability.

Alas, the people with knee arthritis tracked in this new study are not doing themselves any favors on that front. A majority of the women (56.5 percent) and lots of the men (40 percent) were inactive. That means they got no exercise that would count as moderate (like brisk walking) or vigorous (biking or running) for at least 10 minutes anytime in the course of a week.

“Physical activity for people with arthritis is a key to better health, without question,” says Dorothy Dunlop, an associate professor of medicine at Northwestern University’s Feinberg School of Medicine. But she knows the reality. “They are dealing with pain and stiffness and barriers to being active.”

Her new study, published in the August issue of Arthritis & Rheumatism, tracked 1,111 adults ages 49 to 84 with knee osteoarthritis for a week using accelerometers, which are fancy pedometers. There was no display on the unit, so people didn’t know how much, or how little, activity they had logged. Turns out their exercise levels were a lot lower than found in previous studies in which people self-reported on their activities.

A few of the study participants were getting a move on; 13 percent of the men and 7.7 percent of the women met federal physical activity guidelines: at least 150 minutes (2 hours and 30 minutes) a week of moderate-intensity exercise, or 75 minutes (1 hour and 15 minutes) a week of vigorous-intensity aerobic physical activity. But for that big group of arthritis sufferers who weren’t doing squat, Dunlop says that just getting off the couch would be good. In other words, any activity is better than none.

“Walking is a wonderful exercise,” Dunlop told Shots. “Just finding a neighbor you enjoy [talking with] and going out for a walk instead of talking over the fence would be a great way to weave that into your day.”

Aside from asking one’s doctor for advice on appropriate exercise, Dunlop recommends checking out local chapters of the Arthritis Foundation, which often sponsor water aerobics classes, as well as the local YMCA. Should getting wet sound unappealing, the foundation’s website features exercise videos that can be followed in the comfort of one’s TV room, right next to that now-neglected couch.

 

Warning Signs of Senior Nutritional Risk

Blog Post by Home Instead Senior Care offices in the Portland Metro Area

The Warning Signs: Is Your Senior Loved One at Nutritional Risk?

Warning Signs The changes can seem subtle at first. Mom has more sweets on her grocery list and fewer fresh fruits and vegetables. Dad’s refrigerator smells from moldy and outdated food.

Nutritional warning signs could be indicative that your parent is headed down the wrong road and failing to thrive. “Nutrition is certainly a key factor to an individual’s overall health and well-being,” said Sandy Markwood, Chief Executive Officer (CEO) of the National Association of Area Agencies on Aging (n4a), whose members coordinate the popular home-delivered meals program, also known as “Meals On Wheels®“.

“If someone is at risk, their health is impacted. Combine that with loneliness and you’re looking at increased mental and physical health risks.”

Following, from the Home Instead Senior Care® network’s Craving CompanionshipSM program, are some of the indicators of elderly nutritional risk for seniors who live alone, and suggestions for family caregivers:

  • The loneliness. Who wants to eat alone? Not only are seniors at more risk of poor nutrition, loneliness can lead to elderly depression, which could make problems worse. More than three-fourths (76 percent) of seniors who live alone eat alone most of the time, according to Home Instead Senior Care network research. Suggestion: Try to make sure your older loved one has companionship at home or in a congregate meal site.
  • The multiple meds. Nearly three-fourths (71 percent) of seniors take three or more different medications a day, according to research. Suggestion: Talk to your senior loved one’s health care team about how medications might be impacting your older adult’s appetite and discuss with them what to do about it.
  • The lack of healthy staples. Nearly half (46 percent) of seniors who live alone consume few fruits, vegetables or milk products, the survey revealed. Suggestion: In season, why not find an affordable, local farmer’s market. Talk with your older loved one about their favorite recipes – or yours – that incorporate healthy products.
  • The illness. Many older adults are struggling with conditions of aging. Some don’t feel like eating as a result. Others – 31 percent in the Home Instead Senior Care research – say that an illness or condition has forced them to change the food they eat. Suggestion: Discovering favorite recipes from the recipe box and making mealtime a social event may help.
  • Read more warning signs and suggestions to address them.

 

 

Book: “Moments This Good, The Softer Side of Alzheimer’s”

Book Recommendation by Mike Brunt

Bonnie Nester’s latest book, ”Moments this Good: The Softer Side of Alzheimer’s,” is a memoir of hope and love.  Join Bonnie as she walks beside her mother through the tangled trails of Alzheimer’s Disease. In “Moments this Good,” Bonnie shares her experiences and insights in a tender and a lovingly humorous way. This is an uplifting, encouraging read to guide others who are losing loved ones to this debilitating disease. Moments This Good gives back the humanity and dignity that Alzheimer’s tries to steal. 

A Portion of the proceeds for this book are donated to the Alzheimer’s Association.

If you would like to purchase a signed and/or personalized copy of any of her books, contact her directly.  She also welcomes any comments – she loves hearing from fellow readers: bonnie@bonnienester.com.

Publication Date: May 2008
ISBN: 9780980244601
208 Pages
26 Black & White Photos
Golden Quill Publishing

Order “Moments this Good”

Read an Excerpt
Bonnie lives in Sherwood, Oregon and is a supporter of Senior Provider Information Network. Learn more about Bonnie and her work at http://www.bonnienester.com/.

New Toolkit Helps Track Senior Medications

Blog Post by Home Instead Senior Care offices in the Portland Metro Area

Proper Medication Tracking is Vital to Keeping Seniors Healthy
You’ve just walked out of your mother’s latest doctor’s appointment and your head is spinning. The doctor wants to change the dosage on two medications, stop a third, and start a new fourth medication. Some of the medications need to be taken on an empty stomach and some with food. Some medicines your mother should take twice a day and some just in the evening. Keeping it all straight is making your head ache.
Even more importantly, however, is what can happen if you, and your mother, don’t track her medications properly. On average, seniors ages 85 and older take 34 prescriptions, including refills, per year, according to the American Society of Consultant Pharmacists (ASCP). And adverse drug reactions (ADRs) or noncompliance are responsible for 28 percent of all hospitalizations of the elderly, the organization reports.

The sheer volume of medications that most seniors are taking has the potential to create the perfect storm. Medication-related problems can cause, aggravate or contribute to common and costly geriatric problems including:

  • Depression

  • Dizziness

  • Falls

  • Incontinence

  • Insomnia

  • Loss of coordination

  • Malnutrition/dehydration

  • Memory loss

  • Psychiatric problems

 

Tools and Resources for Family Caregivers
Pill organizers can help track multiple prescriptions. So can the assistance of a family or professional caregiver. The Home Instead Senior Care® network offers many resources to help family caregivers stay on top of their loved ones’ medical situations.

In addition to in-home care services, Home Instead Senior Care has worked with Humana Points of Caregiving® to develop an information management toolkit and the Caring for Your Parents: Senior Emergency KitSM website to help you track medications and other important information regarding your senior loved ones’ health. This toolkit includes checklists and worksheets for medications, conditions, allergies, doctors, health advisors and important documents.

If you are facing caregiving challenges in your family, we want to help. Please contact your local Home Instead Senior Care office for more of these resources or to schedule a no-cost in-home consultation to learn more about how we can help you and your parents.

Most Baby Boomers Lack A Plan To Care For Parents

By Janice Lloyd, USA Today, June 17, 2011
Link to Original Article

A majority of Baby Boomers say they are likely to become caregivers for their parents, but only half can name any medications their parents take, a new survey shows.

The survey of 600 adults ages 45 to 65, conducted for the Home Instead Senior Care network, also found:

  • 31% don’t know how many medications their parents take.
  • 34% don’t know whether their parents have a safe deposit box or where the key is.
  • 36% don’t know where their parents’ financial information is located.

 

“The majority of caregivers we work with have done no advance planning,” says Jeff Huber, president of Home Instead Senior Care, a company that provides non-medical care services. “It is not important until it’s urgent. So much stress and uncertainty down the road can be prevented.

“Lack of planning can lead to serious complications when decisions need to be made quickly, says palliative care nurse practitioner Mimi Mahon, an associate professor at George Mason University in Virginia. “It’s vitally important to plan ahead and have these conversations with parents, or families can act out of fear and make mistakes when emergencies arise.

“Prescription drugs are of particular concern. In the survey, 49% couldn’t name a single drug their parents took. Ask parents about their medications and, if necessary, do research, experts say. Find out the dose, what it’s for, who prescribed it and why. People 65 and older account for about a third of all medications prescribed in the U.S., according to the National Institutes of Health, and older patients are more likely to have long-term and multiple prescriptions, which could lead to unintentional misuse.

“It’s kind of a never-ending process for caregivers,” says Sandy Markwood, head of the National Association of Area Agencies on Aging, part of the Department of Health and Human Services. “It gets further complicated when there is more than the family practitioner. A parent might have several specialists. It’s a lot for a caretaker to keep up.”

Markwood says the Administration on Aging, also under HHS, has been encouraging better record-keeping by seniors and stronger communication between seniors and caretakers since Hurricane Katrina. “Then you had a situation when seniors were evacuated without their medications and no one knew what medications they were on,” Markwood says. “Doctors had to start from scratch.”

One must-have answer for caretakers: What drugs can parents go without and which ones must be taken on schedule. For instance, blood pressure and anti-depressant medications cannot be missed, Mahon says.

The bottom line, she says, is being a staunch advocate for your parents’ health care starts with “having conversations and putting plans in place.”

 

Resources are available online

 The Home Instead Senior Care network’s Senior Emergency Kit is free and available to download (caregiverstress.com). It includes sheets for listing contacts and phone numbers, medications, allergies and conditions.

Contemplating Disaster Preparedness

Blog Post by J. Patrick Moore, CMCA
Administrator, King City Civic Association

When I was young, I had the opportunity to live through a local disaster – the Columbus Day Storm of October 12, 1962. Many people (including my parents, I’m sure) wouldn’t have called it an “opportunity,” but rather a “misfortune,” “annoyance,” or, for some kids at that time, “excitement” or “adventure.” For those of you who weren’t living in Oregon at the time, here’s a brief synopsis: the remnants of a tropical cyclone were caught up in the jet stream and followed the jet stream eastward across the Pacific Ocean. The storm grew in intensity as it neared the Oregon Coast, and came onshore along the south coast, and then turned north and came up the Willamette Valley. Millions of board feet of timber were blown down, and power and telephone service were lost throughout much of western Oregon.

My family lived in the heart of the Lake Grove area at that time. The storm came in late on a Friday afternoon, so we had all weekend to work on cleaning up tree limbs from the sixteen or so Douglas Fir trees on our quarter-acre lot. To give you a perspective of the damage, we walked straight off our porch the next morning, and the two steps were each twelve inches high! Our backyard burning pile was going all weekend long. We had some minor damage to our roof, but overall, the greatest inconvenience was the loss of telephone and electrical service; the power was off for two weeks straight! Luckily, my Dad had an old, white-gas camp stove that my mom used for cooking and for heating up water for baths; otherwise, we would have been eating out of cans or what we could buy and prepare without cooking, and bath time would have been very cold – knowing my Mom, not bathing would not have been an option.

Why do I relate this story? I believe it’s instructive of how we need to live in Western Oregon: prepared for disaster. I doubt my Dad really kept that camp stove with the idea that we’d be using it for a couple of weeks in the house; it was probably more for either sentimental value, or perhaps a misguided notion that my Mom would actually like to go camping some day (that day has never come, Dad!).

I recently attended a workshop, co-sponsored by the Red Cross and Horizon Restoration, concerning preparation for “the Big One,” a Subduction zone earthquake off the Oregon Coast. Current science points towards a regular period of time between those earthquakes of about 250 – 300 years. The last one was 311 years ago. One geologist I talked with a few years ago, said that when the Cascadia Subduction zone slips, the 8.5 – 9.0 earthquake off the coast will feel roughly like a 7.0 earthquake in the Portland area, but for anywhere from two to five or more minutes. Coincidentally, geologists estimate that the faults in the Portland area are capable of an earthquake around 7.0 in magnitude. So, whether it’s a quake off the coast or in the area, we all need to be prepared! The Red Cross speaker suggested that, when the “Big One” hits, we should think of the scenario in terms of “living in a log cabin in the Portland area.” It’s likely that much of our infrastructure – roads, bridges, utilities (power, water, communications, etc.) will be severely damaged in such a quake, and it will take a fair amount of time before they are restored to working order.

What would you need in order to survive for a month – or longer – on your own?

The speaker from the Red Cross showed us a 72-hour kit that he owns. He also acknowledged that a 72-hour kit isn’t enough to survive long-term; but he said that asking people to put together a 14 day kit doesn’t work. It would be seen as insurmountable for many. Even getting people to put together a 72-hour kit is difficult; the government estimates that only 13% of households in the United States have reached that level of preparedness.

Stop and think for a few minutes about how all that will affect you:

  • How many bridges do you typically cross in your daily or weekly routine? (For me, it’s crossing 11 bridges to work and 10 home, under 6 to work and 8 to home. There are some alternative routes, but most of them, sooner or later, cross a bridge as well, and my route straddles the Willamette River, so if the bridges go down, there will be a long line for the Canby Ferry (if it is still running). However, it only has capacity for six cars, and it runs on electricity – so it might not be operating). If you aren’t at home when disaster strikes, will you be able to get there – and if not, do you have some supplies in your car?
  • Do you take medications? If so, will your pharmacy be able to get you refills? If not, you will need to have some extra medicine at home (always consume the oldest so it doesn’t get out of date).
  • How much food do you have? If having two weeks’ worth stored up all at once, how about purchasing a few extra cans every time you shop? Again, a system to “rotate your stock,” so that you use the oldest first, works best.
  • Do you have drinking water? Again, start by picking up a bit at a time. Date them and use them periodically; jugs of water have varying shelf lives, check the date on the jug.
  • Do you have some extra blankets? Flashlights with some spare batteries? A battery-powered radio (preferably with the NOAA weather-radio feature built in, or a separate NOAA radio). Consider purchasing an LED flashlight (or several) since your batteries will last a lot longer than with a conventional flashlight.
  • Do you have a first-aid kit?

 

These are some ideas to get started with your 72-hour kit. More information can be found at http://www.ready.gov/ or http://www.redcross.org/, or by calling or stopping by a local Red Cross office.

As I wrote at the start of this article, I consider the Columbus Day Storm to have been an “opportunity,” to reflect on what it takes to survive a disaster and know that both preparedness and improvisation are important. Remember Apollo 13? Disaster struck on their way to the moon. Improvisation and some smart guys with slide rules got them back safely.

J. Patrick Moore, CMCA
Administrator, King City Civic Association
15245 SW 116th Ave.
King City, OR 97224
503.639.6565 Phone
503.639.8815 Fax
www.kingcityowners.com

Senior Emergency Kit

Blog Post by Home Instead Senior Care offices in the Portland Metro Area

Research conducted for the Home Instead Senior Care network® tells a striking tale of how family caregivers do not feel they are prepared for a senior care emergency.

Less than half (47 percent) say they are knowledgeable about their parents’ medical histories. And approximately half (49 percent) are not able to name any of their parents’ medications. Furthermore, 36 percent of those future caregivers don’t know where their seniors’ financial information is located.

What are your thoughts about how family members of aging loved ones can prepare themselves for a senior care emergency?

Helpful Resources:
Use the web sites below to help get yourself prepared for that emergency phone call that so many adult children and family caregivers dread.

www.SeniorEmergencyKit.com

www.healthrecordresources.com

What is Geriatric Care Management?

Blog Post by Sandra Hedges, Owner of S.A.G.E. Care Management, LLC

WHAT IS GERIATRIC CARE MANAGEMENT?

Geriatric Care Management encompasses a broad range of services provided by qualified professionals who specialize in understanding the needs of elders and their families. A Geriatric Care Manager (GCM) provides support, guidance, and solutions to meet those needs. Professional Geriatric Care Managers assist elders and their families through the maze of issues that come up during the transitions of aging. Geriatric Care Managers come from a variety of professional disciplines including Licensed Clinical Social Work, Nursing, and Physical and Occupational Therapy. They must be licensed in their fields as well as by the National Association of Professional Geriatric Care Managers (NAPGCM).

One of the most important functions of GCMs is to provide comprehensive and objective assessments that assist elders and their family members in making decisions. The GCM focuses on maintaining the well-being, independence, and dignity of elders while optimizing safety. GCMs specialize not only in meeting the needs of elders, but also in understanding and working within the environment in which the elder exists (such as high conflict families, challenging mental health problems, etc.).

GCMs are trained advocates for elders and serve the primary functions of assessing needs, planning care, coordinating services, and monitoring health. Following is a list of specific duties and roles of the Geriatric Care Manager:

  • Provide crisis intervention
  • Serve as a liaison with other professionals and coordinate a multi-disciplinary team.
  • Facilitate communication with family members who live far away and be a mediator in high-conflict family situations
  • Be the “eyes and ears” at medical appointments
  • Organize details of returning home (enhanced discharge planning)
  • Provide objective home evaluations 
  • Create comprehensive care plans to reduce crises and re-hospitalizations
  • Reduce anxiety for patients and their families
  • Prevent unnecessary hospitalizations
  • Evaluate safety needs in the home and implement changes
  • Locate and arrange qualified in-home caregivers to meet individual needs
  • Provide on-going oversight and management of home care assistance
  • Arrange household management tasks
  • Help with bill organization and payment
  • Counsel during loss and transitions
  • Assist with end of life planning and decision making
  • Organize record keeping
  • Assist with coordination of down sizing / relocation

 

Choosing the appropriate GCM for your family is all about finding the right “fit.” All GCM’s have different backgrounds, specialties and personalities. This is a person you will be working closely with, so you’ll want to select wisely. The professional management a GCM provides allows adult children and other family members to spend quality time with their senior loved ones. Also, the GCM takes pressure off of families by moderating interpersonal and communication issues. When a smooth pattern is established, the GCM can monitor the situation from the background and be ready to directly re-engage as the situation requires. 

Assisting honored seniors on the path of aging involves many bumps and turns along the way. With a process this fluid, a GCM can be an indispensable partner on the journey – one who can help preserve positive family relations during the elder’s final years and beyond. 

If you are interested in learning more about Geriatric Care Management, please visit the websites below or contact S.A.G.E. Care Management at 503-688-3866 or shedges@sage-gcm.com.

Resources:
www.sage-gcm.com
www.caremanager.org

About Sandra
Sandra Hedges is a Board Licensed Clinical Social Worker and Certified Professional Geriatric Care Manager. She is the owner of S.A.G.E. Care Management, LLC. Sandra is originally from Hillsboro, OR and spent the last 7 years on the East Coast. She attended New York University to earn her Masters of Social Work and moved up to Boson to work as the Director of Geriatric Care Management for Overlook C.A.R.E. She is happy to be back in Hillsboro near her family and to provide Geriatric Care Management services for her community.

“Your Home For A Lifetime” Fair and Seminar, May 21

Blog Post by Barbara Murphy, Interior Designer at Neil Kelly

You are cordially invited to attend a fair and seminar on Saturday, May 21 from 10 a.m. to 4 p.m. The event, sponsored by Neil Kelly, is themed “Your Home for a Lifetime” and will focus on home designs for aging in place. The venue for the event is the Home Builder’s Association Education Center at 15555 Bangy Road in Lake Oswego.

Come learn about many elements of home design for senior living including bathrooms, kitchens, entry ways, heating, and air conditioning. Also, AARP will be there to present on cost-saving tips and other information about senior housing.

The event is supported by
Elders In Action
Senior Resource Alliance NW and
AARP Oregon

Downloadable Event Flyer

Massage for Seniors – A Step Towards Wellness

Blog Post by Paula Schaper, Licensed Massage Therapist

Paula Schaper, Licensed Massage TherapistAs a Certified Geriatric Massage Therapist one of my goals is to provide healing touch for my clients.  The other is to educate them about what massage can do for their body.  Whether you are robust, age appropriate or frail, everyone and every day is unique.

PAMPERING OR PREVENTION?

Healing Touch plays a very vital role in our lives. With it humans thrive and without it at a very basic level they do not.

Going to have a day at the spa is a nice thing to do for yourself but that is not all there is to it.  Massage provides many health benefits not only to the body, but also to the mind and spirit. 

Studies have shown that people, who regularly receive massage either as a relaxation session or a therapeutic one will tend to stay healthy longer, are able to be more active and have a greater overall quality of life. 

TYPES OF MASSAGE

Whether you just want to relax or do more focused work on some areas of your body, there are several modalities of Massage that are available. Some approach Massage from an Eastern philosophy such as Thai, Shiatsu, Reflexology, Ayurvedic, Polarity, Reiki and more. And some from a Western philosophy such as Swedish, Cranial Sacral, Trigger Point, and Deep Tissue.

Whatever the modality, all provide great benefits to wellness.  Finding the modality or combination of modalities that fits you and your lifestyle best will bring you the greatest results.

WHAT MASSAGE CAN DO FOR YOU

  • Increased Systemic Circulation For Faster Healing
  • Boosts Immune System
  • Reduces Stress & Fatigue
  • Decreases Pain
  • Increases Sense of Proprioception Which Creates Better Balance and Mobility
  • Aids To Prevent Loss Of Muscle Tone From Disuse
  • Decreases Symptoms Of Depression
  • Improves Sleep Patterns
  • Aids in faster and better recovery from Heart Attacks
  • Enhanced Sense Of Well-Being By Bringing the Body Back To Balance

 

Paula Schaper, LMT #17918
Therapeutic Massage & Bodywork
971 275-2002
email – pschaperlmt@gmail.com
1980 Willamette Falls Dr.  Suite 120, PMB #206
West Linn, OR 97068

Advice for Family Caregivers with Feelings of Resentment

Blog Post by Dr. Amy D’Aprix – March 28, 2011

Question: 

My mom is in a memory care unit 30 minutes away. I make plans to see her two to three times a week. The facility is wonderful and takes good care of her. Many times, when I leave, I feel resentful for her taking so much of my time. I am the primary care person for her. My sister and brother support me but live out of state and cannot get here to see her often. Is this feeling of resentment normal?

Dr.  Amy: 

In my experience, caregivers feel a wide range of emotions. Love, feelings of giving back, gratitude for the opportunity to provide care—as well as anger, resentment, and guilt. All of these feelings are normal.

If your resentment is tied to the number for visits, maybe you have too much on the go and need some help. Are two to three visits a week too much? Perhaps you can do fewer. Or maybe you can hire a home care worker to visit mom once a week, in your place. That would lessen your load. Home Instead Senior Care CAREGivers perform this service. They can go to the memory care facility, keep your mom company and also take care of errands she may have.

At some point, most caregivers need a break from their responsibilities. You might want to hire someone to take over your visiting responsibilities for a week or two. You might also plan to take a break when your brother and sister come to town. Or both!  

If you are feeling a lot of resentment, you may want to get help. As caregivers, each of us has a unique relationship with the person we’re caring for. Often, our feelings today are colored by what happened in the past. If you think this is true for you, a support group or counsellor can help you sort out your feelings and feel more at peace.

More advice from Dr. Amy

Grandparents Raising Grandchildren – Conference May 20

Blog Post by Deborah Letourneau
Program Coordinator - Washington County Department of Aging and Veteran Services

Dear Colleagues and Community Partners:
 
Please help to spread the word about the Third Annual Washington Co. Grandparents Raising Grandchildren conference. This is an important opportunity for those who are parenting the second time around to meet one another and share a day of fun and learning.
 
The event is co-sponsored by WCDAVS Family Caregiver Support Program and the Washington Co. Commission on Children and Families.
 
We have taken seriously past requests for an event for Latino grandparents, and for the first time presentations will be offered in separate English and Spanish sessions.  English and Spanish flyers are attached along with speaker information.
 
DATE:  Friday, May 20th, 9:00 a.m. – 2:00 p.m.
LOCATION:  the former Hillsboro PCC Center, 102 SW Washington St., Hillsboro
TO REGISTER:  Grandparents should call 503-846-3089 to save their space!
 
Printable Event Flyer
 
Thank you,
 
Deborah Letourneau
Program Coordinator
WCDAVS
503-846-3083
deborah_letourneau@co.washington.or.us

Delegating Financial Responsibility: Trust, Transparency, Safeguards

Blog Post by J. Patrick Moore

Mr. Moore is the Administrator of the King City Civic Association. He has degrees in Mathematics and Ministry, and has worked in Community Association Management for over 8 years, and prior, in Ministry positions for over 12 years. Both his mother and mother-in-law live in Retirement Living facilities.

King City Civic Association

Fiduciary Duty

Many of us have seen the term, “Fiduciary Duty,” or “Fiduciary,” and may have a vague idea of what it means. This article is intended to give a general overview of the concept of fiduciary duty but, since I am not a lawyer, is not intended to offer legal advice.

Wikipedia states: “A fiduciary is someone who has undertaken to act for an on behalf of another in particular matter in circumstances that give rise to a relationship of trust and confidence.” Additionally, “A fiduciary duty is the highest standard of care at equity or law. A fiduciary is expected to be extremely loyal to the person to whom he owes the duty (the principal): he must not put his personal interests before the duty, and must not profit from his position as a fiduciary, unless the principal consents.”

Many elderly people come to a point where they need someone to help them handle their financial affairs, or take them over completely. Essentially, someone who is given a Power of Attorney takes on a Fiduciary responsibility to the elderly person, to act out of loyalty to the person for whom they are taking that responsibility. It’s very important to be selective about who handles your financial affairs, since you effectively give them power over your assets (real estate, personal property, cash, bank accounts, investment accounts, retirement accounts, etc.). Choosing poorly could have a dramatic – and perhaps drastic – effect on your quality of life in your last years. There have been numerous stories in the news about people who literally lost a fortune when trusting the wrong person.

Generally, many people will look to family members first. If your family members are good, honest, upright people, that has the potential to work out great! However, not all family members are created equal. Just as you might think twice about hiring someone with their own money problems to run a cash register in a store, think twice if you have a relative who has not handled money responsibly in their own life – do you really want that person handling your financial affairs?

The same goes with your acquaintances. A neighbor or person from church who hasn’t done well handling money in the past, won’t be the right person for you. Know that there are some con artists who get involved in groups – some in clubs, others in churches – and commit financial fraud (Bernie Madoff is a great example of someone who came highly recommended from friends, but was not trustworthy).

Sometimes, it can work well to hire a professional – a lawyer or CPA –  to handle your affairs, but know that they will charge you fees for their services, and they are not cheap! If you can easily afford their hourly rates, a lawyer or CPA may be just the person you are looking for; be sure to ask how much the fees are, up front.

Transparency is a popular buzz-word in some circles. Essentially, it means that nothing his hidden from sight. If you don’t have family close by, having someone locally who handles your affairs can be a good arrangement, particularly if there is transparency in the way that your affairs are handled – with a monthly reporting of financial condition, and the bank statements being delivered directly to a trusted family member, or having a family member who has internet access to your account, so that the can download the statements directly. Many banks allow access to images of checks that have cleared, which can allow another layer of transparency.

If and when all else fails in finding someone to handle your finances, check with your local city or county services, as they may offer a service through one of their departments; or they may be able to refer you to an agency that can assist you.

Remember, handling your financial affairs is very similar to hiring someone to manage a company. Be careful to choose well, and try to put safeguards in place to ensure your financial safety.

J. Patrick Moore, CMCA
Administrator
King City Civic Association
15245 SW 116th Ave.
King City, OR 97224
503.639.6565 Phone
503.639.8815 Fax
http://www.kingcityowners.com/

Assessing Financial and Emotional Effects of Inter-Generational Living

Blog Post by Home Instead Senior Care offices in the Portland Metro Area

Why Families Are Living Together
The reasons different generations decide to live together are as varied as the families themselves, but three factors often come into play:

  • Shared Caregiving: Families are coming together to share caregiving duties — either an elderly loved one needs care or an older adult is providing care to his or her grandchildren.
  • Physical or Emotional Support: Seniors may feel the need for the physical or emotional support of extended family after losing a spouse, dealing with health issues, or having problems maintaining their property.
  • Finances: The economy is affecting everyone, especially seniors living on fixed incomes. Moving in with family can sometimes save money on food, utilities, and other essentials.

Whether your senior loved one should live with you or stay in his or her own home is an emotionally charged decision. But it’s important to understand both the financial and emotional impact, as well as some of the options available to you.

Home Instead Senior Care and Adriane Berg, author of more than 13 books on personal finance and a founder of the National Academy of Elder Law Attorneys, have combined their experience to create the Too Close For Comfort?® calculator. This tool uses 15 questions to walk you through basic budget items, major issues, and some often-overlooked matters that could affect your decision.

More about having aging parents live with you in your home.

The 50-50 Rule: Solving Family Conflict

The 50/50 Rule: Solving Conflict with Families Caring for SeniorsBlog Post by Home Instead Senior Care offices in the Portland Metro Area

You may not have seen eye-to-eye with your brothers and sisters when you were growing up. Some things, it seems, have not changed. Now that you’re caring for elderly parents, the issues of aging could put you at odds with your siblings.

That’s why the Home Instead Senior Care® network developed the 50-50 Rule program. The 50-50 Rule refers to the average age (50) when siblings are caring for their parents as well as the need for brothers and sisters to share the care planning responsibility 50-50.

Research conducted for the organization reveals that an inability to work together often leads to one sibling becoming responsible for the bulk of caregiving in 43 percent of families. And that can result in the deterioration of relationships with brothers and sisters. If you’re 50, have siblings and are assisting with the care of seniors, it’s time to develop a plan.

The 50-50 Rule public education campaign can help. At the heart of the campaign is a 50-50 Rule guide of family situations that will provide practical advice from an expert to brothers and sisters struggling with any number of topics from trying to divide care and work better as a team to dealing with end-of-life issues.

This program can help you answer such questions as:

Should you and your sister divide the caregiving load and, if so, what are the best ways to do that?

Does your brother disagree with your dad’s decision to stay home and how can you build consensus?

How will you resolve the conflict over family inheritance?

The guide and website, SolvingFamilyConflict.com, will offer a variety of additional tips and resources for siblings, all backed by original company research. We would be happy to share more information about how home care can provide a welcome respite for family caregivers and ease the strain on sibling relationships.

Please contact your local Home Instead Senior Care office for more information or to schedule a no-cost in-home consultation to learn more about how we can help you and your parents.

Psychologists Say Regular Walking Improves Memory

Blog Post by Mike Brunt
Content from Paula Span of the New York Times, February 7, 2011

Fitness: A Walk to Remember? Study Says Yes

In healthy adults, the hippocampus — a part of the brain important to the formation of memories — begins to atrophy around 55 or 60. Now psychologists are suggesting that the hippocampus can be modestly expanded, and memory improved, by nothing more than regular walking.

Link to Full New York Times Article

What You Need to Know About Long-Term Care

Blog post by Mike Brunt
Content from the Society of Certified Senior Advisors

Get more info and download the free guide.

About 70 percent of people over age 65 require long-term care services to some extent, and the likelihood of needing care increases even more as you age. Yet the cost of long-term care often exceeds what the average person can pay from their income and other government programs. It is more important than ever for everyone, including seniors, their families and those professionals who work with them, to understand and plan ahead for long-term care.

The Society of Certified Senior Advisors has created a new comprehensive white paper on long-term care, What You Need to Know About Long-Term Care, that will provide you with invaluable information, including:

  • The importance of long-term care
  • What options for services are available
  • The costs associated with long-term care
  • How to determine whether long-term care insurance is right for you
  • Tools and guides to help you set up a plan

 

Get more info and download the free guide.

Founder of Home Instead to Speak in Portland on February 10

Event Now Passed: See Photos on Facebook

Blog Post by Home Instead Senior Care offices in the Portland Metro Area

Those of you who have been following this blog for the past year probably by now recognize the name “Paul Hogan.” Paul and his wife, Lori, founded Home Instead Senior Care 17 years ago and last year wrote the USA Today Bestseller, Stages of Senior Care: Your Guide to Making the Best Decisions.

Mark Your Calendars!

On February 10, from 4-6 p.m., you are invited to hear Paul speak at the Embassy Suites Hotel in downtown Portland. He will address long-term care professionals and family caregivers about the range of support services and resources available to seniors as they age. Paul’s presentation draws from ideas presented in the book including senior care options, pros and cons of each, relative costs, pitfalls to avoid, when each option is most appropriate, and how to deal with family conflict and caregiver stress.

CEU UPDATE
This event is approved by the Oregon Nursing Home Administration Board for 1 general hour of CEU credit.

Attendees will also receive a free, signed copy of the book, Stages of Senior Care, and will get a chance to chat with Paul for a few minutes.

Here are some examples of how Paul is a thought leader in the senior care industry:

http://seniorcare2share.com/2010/11/seniors-and-the-information-gap/
http://seniorcare2share.com/2010/08/caring-for-the-aging-time-to-create-a-new-model/

On a Personal Note…

Paul came to Bend, Oregon last year for a similar event where he spoke to long-term care professionals and adult children of aging parents. I decided to make it a father and son adventure with my just-turned-four-year-old boy, Henry. It was so much fun. Early in December, when I found out that Paul would be here for this event on February 10, I said to Henry, “Paul Hogan is coming to town.” He immediately responded, “Like Santa Claus?”

So, if you want to feel the excitement that a child feels at Christmas, just attend this event. You will be glad you did.