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2014 Caregiver Overtime Law - Effective January 1st in California | LinkedIn

2014 Caregiver Overtime Law - Effective January 1st in California | LinkedIn: 2014 Caregiver Overtime Law - Effective January 1st in California

Jeromy Meyer Community Liaison at Raya's Paradise Board & Care and CARE Homecare - West Hollywood

I wanted to share some news about the new law regarding caregiver overtime. As you are well aware I'm sure, on January 1, 2014 the state of California will be requiring ALL licensed, insured & bonded in-home caregiver/companion providers to pay Caregivers overtime. As a provider also of Caregivers in the home, Raya's Paradise/CARE Homecare have come up with a way to fairly accommodate those clients and families who's rates will become impossible to maintain.

Jeromy Meyer, Community Liaison
CARE Homecare and Raya's Paradise Board & Care
cell: 323-599-6056


Wound Care Basics Today's Caregiver magazine November/December Issue


 Wound Care Basics
Studies have shown that more than one-third of caregivers believe wound care is a challenging task and want better education on treatment.
Whether your loved one is living with diabetes, skin tears or pressure ulcers, wound care is an important topic for family caregivers to learn more about.

Smoothe Foods - Links

Smoothe Foods - Links

They love to provide you with tools to help keep you informed on progress and resources for various conditions. See links below. These organizations do not endorse products.



Smoothe Foods Goals: Our goal is to provide so many positive outcomes.

  • Educate individuals, caregivers, and professionals - How to realize when someone can benefit from Smoothe foods due to swallowing issues thus avoiding malnutrition, dehydration and even pain. Also determine when Smoothe Foods can provide nutrition when someone experiences poor digestive functions or chewing sensitivity due to dental issues.

  • Nutritious, All Natural & Delicious High Quality Meals for better health - An alternative to sugar laden shakes, baby food and powdered or canned food. Just because you cannot eat regular food doesn’t mean you can't have good, healthy meals.

  • Convenience  - The meals are convenient to prepare – just heat & eat!

  • Peace of mind  - Offering great meals for nutritional and emotio

  • Caregiver Daily Log

    Caregiver Daily Log

    If you've hired your caregiver privately, unless you provide an easy-to-use form the chances that your caregiver will consistently make note of what you need and want to know is slim. Some families ask their caregivers to record notes in a loose-leaf or spiral notebook, but without guidance about what to record, these notes tend to become shorter and shorter as time goes by.
    The Caregiver Daily Log form is available for you to download and use. Remember to save it to your computer in a place you can remember. Print one two-sided sheet per caregiver per day. The easiest way to keep them organized for your caregiver(s) is to use a three-hole punch and keep them in a three-ring binder.

    "Advocates for Patient Friendly Hospitals"

    "Advocates for Patient Friendly Hospitals" 

     "Patient Freindly Hospitals"
    All-inclusive discussion of patient focused practices. Conversations concerning the many needs of patients who are strangers to hospitals, emergency departments, emergency rooms and the mind boggling array of inpatient and outpatient orginization.

    Healthcare professionals can't respond with patient focused care unless they are trained and their organization has a common guidelines how to manage patient confusion, fear, cognitive issues and finding their way around the hospital.

    Create A Better Day Café will be held the 4th Sunday of each month from 1:00pm to 3:00pm

    Create A Better Day Café
    Are you caring for someone with Alzheimer's or other dementia?  Create A Better Day Café encourages socialization with other caregivers and loved ones where you can just be yourself. This is a wonderful opportunity to get out with your loved one and have an enjoyable afternoon.  It's a time to step out of the daily routine, leave the disease at the door, and enjoy a positive experience in a supportive environment.  The afternoon will consist of conversation, music, arts, games, refreshments, and most importantly, laughter. There is no cost.  It is open to anyone at any stage of the disease process accompanied by friends, family, and loved ones.
    Our Next Café is
    November 24th, 2013
    1:00pm to 3:00pm 
    Create A Better Day Café will be held the 4th Sunday of each month from 1:00pm to 3:00pm
    at Pleasantries Adult Day Services 195 Reservoir Street
     Marlborough, MA. 
    Call Tammy for more information at 508-481-0809
    Due to possible cancellation from inclement weather or illness, please call prior to attending   and listen to voice message

    How to Widen a Doorway • Ron Hazelton Online

    How to Widen a Doorway • Ron Hazelton Online • DIY Ideas & Projects: Learn how widen a doorway; includes details on inspection holes, removing wall coverings and installing new framing.

    Related Project
    In the course of widening this doorway, some damaged flooring was exposed.  view a video that shows how that situation was handled.

    Palliative Care Services: Support For the Entire Family | Griswold

    Palliative Care Services: Support For the Entire Family | Griswold: Caring For More Than Just the Patient
    Palliative care services are also not focused solely on the patient. The palliative care team understands the important role that family members and friends play in the recovery and comfort of the patient. Part of the services offered include dealing with the emotional and spiritual needs of the patient and family. A chronic or life threatening illness can take a heavy emotional toll. The palliative care team will help reduce the stress of the family caretakers.

    Costs are always a concern when it comes to medical issues. As most palliative care takes place in a hospital or nursing home, for the most part it is typically covered by insurance including Medicare and Medicaid. If payment is an issue, a palliative care team member can help determine which payment options are best for you.

    Palliative care teams understand the stresses that you and your family face. The anxiety, fatigue, depression, and pain that can become part of coping with a chronic illness do not have to become the center of everyone’s attention and the focus of their energy. For an older adult with a serious or chronic disease, palliative care can add an additional layer of support and care for the patient and family members.

    Dementia: How to Protect Your Family Member in a Nursing Home | Alzheimer's Speaks Blog

    Dementia: How to Protect Your Family Member in a Nursing Home | Alzheimer's Speaks Blog: Key Points When Choosing a Home

    When you’re looking at different nursing homes, there are different things to look at and consider. By taking a look at these points, you’ll know exactly what kind of a home that your loved one is living at.

    · You should start by checking out the Nursing Home Compare program provided by the Medicare website. This online programs allow you to view if they have any recent penalties, what they scored on their last inspection, and how they rate in comparison to other nursing homes in the area.

    · Look at the staffing. Especially if your loved one is diagnosed with dementia—they are going to be in need of constant care. Look at the ratio of aid to patients on the nursing home compare website. Ask the employees how often they switch patients. You can also find this information on the Nursing Home Compare website. You’re paying the money—make sure you are getting what you ask for.

    Training & Workshop Schedule | SBDC | Clark University

    Training & Workshop Schedule | SBDC | Clark University: Your First Business Plan

    Thursday, November 21, 2013
    8:45 – 12 noon
    Grace Conference Room, Higgins University Center

    This next program covers a topic that is critically important with the start-up process of a small business and can also be beneficial to existing businesses that may be ready to expand. After you have proven the feasibility of your concept, limited your risk, analyzed your financials, and developed a marketing plan – how do you package all of this information together so you can really get your business started?
    Our team of expert advisors enjoy working with people who are ready to get their businesses started. Developing a winning business plan can be invaluable as a management planning tool and or as a loan proposal. The business plan becomes the blueprint that an entrepreneur can follow to avoid the pitfalls that await every small business owner. This program is designed to guide the participants on a step by step journey to develop a thorough and comprehensive Business Plan.

    Topics that will be included are:
    • What a banker looks for in a business plan
    • Defining the business
    • Describing the target markets
    • The marketing/advertising program
    • Projected balance sheets
    • Projected income statements
    • Projected cash flow projections

    When Cognition & Hearing Loss Collide

    When Cognition & Hearing Loss Collide: When Cognition & Hearing Loss Collide
    By Jennifer Bradley, Staff Writer
    (Page 1 of 2)

    If you find a loved one asking repetitive questions, becoming more confused and forgetful, you may assume they have dementia, but the cause could be hearing loss.

    While it’s not “new” news, study results reported in the January 2013 Journal of the Medical Association Internal Medicine are confirming what many professionals have believed: that cognitive loss and hearing loss collide on a large scale.

    The study, from the John Hopkins University School of Medicine, is the first of its kind and is viewing long-term brain function impacted by hearing loss. When the study began in 2001, the 1,984 participants (in the age range of 75 to 84) were in good health and had no cognitive impairment. Over a period of six years, hearing and brain cognition tests were administered. Study researchers determined that brain ability was in direct correlation to hearing loss. Those who did have hearing loss suffered more substantial cognitive impairment more than three years sooner than others with normal hearing levels.

    Links | GeriPal - Geriatrics and Palliative Care Blog

    Links | GeriPal - Geriatrics and Palliative Care Blog: Home

    We are populating a new list of links for national geriatrics and palliative care organizations (in addition to the blog role that is on our main page). Let us know if you have other sites that you think should be on this list!

    Welcome to GeriPal
    GeriPal (Geriatrics and Palliative care) is a forum for discourse, recent news and research, and freethinking commentary. Our objectives are: 1) to create an online community of interdisciplinary providers interested in geriatrics or palliative care; 2) to provide an open forum for the exchange of ideas and disruptive commentary that changes clinical practice and health care policy; and 3) to change the world.

    Who is GeriPal
    GeriPal was founded by Eric Widera and Alex Smith.

    Contributors include Theresa Allison, Bob Arnold, Shaida Talebreza Brandon, Helen Chen, Amy Corcoran, Ken Covinsky, Anne Johnson, Bree Johnston, Helen Kao, Chrissy Kistler, Leslie Kernisan, Sei Lee, Hillary Lum, Susan Lysaght, Dan Matlock, Brad Miller, Aanand Naik, Carla Perissinotto, VJ Periyakoil, Mike Steinman, Rebecca Sudore, Tanya Lugliani Stewart, Brad Stuart, Paul Tatum, Julie Thai, Ori Tzvieli, Patrice Villars, Lindsey Yourman, and Ron Walent.

    Alzheimer's Navigator an Alzheimer's Association service

    Alzheimer's Navigator: Map out a plan to approach Alzheimer's

    When facing Alzheimer's disease, there are a lot of things to consider. Alzheimer's Navigator helps guide you to answers by creating a personalized action plan and linking you to information, support and local resources.
    You can move at your own pace

    Create your private profile and complete the Welcome Survey.
    Take short surveys pertaining to your needs with:

    Planning for the Future
    Working with Doctor/Healthcare Professionals
    Caregiver Support
    Activities of Daily Living
    Home Safety
    Knowledge of Alzheimer's

    Review your action plan to get more information, support and local resources.

    How to help if someone you care for has a fall | Stroke4Carers

    How to help if someone you care for has a fall | Stroke4Carers: How to help if someone you care for has a fall

    Video running time: 07.13 minutes. The film may take time to download depending on your broadband speed.
    To enlarge to full screen click on the arrows at the bottom right of the frame.

    If you are having problems playing the video, download the clip here [.mp4, 28.6 MB] (Right click this link, and “Save As”).  http://www.stroke4carers.org/wp-content/uploads/GETTING_UP_AFTER_A_FALL.mp4

    Carers Chill4us | Support Care and Friendship

    Carers Chill4us | Support Care and Friendship: Elderly and disabled people who need care in their own homes have been hit with rises of up to 160 per cent in their bills in just five years, new research shows.

    By John Bingham, Social Affairs Editor

    7:00AM BST 19 Sep 2013

    New care measure 'sets bar too high' for elderly and disabled, say charities Home care fees rise by up to 160pc as rationing takes hold Photo: IAN JONES

    The number of areas in which the state support for care is available to anyone other than the most frail has also halved in the same period, it discloses.

    A study by Which?, the consumer rights group, exposes the full extent to which councils are rationing care as they attempt to absorb major cuts to their budgets.

    Based on information obtained under the Freedom of Information Act, it discloses that there are now only 12 local authorities in England and Wales still offering care to people whose needs are officially assessed as “moderate”. Five years ago it was able to identify 26 areas where this was still available

    Questions to Ask When Your Aging Parent is Discharged from the Hospital - eCaring Forum

     Questions to Ask When Your Aging Parent is Discharged from the Hospital
    Posted on September 9, 2013 by Melody Wilding

    If your parent is returning home after discharge, be prepared with this comprehensive list of questions to ask the discharge planner. 
    About your loved one’s health condition:
    • Please explain the diagnosis at discharge.
    • What milestones and setbacks can we expect during recovery?
    • What follow-up appointments are needed and with whom? Who is scheduling them?
    • Where will these appointments take place? At home? In the office?
    • Who can I call with questions?
    • What types of health care services have been prescribed? (physical therapy, home health service)
    • How long are these services needed for?
    • Who is paying for them?
    About scheduling:
    • What date and time will my loved one be discharged?
    • How do you suggest the transfer to the home be made (car, taxi, ambulance)? Is an escort necessary?
    About the home environment:
    • What equipment will we need in the home? (hospital bed, oxygen tank, wheelchair, bedside commode)
    • Can you demonstrate how to use equipment we are unfamiliar with?
    • Who pays for this equipment?
    • How do reorder supplies and who do we call with problems?
    About providing care:
    • What type of supervision and level of personal care will my loved one need?
    • Can you or the appropriate person teach me techniques for skills I need to perform such as giving injections or changing dressings?
    • What, if any, special dietary restrictions does my loved one have?
    About medications:
    • What medication has been prescribed?
    • What side effects are associated with these medications? (falls, confusion, nausea)

    eCaring.com | Better Lives through Better Care | About Us: eCaring was started by family members responsible for coordinating and planning 24 hour home care for their elderly parents.

    Responding to the difficulties and challenges of providing such care, they reached out to find the best professional and practical expertise of health care-industry professionals.

    In doing so, they created eCaring:
    a complete, Web-based system
    for recording, monitoring, and managing
    health at home

    eCaring Payroll Module   http://ecaring.com/payroll-module
    For families paying for home health care, and agencies providing it, eCaring provides the best possible report for time worked and wages, up-to-date and easily accessible

     Questions to Ask When Your Aging Parent is Discharged from the Hospital - eCaring Forum:

    Choosing a Care Facility: Evaluate the Financial Issues

    Choosing a Care Facility: Evaluate the Financial Issues: Choosing a Care Facility: Evaluate the Financial Issues

    The final factor you need to address when evaluating a care facility is finances. A stay in a care facility is not inexpensive, and you should make sure that you understand exactly what fees will be charged, and what services your loved one will receive in return.

    Any contract between the resident and facility should clearly state the costs, dates of admission, services provided, and discharge and transfer conditions. You should also ask to see a list of fees for any services that aren't included in the basic rate. Finally, be sure to compare the costs of the different facilities that you are considering.

    Improve the care of people with in hospitals

    New innovative training to improve the care of people with dementia in general hospitals: Pat Graham, Senior Nurse for Older People at Bolton NHS Foundation Trust, said: “It’s so important for the care of people with dementia that all staff understand them and how best to meet their needs. The programme can be delivered in a very flexible way which means it can be accessed easily. Our staff have benefited greatly from the training and therefore so have our patients.”

    The “Getting to Know Me” training materials can be downloaded free of charge from http://www.gmhiec.org.uk.

    The project was funded by Greater Manchester Health, Innovation and Education Cluster (GM-HIEC).

    State Medicaid Hospice Services - Hospice Patients Alliance

    State Medicaid Hospice Services - Hospice Patients Alliance: Hospice Patients Alliance: Consumer Advocates

    Medicaid Reimbursed Hospice Services
    Health Care Financing Administration website's public information on state Medicaid hospice services.

     www.hcfa.gov/medicaid/ltc2.htm but HCFA is now Centers for Medicare Services. 

    See Hospice Medicaid regulation information at: 
    or http://www.access.gpo.gov/nara/cfr/waisidx_04/42cfr418_04.html
     Permission was granted to share these articles with others, to print them, or post them on other websites so long as credit is given to the author and Hospice Patients Alliance with a link to this original page.

    Back to Articles by Ron Panzer

    Welcome to the I CAN! I WILL! Library | Alzheimer's Disease International

    Welcome to the I CAN! I WILL! Library | Alzheimer's Disease International

    Welcome to the I CAN! I WILL! Library

    I CAN! I WILL! is a library of ideas to help people around the world stand up and speak out about Alzheimer’s disease and related disorders.

    These ideas, which raise awareness about dementia and help to erase the stigma, have been contributed by people just like you - people with dementia, care partners, medical professionals, volunteers and advocates - so that you can learn from their experiences and they can learn from you.

    The Association of Directors of Adult Social Services (ADASS) UK

    The Association of Directors of Adult Social Services (ADASS): Welcome

    Welcome to the ADASS Website - the home of the Association of Directors of Adult Social Services, and the voice of adult social care. The site contains the whole range of policy initiatives, press releases and consultation responses that constitute so much of the daily activity of the Association's members, and is regularly updated.

    The main contact details of the Association can be found at the foot of every page. Please post comments about this site - we value your views.

    Retrofitting or Assisted Living | The BMA Blog

    Retrofitting or Assisted Living | The BMA Blog: Retrofitting or Assisted Living

    By Rick Banas of senior living and assisted living provider BMA Management, Ltd.
    Neighborhood houses

    Which might better? Retrofitting the house to accommodate aging in place or moving into a senior living or assisted living community?

    Here are things to consider.

    Please read: Talking Point updates

    Please read: Talking Point updates

    The main changes are outlined in the following posts, but if you have any questions or there is anything you’re not sure about, please post below or email talkingpoint@alzheimers.org.uk, and a member of the Talking Point team will get back to you as soon as possible.

    1. New sub-forums

    2. New drop-down menus and links to Alzheimer's Society resources

    3. Members' personal menu options have moved

    4. Moved buttons

    5. Re-worded commands

    Grief for Spouse with Dementia | Lesley Postle Sydney Area, Australia

    Grief for Spouse with Dementia or Alzheimer's

    Lesley Postle wrote:
    "Grief and loss can occur when the loved one is still alive, yet their personality and individuality has gone. Your spouse with dementia or Alzheimer's is gradually changing before your eyes and is becoming more and more dependent. You grieve for the loved one you had, whilst caring for the totally dependent person they have become."

    "This long, slow loss of a loved one is a painful, difficult time for those coping with their home care. The husband who used to do all the DIY, gardening and deal with the household finances becomes like a child who has to be told what to wear and when to eat. The wife who used to be a great cook and homemaker becomes the child again. She has to be given food to eat, she can’t shop anymore as she comes home with pounds of tomatoes and nothing else. They are still with you, they have the same smile, they may appear outwardly normal, but the ability to cope alone is gone and they become totally dependent. Grief for Spouse with Dementia:"

    Lesley Postle  

    Sydney Area, Australia

    Websites include www.pumpkinlicious.com - Owner
    www.griefandsympathy.com - Owner

    www.sarahkeyphysiotherapy.com - builder
    www.simplebackpain.com - builder

    Her contact page on www.decolish.com

    This Caring Home

    This Caring Home

     Rosemary Bakker is the creator and director of ThisCaringHome.org. She is also an interior designer, gerontologist, keynote speaker, and former caregiver to a mother with Alzheimer’s disease. She understands first-hand how difficult and rewarding caregiving can be. Most importantly, she learned how a dementia-friendly environment can make caregiving less difficult and more fulfilling. Rosemary is the recipient of many awards for her innovative education and has authored two books on interior design and aging, including Lark Books: The AARP Guide to Revitalizing Your Home: Beautiful Living for the Second Half of Life (2010). Rosemary is available for 1) Training and Speaking Engagements and 2) Design Consultations.

    1) Training and Speaking Engagements

    Rosemary brings a fresh innovative approach to dementia care training. Her lively presentations give professional and family caregivers the tips and tools they need to transform an ordinary dwelling into a dementia-friendly home. Learn about inspiring and practical solutions to everyday caregiving problems that enhance safety and well-being and help the person with dementia live a fuller, more meaningful life.

    Keynote speeches, workshops, and lunchtime presentations can be customized to fit the needs of the audience, including healthcare providers, human resources, and family caregivers. Training on how to use ThisCaringHome as a vital resource can also be provided for service professionals.

    Presentation Topics

    Presentations cover a wide array of home safety and caregiving topics, including:

    • Memory Aides
    • 7 Steps to Better Bathing
    • Cooking Safety
    • Better Mealtimes
    • Smart Home Devices
    • Wandering Technologies
    • Therapeutic & Fun Activities
    • Dementia-Friendly Interior Design
    • A Calmer Day: Reducing Agitation

    About Senior Housing Forum
    Senior Housing Forum exists to address issues and ideas that directly relate to the senior housing industry. It is published by Steve Moran a 30+ year senior housing veteran.

    The following article was authored by Karen Austin

    While teaching college English for 30 years, I thought I knew a great deal about the human mind. After all, I was teaching critical thinking. Entering the field of gerontology has brought me to a greater awareness of how the brain works. As people experience changes based on trauma, disease or even just the passing of time, we can see brain functions that we take for granted.

    Because of my area of research and my blog, I frequently have friends and acquaintances ask me if a parent’s changing cognition is a sign of dementia, specifically Alzheimer’s disease. I am not a neurologist, so I am not qualified to assess. I ask them to schedule an appointment with their parent’s general practitioner.

    Nevertheless, I provide an overview of some of the many reasons why an aging parent might demonstrate a change in cognition.

    Age-related Cognitive Changes. By the time people reach their 40s, they usually notice it’s harder to retrieve names with ease. As we age, we experience cognitive slowing. This makes it harder to multi-task, and it takes longer to retrieve information. We also think better with fewer distractions.

    Mild Cognitive Impairment. This diagnosis emerged in the 1990s as a midpoint between normal age-related changes and dementia. People with MCI experience cognitive changes greater than their age and educational level; however, they can still perform day-to-day functions. Only 30% will progress to dementia over 10 years. The rest hold steady or return to former cognitive levels.

    Delirium. Often rapid change in cognition is due to delirium, brought on by dehydration, infection, sleep deprivation or incorrect use of prescription medication. It’s important to get immediate medical attention to treat the underlying problem causing the mental confusion.

    Hospital-induced psychosis. Many people suffering from the shock of a medical problem will have a dramatic change in cognition affecting memory. Infection or pain medication can cause or contribute to an altered mental state. The effects sometimes extend beyond the hospital stay, morphing into post-traumatic stress disorder.

    Psychological Disorders. Depression, post-traumatic stress disorder, and obsessive-compulsive disorder are just a few of the psychological disorders that can affect a person’s attention, concentration, executive function and memory. Depression is particularly under diagnosed and under-treated among older adults.

    Drug or Alcohol Abuse. If a younger person behaves oddly, people will too often assume drug or alcohol abuse when it could be something else. Too often older people are pronounced “senile” when the cause for their cognitive disorder could be substance abuse.

    Strokes or TIAs. If the cognitive change is sudden, the underlying cause could be a stroke or a transient ischemic attack (TIA). The person needs immediate medical attention.

    Concussion or Traumatic Brain Injury. If a person has suffered a blow to the head from a fall or another type of accident, they might have a concussion. Or the injury could result in a traumatic brain injury, which is more serious.

    Dementia. Yes, sometimes cognitive changes to signal the early stages of dementia from Alzheimer’s Disease, vascular dementia, Parkinson’s Disease, Huntington Disease or another disease. It’s vital to get an assessment with a cognitive tool such as the Wechsler Adult Intelligence Scale (WAIS). A doctor might first administer a shorter test in the office before referring to a neurologist or another specialist for more extensive testing.

    Most often, cognitive changes are age-related, and the adult child is overly concerned. Nevertheless, sometimes a more serious problem causes the change in mental functioning, which requires attention from a medical professional. Learn more about the causes listed above by consulting qualified sources on the Internet, in print or in person.

    When you are dealing with family members of residents who have cognitive changes, how do you help them with this painful reality?

    Karen Austin blogs about aging at The Generation Above Me

    Presented with permission from Steve Moran -

    Steve's Bio
    I am the publisher of Senior Housing Forum. In the early 80's shortly after graduating from college I stumbled into the senior housing industry. I started by operating and later developing a number of small 15 bed buildings (I was young, foolish and not terribly successful). For the next 20 or so years I worked in and around the senior housing developing and operating CCRC's and freestanding single level of care communities.

    I took a 10 year detour into high tech but found that senior housing was my first love.

    I am currently an account manager for Vigil Health Solutions where we provide the finest emergency call systems for independent living, assisted living, skilled living and dementia units. (www.vigil.com)



    Better Day Café Next Café is Sunday, July 28th, 2013 1:00pm to 3:00pm

    Better Day Café Next Café is Sunday, July 28th, 2013 1:00pm to 3:00pm Create A Better Day Café will be held the 4th Sunday of each month from 1:00pm to 3:00pm at Pleasantries Adult Day Services 195 Reservoir Street Marlborough, MA. Call Tammy for more information at 508-335-1968 --- http://alzheimercafes.blogspot.com/ Alzheimer's Cafes Worldwide Cafes come by a number of names, Memory Cafes, Alzheimer's Cafes, Dementia Cafes. In the UK many have been in existence for several years. Currently the concept is gaining momentum and hundreds of memory cafes sprouting up everywhere. 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. Ish's, Ishmael's, Knowledge Network blogs, web sites, groups

    TaskRabbit Support : About TaskRabbit

    Prices of Popular Tasks:

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    Ten Questions To Ask When Choosing A Home Care Provider | Area Agency on Aging of Pasco-Pinellas, Inc.Area Agency on Aging of Pasco-Pinellas, Inc.

    What is the background of your company?

    Search out the history and ownership of the company. What type of license do they have? Find out who owns the company and weigh how the ownership affects the company’s service and reliability. Is this agency backed by a nationally strong firm? Is it reputable and in good standing? Is it involved in professional organizations?

    2. How long has your company been in business?

    The number of years an agency has been in business is not always pertinent to the quality of care given, but it does reflect on the stability and success of the company.

    3. What qualifications, certifications, experience and training do you require of your workers?

    read more
    Area Agency on Aging of Pasco-Pinellas, Inc. Serving as a designated Aging and Disability Resource Center (ADRC) Main Office – Pinellas County, Florida20130221 DSC_0054 for web 9549 Koger Blvd. Gadsden Building, Suite 100 St Petersburg, FL 33702 Phone: (727) 570-9696 Helpline 1-800-963-5337 For inquiries from outside of the area call (727) 217-8111

    Tender Book Teaches Children about Alzheimer’s Disease | Alzheimer's Speaks Blog

    Alzheimer's Speaks Blog Trailblazing Teen Researcher
    Wins Accolades for Best-Seller
    Tender Book Teaches Children
    about Alzheimer’s Disease

    July 18, 2013, Boston, MA– At age five, Max Wallack learned to cope with his great-grandmother’s Alzheimer’s symptoms. Forgetfulness was the least of her problems: Max experienced her fears, episodes of irrational behavior, incontinence – even escape attempts. But Wallack didn’t just cope. He devoted himself to easing her suffering. By second grade, he had invented adaptive equipment to help her with mobility, and at age 12 he founded www.PuzzlesToRemember.org, a non-profit charity that distributes therapeutic puzzles at no cost to Alzheimer’s facilities worldwide.

    Caregiver Partnership Agreement Program™ to organizations and care facilities that provide specialized care for individuals living with Alzheimer’s and other dementias.

    Home - Remembering4you - Alzheimer’s Coaching:

    Dr. Ethelle Lord, Remembering 4 You P. O. Box 193 Mapleton, ME 04757 Phone: (207) 764-1214
    a unique Caregiver Partnership Agreement Program™ to organizations and care facilities that provide specialized care for individuals living with Alzheimer’s and other dementias. In this program physicians, administrators, social workers, nursing staff, and families are trained and certified to work as a cohesive team known as Care Partners™ in a number of important areas such as instituting a care model versus the medical model to save about 50% in costs, speaking Alzheimer’s, adopting a seamless transfer method from home to long-term care, improved family communications, and many more.

    Our perspective is that the medical model of care for Alzheimer’s and many dementias is not appropriate. Healthcare systems cannot continue to sustain in this way and change must begin with top decision makers. We must educate both family caregivers and professional caregivers in ways that will improve careDisclaimer: Remembering4You.com is NOT a medical website. It was developed to provide useful information for individuals and facilities who give care to individuals with Alzheimer's and other forms of dementia. We do not have medical personnel on staff or on retainer to answer your questions. We do not make any medical referrals or offer a second opinion to an existing medical condition such as Alzheimer's, and we cannot offer replies to any specific case because every case is different. Instead, we hope that you will use the many links offered throughout the website to locate other sites of interest; utilize our contact page to share ideas and ask questions; send us your personal story for publication on our Stories section; and to sign up for our class offerings if you feel those classes are of interest to you or to your organization. Remembering 4 You reserves the right to refuse to post any story that may be objectionable and if photos are mailed to us, we are unable to return them to you.

    The information on the World Wide Web comes from many sources and changes on a daily basis. Please note that it is possible to find errors and omissions in such information. To the best of its knowledge Remembering 4 You, contributors and sponsors to this website believe the information presented on this website is accurate and complete.
    The goal at Remembering4You.com is to support and encourage caregivers all over the world, family caregivers and professional caregivers, in their quest to provide care for individuals with Alzheimer's and other forms of dementia. It is our intent to create a safe place to meet and retreat together. We do not endorse any miracle cure or easy way to provide the care, but we do encourage visitors to our site to explore and challenge themselves whether it be through gathering information or taking a class. A link to an outside product or site should never be viewed as a recommendation or an endorsement of a particular product. Always consult your doctor first.
    Note: Remembering 4 You believes you should always direct medical or health questions to your medical provider. and lower costs.

    We can all learn something from your personal story. Please send your 1-2 pages personal story (with or without pictures) to: Dr. Ethelle Lord, P. O. Box 193, Mapleton, Me 04757 ---

    Hospices Directory | Best Hospices | Caring.com

    Hospices Directory | Best Hospices | Caring.com
    Questions to Ask When Choosing a Hospice Program There are more than 3,100 hospices in this country and the hospice in your community can provide information and help you answer some of the difficult decisions that accomp...

    What is Dementia? News-Medical.net article

    What is Dementia?: Types of dementia

    Dementia may be of 100 different types. Some of them include:

    Alzheimer’s disease is where small clumps of protein, known as plaques, begin to develop around brain cells. This may lead to severe loss of memory over time.
    Another type is vascular dementia where there are problems in the blood supply to the brain. The brain does not receive adequate oxygen.
    Dementia with Lewy bodies is another form of dementia where small abnormal structures, known as Lewy bodies, develop inside the brain.
    Frontotemporal dementia is said to occur when frontal and temporal lobes (two parts of the brain) start shrinking. This may occur in individuals under 65 years of age. It is much rarer than other types of dementia.

    Dementia and other disorders

    Sometimes dementia may be accompanied by other mental disorders like mood swings, anxiety and depression and confusion.

    Many other illnesses can cause dementia. These may include viral infections such as HIV, Creutzfeldt-Jacob disease, chronic heavy alcohol intake, Huntington's disease, progressive supranuclear palsy and normal pressure hydrocephalus, Multiple sclerosis and Motor neurone disease.
    Prognosis or outlook of dementia

    There is no cure for dementia. In most patients the symptoms worsen over time.


    What is an Elder Law Attorney? | Area Agency on Aging of Pasco-Pinellas, Inc.Area Agency on Aging of Pasco-Pinellas, Inc.

    What is an Elder Law Attorney? | Area Agency on Aging of Pasco-Pinellas, Inc.Area Agency on Aging of Pasco-Pinellas, Inc.: What is an Elder Law Attorney?

    Attorneys who work in the field of elder law bring more to their practice than an expertise in the appropriate area of law. They also have knowledge of the senior population and their unique needs as well as the myths related to competence and aging. They are aware of the physical and mental difficulties that often accompany the aging process. Because of their broad knowledge base they are able to more thoroughly address the legal needs of their clients.

    For example, when planning an estate, an elder law attorney would take into consideration the health of the person or couple, the potential for nursing home care and the wishes and concerns of the person or couple if that event were to occur. If need arises, the elder law attorney will associate other legal experts.

    Alzheimer's World Bang Your Head Against the Wall | Alzheimer's Reading Room

    Alzheimer's World Bang Your Head Against the Wall | Alzheimer's Reading Room: By +Bob DeMarco
    +Alzheimer's Reading Room

    Alzheimer's World Bang Your Head Against the Wall

    Print and tape to the wall. Follow the directions in the circle.

    If you are like me, you probably felt like you could put everything you knew about Alzheimer's disease in a thimble the day you received the diagnosis.

    And, if you are like me, you probably realized over time that you developed some skills over the course of your life that would help you to deal with a person suffering from Alzheimer's disease.

    With this in mind, you will need to learn how to engage in new and different kinds of communication while interacting with someone suffering from Alzheimer's disease in order to remain sane.

    You can use some of the communication tools you developed over the course of your life that work; and then, you develop new communication tools that you use only while in Alzheimer's World.

    A Dementia Book Every Family & Professional Needs

    A Dementia Book Every Family & Professional Needs | Alzheimer's Speaks Blog: A Dementia Book
    Every Family & Professional Needs

    This book shows and explains to the reader what is happening and why. It answers the questions of what do we do now? It shows the reader how to interact with someone who has been diagnosed in a loving and respectful fashion. It teaches us not to loose our relationship to illness, but to adapt life to the imperfections we all have. Lori La Bey

    Top Ten caregiver.com Articles of June 2013

    Top Ten Articles of June 2013:
     Here are the top ten articles you read in June

    Which one was your favorite?

    Avoiding Mistakes when Buying a Power Lift Chair Recliner

    Emotional First Aid

    10 Tips to Protect a Wandering Loved One

    Heat Stress in the Elderly

    Arthritis Tips

    Ten Tips for Ensuring Medication Safety

    Nine Ways to Get Someone to Eat

    A Caregiver's Bill of Rights

    Parkinson's Disease: Tips for Caregivers

    Bipolar Disorder: Preventing Manic Episodes

    Read them now!

    PioneerNetwork : Conference Schedule at a Glance

    PioneerNetwork : Conference Schedule at a Glance: Conference Schedule at a Glance

     Pioneer Network was formed in 1997 by a small group of prominent professionals in long-term care to advocate for person-directed care. This group called for a radical change in the culture of aging so that when our grandparents, parents — and ultimately ourselves — go to a nursing home or other community-based setting it is to thrive, not to decline.  This movement, away from institutional provider-driven models to more humane consumer-driven models that embrace flexibility and self-determination, has come to be known as the long-term care culture change movement.  Our partners and audience are primarily engaged in some aspect of long-term care including long-term care CEOs and administrators, consumers and family caregivers, doctors and nurses, direct care providers, and others who care about, and care for, the aging.

    Pioneer Network is a center for all stakeholders in the field of aging and long term care whose focus is on providing home and community for elders. We believe that the quality of life and living for America's elders is rooted in a supportive community and cemented by relationships that respect each of us as individuals regardless of age, medical condition or limitations.

      from  Jytte Fogh Lokvig, Ph.D.

    Create A Better Day Café Grand Opening... Sunday, June 23rd 1:00pm to 3:00pm | Create A Better Day Café will be held the 4th Sunday of each month from 1:00pm to 3:00pm

    Create A Better Day Café
    Are you caring for someone with Alzheimer's or other dementia?  Create A Better Day Café encourages socialization with other caregivers and loved ones where you can just be yourself. This is a wonderful opportunity to get out with your loved one and have an enjoyable afternoon.  It's a time to step out of the daily routine, leave the disease at the door, and enjoy a positive experience in a supportive environment.  The afternoon will consist of conversation, music, arts, games, refreshments, and most importantly, laughter. There is no cost.  It is open to anyone at any stage of the disease process accompanied by friends, family, and loved ones.

    Grand Opening...

    Sunday, June 23rd 
    1:00pm to 3:00pm

    Create A Better Day Café will be held the 4th Sunday of each month from 1:00pm to 3:00pm
    at Pleasantries Adult Day Services 195 Reservoir Street
     Marlborough, MA. 
    Call Tammy for more information at 508-335-1968

    - Smart911 data etc

    What is Smart911? - Smart911: What is Smart911?

    Smart911 is a free service that allows citizens across the U.S. to create a Safety Profile for their household that includes any information they want 9-1-1 to have in the event of an emergency. Then, when anyone in that household dials 9-1-1 from a phone associated with their Safety Profile, their profile is immediately displayed to the 9-1-1 call taker providing additional information that can be used to facilitate the proper response to the proper location. At a time when seconds count, being about to provide 9-1-1 with all details that could impact response the second an emergency call is placed could be the difference between life and death.
    Be Smart About Safety. Sign Up Today.

    Give 9-1-1 the information they need to better help you and your family in the event of an emergency.

    Disability Indicator Program

    Disability Indicator Program: Disability Indicator Program
    Disability Indicator Form

    The disability indicator program is voluntary for both the community and it's residents. The disability indicator form pdf format of disability_info_and_form.pdf was created by a group of several different organizations representing the mobility, hearing, speech and sight impaired communities.


    The information provided on the disability indicator form enables a special code to appear on the 911 call takers screen which alerts the call taker that a person residing at that address may require special assistance during an emergency.

    It is a standardized form created to encourage participation from all persons with disabilities. As you are aware, there are an extensive range of disabilities and medical conditions. The disability indicator categories listed on the form may be considered too broad for some; when you consider the extensive range of disabilities. However, information requested on the form must remain sensitive to those who may not wish to provide detailed information.
    Always remember information on the disability indicator form is confidential.

    The disability indicator form is available through the State 911 Department or it can be downloaded from this website. Originally, the form had to be filled out in triplicate. The new disability indicator procedure form only requires that when a person in your community submits a signed disability indicator form, the 911 Municipal Coordinator signs the form and faxes it to the Verizon Database Center at 1-800-839-6020 for entry into the 911 Verizon database. It is no longer necessary to mail your original. You retain that original copy as part of your permanent records to be used later for the annual verification of your database. Remember these are important confidential documents and should be stored in the same manner as all municipal records.

    Annually, Verizon will send the Municipal Coordinator a current listing of those persons in their community who are enrolled in the disability indicator program for updating. Verizon enters the new information into the 911 database. A new Disability Indicator Form should be submitted for the following:

    1. a person moves or no longer resides at that address
    2. the apartment number changes
    3. the telephone number changes
    4. to add or delete a disability
    Remember to review the lists carefully to maintain accurate records which will ensure the proper response in the event of an emergency.

    Your 3M Resident Monitoring (RM) system will no longer operate properly. | Senior Housing Forum

    Misplaced Trust: 3M adds insult to injury . . . | Senior Housing Forum: “ in the absence of qualified maintenance and support. Specifically, in the absence of regular database maintenance the system will stop sending alert messages to your employees and to the central monitoring station. This is likely to mean that your staff will not know based on the system when a resident has exited your facility or is in need of assistance.”


    “If you choose to continue to operate the 3M Resident Monitoring system or any of its components or software after December 31, 2013, you do so at your own risk, and neither 3M Resident Monitoring Inc., 3M company, nor any of their affiliates shall assume any liability for the outcome.”


    20 Common Nursing Home Problems and 
    How to Resolve Them
    Copyright ©2010 by the 
    National Senior Citizens Law Center.
    read their pdf

    NSCLC provides education and counseling to local legal services advocates, but does not educate or provide advice or counsel to individuals. If you are looking for legal advice, you can find local resources by clicking here.
    1444 Eye Street, NW Suite 1100
    Washington, DC 20005
    3701 Wilshire Boulevard, Suite 750
    Los Angeles, CA 90010
    1330 Broadway, Suite 525
    Oakland, CA 94612

    Partners All | http://www.caregiver.com/

    Partners All: Once we have succeeded in finding our physicians, personal support staff, physical therapists and even pharmacists, then it’s time to find the partners we need as we choose the products and equipment that our loved ones require. And frankly, with the Internet, these choices have become exponentially more difficult. I think the way you choose such a partner successfully is similar to how you choose your other care professionals. Certainly, in this case, price is an extremely important element, but there’s a lot more involved. Will they become a trusted resource for information and training? Will they be there when you have questions? Have they created an easy system to navigate? Are they accessible by phone or is it a Web-only wall that you cannot seem to climb over in order to find any human support? And (of course) do they stand by their products?

    Heat Stress in the Elderly

     (read orginal three pages)  Heat Stress in the Elderly

    Elderly people (that is, people aged 65 years and older) are more prone to heat stress than younger people for several reasons:

    Elderly people do not adjust as well as young people to sudden changes in temperature.
    They are more likely to have a chronic medical condition that changes normal body responses to heat.
    They are more likely to take prescription medicines that impair the body's ability to regulate its temperature or that inhibit perspiration.

    How to Apply For a Senior Care Job - Caregiverlist.com

    How to Apply For a Senior Care Job - Caregiverlist.com

     List A:
    • U.S. Passport (expired or unexpired)
    • Permanent Resident Card or Alien Registration Receipt Card
    • Unexpired foreign passport with a temporary I-551 stamp
    • Unexpired Employment Authorization Document that contains a photograph
    • Unexpired foreign passport with unexpired Arrival-departure dates
    • Form I-94, bearing the same name as the passport and containing an endorsement of the alien's nonimmigrant status, if that status authorizes the alien to work for the employer
    List B (Must also have an item from List C):
    • Driver's license or ID card issued by a state or outlying possession of the United States provided it contains a photograph or information such as name, date of birth, gender, height, eye color and address
    • School ID card with a photograph
    • Military dependent's ID card
    • U.S. Coast Guard Merchant Mariner Card
    • Native American tribal document
    • Driver's license issued by a Canadian government authority
    List C (Must also have an item from List B):
    • U.S. Social Security card issued by the Social Security Administration (other than a card stating it is not valid for employment)
    • Certification of Birth Abroad issued by the Department of State (Form FS-545 or Form DS-1350)
    • Original or certified copy of a birth certificate issued by a state, county, municipal authority or outlying possession of the United States bearing an official seal
    • Native American tribal document
    • U.S. Citizen ID Card (Form I-197)
    • ID Card for use of Resident Citizen in the United States (Form I-179)
    • Unexpired employment authorization document issued by DHS (other than those listed under List A)

    Young Adult Carers blog | Carers Trust | The Princess Royal Trust for Carers and Crossroads Care are now Carers Trust. Action, help and advice for carers

    Young Adult Carers blog | Carers Trust | The Princess Royal Trust for Carers and Crossroads Care are now Carers Trust. Action, help and advice for carers

     the Young Adult Carers blog, a place for 14-25 year-old carers to share their stories, express their views and share valuable advice. As part of our Charity of the Year work with The Co-operative, Carers Trust is carrying out a range of
    projects to support and raise awareness of young adult carers. Find out more on our Charity of the Year pages.

    Activities of Daily Living – Checklist, Definitions and Importance - Paying For Senior Care

    Activities of Daily Living – Checklist, Definitions and Importance - Paying For Senior Care

    What are the Activities of Daily Living (ADLs)?

    The Activities of Daily Living are a series of basic activities performed by individuals on a daily basis necessary for independent living at home or in the community.  There are many variations on the definition of the activities of daily living but most organizations agree there are 5 basic categories.

    1. Personal hygiene such bathing, grooming and oral care
    2. Dressing including the ability to make appropriate clothing decisions
    3. Eating, the ability to feed oneself though not necessarily prepare food
    4. Maintaining continence or the ability to use a restroom
    5. Transferring oneself from seated to standing and get in and out of bed

    Whether or not an individual is capable of performing these activities on their own or if they rely on a family caregiver to perform the ADLs serves a comparative measure of their independence. 
    What are the Instrumental Activities of Daily Living (IADLs)?
    IADLs are actions that are important to being able to live independently but are not necessarily required activities on a daily basis.  The instrumental activities are more subtle and can help more finely determine the level of assistance required by the elderly or disabled.  The IADLs include:

    1. Basic communication such as using a telephone
    2. Transportation, either by driving, arranging rides or the ability to use public transportation
    3. Meal preparation and the ability to safely use kitchen equipment
    4. Shopping and the ability to make appropriate food and clothing purchase decisions
    5. Housework such as doing laundry and cleaning dishes
    6. Managing medications such as taking accurate dosages at appropriate times and managing re-fills
    7. Managing personal finances, operating within a budget, writing checks and paying bills
     The American Elder Care Research Organization
    736 Cole Street
    San Francisco, California 94117
    Telephone: 641-715-3900 Ext. 606151#

     Eldercare FAQs and Helpful Guides - Paying For Senior Care

    Let's Look Together | by Rae-Lynn Cebul Ziegler

    Let's Look Together | by Rae-Lynn Cebul Ziegler

    Let's Look Together: An Interactive Picture Book for People with Alzheimer's and Other Forms of Memory Loss (A Dementia Activity Book) [Paperback]

    October 1, 2009 1932529519 978-1932529517 1
    NOW WITH FREE USER'S GUIDE!! VISIT HEALTH PROFESSIONS PRESS WEBSITE TO GET YOURS TODAY. Wake up someone's brain with every turn of the page in this delightfully engaging resource. Featuring evocative images of children, this picture book for adults is to be shared between a family (or professional) caregiver and a person with memory loss to encourage meaningful emotional connections and conversations through therapeutic brain stimulation.

    Users of Let's Look Together are encouraged to
    Relate to the feelings suggested by the photos, Reminisce about situations triggered in the person's memory, Describe what might precede or follow the photo's action, Tell a story about the child or image, and Find pleasure in sharing the book together.

    Twenty-nine full-color photographs portray an array of easily recognized emotions and activities. Joy, tears, surprise, contentment and stubbornness are interspersed with edible delights, unexpected encounters, nurturing family interactions, and more. Simple conversation starters are provided for each image. It all comes together to create a new visual and emotional journey for each person every time the book is opened.

    Let's Look Together is for use one-on-one or in groups at home or in formal care settings ranging from adult day services to hospitals and nursing homes.

    Memory loss from cholesterol drugs real:

    Memory loss from cholesterol drugs real: How it might happen: Statins effect on the brain is real

    Researchers from University of Arizona discovered brain cells treated with statins swell, causing a sort of traffic jam in signaling cells of the brain known as neurons; revealed in lab studies. The result could explain why some people taking cholesterol lowering drugs report difficulty thinking and memory loss.

    The scientists have dubbed what they saw in the lab as the "beads-on-a-string" effect that is probably more severe than what really happens to people sensitive to statins who suffer memory problems. The study authors say the swelling seen in the brain’s neuron was significant.

     There is also still a lot we don’t know about how they affect behavior and cognition. Another side effect reported by patients who take the drugs is muscle pain

    Getting Good Information: Caregivers, Sundowners Syndrome, Dementia

    from Aging Wisely Blog

    Getting Good Information: Caregivers, Sundowners Syndrome, Dementia: We read a lot of forums, websites, books and articles about all matter of topics related to aging and elder care. With the explosion of information available on the web and, in particular, social media and forums for comments and feedback, there are many caregivers benefiting from sharing information and connecting with others in similar circumstances.

    However, the downside to the information superhighway is that it can take you on a lot of wrong turns. We all know the stories of ways the internet has been used by con artists for scams, but another less obvious concern is filtering through information to ensure you are getting accurate information or advice.

    Both online and offline, we see a lot of misinformation about dementia and related terms like sundowners syndrome, Alzheimer's disease and memory loss.  It is not uncommon when a family comes to see us to hear that they have not been able to get specific answers about what is going on with a loved one who is having cognitive issues.  Sometimes this is due to fear and no one wanting to seek a specific diagnosis, other times certain assumptions have been made (the symptoms are just "old age") and occasionally the family has gotten blatently incorrect information.
    Here are some words of advice for seeking information as a caregiver, whether on issues like sundowners syndrome, dementia, caregiving or preparing for eldercare:
    1. Seek expert sites on the specific topic.  Start with sites such as disease-specific organizations and trusted resources with long histories. 
    2. Find out who is providing the information and review their "about us" closely.  What are the academic backgrounds and qualifications of the people writing the information?  If you cannot locate an "about us" page, you should probably seek information elsewhere.
    3. The best information to get from other caregivers is support and ideas on how they have handled situations.  When it comes to diagnoses, care planning and choosing specific resources, a professional opinion usually serves you better.  Here are some areas where we see particularly bad (or just misguided) information being shared: legal advice, qualifying for benefits/programs and how to do so, diagnosis and treatment information, terminology and resources.  Many times it is not that the information is purposely harmful, it just doesn't necessarily apply to your situation.
    4. Stay away from judgmental or negative commentary.  It is the last thing you need as a caregiver.  If you review a Facebook group or forum site and notice people sharing strong opinions of what a caregiver should or should not do, this may not be a supportive atmosphere for you.  Negativity (and even things like political ranting) can cause you greater anxiety.
    5. Just like with other aspects of caregiving, strategize which ways the internet and technology can help you most.  For example, reading too much about a relative's diagnosis might be scary at first.  Instead, seek information on which physicians or hospitals specialize in treatment or who offers local support groups.  Setting up an online personal health record or using a communications system/online community can be very helpful to caregivers.
    6. Use a combination of information sources to seek resources/care providers.  When you are trying to find options such as in-home care, assisted living, and benefit programs, you may be best served by having professional help in pulling together a care plan.  This can save you a lot of hours of research and heading down the wrong roads

    FirstHealth dementia care

    Richmond County Daily Journal - Caregivers Family Night to focus on FirstHealth dementia care: FirstHealth dementia care

    Melanie Bunn; geriatric nurse practitioner, a dementia training specialist with Alzheimers North Carolina and an instructor of nurses with Duke University’s School of Nursing, .... her life’s work, ... involves the care and concerns of people with dementia.

    Bunn’s role with the Moore Regional nursing staff has focused on building a “care-giving team” with the appropriate tools and knowledge for the individualized care of individuals with “altered mental status.” That can mean the temporary confusion that can accompany an acute illness or the vast mental and physical losses of advanced dementia.

    The hospital’s revised protocols on these patients with altered mental status begin at admission during the routine medical assessment that is required of every patient. Patients with an appropriate diagnosis get a gray armband that identifies their altered mental status to the entire care-giving team, and the information is documented in their patient record.

    Additional hospital protocols for patients with altered mental status focus on individualized care approaches and specified methods of communication. They also include environmental suggestions for maintaining a “safe, calm, non-threatening environment” such as encouraging frequent family/familiar caregiver visits and avoiding visual and/or auditory elements that could disturb the patient even more.

    According to Cheryl Batchelor, R.N., Moore Regional’s executive director of clinical operations, the protocol revisions followed a study of the hospital’s dementia care-giving practices after the husband of an Alzheimer’s patient had raised some concerns.

    “He felt we needed to acknowledge the special needs of people with dementia,” Batchelor said. “We thought we were doing a good job, but we were not looking at individualized needs.”
    After hearing examples to the contrary during a meeting with the patient’s husband and two other relatives of patients with dementia,

    Batchelor, physician champion Jenifir Bruno, M.D., of Hospitalist Services and other members of the FirstHealth nursing staff formed a task force with “cross representation” from all three FirstHealth hospitals.

    “We involved as many (disciplines) as possible,” said Tabitha Stewart, R.N., a nurse clinician with Moore Regional Clinical Practice/Professional Development.

    Team members reviewed medical literature and contacted other hospitals and various specialists in the area of dementia care. Results included revised educational materials and protocols that were approved by FirstHealth’s Nurse Practice Council.

    The admissions database was revised to improve the screening of dementia patients, and the Information Technology department developed a special music-only TV channel for patients who don’t cope well with noise. In addition to Bunn, expert contacts included Dr. Eleanor McConnell of Duke’s Center of Excellence in Geriatric Nursing Education, and Alice Watkins, executive director of Alzheimers North Carolina.

    As the various initiatives were rolled out, family caregivers continued to be involved and are pleased with the results. In a recent email, the family member who raised the initial concerns shared the following story about another family:

    “At a Dementia Caregiver’s Support Group meeting this week, a participant shared a story about a recent MRH ED visit with her loved one who has dementia. The visit was precipitated by a fall, which resulted in a nasty cut on the forehead. She indicted that he was given a gray wristband. But, more importantly to her, she said the staff seemed much more empathetic to his dementia and accommodating to her than during her previous ED visits, the most recent being about six months ago.
    “She additionally noted that upon asking she was allowed to accompany him to imaging where they provided a chair for her while he was given a CT scan.

    Read more: Richmond County Daily Journal - Caregivers Family Night to focus on FirstHealth dementia care

    Primary Phone: 910-997-3111
    Primary Fax: 910-997-4321
    John Charles Robbins