Senior Care Blogs – Best of Web 2011

The good folks over at SeniorHomes.com have nominated us as one of handful of senior care blogs for their Best of the Web 2011 awards. If you’ve gotten as much from our articles as we have writing them, we’d appreciate your support and a “Like” to vote for us.

Some links:

There are lots of great people out there who are working hard to change the face of elder care.  Whether you vote for us or not, go vote and show your support!

Seven Ways to Talk to Your Parents About Getting Help at Home

It can be difficult to acknowledge the fact that your parent needs some help with day-to-day activities, let alone introducing to them the idea of hiring a professional caregiver for help. Your parent is likely to react to this decision with some resistance. Approaching the subject requires patience and tact. However, there are certain considerations to keep in mind that can help you approach this conversation with your parent with greater success.

Below are some ideas to consider, based on our years of experience with families facing these struggles:

1. List advantages. Make quality home care provided by a hired caregiver desirable to your loved one. Some benefits for hiring in-home care for your parent may be: rather than having to move to an assisted living facility or nursing home, they can remain at home; in-home care is often less costly; they will be given one-on-one attention when their caregiver is there.

2. Focus on independence. Explain why hiring a caregiver is a way for your parent to maintain their independence in their own home. Of course, this is easier said than done. Perhaps paint a visual picture for them. Have they already fallen once or twice? Explain what could happen if they fall again – how it could lead to broken bones, surgery and hospitalization, followed by a lengthy recovery period. The same method could be used if they frequently forget to take their medications, or often miss doctor appointments.

3. Try a different approach. If your parents are still living together, try suggesting that in-home care would benefit their spouse. They may be more willing to accept the care for the sake of their loved one, even if in reality, it is equally beneficial for both parents. If they live alone, focus on concerns or activities that are important to them.  For example, your parent may deny needing help, but may be amenable to someone helping with housekeeping and preparing some meals. They may acknowledge that they don’t like to drive at night but still want to attend their weekly bridge game.

4. Make it about you. Explain to your parent how much you worry about them. Or if you have been acting as primary caregiver explain that it has become too much on top of career or parenthood responsibilities. According to a recent study by Genworth, 55 percent of Americans say being a burden on their family is their biggest concern regarding long term care issues. Take this into consideration when approaching your parent about accepting in-home help. You might say, “Mom, I worry about you…and even if you tell me I shouldn’t, it keeps me up at night. Would you try having someone come in once a week for me?”

5. Mitigate fear. An elderly person can act hostile towards a hired caregiver at times, but this action is most likely out of fear. Prior to attempting to alleviate this fear, it is important to understand it. Common fears include loss of independence, losing control and dignity and financial worries. The presence of an outsider is likely to leave the elder feeling vulnerable. Take this into consideration when communicating with them, and respond with empathy rather than with frustration. Realize how your own emotions may be impacting the conversation and increasing resistance. It is important to choose an appropriate time and place for these discussions and set aside time for them.

6. Test it out on a trial-basis. Try hiring an outside caregiver for in-home help on a short-term basis for respite, or recovery care, after being discharged from the hospital or after a fall. This provides an opportunity to show your parent that having a caregiver is not something to fear and often leads to them being open to receiving ongoing care. If they currently rely on you, another family member or friend as their primary caregiver or source of help, try using vacation as an excuse to bring in a professional caregiver while gone. Explain that it is for your own peace of mind.

7. Get advice from a professional. Try discussing the situation with your parent’s primary care physician (this is most likely someone they have known for years and trust). If they share your concern for your parent, they are likely to help by talking to them, explaining why in-home care is the best option for them. Another option is to consult a geriatric care manager, a professional with special expertise in making these assessments. They will be able to provide you with further advice on how to prevent resistance when introducing the new living arrangements with your loved one.

Photo Credit:  Eggybird

About the authors: Alex Chamberlain is executive director at EasyLiving, Inc., a fully licensed, private duty home health care company serving individuals and families in Pinellas and Pasco counties in Florida.

Shannon Martin, M.S.W., CMC, serves as Director of Communications for EasyLiving, Inc. and Aging Wisely, LLC. Shannon has worked for Aging Wisely, a professional geriatric care management and consultation firm, for over 8 years.

Five Tips for Finding a Quality Home Care Provider

You and your family have decided that it is time to bring in outside help to assist with the care of a loved one in need. Because you want them to be able to remain safe, comfortable and independent in their own home for as long as possible, you have chosen to hire an in-home caregiver or home healthcare agency. The next step is choosing the best care provider for you and your loved one. But how do you know who the best is?

Here are five tips for finding a quality home care provider:

  1. Get recommendations. Talk to trusted professionals and community members. Your parent’s doctor, financial advisor, attorney, other medical providers, friends or family members may have familiarity and experience with local companies that do a good job. A list of providers is also available from your local Area Agency on Aging or hospital social work department. However, it is rare for these resources to make specific recommendations.
  2. Know your liability. Understand the possible liabilities and ramifications involved when hiring a caregiver privately. Consider issues such as taxes, insurance, liability and worker’s compensation, backup coverage, background checks/oversight and training.  If hiring through a nurse registry or employment agency, the family may end up being the official employer, responsible for pay, taxes and other obligations. On the other end of the spectrum, fully licensed private duty home health agencies offer more comprehensive services and protections as employers of the caregivers.  To learn more about state agency requirements and protections, contact your state licensing agency for healthcare organizations, or visit the National Private Duty Association at www.privatedutyhomecare.org.
  3. Consider innovation. Research how current their monitoring and communications technology is. How easy is it to monitor the care your loved one is receiving? Do they use technology like telephone clock in systems and scheduling software for quality assurance?  How quickly are they aware if a caregiver has not shown up to provide care?  What methods do they use to communicate with you?  Do they offer you conveniences such as online monitoring and paying bills online or via credit card?  Do they keep up to date with aging in place technology and can they provide you recommendations that may bolster care?
  1. Get to know who you’re hiring. When talking with an agency, get a feel for their process. Will they allow you and your loved one to interview potential caregivers? How do they handle replacing a caregiver that is not a good fit? What steps do they take to ensure coverage and accountability? How do they supervise, train and support staff? Do they strive for continuity or will your loved one have different staff each time?  How many caregivers will cover the shifts your loved one requires?  It is important to discuss your loved one’s specific diagnosis and needs, finding out the agency’s experience with similar situations and any special training and guidance they provide, for example training on working with clients with Alzheimer’s disease.  While regulations standardize licensed home care agencies to a degree, these are the things that will set one agency apart from another.
  2. Research involvement. Seek out providers who have a history in the community and the industry. Check if providers are involved with local and national associations such as the Alzheimer’s Association, the Area Agency on Aging and the National Private Duty Association. Their involvement demonstrates passion and dedication for their field. Management staff that has a history in the community and the profession demonstrates a commitment, stability and a positive reputation that they would want to protect.

Photo credit: familymwr

About the authors: Alex Chamberlain is executive director at EasyLiving, Inc. (http://www.easylivingfl.com), a fully licensed, private duty home health care company serving individuals and families in Pinellas and Pasco counties in Florida.

Shannon Martin, M.S.W., CMC, serves as Director of Communications for EasyLiving, Inc. and Aging Wisely, LLC (http://www.agingwisely.com). Shannon has worked for Aging Wisely, a professional geriatric care management and consultation firm, for over 8 years.

Review: A Good Vibe From San Clemente Villas By The Sea

I recently had the pleasure to speak at San Clemente Villas by the Sea.  I’ve spoken at many senior communities across four states now, so I was excited to speak in what was essentially my backyard.  I like to share my experiences at each community; many of your are considering senior living communities, and exposure to different places is useful for everyone.

San Clemente Villas by the Sea is a community located in San Clemente, California.  San Clemente is a beach town between Los Angeles and San Diego, and is the last town south before you have 30 miles of beautiful beach views en route to San Diego.

The first thing that struck me when I walked in was the positive energy I got from the community.  So often you walk into a senior living community, and it has a hotel feel. Even though residents are engaged, the front desk often seems like “check-in”, and you really have to get into the community to get a flavor for its personality.  The management offices are separated from the residents and it just feels, well, separate.

With The Villas, it was different.  Owner Aileen Brazeau has done a great job there.  It seems more like a party–music, chatter, people laughing in the sitting areas and a staff that was completely engaged in the residents.  This was a big differentiator for me.  Whereas many communities have staff know their residents and interact with them, the staff at The Villas knew the residents.  They were engaged, joking around and everyone was smiling.  I rarely get such a positive vibe, so I was really looking forward to the tour.

San Clemente Villas by the Sea offers independent living, assisted living and dementia care, all laid out in Hawaian themes.  I spoke to a few residents; they were happy about living there and felt it was a good social outlet for them with good care.  The community itself had modern decor and the rooms were no different.  Since The Villas is located on a hill, many of the rooms have a beautiful view of the Pacific Ocean.

In terms of amenities, they had it all and took the extra step to provide residents some comforts of home.  For example, rather than just a fitness class, they had a pretty nice gym (coming from a gym nut like myself).  Instead of just an activity room for bingo, they had a professional bingo board where the numbers light up.  Instead of just a restaurant with hours for snacks, they had a coffee shop area with snacks. They also had a pool and a jacuzzi, which lent itself to several activity classes not normally senior in senior living communities.

All in all, I was very impressed with the community and the vibe. The owners clearly hire people that were not just qualified, but enjoyed interacting with the residents.  Often that makes the difference between just good care and a good experience!

To learn more about San Clemente Villas by the Sea, visit their website.

Back by Demand: Orange County Date for “Assisted Living Saved My Mom”

Ryan Malone will be presenting “Assisted Living Saved My Mom” at San Clemente Villas by the Sea, in San Clemente, California. The Villas have a fantastic view and a high-energy management team, so it should be a great event.

If you missed the standing-room only even in January, this one is something to make time for.  If you have friends or colleagues who are consider elder care for their parents, this is a must see event based on real-world success.

Courtesy of San Clemente Villas, all attendees will receive an autographed copy of the By Families, For Families Guide to Assisted Living.

A Unique Presentation

Designed for families and industry professionals, “Assisted Living Saved My Mom” is a unique and interactive presentation that shares how families can make a positive experience out of assisted living.  I share  tips for families that you will not hear in other places and can only be said because my family lived it.  In fact, there are a few parts that make the assisted living provider a bit uncomfortable.  Why? Because you’ll learn the tough questions to ask!

Peace of Mind

You’ll leave this presentation confident in your ability to (a) decide whether assisted living is right for your family, and (b) if it is, how you can take the bull by the horns and make it a good thing.

As I mentioned, San Clemente Villas will be providing at no cost autographed copies of my book series “The By Families, For Families Guide to Assisted Living” to all who attend.

Here’s the info – I hope you can join us for this very special and informative event.

San Clemente Villas by The Sea
April 28, 2010 ~ 6:00pm
660 Camino de los Mares
San Clemente, CA 92673

(949) 289-1534

For RSVPs, please email Aileen Brazeau – aileen@www.sanclementevillas.com.

Top Brain Fitness Programs for Sustaining Mental Acuity

In aging seniors, healthy brain function is about more than just memory and coordination; everyday tasks, relationships, hobbies and quality of life are all affected.  It stands to reason that the more aware and capable you are of cognitive reasoning and performing independent living activities the higher your self confidence and emotional health.

The nation’s largest study on brain fitness was performed in 2002 by the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) and their results showed that a large percentage of participants over the age of 65 improved memory, reasoning and information-processing speed when they participated in training for five days per week.  In addition, the study showed a 47% lower risk of dementia in participants who worked crossword puzzles four days a week than those who only worked the puzzles once a week.  These results play into the notion of “Use it or Lose it” when it comes to cognitive aging.

Furthermore, an Australian study consisting of 30 peer-reviewed papers in controlled trials found that, as people experienced these lifestyle benefits they were also able to live longer and therefore reduce health care expenses.

Along with these studies, it is widely known that many seniors regularly engage in crossword puzzles, Sudoku and similar brain training games to slow dementia and aging.  Many software companies have tapped into this need by creating games and exercises that aid in sustaining mental acuity.  It has been reported that the brain fitness software market grew from $225 Million in 2007 to $265 Million in 2008.  Here are the top three systems that claim to reduce dementia rates in seniors.

Posit Science

Posit Science claims that their products will help the user “think faster, focus better, and remember more.”  Their software programs are designed for either a PC or a Mac. Each priced at $395.00

  1. Brain Fitness Program: Six programs that allow you to “Remember more & Feel Sharper” by practicing matching items, distinguishing objects, memory recall and story telling.
  2. InSight: Five programs designed for “Better Focus & Learn More” focusing on visual precision.
  3. DriveSharp: Two programs that deal with divided attention and increased processing times so that you will “Drive Carefully & React Faster”

Dakim BrainFitness

Dakim offers two brain training concepts for seniors.

  1. A complete self-contained console that only needs a high-speed internet connection but does not require a keyboard, mouse or software program installation.  It is marketed to both the individual senior and the senior living provider.  After the initial purchase of $2,299 for the touch-screen console, more than 150 games are available for a $19.95 per month subscription.
  2. 2. New brain fitness software to be released this April for $349.99, which includes a one-year subscription.

CogniFit

CogniFit is a web-based system that does not require you to install software or purchase a console.  Instead you access the programs through their website.  Both programs described below are priced based on the following subscription terms: $19.95 per month, $99.50 for 6 months, or $170 annually.

  1. CogniFit Personal Coach:  This program addresses overall cognitive skills and claims to improve memory and focus, and increase processing time.
  2. CogniFit Senior Driver: Similar to other driving programs, this system is designed to improve reaction time, handle multiple driving tasks and focus on potential road threat recognition.

About the Author: Ryan Malone is the founder and managing editor of Inside Elder Care and the author of the By Families, For Families Guide to Assisted Living.  He can be reach on Twitter at @RyanMalone.

Assisted Living Saved My Mom in Oregon

A couple weeks ago I had the pleasure of traveling to Oregon to speak at three assisted living communities across the state.  I posted some pictures of the event on the Inside Elder Care Facebook page at http://www.facebook.com/eldercare.  Brookdale brought me up from California to visit three communities—all from distinct areas within Oregon.  They were:

  • Albany – small towns set in an agricultural area just southeast of Portland
  • McMinnville – right in the center of Oregon wine country
  • Gresham – at the base of Mount Hood (yes, I was cold)

At each community, I gave a talk entitled Assisted Living Saved My Mom—a presentation communities ask me to give that provides an insider’s view about how to determine which assisted living community is best for your family.  Assisted Living Saved My Mom shares many techniques that uncover information you would never get from just speaking to an admissions director.  Brookdale provided a copy of my book to each who attended—something appreciated by the attendees.  Based on the large amount of feedback I received from attending families and people in the industry, the message really hit home and benefited many people.

Despite the obvious differences in the locations of each of these communities, I found a few things in common:

  • Warm and friendly: nearly every person I met—from the staff to the residents—were very welcoming and warm.
  • Pride: there is a strong sense of pride in the residents that carried over to their feeling that it was their responsibility to make new residents comfortable.
  • Camaraderie: I got the feeling that the residents genuinely enjoyed each other’s company. You could tell because they all knew each other’s little quirks and habits—something they found amusing.

One thing that came up repeatedly was the concern over “How do I pay for this stuff?” Many people were surprised there were other payment options beside just selling their house and paying cash.

When I wrote the By Families, For Families Guide to Assisted Living, I interviewed nearly 200 families to ask them about the concerns related to assisted living and elder care.  The issue of paying for elder care came up as a primary concern from almost three-quarters of those families.

The financial issues are the elephant in the room.  Most people don’t know how to solve them or even where to start, because there is no holistic guide for families on how to navigate these issues.  I am a month or two away from releasing my second book that gets into these answers—the feedback from those that have seen it has been really positive.  Stay tuned.

HOW TO: Using Lifeline to Monitor Caregiver Response

“How long does it take for a caregiver to help my mom or dad?”

This is a question I am frequently asked when I speak at assisted living communities.  Most communities offer some form of help button, usually in the form of a pendant or wristband worn by the resident.  When mom or dad needs help, they press the button.  A signal is sent to front desk where a receptionist or nurse dispatches assistance to the room.

Going back to my question, most community marketing staff will respond that help comes within 5 to 15 minutes.  But how do you verify this?  And what do you do if mom or dad says they ring the buzzer and nobody comes for an extended period of time?  What is your loved one has a poor perception of time?  Is there a way to monitor the situation without being annoying to everyone?

Finally… A Solution

The system is called Lifeline and it is made by Philips.  If you don’t remember, there used to be a commercial for Lifeline.  It showed an elder woman who fell. She presses a buzzer and says “I’ve fallen, and I can’t get up!”  I used to think that this system was only useful in the event of an emergency, but boy was I wrong.  Lifeline rocks!

I recommend every resident in assisted living get Lifeline for a variety of reasons, including:

  • Vocal system: Your loved one gets to request assistance from a real person rather than a pendant.  The fact is, even with a pendant, you never know if they message was received and how it is interpreted.  Configured correctly, you can have the Lifeline people call the assisted living front desk and ask for help.  And they keep calling until the reach someone.  That’s what they are there for.  Your mom or dad benefits from acknowledgment of their need and the ability to community to the urgency – something helpful to the community as well.
  • Third-party verification: Every time your loved one calls Lifeline, they track everything that happens.  Each action is stamped with a date and time.  From the second the button is pressed until the reset button is pressed, you have access to an objective party’s view of what happened.  The case is not closed until someone in your loved one’s room presses the reset button and/or your loved validates that they have been helped via a phone call.
  • Audit trail: A more detailed report is sent to your Lifeline sales rep that indicates example to whom your loved one spoke, who at the assisted living was contacted and when the reset button was pressed. In the event something doesn’t go as your service plan provides, you’ll know exactly who did (or didn’t) do what.
  • Passive: The system gathers this information without being intrusive into the daily life of your loved one.
  • Friendly, caring people: The people at Lifeline are really helpful and genuinely concerned.  I have gotten several calls from them personally when the community front desk is not responsive or does not react with urgency when they make a request on the behalf of my mother.  My mother loves them, because they always call back to check and make sure she has been helped.

How it Works

Lifeline connects to a standard telephone line.  They offer the device and several more advanced phones that include the Lifeline device integrated with a telephone.  My mom has the cordless phone version.  Your loved one is provided a pendant they can wear around their next or wrist.  The cost is around $35 per month with a $25 activation fee.

When the button is pressed, the Lifeline device calls Lifeline’s call center.  The device is placed into speaker phone mode so your loved one can make a request without being close to the phone.  The speaker phone has an extra-sensitive microphone in the event your loved one is in the bathroom or far from the phone.

The vast majority of the time, your loved one will respond and make a normal request.  In this case, the device will automatically call Lifeline back in 30 minutes if the device has not been reset (i.e a caregiver presses the reset button).  For the 1% of the time something is medically wrong, 911 is called.

Setting it Up

Lifeline allows you to set up your account with a number of notifiers.  These are people that need to be notified every time there is a call.  Our account is set up to call the assisted living front desk first.  This ensures a caregiver is routed to my mom’s room.  In parallel, a fax is delivered to me that indicates the following:

  • When the call was made
  • What the request was about
  • When Lifeline was reset

My Lifeline sales rep is awesome (if you live in SoCal and want her name, email me).  She receives detailed reports of exactly what happened on each call.  This is great for trying to understand if there was a gap in care, delayed response or caregivers who were not accomodating.  She forwards them all to me.  I keep the ones that look out of the ordinary in the event a pattern emerges.   To be fair, the vast majority of the time, the caregivers are prompt, friendly and do a great job.

Benefit to Us

Lifeline has provided an extra degree of peace of mind for my family.  The community knows I have the device, so they know there is a objective monitor measuring response times. My mom knows something is tracking everything.  If she loses track of time, she is much more likely to ask me how long something took than to be upset if it seemed like it took a long time.  By skimming the reports, I have the peace of mind that mom is doing well, getting out of the house, going to activities, etc.

If you click on this image, you can see a sample actual report.  The names have been scrubbed to protect their privacy.

lifeline-example-tn

I can’t recommend this enough. And I recommend you also use the pendant, because they Lifeline only works in your room.  For around $35 a month, it such a stress-reliever.

Finances and Dreamers and Dementia Care, Oh My (Podcasts)

What a great week we’ve had over at Leaders in Elder Care!

For those of you who don’t know what it is, Leaders in Elder Care is a podcast-based interview series that seeks to share the great things individuals are doing to change the face of elder care.  These are the entrepreneurs, politicians, advocates and caregivers who put it long days to make things better for seniors.   Through Leaders in Elder Care, we give them a chance to brag a little bit about what they are doing.

Each podcast is about 20 minutes and enables our Leaders to share their vision, method, results and futures with you via an intimate, no-frills conversation.

Below is a summary of some of the great interviews we’ve had in the last week.

I would love to hear what you think.  Be sure to leave a comment below and share your thoughts!

The Financier – Senior Lines of Credit

Elias Papasavvas came to the United States with nothing.  His parents were robbed at gunpoint.  As his parents aged, he saw the immense pressure families are put under when they need access to money for elder care and residential care.  That pressure often forces people to liquidate assets at times when their value is the lowest.  He combined his finance experience with a clear market need to create Elderlife Financial and invented the “senior line of credit.”

Read more about Elias and listen to the podcast.

The Dreamer – Ageless Dreamer

What if you could give an elder friend or family member the dream they always wish they had?  A ride on a Harley?  A college diploma?  A sailboat ride?  Laurie Widmark and Ageless Dreamer (a non-profit) have done just that.  Laurie and her team diligently review each Dream request and work hard to put smiles on faces that say “dream fufilled.”  When I first heard Laurie’s story, I said to myself “This is what it is all about!” It was such an amazing interview and Ageless Dreamer is such an amazing idea.

Read more about Ageless Dreamer and listen to the podcast.

Dementia Care – Sollievo

Ellen Dunnigan saw a critical gap missing in the market for dementia-focused home care.  And boy did she fill it.  Sollievo means “relief” in Italian and the mission of Sollievo is to provide just this.  Sollievo is one of many alternative care models sprouting up around the country.  Ellen’s view of a 360-degree care philosophy designed specifically around those who have or are impacted by dementia is really unique.

Read more about Sollievo and listen to the podcast.

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