儿媳妇苏韵张大民免费阅读 This blog is a knowledge newsbasket an on-line Internet publication containing comprehensive aggregated collections of information.MainZone Knowledge Networks focuson developing, distributing and applying knowledge

Sunday, June 18, 2017

Growing old alone: More seniors at risk of becoming elder orphans - Chicago Tribune

Growing old alone: More seniors at risk of becoming elder orphans - Chicago Tribune: The term "elder orphans" was coined in part by Dr. Maria Torroella Carney, chief of geriatrics and palliative medicine at Northwell Health in New Hyde Park, N.Y., who co-wrote a July analysis on adults increasingly aging alone, with multiple chronic illnesses and geographically distant family and friends. By referring to these seniors as orphans, Carney hopes to bring awareness to their loneliness and isolation, which correlates with increased risk of heart disease and mortality.
Elderly with no nearby family to help them need safety net, experts say

Last month, the National Association of Area Agencies on Aging and AARP launched a national education campaign to address the growing problem of loneliness, estimating that 1 in 5 people older than 50 are affected by isolation, which is associated with higher rates of chronic disease, depression, dementia and death. Research finds prolonged isolation to have an equal effect on health as smoking 15 cigarettes a day, AARP President Lisa Marsh Ryerson said in a news release.

Finding A Hobby - Activities for Seniors

Finding A Hobby - Activities for Seniors: Finding A Hobby
Activities For Seniors

Finding a hobby (a new one?) just right for you can give you a lifetime of enjoyment, far into your retirement years. The main thing to consider is what do you really like? Not what your family tree or best friend thinks you should like - It is for you!

Do you think you’re not very good at anything? If that sounds like you, here are questions to ask yourself about what you’ve really wanted to do.

If you’re still working, now is the time to develop a hobby and to plan for future senior activities.

Saturday, June 3, 2017

The New Aging Dilemma, Growing Older At Home Alone | HuffPost

The New Aging Dilemma, Growing Older At Home Alone | HuffPost

Carol Marak, Contributor
Aging Alone Advocate, Columnist, and Editor at Seniorcare.com


Some of the worrisome concerns discussed in the group and handled by members:
  • Ageism — just because we’re growing older, doesn’t mean we should give up on aging well. We desire recognition for our strengths and given a chance to offer our skills and to give back and be a productive member of society.
  • How to remain healthy without resorting to medication or surgery — we would enjoy learning alternatives to going under the knife or consuming various meds.
  • Find out how others cope with issues and create one’s solutions — we want to hear how others deal with challenges; what worked for them and then decide if it’s a good fit for us. And if the solution is not a fit, what other options might work?
  • Discover useful local and national resources — we’d like to learn about community services, especially the ones that help us age in place. We don’t have advocates or family members who can research for us, so, we depend on others for direction.
  • Navigate health, care issues, and chronic illnesses - we want to thrive and be well even when living with diabetes, dementia, heart diseases, cancer and other diseases.
  • Gain social interaction — our toughest challenge. Most of us want connection and to make new friends but have difficulty leaving our house due to immobility concerns.
  • Select a health care proxy and surrogate - we need help and direction when choosing someone to speak on our behalf if we should become too ill or incapacitated.
These topics are a few of what the group addresses, plus a few more. Most of us are not health care professionals, so the practical tips and advice come through other’s experiences.
However, at the local community-based services and medical teams, the professionals can do so much more. Just recognizing the fact that we’re living alone, and then assess the risks, would help the older person understand what’s needed to remain safe, healthy, and independent even when no one is around to check on us.
In recent medical research about elder orphans, geriatricians found several risks that affect the elderly:


Low social support affects the physical and psychological health and in some instances, will increase mortality. A decreased social interaction stems from little support which correlates with depressed affect and arousal, reduced cognitive and social skills, and altered mental functioning.
And for some members of the Facebook group, it’s their only source of social interaction and connection. While for others, they make great strides to maintain face to face interconnections and build friendships. But overall, social detachment is a huge concern.

Isolation and loneliness

Isolation is the state of having minimal contact with others. Even though being isolated can cause loneliness, both are not equal, and both are the risk factor for a physical and cognitive decline.
The online activity that some members find on Facebook is their only source of communications and reaching out to other people. It’s not one’s preference to be alone all the time, but the physical immobility is their greatest burden that keeps them in the house.


It is an important risk factor for social isolation. Like the study mentioned earlier, childless adults often do have support networks, usually consisting of relatives, friends, and neighbors. However, these systems are less likely to provide the long-term commitment and comparable high level of support that children give to parents.
Most members of the group do not have children, but for those who do, they’ve lost communication with the family, they live a long distance away, or they’re forgotten.

Services needed

Community-based aging resource centers and senior organizations must have goals that assist with our medical, functional, social, and safety needs.
  • Help prevent hospital admissions and help us understand how to avoid them
  • How to create advanced directives and choose a reliable, and trusted health care surrogate
  • Teach elder abuse education and where to find support and help
  • Show how to create a care plan far in advance of needing acute care
  • Instruct how to build a personal care team of friends we can count on
  • Give us options and ways to build social connections and help us avoid isolation
  • Help us find transportation when needed
It is challenging for clinicians and social services and even the patients who live alone. But when recognized and assessed properly, the aging singles have potential to struggle less with managing health conditions and the complexities involved in care.

Friday, May 19, 2017

What does Home Health Care Cost in Massachusetts?

What does Home Health Care Cost in Massachusetts?

 If you or a family member needs home health care, and you live in Massachusetts, plan on it costing about $25 per hour. That's the average cost in the state for a Health Aide, according to a survey published by the MetLife Mature Market Institute*. The yearly cost of about $26,000 is based on an estimate of 4 hours per day, 5 days per week.


Tuesday, February 21, 2017

Trump's speech could be early sign of Alzheimer's disease, says study | Society | The Guardian

Long-winded speech could be early sign of Alzheimer's disease, says study | Society | The Guardian

 Alzheimer's / Dementia is fraught with confabulation speak.

From my notes I quote: Prepared by:  Leilani Doty, PhD, Director, University of Florida Cognitive & Memory Disorder Clinics (MDC) Confabulation  People with anosognosia will often confabulate. Confabulation is making up an answer or responding with remarks that link pieces of information, time, places, and people that do not belong together.  Sometimes people will combine memories from different events and insist that the event unfolded that way.  They may describe an event as recent but it actually happened decades ago with different people.  Sometimes they mix information from the newspaper or television with a personal event.    A confabulation is not a lie. People who confabulate believe that their words are true. The response is essentially false, sometimes a mixing of past events, sometimes a mixture of past real events with imaginary details.

The confabulation may be simple or hold great detail and elaboration.  Sometimes the confabulation has such rich details such as describing a festive family gathering. Sometimes it is a simple, unimportant remark such as what was eaten at lunch a couple of hours before. To a stranger the remarks make sense; to the family member, who knows the person well, however, the remarks are distorted or untrue.  The purpose of the confabulation is not to mislead or lie.  Typically, the person is trying to answer a question or contribute to a conversation.

To those who do not know the person, the responses are reasonable, believable, socially acceptable (usually they are not outrageous or extremely bizarre), and appropriate.   However, the significant other will testify that the statements are inaccurate or never occurred.

Wednesday, January 25, 2017

Sepsis and Urinary Tract Infections - Sepsis Alliance

Sepsis and Urinary Tract Infections - Sepsis Alliance: Donate Now Anything You're Looking For? Urinary tract infections, or UTIs, are a common infection that affect more women than men. Most often, they are treated quickly and effectively with antibiotics, the infection becoming a distant memory. Unfortunately, not all UTIs are treated quickly and some aren’t even identified quickly, particularly in people who have limited or no sensation below the waist or who are unable to speak for themselves. An untreated UTI may spread to the kidney, causing more pain and illness. It can also cause sepsis. The term urosepsis is usually used to describe sepsis caused by a UTI. Sometimes called blood poisoning, sepsis is the body’s often deadly response to infection or injury. Sepsis kills and disables millions and requires early suspicion and rapid treatment for survival. People shouldn’t die from a UTI, but if sepsis begins to take over and develops to severe sepsis and then to septic shock, this is exactly what can happen.

More than half the cases of urosepsis among older adults are caused by a UTI. Worldwide, one-third of people who develop sepsis die. Many who do survive are left with life-changing effects, such as post-traumatic stress disorder (PTSD), chronic pain and fatigue, and organ dysfunction (organs don’t work properly) and/or amputations.

Urinary tract infections, or UTIs, are a common infection that affect more women than men. Most often, they are treated quickly and effectively with antibiotics, the infection becoming a distant memory. Unfortunately, not all UTIs are treated quickly and some aren’t even identified quickly, particularly in people who have limited or no sensation below the waist or who are unable to speak for themselves. An untreated UTI may spread to the kidney, causing more pain and illness. It can also cause sepsis. The term urosepsis is usually used to describe sepsis caused by a UTI. Sometimes called blood poisoning, sepsis is the body’s often deadly response to infection or injury. Sepsis kills and disables millions and requires early suspicion and rapid treatment for survival. People shouldn’t die from a UTI, but if sepsis begins to take over and develops to severe sepsis and then to septic shock, this is exactly what can happen. More than half the cases of urosepsis among older adults are caused by a UTI. Worldwide, one-third of people who develop sepsis die.

Many who do survive are left with life-changing effects, such as post-traumatic stress disorder (PTSD), chronic pain and fatigue, and organ dysfunction (organs don’t work properly) and/or amputations.

Monday, December 12, 2016

Mayo Clinic Diet: What To Know | US News Best Diets

Mayo Clinic Diet: What To Know | US News Best Diets

How does Mayo Clinic Diet work?

Do: Raid the produce section of your supermarket.

With the "Mayo Clinic Diet" book as your guide, you’ll work your way through two parts: “Lose it!” and “Live it!” Part 1 focuses on 15 key habits – ones to add and ones to ditch. You don’t count calories, and you can snack all you want on fruits and veggies. After two weeks, you begin part 2, learning how many calories you should eat to either lose or maintain weight and where those calories should come from. No food group is completely off-limits –

Tuesday, December 6, 2016

Senate committee calls for ban on surgeons doing simultaneous operations - The Boston Globe

Senate committee calls for ban on surgeons doing simultaneous operations - The Boston Globe: A powerful Senate committee wants all hospitals to explicitly ban surgeons from overseeing two simultaneous operations, weighing in on a controversy that has roiled Massachusetts General Hospital and spurred a national debate on patient safety.

The new Finance Committee report, scheduled to be released Tuesday, follows a Spotlight Team series in 2015 on the issue. The committee will urge hospitals to clearly prohibit “concurrent surgeries,’’ which it defined as two operations, managed by the same surgeon, whose critical parts occur at the same time.

Tuesday, October 25, 2016

ECRI: Be vigilant to prevent copy-and-paste errors

ECRI: Be vigilant to prevent copy-and-paste errors

 Copy-and-paste also contributes to “note bloat,” in which notes become overwhelming in length with redundant information, which can lead to diagnostic error.
Preventing these problems requires documentation that’s accurate and concise, attributing the source when copy-and-paste is used, and providing context where appropriate, Possanza and Giannini said.

Friday, October 14, 2016

What You Need for Live-In Overnight Home Care

What You Need for Live-In Overnight Home Care

   Download Free Guide to Live-In Care
Other Considerations Before You Hire a 24-7 Caregiver
It’s not always easy to come to terms with a loved one needing round-the-clock care. Once you’ve made that decision, there are other things to keep in mind that go far beyond just having space in your home devoted to your caregiver.
  • Have you discussed having a live-in caregiver with your loved one yet? Your loved one needs to feel as safe and secure as possible and by making them a part of the process, they will feel heard and in control instead of simply having the whole in-home caregiver concept thrust upon them.
  • Is your caregiver qualified? Before hiring a caregiver, you need to make sure they are a good fit. You should have a clear understanding of what their experience is and what skills they have. In addition, they should be carefully vetted with a criminal background check.
  • Is your caregiver kind / a good fit personality-wise? One of the most important aspects of the caregiver is their personality. This person is going to be spending long periods of time with your loved one. You want to make sure that they are kind and patient and actually enjoy spending time with senior adults.
  • Has your loved one met their caregiver yet? What do they think of them? Beyond that, you should consider the personality of your loved one and take the time to find someone that they would enjoy spending time with. You will want to get your loved one’s opinion about possible caregivers as well as their thoughts on having someone in their home overnight.
  • Do you have a contingency plan in place in case your live-in caregiver has an emergency of their own? Finally, don’t forget that a caregiver is a person, too. Although it is their job to care for your loved ones, they do have their own problems and emergencies in their life. You will want to have an alternate plan in case your caregiver becomes sick or has a family emergency to deal with. Give some thought to who will step in to take over their duties should an emergency or illness arise. If you are working with a home health care agency they can arrange for a replacement, but if you’re not, then you will need to determine ahead of time if you have a family member that can step in.
Making the leap to overnight care can seem a little overwhelming, but with the right plan and the right help, it can give both you and your loved one peace of mind knowing someone is there to help if they need it.  

What do you feel is most important about finding the right in-home, round-the-clock care for your loved one? We’d love to hear your thoughts in the comments below!

Read more: http://www.griswoldhomecare.com/blog/what-you-need-for-live-in-overnight-home-care/#ixzz4N5twqP6q

Thursday, July 28, 2016

The Mega-List of Caregiver Support Resources | Caregiver Stress

The Mega-List of Caregiver Support Resources | Caregiver Stress:

The Home Instead Senior Care network has been delivering in-home care for over 20 years. All of our highly trained CAREGivers? are bonded and insured for your peace of mind. We offer many different types of in-home care that can be individualized to meet the needs of your family members.

Alzheimer's Care & Training Support

Home Instead Senior Care developed the highest quality dementia caregiver training program available. We have helped change the way people live with Alzheimer’s and other dementias.

You probably see them every day: the adult daughters, sons or spouses hovering over their senior loved one, gently smoothing a collar or asking a question of the doctor. But you might not have a chance to ask those family caregivers how they’re doing. You probably focus on your senior client, not the people in the background. However, those caregivers likely could use your help, too.

The Family Caregiver Alliance reports dire statistics culled from numerous studies into the issue of caregiver stress:

? As many as 26 percent of family caregivers say taking care of a family member is “hard on them emotionally.”
? As many as 70 percent of caregivers report symptoms consistent with a diagnosis of major depression.
? More than one in five family caregivers feels “exhausted” when they go to bed at night.

 Call 儿媳妇苏韵张大民免费阅读 for Home Instead Senior Care services in your area.

Meet the Home Instead, Inc. executive team? whose vision, passion, and dedicated leadership guides this organization to do good while doing well.


Thursday, July 7, 2016

Alzheimer's Cafes Worldwide

Alzheimer's Cafes Worldwide
Cafes come by a number of names, Memory Cafes, Alzheimer's Cafes, Dementia Cafes.

The concept is to provide a social occasion, a meetup, for anyone with dementia / Alzheimer's, their care givers and family.
They are informal and generally free. Activities vary. Support and funding depends on the host-provider and contributions. 

Friday, June 17, 2016

East Coast Seminar: Social Worker, Nurse, Health Care Professional as Entrepreneur -

Learn to the 10 critical steps a social worker or health care entrepreneur takes to launch a privateaging life/geriatric care management business from the author of the Handbook of Geriatric Care Managementnow in 4th edition.

You will learn:

To bill clients and break the barrier of selling your professional expertise

To practice the business skills, you need to design and run a profitable GCM agency

To find the Client, CRM and Billing software you must have to run an Aging Life or Geriatric care management business

To find forms and operations manual needed to run a successful GCM agency

To do a competition survey to discover if you have the client/ customers to start a geriatric care management business

To do a market survey to pinpoint if you have enough the third party referrals (i.e.elder law attorneys, ) to start a geriatric care management business

To write abusiness ,marketingand a sales plan for a Geriatric Care ManagementBusiness

To market to "Entitled " Concierge Clients" who use private geriatric care management

To create a 3-year financial forecast to able to map when your GCM business will thrive

This course, Social Worker as Entrepreneur 10 Steps to Start a Non Profit Geriatric Care Management Agency
provided by Cathy Cress MSW, is approved for continuing education by the New Jersey Social Work Continuing Education Approval Collaborative, which is administered by NASW-NJ. CE Approval Collaborative Approval Period July 21, 2016

Social workers will receive 6- non clinical continuing education CEU's for participating in this course."

"Please contact Cathy Cress MSW at cressgcm@got.net or for information about continuing education credits for social workers."

Wednesday, June 8, 2016

revocable trusts VSirrevocable trusts

from Googling:
A trust acts like a will and the property is distributed to the beneficiaries as directed by the trust agreement when the grantor dies.

A revocable trust is a trust whereby provisions can be altered or canceled dependent on the grantor. During the life of the trust, income earned is distributed to the grantor, and only after death does property transfer to the beneficiaries. Also referred to as a "revocable living trust".

Typically, a revocable trust becomes irrevocable (cannot be changed) when you die.

A trust involves three parties: you as the creator, the trustee or trustees who agree to manage your assets as directed by the terms of the trust, and the beneficiaries

A revocable trust VS An irrevocable trust is an arrangement whereby a grantor relinquishes legal ownership of property and places it under the administration of a trustee, who administers it for the benefit of the trust beneficiaries.

Tuesday, May 31, 2016

Medical staff and organizations  replying to reviewsmustcomply with HIPPA

Medical staff and organizations  responding to Yelp reviews must observe HIPAA rules

Tuesday, May 31, 2016 | By Susan D. Hall
Healthcare providers who have responded to poor reviews on sites such as Yelp have run into trouble with the HIPAA privacy rule for addressing specific complaints, ProPublica reports.
While providers can speak generally about how they practice, the rule bars the release of any personal health information without permission.

Friday, May 27, 2016

Can't decide what kind of care needed- AgingCare.com

Can't decide what kind of care need or stay at home - AgingCare.com:

 In 2014, there were 618 AAAs serving older adults in virtually every community in the nation. In the few states without a AAA infrastructure?those with small populations or sparsely populated land areas?the state
serves the AAA function.

One of the OAA’s foundational principles is that the programs and services created to help support consumers in their homes and communities are customized to meet their individual needs. There’s nothing one-size-fits-all about AAAs or what they offer their clients!

How to Connect With Your Local AAA All AAAs have local hotlines or websites to provide consumers with information and assistance, so if you know the name of your local AAA, start there. Alternatively, you can find a AAA by zip code via the Eldercare Locator’s website (www.eldercare.gov) or you can speak with an information specialist by calling 800.677.1116. The Eldercare Locator is a free national service funded by the U.S Administration for Community Living and administered by n4a.

Sunday, May 15, 2016

Download Guide to Home Care

Download Guide to Home Care: Download Guide to Home Care

How to Manage Atrial Fibrillation - Heart Disease

How to Manage Atrial Fibrillation - Heart Disease: people who are generally healthy and have no known heart problems may develop atrial fibrillation due to high stress. Contemporary research suggests that approximately 54 percent of patients with intermittent atrial fibrillation cite psychological stress as the most common trigger. Source: American Heart Association

Manage your cholesterol
Manage your cholesterol
Heart problems like atherosclerosis (clogged, hardened arteries) and high cholesterol can worsen atrial fibrillation and put you at a higher risk for heart attack and stroke. Stick to a low-fat, plant-based diet and exercise daily to keep your levels under control.

Depression, Anxiety and Stress Symptoms in Family Caregivers - AARP

Depression, Anxiety and Stress Symptoms in Family Caregivers - AARP: Anxiety is what we experience when the worries are so numerous and intense that we can no longer think clearly. Our minds become fixated on worst-case scenarios and overwhelmed by feelings of fear and helplessness, even when real danger has passed. We have difficulty making decisions or interacting with our loved ones calmly. Our bodies, too, may suffer symptoms, such as palpitations, tremors and tense muscles.

Anxious caregivers, for all their good intentions, are often hobbled by their fears. But fear can be reduced to normal, manageable worries if we are willing to approach our anxiety as a treatable condition. 

Thursday, May 12, 2016

Many organizations have their own unique concepts of patient friendly user focused policies.

"Patient Friendly Health Care"  Many organizations have their own unique concepts of patient friendly user focused policies. But the organizations apparently don't talk about and debate their organization's guidelines with others. Here is an independent knowledge discussion group, please  join in and  participate!

Personal observations; many do not address  the needs of people who are strangers to Health Care Providers (i.e.Physicians, Hospitals, Nursing Homes, Rehab, and Other Care Services). Help develop patient focused policies and provider practices. Patients and visitors who are strangers to Nursing Homes hospitals, emergency departments, emergency rooms and the mind boggling array of titles not to mention inpatient and outpatient organization.
 Design responses and policies to manage patient confusion, fear, cognitive issues and inform clients of what to expect.

Thursday, May 5, 2016

Home Health Care Definitions | by Maxim Homecare

Glossary of Terms

Choosing homecare for yourself or a loved one can be a difficult decision; it can be made more overwhelming when trying to understand frequently used terms in the homecare industry. Here is a list of commonly used words and phrases to assist you in understanding terminology for care.
ADLs - This stands for “activities of daily living” and includes basic activities of daily life.  Examples of ADLs include: bathing, dressing, eating, moving around, toileting, and walking. A home health aide, home health care nurse, or custodial care individual can assist with these activities.

Caregiver - A caregiver is someone who gives care to another person. There are two types of caregivers: medical caregivers and non-medical caregivers. Medical caregivers, such as registered nurses, provide assistance to patients with medical needs. Non-medical caregivers, such as home health aides, help individuals with activities of daily living (ADLs) and companionship.

Caregiver agency - A caregiver agency is a company that specializes in hiring caregivers. Families can contact an agency to hire a caregiver for a loved one. Caregiver agencies specialize in long-term care, respite care, pediatric care, and other forms of caregiving.

Certified Nursing Assistant (CNA) - Certified Nursing Assistants work closely with patients and are responsible for basic care services such as bathing, grooming, feeding, assisting nurses with medical equipment, and checking vital signs such as temperature, pulse, blood pressure, and respirations. Exact certification requirements vary by state, but most include the completion of a certificate program and the passage of a certification exam.

Companion - A companion serves a non-medical role in a patient’s life. Maxim Companion Care Services caters to seniors, new and expectant parents, and other individuals. Companions perform duties such as reminder services (medications, dates, routines), assisting with mobility, providing companionship, preparing meals and feeding, escorting to appointments, organizing and reading mail, entertaining, and more.

Custodial care - Custodial care is similar to companion care. It is non-medical care that assists with ADLs.

Elder Care - Elder care, sometimes spelled eldercare, is care for aged individuals. It is also commonly referred to as geriatric care or senior care, and includes a wide range of care services, including help with ADLs.

Geriatric care - Geriatric care is care for aged or older individuals. The term “geriatric care” is often interchangeable with elder care or senior care.

Homecare - Homecare describes any form of care given within the home. This can range from care provided by a home health aide, home health nurse, companion, or caregiver and includes intermittent care, respite care, and home therapies. The term homecare covers both medical and non-medical forms of care.

Home health agency - A home health agency is an agency that provides home health care for individuals. These agencies are also often referred to as homecare agencies. Home health agencies help match a home health care professional with a patient in need of home health care.

Home health aide - A home health aide is a trained professional who provides non-medical health services. Home health aides primary tasks include personal care and assistance with Activities of Daily Living.

Home health care - Home health care is health care that occurs within one’s home. The term home health care and homecare are often interchanged; however, home health care refers to medical-related homecare while homecare encompasses all medical and non-medical homecare services.

Home health nurse - A home health nurse is a nurse that works in a homecare environment. This includes RNs and LPNs.

Intermediate care - Intermediate care is health care that is performed between primary care services and independent self-care.

Intermittent care - Intermittent care occurs when an individual is in need of infrequent medical assistance. Intermittent care caregivers may only be required for a couple of hours a day and a few days a week.

Licensed Practical Nurse (LPN) - Licensed Practical Nurses are licensed nurses that are required to pass a licensing examination known as the NCLEX-PN (National Council Licensure Examination-Practical Nurse).

Licensed Vocational Nurse (LVN) - Licensed Practical Nurses are also known as Licensed Vocational Nurses in California and Texas. These nurses can do both non-medical and some medical care, including wound care, vital sign measurements, patient record-keeping, and medication administration.

Medical Social Workers (MSW) - A medical social worker works with individuals who are in need of psychosocial assistance.

Occupational Therapist (OT) - Occupational therapists work with individuals living with mental, physical, and/or developmental disabilities and help them perform daily tasks.

Pediatric home health care - Pediatric home health care is home health care that is provided to children with illnesses and special needs.

Home Health Care Definitions | Maxim Homecare:

 Maxim Healthcare Services is accredited by the Accreditation Commission for Health Care (ACHC) for our private duty nursing and certified home healthcare programs. The ACHC is a national, non-profit organization that provides voluntary accreditation programs for various providers, including home health and hospice agencies, home infusion companies, homecare aides, specialty pharmacies, and home medical equipment suppliers. The ACHC is firmly committed to requiring what is right and best for the patient.

Wednesday, May 4, 2016

5 Apps That Are Revolutionizing How Medical Professionals Work | Barton Associates

5 Apps That Are Revolutionizing How Medical Professionals Work | Barton Associates: Emma Siemasko is a writer and marketing consultant who specializes in career advice, startups, and healthcare. She has contributed to a variety of healthcare publications, and enjoys the attention she gets when she visits a doctor or nurse.

Barton Associates   1.855.753.9617

ClinicalKey: A Search Engine for Providers Price: The app is free, but subscription costs vary. Available on iOS and Android.

Lexicomp: Trusted Drug Information Price: The app is free, but subscription costs vary. Available on iOS and Android.

NurseGrid: Scheduling Made Easy   Price: Free. Available on iOS and Android.

Micromedex: A Drug Reference Guide Price: The app is free, but a required subscription costs $2.99 per year. Available on iOS and Android.

UpToDate: The Latest Essential Inte  Price: The app is free, but subscription costs vary. Available on iOS and Android.

For ClinicalKey, Lexicomp, Micromedex, and UpToDate, check with your employer before you buy a subscription ? if they already have access, you can likely use these apps for free

Saturday, April 30, 2016



 Macie P. Smith, EdD

Program Development and Training Manager at University of South Carolina 

Program Development and Training Manager at University of South Carolina
  1. University of South Carolina,
  2. University of Phoenix
  1. Cognitive Disabilities Organization,
  2. First Health Services
  1. Nova Southeastern University


When is a person Able/Unable to Sign a Will, Trust, or Power of Attorney - AgingCare.com

When Is a Person Too Incapacitated to Sign a Will, 
by, Expert Attorney, author, Medicaid asset protection planning

 Many people are surprised to find out that a person with Alzheimer's or under a guardianship may still be legally competent to sign a will.

A slightly different test is involved for signing a power of
attorney. Here, the individual must be capable of understanding and
appreciating the extent and effect of the document, just as if he or she were signing a contract. Thus, the parent may be competent to sign a power of attorney, but not competent to sign a will.

 A trust is sometimes deemed to be more like a contract than a
will, so that the necessary mental capacity needed to sign a trust may be less than that needed to sign a will.
The mental capacity to sign the document should not be confused
with the physical ability to sign one's name. The law will permit a
person to sign an "X" (known as a "mark"), that, so long as properly
witnessed, will suffice just the same as a signature. In addition, if
even a mark is not possible for the individual to make, then the
individual can direct someone else to sign on his or her behalf. 
 {End Quote}

Senior Unable to Sign a Will, Trust, or Power of Attorney - AgingCare.com: Trust, or POA?

Sunday, April 17, 2016

What should YOU do once YOU have completed the Health Care Proxy?

 What should I do once I have completed the Health Care Proxy?

Give your Health Care Proxy and Alternate a copy of this form.

You may also want to give a copy to your lawyer or close family members or friends.
Give a copy of this form to your primary care provider and to any specialists you see often.

Ask them to make sure that your Proxy information, or a copy of this form, is in your medical record.
Keep a copy for yourself and try to bring it with you if you have to go to the hospital.

Talk to your Health Care Proxy about what matters most to you. Think about what you would or would not want if you were very sick, or if you were at the end of your life.

Talk about the care you would want to receive if you were very sick. If members of your health care team know about your wishes, they may be very helpful to your Proxy if difficult decisions ever need to be made about your care.

 Massachusetts Health Care Proxy Information | Beth Israel Deaconess Medical Center:

Saturday, March 12, 2016

Skilled Nursing Staff Caregivers Should Get To Know - AgingCare.com

Who’s Who in Skilled Nursing: Staff Caregivers Should Get To Know

a loved one moves into a skilled nursing facility the flurry of new
faces can be confusing for seniors and their family members.

Who on the staff should you get to know? Who's responsible for which aspects of your loved one's care?

Contributing Writer AgingCare.com

Skilled Nursing Staff Caregivers Should Get To Know - AgingCare.com:

Friday, March 11, 2016

Alzheimer's 3 Little Words That Work | Alzheimer's Reading Room

Alzheimer's Reading Room: Alzheimer's 3 Little Words That Work
Alzheimer's caregivers often describe a problem to me that they are having with a loved one.
In just about every case the conversation starts with the caregiver telling me how they try to explain to the person living with dementia the error of their ways.{EQ}

3 Little Words That Work I love you.

Sunday, March 6, 2016

Respect Different Approaches to Caregiving

,[2014] Expert speaker, columnist and eldercare consultant

There is no one-size-fits-all approach to caregiving.

Short of neglect or abuse of the care receiver, nearly every family caregiver must be free to make choices that work best for their unique situation. Even then, the available choices aren't always ideal.

You simply have to try and acknowledge what it really means to just do your best.

As a caregiver for multiple elders – at one time I was providing some type of care to five elders in three locations, as well as caring for my children – I've received my share of criticism.

There were those who felt that I should have provided for my elders in my home. Of course, these weren't people who knew my family's full situation. They were casual onlookers. Sidewalk superintendents, if you will. People who knew the complexities that I was coping with understood that I needed to hire the help of outside care providers including in-home care and a terrific nursing home. That didn't make me less of a caregiver, but it made me different than a friend of mine who moved her mother into her home.

Caregiving situations are simply too diverse and complicated for others to pass judgment on the way one family caregiver copes with a situation. It's important to bear in mind that there are certain things not to say to a caregiver.

Being human, I suppose we all second guess others to some degree, at least in our thoughts. However, when we do that, we should have a way of reminding ourselves that we don't have the same life situation as the person we may be criticizing.

Not everyone is cut out to be a hands-on caregiver

There are people who simply don't have the emotional skills to be a caregiver.

If empathy, patience and a degree of willing self-sacrifice are not in a person's makeup, they are not bad people. They simply may not be the best hands-on caregiver for their aging parents. Many of these people wisely hire help for their parents' daily needs, while they work as advocates and managers.

This same approach holds true for many adult children who live at a distance from their parents. The parents still have friends in their home town and don't want to move to a strange location. Few of us can give up a good job and move to our parents' community in order to care for them. Therefore, often, much of the parent care must be delegated.

That does not mean these people don't love their parents. They are simply working with life events as best they can.

On a much more dramatic note, I've had many adult children who grew up in abusive homes ask me what their obligation is to their parents. For some, when I hear the horror of their childhoods, the fact that they are even thinking of their aging parents at all is amazing.

What I tell them is that they only need to do what they can without further damage to themselves.

They may decide that they can hire help for their parents, but can't give hands-on care. Or they may feel that they can visit once a week and manage the bills, but need to hire others for the rest of the care. There are some, of course, who simply walk away.

Who are we to judge if we haven't been through what they went through as children?

Some will quit a job and give up financial security

Even though people lose out on retirement benefits and Social Security earnings, as well as the obvious lack of salary, some people quit their job to care for their parents or have their parents move in with them. They become a full-time caregiver. They may struggle financially, but they are doing what they feel is right for them and their loved ones.

I feel strongly that caregivers who stay in the work force and find other ways to care for their elders shouldn't criticize those who stay at home. Conversely, neither should people who make the sacrifice to stay at home criticize others who hire help.

My caregiving involved both scenarios.

For many years, my main job was racing from place to place taking care of my aging loved ones who lived in various housing situations. However, during a number of my later caregiving years I was working a full-time job as well as caring for my three remaining elders, though they were then together in the same nursing home.

Both situations involved considerable sacrifice on my part, and the later situation involved substantial changes for my care receivers. But there was no other viable solution, so the choice was made. I went back to a full-time job and altered my caregiving, though I didn't, by any means, abandon it.

Amazingly, both choices drew criticism from others who thought – the operative word is "thought" since they weren't in my shoes – that they would have made better choices.

I had to learn to tune out criticism and do what I could.

My best had to be good enough. 
Respecting Different Approaches to Caregiving is Important - AgingCare.com:

Monday, February 29, 2016

800AgeInfo - Information on Programs - Caregiver Support Page

800AgeInfo - Information on Programs - Caregiver Support Page

Caregiver Support

(caring for an individual)

The Massachusetts Family Caregiver Support Program (MFCSP) is

administered through a partnership with local Area Agencies on Aging

(AAAs) and Aging Service Access Points (ASAPs). MFCSP provides family

caregivers guidance, support, and attention that often is unavailable or

overlooked.  Caregivers receive individual attention to:

  • discuss their caregiving situation

  • increase knowledge of and access to resources

  • make informed decisions and solve problems related to their caregiver role

  • increase their own personal well-being including reduced stress

Family caregivers are individuals who:

  • Care for a spouse, parent, other relative or friend who is age 60 or older, or who has Alzheimer’s disease.

  • Are grandparents age 55 or older who are caring for grandchildren who are 18 years of age or younger, or who are disabled.

  • Are over the age of 55 and caring for a disabled individual who is not their child.
Caring for a loved one can be overwhelming and at times stressful,

even isolating; yet it can be meaningful and rewarding as well.  It is

critical that caregivers are aware of available services. Through the

MFCSP compassionate and knowledgeable professionals work directly with

caregivers offering a range of services that may include:

  • One-on-one Counseling

  • Family Meeting

  • In-home Assessment

  • In-home Services

  • Respite (a break for caregivers)

  • Nutrition Services

  • Transportation Services

  • Caregiver Training

  • Support Groups

  • Supplemental Services (such as assistive devices, emergency response system)

  • Financial Counseling

  • Legal Referral

Tuesday, February 23, 2016

HIPAA Compliant Communications Kit

HIPAA Compliant Communications Kit: HIPAA Compliant Communications Kit

discover what hospitals and healthcare organizations should
be doing in regards to communicating PHI between clinicians and
patients. The kit includes:
HIPAA Complaince Check List
12 Step Guide to Buying a HIPAA Compliant Secure Messaging Solution
3 Keys for True HIPAA Compliance

Friday, February 19, 2016

Nothing worse than not getting trained to care for persons living with Alzheimer's

Alzheimer's Dementia Hands-On Care DVD: "The Art of Caregiving" with Care Expert Teepa Snow http://tinyurl.com/jetswp2

A quote from: Ethelle Lord, DM "I found something worse than
receiving a diagnosis of Alzheimer's. It is not getting the workforce
trained in time to care for persons living with Alzheimer's whether
at home or in a care center." Ethelle Lord is President
remembering4you.com based in Maine

 Pines Education Institute of S.W. Florida
 {QUOTE}Caring for that special someone is a task that becomes harder with each day. You want to give the best possible care and quality of life, but wonder at times whether there is something you are missing.

Teepa Snow will show you in "The Art of Caregiving" how to provide the most comfort for mind, body, and soul for your person with dementia. She provides detailed, easy-to-follow explanations for daily tasks, such as helping to eat, move, bathe, or getting dressed.
Her program is a great learning tool for anyone, from beginning in-home caregiver to experienced professional.

Teepa's insights are based on a foundation of science, mixed with a genuine dose of love and understanding for people with dementia.

Learn with Teepa and share in the experience of what a positive, person-centered care approach can do for you and your loved one.
View video excerpts on  www.youtube.com/user/PinesofSarasota {END QUOTE}

Friday, January 29, 2016

Doll Therapy | Balhousie Care Group

Doll Therapy | Balhousie Care Group: Doll Therapy
Comfort can sometimes be found in the most unusual places for dementia sufferers.
01/21/2016 - 15:42

{QUOTE}There is an estimated 40 million people worldwide living with dementia and, with no long term cure currently available, there is a big focus on finding ways to alleviate symptoms and help to improve the quality of day-to-day life of those suffering from the illness.

A recent video posted on social media, which shows the joyful reaction of an elderly lady who suffers from dementia when she receives a doll for Christmas, went viral at the end of 2015, amassing 3.1 million views and over 90,000 likes. Many people were surprised by the lady’s reaction and, whilst it may seem like just a small thing, the heart-warming video has highlighted the benefits of an unusual kind of therapy that we actively use at our Balhousie Care Homes called doll therapy.{ENDQUOTE}

find out more about the work  at Balhousie Care Group, speak with a member of their team by calling 01738 254254 or find out more by visiting www.balhousiecare.co.uk

keep in touch with your loved ones|http://www.balhousiecare.co.uk/caremail


Balhousie Care Group <http://www.balhousiecare.co.uk/about-balhousie-care-group>

Keeping You Connected 

We understand how important it is to keep in touch with your loved ones. That's why we have introduced CAREM@IL to all of our homes.
The facility allows you to send a message, attach photographs or upload a video. Our team will ensure that your loved one receives this, so they don't need to miss out on any special moments, regardless of any distance that may separate you.
Fill in the form below to contact your love one; it's straightforward, quick, and is a great way to stay in touch.

Video Calling

Many of our homes also have capability for loved ones to SKYPE residents. This requires just a little advance notice to arrange at our end, but our staff are more than happy to organise this and very much believe in the benefits this can bring to our residents and their quality of life at their home.
Please ask the care home manager of your family member's or friend's home for more details of how to set this up.

 CAREM@IL Contact Form

Sunday, January 24, 2016

Understanding the dementia experience DaveM suggests start with these books

Nothing worse than receiving a diagnosis of Alzheimer's and not being prepared to care for persons living with Alzheimer's.

A quote from: Ethelle Lord,   "I found something worse than receiving a diagnosis of Alzheimer's. It is not getting the workforce trained in time to care for persons living with Alzheimer's whether at home or in a care center." Ethelle Lord is President remembering4you.com based in Maine

Harvard Medical School A Guide to Alzheimer's Disease (Harvard Medical School Special Health Reports) Harvard Medical School Special Health Reports  John H. Growdon, M.D., Kathleen Cahill Allison, Alex Gonzalez, Scott Leighton  

The 36-Hour Day: A Family Guide to Caring for People Who Have Alzheimer Disease, Related Dementias, and Memory...Sep 25, 2012  by Nancy L. Mace and Peter V. Rabins http://smile.amazon.com/s/ref=nb_sb_ss_c_0_11?url=search-alias%3Dstripbooks&field-keywords=alzheimer%27s&sprefix=alzheimer%27s%2Caps%2C210

Creating Moments of Joy for the Person with Alzheimer's or Dementia: A Journal for Caregivers, Fourth EditionSep 1, 2008  by Jolene Brackey http://smile.amazon.com/s/ref=nb_sb_ss_c_0_11?url=search-alias%3Dstripbooks&field-keywords=alzheimer%27s&sprefix=alzheimer%27s%2Caps%2C210

Still AliceDec 2, 2014  by Lisa Genova  http://smile.amazon.com/s/ref=sr_pg_3?rh=n%3A283155%2Ck%3Aalzheimer%27s&page=3&keywords=alzheimer%27s&ie=UTF8&qid=1448046706

Alzheimer's Association Caregiver Notebook: A Guide to Caring for People with Alzheimer's and Relate2009  by National Alzheimer's Association http://smile.amazon.com/s/ref=sr_pg_9?rh=n%3A283155%2Ck%3Aalzheimer%27s&page=9&keywords=alzheimer%27s&ie=UTF8&qid=1448046951

Coach Broyles' Playbook for Alzheimer's Caregivers: A Practical Tips GuideJan 1, 2006  by Frank Broyles  http://smile.amazon.com/s/ref=sr_pg_11?rh=n%3A283155%2Ck%3Aalzheimer%27s&page=11&keywords=alzheimer%27s&ie=UTF8&qid=1448047090

Elder Rage, or Take My Father... Please!: How to Survive Caring for Aging ParentsApr 2001  by Jacqueline Marcell and Rodman Shankle http://smile.amazon.com/s/ref=sr_pg_2?rh=n%3A283155%2Ck%3Aalzheimer%27s&page=2&sort=review-count-rank&keywords=alzheimer%27s&ie=UTF8&qid=1448047389

"Kisses for Elizabeth" A  Common Sense Guide to Alzheimer's Care  is written for both family and professional caregivers of people with Alzheimer's disease and other dementias. It is a practical resource for anyone experiencing difficulty with significant behavioral issues but is  also helpful to caregivers who simply want to provide the best possible  care.

Can't We Talk about Something More Pleasant?: A MemoirMay 6, 2014by Roz Chast

Love, Loss, and Laughter: Seeing Alzheimer's Differently Hardcover – March 6, 2012by Cathy Greenblat http://smile.amazon.com/Love-Loss-Laughter-Alzheimers-Differently/dp/0762779071/ref=sr_1_1?ie=UTF8&qid=1448461740&sr=8-1&keywords=%22Love%2C+Loss+and+Laughter%27+by+Cathy+Greenblat