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Options For Elder Care: Anosognosia

Options For Elder Care: There is NOTHING Wrong with Me and I Don’t Need Help! (Tips for dealing with a loved one who deny they have an impairment)
 Anosognosia is not
denial, but the lack of knowing that an impairment, deficit, or illness
exists. It results from physical changes in brain cells most typically
in the right front side of the brain as well as in part of the lobes
directly just behind. Decreased self-awareness results from these brain
changes. To put it another way, “our right brain is wired to detect
anomalies and new information and incorporate these into our sense of
reality. When something happens to damage that part of the brain, the
left brain seeks to maintain continuity of belief, using denial,
rationalization, confabulation, and other tricks to keep one’s mental
model of the world intact” says neurologist Dr. V.S.  Ramachandran of
the New York Times.

The most frequent problem we see in our Geriatric Care Management
Practice is the person is no longer able to perform their activities of
daily living (ADLs) functions such as cooking, bathing, dressing,
financial management, taking medications, or remembering appointments.
When confronted, there is vehement denial anything is “wrong” and may
react with anger and defensiveness.
References
  1. Ramachandran , v.s. (1995). Anosognosia in parietal lobe syndrome. Consciousness and Cognition, 4(1)
  2. Ott, B.R.Lafleche, G.,Wheliham, W.M., Burongiorno, G.W., Albert,
    M.S. % Fogel, B.S. (1996). Impaired awareness of deficits in Alzheimer
    disease. Alzheimer Disease and Associated Disorders, 10 (2).
  3. Xavier Amador, Anna-Lica, and Ph.D. Johanson, I am Not Sick I Don’t Need Help!Publisher: Vida Pr
  4. Antoine C1, Antoine P, Guermonprez P, Frigard B., Awareness of deficits and anosognosia in Alzheimer's disease.  Encephale. 2004 Nov-Dec; 30(6):570-7

Baypath - Resource Database

DisabilityInfo.org - Resource Database



1:1 Specializing

Personal Touch Home Aides
697 Cambridge ST
Suite 204
Brighton, MA
(617) 783-0700
Program Type(s):Home Health/Personal Care, Respite
Record last updated on:3/19/2012

Adult Day Services

Gardner Visiting Nursing Association
34 Pearly Lane
Gardner, MA
(978) 632-1230
Program Type(s):Outpatient Medical/Allied Health
Record last updated on:3/30/2009

Adult Family Care

Franklin County Home Care Corporation
330 Montague City Road
Suite 1
Turners Falls, MA
(413) 773-5555 - 255
Program Type(s):Adoption/Foster Care, Adult Family Care/Adult Foster Care, Aging, Community Based Residential Services, Day Care, Housing, Information/Referral, Legal/Advocacy, Options Counseling, Outpatient Medical/Allied Health, Respite, Support Groups-Networks, Transportation, Vocational
Record last updated on:5/30/2008

Aging Service Access Point

Boston Senior Home Care
99 South Street
# 500
Boston, MA
(617) 451-6400
Program Type(s):Aging, Options Counseling
Record last updated on:3/25/2009

Aging Service Access Point

Old Colony Elder Services
144 Main Street
Brockton, MA
(508) 584-1561
Program Type(s):Adult Family Care/Adult Foster Care, Aging, Case Management, Food and Nutrition, Home Health/Personal Care, Housing, Information/Referral, Options Counseling, Respite
Record last updated on:7/12/2012

Aging Service Access Point

Elder Services of Worcester Area, Inc.
67 Millbrook Street
100
Worcester, MA
(508) 756-1545
Program Type(s):Aging, Case Management, Community Based Residential Services, Consulting/Training, Day Care, Family Support, Food and Nutrition, Health Insurance, Home Health/Personal Care, Information/Referral, Options Counseling, Respite, Support Groups-Networks
Record last updated on:3/7/2014

Aging Service Access Point

Tri-Valley, Inc.
10 Mill ST
Dudley, MA
(508) 949-6640
Program Type(s):Adult Family Care/Adult Foster Care, Aging, Case Management, Family Support, Food and Nutrition, Home Health/Personal Care, Information/Referral, Options Counseling, Respite
Record last updated on:8/23/2013

Aging Service Access Point

Montachusett Home Care Corporation
680 Mechanic Street
Suite 120
Leominster, MA
(978) 537-7411
Program Type(s):Adult Family Care/Adult Foster Care, Aging, Case Management, Group Adult Foster Care, Information/Referral, Options Counseling, Respite, Support Groups-Networks
Record last updated on:3/7/2014

Aging Service Access Point / Area Agency on Aging

Minuteman Senior Services
26 Crosby Drive
Bedford, MA
(781) 272-7177 - x7064
Program Type(s):Aging, Case Management, Home Health/Personal Care, Information/Referral, Options Counseling
Record last updated on:3/17/2014

Aging Service Access Point / Area Agency On Aging

Springwell
307 Waverley Oaks Road
Suite 205
Waltham, MA
(617) 926-4100
Program Type(s):Aging, Case Management, Family Support, Food and Nutrition, Group Adult Foster Care, Home Health/Personal Care, Independent Living, Information/Referral, Options Counseling, Respite, Transportation
Record last updated on:2/15/2013

Aging Service Access Point / Area Agency on Aging

Elder Services of Berkshire County, Inc.
66 Wendell Avenue
Pittsfield, MA
(413) 499-0524
Program Type(s):Adult Family Care/Adult Foster Care, Aging, Case Management, Food and Nutrition, Group Adult Foster Care, Home Health/Personal Care, Housing, Independent Living, Information/Referral, Options Counseling, Respite, Support Groups-Networks, Transportation
Record last updated on:3/12/2013

Aging Service Access Point / Area Agency on Aging

SeniorCare Inc.
49 Blackburn Center
Gloucester, MA
(978) 281-1750 - (866) 927-1050
Program Type(s):Aging, Case Management, Family Support, Food and Nutrition, Group Adult Foster Care, Home Health/Personal Care, Independent Living, Information/Referral, Options Counseling, Respite, Support Groups-Networks, Transportation
Record last updated on:6/6/2012

Aging Service Access Point / Area Agency on Aging

WestMass ElderCare, Inc.
4 Valley Mill Road
Holyoke, MA
(413) 538-9020
Program Type(s):Adult Family Care/Adult Foster Care, Aging, Home Health/Personal Care, Information/Referral, Options Counseling, Respite
Record last updated on:7/9/2012

Aging Service Access Point / Area Agency on Aging

Mystic Valley Elder Services, Inc.
300 Commercial St.
Suite 19
Malden, MA
(781) 324-7705
Program Type(s):Aging, Case Management, Home Health/Personal Care, Information/Referral, Options Counseling
Record last updated on:3/30/2009

Aging Service Access Point / Area Agency on Aging

Greater Lynn Senior Services
8 Silbee Street
Lynn, MA
(781) 599-0110
Program Type(s):Aging, Information/Referral, Options Counseling, Transportation
Record last updated on:5/17/2012

Aging Service Access Point / Area Agency on Aging

North Shore Elder Services
152 Sylvan St
Danvers, MA
(978) 750-4540
Program Type(s):Case Management, Information/Referral, Options Counseling, Respite, Support Groups-Networks
Record last updated on:6/19/2012

Aging Service Access Point / Area Agency on Aging

South Shore Elder Services
1515 Washington Street
Braintree, MA
(781) 848-3910
Program Type(s):Aging, Case Management, Consulting/Training, Family Support, Home Health/Personal Care, Housing, Information/Referral, Options Counseling, Respite, Support Groups-Networks
Record last updated on:4/4/2014

Aging Service Access Point / Area Council on Aging

Franklin County Home Care Corporation
330 Montague City Road
Suite 1
Turners Falls, MA
(413) 773-5555
Program Type(s):Aging, Case Management, Day Care, Financial Assistance/Planning, Home Health/Personal Care, Housing, Information/Referral, Legal/Advocacy, Respite, Support Groups-Networks, Transitional/Supported Employment, Transportation, Vocational
Record last updated on:5/17/2011

Aging Service Access Point / Home Care / Area Agency on Aging

HESSCO Elder Services
One Merchant Street
Sharon, MA
(781) 784-4944
Program Type(s):Home Health/Personal Care, Options Counseling
Record last updated on:5/17/2012

All Care Resources, Inc.

210 Market St.
Lynn, MA
(781) 586-1610
Program Type(s):Case Management, Home Health/Personal Care, Respite, Transportation
Record last updated on:8/28/2013

All Care Visiting Nurse Association and Hospice

16 City Hall Square
Lynn, MA
(781) 598-2454
Program Type(s):Home Health/Personal Care, Respite
Record last updated on:4/21/2009

AlphaCare Home Health Agency

214 Lincoln St
Ste. 202
Allston, MA
617-600-4547
Program Type(s):Case Management, Group Adult Foster Care, Home Health/Personal Care
Record last updated on:1/3/2013

Always On Call Health Services, Inc.

285 Central Street
Suite 214
Leominster, MA
(978) 537-9900
Program Type(s):Home Health/Personal Care, Respite
Record last updated on:9/4/2012

Ameriken Caring Services Inc

199 Revere Street
001
Revere, MA
781-286-6916
Program Type(s):Adult Family Care/Adult Foster Care, After School Program, Consulting/Training, Counseling, Day Care, Day/Work Activity, Early Intervention, Group Adult Foster Care, Home Health/Personal Care, Independent Living, Information/Referral, Mental Health, Transportation
Record last updated on:5/6/2013

Beverly Outpatient Clinic

800 Cummings Center
Suite 266T
Beverly, MA
(978) 921-1190
Program Type(s):Mental Health
Record last updated on:7/7/2011

Beyond Healthcare

Beyond Healthcare Agency
136 Treble Cove Rd
North Billerica, MA
978-930-9410
Program Type(s):Home Health/Personal Care
Record last updated on:5/18/2012

Braintree Access Center

Habilitation Assistance Corporation
30 Foster Road
Braintree, MA
(781) 848-6466
Program Type(s):Day/Work Activity, Home Health/Personal Care, Social/Leisure, Transportation
Record last updated on:10/24/2011

Bright Care, Inc.

90 Madison Street
303
Worcester, MA
508-796-5302
Program Type(s):Home Health/Personal Care, Independent Living, Respite
Record last updated on:6/13/2013

Caring for the Elderly and Disabled

Griswold Special Care
490 Shrewsbury St.
Piccadilly Plaza Suite F
Worcester, MA
(508) 797-0400
Program Type(s):Home Health/Personal Care
Record last updated on:3/9/2012

Caring for the Elderly and Disabled

Griswold Special Care
124 Crescent Road
Needham, MA
(781) 449-0402
Program Type(s):Home Health/Personal Care
Record last updated on:7/20/2010

Community Based Day Program

Triangle, Inc
420 Pearl Street
Malden, MA
(781) 322-0400
Program Type(s):Community Based Residential Services, Day/Work Activity, Transitional/Supported Employment, Vocational
Record last updated on:8/13/2013

Community Services Department

Franklin County Home Care Corporation / Area Agency on Aging
330 Montague City Road/ Suite 1
Turners Falls, MA
(413) 773-5555 - x2215
Program Type(s):Adult Family Care/Adult Foster Care, Aging, Case Management, Community Based Residential Services, Counseling, Day Care, Equipment Funding Assist/Consult, Equipment Loan, Equipment Technical Assistance, Family Support, Financial Assistance/Planning, Food and Nutrition, Group Adult Foster Care, Health Insurance, Home Health/Personal Care, Home Modification, Housing, Independent Living, Information/Referral, Legal, Legal/Advocacy, Options Counseling, Outpatient Medical/Allied Health, Relationships/Friendships, Respite, Support Groups-Networks, Transportation
Record last updated on:8/23/2013

Congregate Housing

Franklin County Home Care Corporation
330 Montagne City Road
Turners Falls, MA
(413) 773-5555
Program Type(s):Housing
Record last updated on:9/4/2012

Coolidge Program

ServiceNet, Inc.
129 King Street
Northampton, MA
(413) 586-6432
Program Type(s):Housing
Record last updated on:4/7/2008

DPH Northeast Regional Health Office

Massachusetts Department Public Health
365 East Street
Tewksbury, MA
(978) 851-7261 - 4011
Program Type(s):Advocacy, Case Management, Community Based Residential Services, Diagnosis/Evaluation, DPH Certified Early Intervention, Early Intervention, Family Support, Family Support birth to 3, Food and Nutrition, Outpatient Medical/Allied Health, Respite
Record last updated on:9/19/2011

Family Home Visiting Program

Pernet Family Health Service
237 Millbury Street
Worcester, MA
(508) 755-1228
Program Type(s):After School Program, Case Management, DPH Certified Early Intervention, Early Intervention, Family Support, Family Support birth to 3, Food and Nutrition, Home Health/Personal Care, Information/Referral, Social/Leisure, Support Groups-Networks
Record last updated on:8/23/2013

Family Support Program

Bay Cove Human Services, Inc.
66 Canal Street
2nd Floor
Boston, MA
(617) 371-3000
Program Type(s):Community Based Residential Services, Family Support, Housing
Record last updated on:11/27/2007

Family Support/PCA Services

Toward Independent Living & Learning
20 Eastbrook Road
Suite 201
Dedham, MA
(781) 302-4600
Program Type(s):Mental Health, Respite, Support Groups-Networks
Record last updated on:10/24/2012

HHA & PC/HM Services

VNA of the Berkshires
165 Tor Court
Pittsfield, MA
(413) 447-2862
Program Type(s):Home Health/Personal Care, Respite
Record last updated on:11/8/2011

Home Care Assistance Program

Massachusetts Rehabilitation Commission
600 Washington St.
Boston, MA
(617) 204-3853
Program Type(s):Home Health/Personal Care
Record last updated on:5/16/2013

Home Care Program

Gentiva Health Services
1 Arch Place
Greenfield, MA
(413) 774-7045
Program Type(s):Home Health/Personal Care, Respite
Record last updated on:2/26/2009

Home Care Program

Ethos
555 Amory Street
Jamaica Plain, MA
(617) 522-6700 - ext 341
Program Type(s):Aging, Case Management, Food and Nutrition, Home Health/Personal Care, Independent Living, Integrated Community Program, Options Counseling
Record last updated on:11/13/2012

Home Care Services

Family Services of Central Massachusetts
31 Harvard Street
Worcester, MA
(508) 756-4696
Program Type(s):Home Health/Personal Care
Record last updated on:8/17/2010

Home Care Services/Elder Protective Services

Franklin County Home Care Corporation
330 Montague City Road
Suite 1
Turners Falls, MA
(413) 773-5555
Program Type(s):Aging, Information/Referral, Legal/Advocacy
Record last updated on:9/6/2013

Home Care, Inc.

360 Merrimack Street
Bldg 9
Lawrence, MA
(978) 552-4701
Program Type(s):Home Health/Personal Care
Record last updated on:9/6/2013

Home Health / Personal Care

Griswold Special Care
490 Shrewsbury ST
#F
Worcester, MA
(508) 797-0400
Program Type(s):Home Health/Personal Care
Record last updated on:3/6/2012

Home Health Care

Partners Private Care
70 Everett Ave. Suite 505
Chelsea, MA
508-879-7070
Program Type(s):Home Health/Personal Care
Record last updated on:6/22/2012

Home Health Care Program

Gardner Visiting Nursing Association
34 Pearly Lane
Gardner, MA
(978) 632-1230 - x3044
Program Type(s):Home Health/Personal Care, Support Groups-Networks
Record last updated on:3/15/2011

Home Health Care Program

Visiting Nurses Association of the Berkshires
75 South Church Street
Pittsfield, MA
(413) 447-2862
Program Type(s):Home Health/Personal Care
Record last updated on:5/29/2013

Home Health Care Services

Home Staff
40 Millbrook St
Ste 1
Worcester, MA
(508) 755-4600
Program Type(s):Home Health/Personal Care, Respite
Record last updated on:8/16/2013

Home Health Care Services / Youth and Family Support

Supportive Care
15 Union Street
#410
Lawrence, MA
(978) 686-1300
Program Type(s):Advocacy, Case Management, Home Health/Personal Care, Respite, Support Groups-Networks
Record last updated on:11/8/2011

Home Health Services

Chicopee Visting Nurses Association, Inc.
2024 Westover Road
Chicopee, MA
(413) 533-6733
Program Type(s):Home Health/Personal Care
Record last updated on:4/6/2009

Home Health Services

Partners Homecare
200 Ledgewood PL
Rockland, MA
(781) 290-4000
Program Type(s):Home Health/Personal Care
Record last updated on:3/15/2011

Home Health/Personal Care/Home Modification/Heavy Cleaning

HouseWorks
One Gateway Center
Suite 902
Newton, MA
(617) 928-1010
Program Type(s):Aging, Case Management, Equipment, Family Support, Home Health/Personal Care, Home Modification, Information/Referral, Respite, Support Groups-Networks, Transportation
Record last updated on:9/28/2011

Home Hospice Care

Gardner Visiting Nursing Association
34 Pearly Lane
Gardner, MA
(978) 632-1230
Program Type(s):Home Health/Personal Care, Support Groups-Networks
Record last updated on:7/10/2012

Home Instead Senior Care

440 Totten Pond Road
Suite 300
Waltham, MA
617-229-7962
Program Type(s):Home Health/Personal Care, Respite, Transportation
Record last updated on:5/17/2012

Home Modifications

Building Matters Inc.
563 Mammoth Road
Pelham, NH
978-490-9966
Program Type(s):Home Modification
Record last updated on:1/10/2014

Homemaker/Personal Care/Home Health Aide

Home Staff
40 Millbrook Street
Worcester, MA
(508) 755-4600
Program Type(s):Home Health/Personal Care, Respite
Record last updated on:4/2/2012

In Home Care Services

Griswold Special Care
24 Adam ST
Quincy, MA
(617) 770-0707
Program Type(s):Home Health/Personal Care
Record last updated on:7/2/2009

Independence Health Care

100 Grove Street
Worcester, MA
(508) 767-1776
Program Type(s):Home Health/Personal Care, Respite, Transportation
Record last updated on:3/9/2012

Independent Living Social Services

Massachusetts Commission for the Blind - Region II
390 Main Street
Suite 620
Worcester, MA
(508) 754-1148 - V/TTY
Program Type(s):Home Health/Personal Care, Information/Referral, Support Groups-Networks
Record last updated on:3/9/2012

Individual Support Services

Cooperative for Human Services, Inc.
17 New England Executive Park
3rd Floor
Burlington, MA
(781) 273-2123 - x 230
Program Type(s):Advocacy, Aging, Case Management, Club Houses, Communication, Community Based Residential Services, Consulting/Training, Counseling, Equipment Funding Assist/Consult, Family Support, Financial Assistance/Planning, Food and Nutrition, Home Health/Personal Care, Home Modification, Housing, Independent Living, Information/Referral, Legal/Advocacy, Mental Health, Relationships/Friendships, Respite, Social/Leisure, Support Groups-Networks, Transportation, Travel
Record last updated on:11/19/2012

Inhome Care

Comfort Keepers
67 Federal Ave
Quincy, MA
617-890-1075
Program Type(s):Aging, Day Care, Home Health/Personal Care, Respite, Transportation
Record last updated on:12/9/2009

Intercity Home Health Care, Inc.

11 Dartmouth Street
Malden, MA
(781) 321-6300
Program Type(s):Home Health/Personal Care, Respite
Record last updated on:8/19/2009

Juniper House Community Residence

Newton Wellesley Weston Committee
1301 Centre ST
Newton, MA
(617) 964-6860
Program Type(s):Advocacy, Aging, Case Management, Community Based Residential Services, Consulting/Training, Counseling, Family Support, Food and Nutrition, Home Health/Personal Care, Housing, Independent Living, Information/Referral, Integrated Community Program
Record last updated on:7/18/2011

Living Assistance Services

Visiting Angels of the South Shore
475 School ST
Marshfield, MA
(781) 834-6355
Program Type(s):Aging, Home Health/Personal Care, Respite
Record last updated on:11/17/2011

Movement Disorders Clinic

University of Massachusetts Medical Center
55 Lake Avenue N
Worcester, MA
(508) 334-2527
Program Type(s):Diagnosis/Evaluation, Outpatient Medical/Allied Health
Record last updated on:5/23/2012

Multicultural Home Care

599 Canal St.
Lawrence, MA
978-689-8666
Program Type(s):
Record last updated on:2/24/2010

Nashoba Nursing Service & Hospice

Nashoba Nursing Service &Hospice
2 Shaker Rd
Suite D225
Shirley, MA
(978) 425-6675
Program Type(s):Home Health/Personal Care, Respite
Record last updated on:8/3/2010

Partners HealthCare at Home

281 Winter Street
Suite 240
Waltham, MA
(781) 290-4000
Program Type(s):Home Health/Personal Care
Record last updated on:9/10/2012

Pediatric/Parent Child Health Program

VNA of Eastern MA
259 Lowell ST
Somerville, MA
(617) 776-9800
Program Type(s):Home Health/Personal Care, Respite
Record last updated on:5/6/2008

Personal Care Assistance

Franklin County Home Care Corporation
330 Montague City Road
Suite 1
Turners Falls, MA
(413) 773-5555
Program Type(s):Aging, Home Health/Personal Care, Independent Living, Information/Referral
Record last updated on:4/2/2010

Personal Care Attendant Services

Boston Center for Independent Living
60 Temple Place
5th Floor
Boston, MA
(617) 338-6665
Program Type(s):Home Health/Personal Care
Record last updated on:3/6/2012

Premier Home Health

657 Quarry St
Ste 107
Fall River, MA
(508) 679-8796
Program Type(s):Home Health/Personal Care, Respite
Record last updated on:7/5/2011

Premier Home Health Care of Massachusetts

Premier Home Health Care of Massachusetts, Inc.
300 W Main Street
St 5
Northborough, MA
(508) 393-8570
Program Type(s):Home Health/Personal Care, Respite
Record last updated on:9/30/2011

Private Duty Nursing, Nursing Services

Centrus Premier Home Care
770 W Boylston Street.
#A
Worcester, MA
(508) 754-8205
Program Type(s):Home Health/Personal Care
Record last updated on:3/26/2009

Programs, Services,Information, and Referrals

Charles River Center
59 East Militia Heights Road
Needham, MA
(781) 972-1000
Program Type(s):After School Program, Case Management, Community Based Residential Services, Day/Work Activity, Family Support, Independent Living, Information/Referral, Respite, Social/Leisure, Support Groups-Networks, Transitional/Supported Employment, Vocational
Record last updated on:7/10/2012

Rehabilitation Teaching

Massachusetts Commission for the Blind - Region I
436 Dwight ST
Springfield, MA
(413) 781-1290
Program Type(s):Home Health/Personal Care
Record last updated on:12/8/2011

Rehabilitation Teaching

Massachusetts Commission for the Blind - Region II
390 Main Street
Ste 620
Worcester, MA
(508) 754-1148
Program Type(s):Home Health/Personal Care
Record last updated on:10/27/2011

Rehabilitation Teaching

Massachusetts Commission for the Blind
48 Boylston Street
Boston, MA
(617) 626-7579
Program Type(s):Home Health/Personal Care
Record last updated on:12/13/2007

Residential Programs

Newton Wellesley Weston Committee For Community Living, Inc.
1301 Centre Street
Newton, MA
(617) 964-6860
Program Type(s):Community Based Residential Services, Housing, Independent Living, Information/Referral, Social/Leisure, Transportation
Record last updated on:2/24/2012

Residential Programs ID/DD

Bay Cove Human Services, Inc.
66 Canal Street
Boston, MA
(617) 371-3000
Program Type(s):Community Based Residential Services, Housing
Record last updated on:9/21/2010

Respite Care

Molari Health Care
80 Center Street
Pittsfield, MA
(413) 499-4562
Program Type(s):Home Health/Personal Care, Respite
Record last updated on:2/17/2012

Respite Care Program

Personal Touch Home Aides
697 Cambridge Street
Suite 204
Brighton, MA
(617) 783-0700
Program Type(s):Respite
Record last updated on:8/19/2009

Respite Care Program/Private Duty Agency

Home Staff
40 Milbrook Street
Ste 1
Worcester, MA
(508) 755-4600
Program Type(s):Respite
Record last updated on:5/3/2012

Right At Home

19 Front Street
Ste 301
Salem, MA
(978) 744-5151
Program Type(s):Aging, Home Health/Personal Care, Information/Referral, Respite, Transportation
Record last updated on:7/6/2009

Roxbury Comprehensive Community Health Center, Inc.

435 Warren Street
Roxbury, MA
(617) 442-7400 - x 228
Program Type(s):Adult Family Care/Adult Foster Care, After School Program, Case Management, Outpatient Medical/Allied Health
Record last updated on:8/25/2008

Social Rehabilitation

Massachusetts Commission for the Blind
48 Boylston Street
Boston, MA
(617) 626-7579
Program Type(s):Home Health/Personal Care, Support Groups-Networks
Record last updated on:12/13/2007

Social Rehabilitation & Vocational Rehab

Massachusetts Commission for the Blind - Region I
436 Dwight ST
Room 109
Springfield, MA
(413) 781-1290
Program Type(s):Advocacy, Case Management, Information/Referral, Vocational
Record last updated on:10/9/2012

South Bay Early Intervention

1563 N Main ST
Ste 202
Fall River, MA
(508) 324-1060
Program Type(s):Diagnosis/Evaluation, DPH Certified Early Intervention, Family Support birth to 3
Record last updated on:7/24/2009

Support Services Programs

Massachusetts Commission for the Blind - Region I
436 Dwight ST
Room 109
Springfield, MA
(413) 781-1290
Program Type(s):Respite
Record last updated on:5/29/2012

Support Services Programs

Massachusetts Commission for the Blind - Region II
390 Main St
# 620
Worcester, MA
(508) 754-1148
Program Type(s):Respite
Record last updated on:10/6/2011

Supportive Community Living & Shared Living

The Arc of Opportunity
564 Main St.
Fitchburg, MA
(978) 345-6301
Program Type(s):Case Management, Community Based Residential Services, Housing, Independent Living
Record last updated on:2/3/2012

The Ledges, Inc.

PO Box 38
Hopedale, MA
(508) 473-6520
Program Type(s):Aging, Case Management, Community Based Residential Services, Consulting/Training, Counseling, Day/Work Activity, Employment, Holistic Health, Housing, Independent Living, Integrated Community Program, Respite, Social/Leisure, Transitional/Supported Employment, Travel, Vocational
Record last updated on:3/30/2012

Transportation Program

John F. Kennedy Family Services
10 City Square
Ste 4
Charlestown, MA
(617) 241-8866
Program Type(s):Transportation
Record last updated on:3/6/2009

Upper Cape Access Center

Habilitation Assistance Corporation
25 Barlows Landing Road
Pocasset, MA
(508) 564-5101
Program Type(s):Day/Work Activity, Home Health/Personal Care, Social/Leisure, Transportation
Record last updated on:10/24/2011

Visiting Angels, Living Assistance Services

34 Robbvins Road
Springfield, MA
413-733-6900
Program Type(s):Home Health/Personal Care, Respite
Record last updated on:6/15/2010

VNA Care Network

120 Thomas Street
Worcester, MA
(508) 751-6860
Program Type(s):Home Health/Personal Care, Respite, Support Groups-Networks
Record last updated on:7/15/2011

VNA of Cape Cod, Inc.

255 Independence Drive
Hyannis, MA
(800) 631-3900
Program Type(s):Home Health/Personal Care
Record last updated on:8/10/2010

Vocational Rehabilitation

Massachusetts Commission for the Blind
48 Boylston Street
Boston, MA
(617) 727-5550
Program Type(s):Vocational
Record last updated on:12/13/2007

Welch Home Health, Inc.

52 Accord Park Drive
Norwell, MA
(781) 878-5020
Program Type(s):Home Health/Personal Care, Respite
Record last updated on:11/8/2011

WestMass Elder Care State Homecare

WestMass Elder Care
4 Valley Mill RD
Holyoke, MA
(800) 875-0287 - TTY
Program Type(s):Adult Family Care/Adult Foster Care, Aging, Case Management, Information/Referral, Options Counseling, Respite
Record last updated on:7/16/2012

Coordinating Care on the Rise | Federal Telemedicine News

Coordinating Care on the Rise
Apr.9,2014

Telehealth is enabling improved patient care transitions, care coordination, and chronic disease management to take place in many communities. This can take place when a patient leaves the hospital to go home or to a skilled nursing facility and sometimes even back to the hospital. Poorly managed transitions can affect the patient’s health and at the same time increase costs that can result in billions of dollars in wasteful spending.



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Vickie O. Morgan, RN, Clinical Director of Operations for the Home Care Division within the Riverside Health System at www.riversideonline.com
works mainly with older adult patients unable to access regular medical
care. Physicians and nurse practitioners trained in primary care are
working together to develop and design a plan for the care. They are
determining if telemonitoring can be used effectively so that a smooth
transition from the hospital to the home can be achieved.






“Technology used such as a watch device or a tablet can acquire
health data by the minute”, notes Loretta Schlachta-Fairchild, PhD, RN,
retired U.S Army and now President and CEO of iTelehealth Inc. at www.itelehealthinc.com

To Flush or Not to Flush: How Do You Dispose of Expired Drugs

Tips for Safe Drug Disposal  By Lynda Shrager
Published Apr 1, 2014 everydayhealth.com

For the medications you are going to toss, follow these guidelines:

First, organize your medicines, and gather all of the expired drugs (prescriptions have dates on the labels; over-the-counter bottles and boxes are stamped with expiration dates).

Remove identifying information from the prescription label to help maintain your privacy and protect your personal health information. You don’t need the world to know you have acid reflux or are depressed, psychotic, or on birth control
If available, follow specific disposal guidelines noted on the bottle or patient information sheet.

Don’t flush prescription drugs unless the bottle or info sheet says to.

Crush pills or capsules or dissolve them in water.
Before throwing drugs in the trash, take them out of their containers and mix them with an “undesirable substance” such as coffee grounds or kitty litter. To avoid leakage or breakage out of the main garbage bag, put the mixture in a sealed plastic bag before placing it in the trash. The sealed bags will be less appealing to curious children or pets or anyone else who might go through your trash.
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Lynda combines her expertise as an occupational therapist, master’s level social worker, professional organizer and aging in place specialist to pursue her passion of providing therapeutic care in the patient’s home environment and in educating their caregivers. To that end she is eagerly launching a new initiative called “At Home for Life” to facilitate a senior’s desire to remain in their own home as they face the crossroads of diminished physical and cognitive abilities. Lynda will provide residential assessments and make recommendations to enable people to safely access and navigate their own homes, thereby allowing them to age in place.

In Home Care Program Allows AD Dementia Patients to Stay Home Longer | Alzheimer's Reading Room

In Home Care Program Allows AD Dementia Patients to Stay Home Longer | Alzheimer's Reading Room: Dementia and the Eight Types of Dementia

 Learning How to Communicate with Someone Suffering From Alzheimer's Disease

Ten Tips for Communicating with an Alzheimer’s Patient

Alzheimer's, Urinary Incontinence, Urinary Tract Infections

Alzheimer's Caregiving Dealing with Behavior

Rewiring My Brain and Stepping into Alzheimer's World

Original content Bob DeMarco, the Alzheimer's Reading Room

The 3 P’s of Reducing Elopement Risk: Prevention -

The 3 P’s of Reducing Elopement Risk: Prevention -: The 3 P’s of Reducing Elopement Risk:



 http://www.seniorlivingsmart.com/



Wandering and elopement are common behaviors seen in Alzheimer’s and
other types of dementia. Due to the nature of the disease process, often
judgment and reasoning are impaired, making it critical that the
environment meet the needs of the resident by providing a safe and
secure setting that allows for the residents independent mobility.

Did You Know?

  • Nationwide, researchers estimate that 34,000 Alzheimer’s patients wander each year.
  • Thirty percent made it more than two miles before they were found, with 15 percent wandering more than 20 miles.
  • In 80% of cases, the resident was a known wanderer with prior elopements.

HHS releases security risk assessment tool to help providers with HIPAA compliance

security risk assessment tool to help providers with HIPAA compliance:

A new security risk assessment (SRA) tool to help guide health care
providers in small to medium sized offices conduct risk assessments of
their organizations is now available from HHS.


The SRA tool is the result of a collaborative effort by the HHS Office of the National
Coordinator for Health Information Technology (ONC) and Office for Civil
Rights (OCR). The tool is designed to help practices conduct and
document a risk assessment in a thorough, organized fashion at their own
pace by allowing them to assess the information security risks in their
organizations under the Health Insurance Portability and Accountability
Act (HIPAA) Security Rule.


The application, available for downloading
at www.HealthIT.gov/security-risk-assessment also produces a report that can be provided to auditors.

HIPAA requires organizations that handle protected health information to
regularly review the administrative, physical and technical safeguards
they have in place to protect the security of the information. By
conducting these risk assessments, health care providers can uncover
potential weaknesses in their security policies, processes and systems.
Risk assessments also help providers address vulnerabilities,
potentially preventing health data breaches or other adverse security
events. A vigorous risk assessment process supports improved security of
patient health data.

Conducting a security risk assessment is a
key requirement of the HIPAA Security Rule and a core requirement for
providers seeking payment through the Medicare and Medicaid EHR
Incentive Program, commonly known as the Meaningful Use Program.

“Protecting patients’ protected health information is important to all health care
providers and the new tool we are releasing today will help them assess
the security of their organizations,” said Karen DeSalvo, M.D., national
coordinator for health information technology. “The SRA tool and its
additional resources have been designed to help health care providers
conduct a risk assessment to support better security for patient health
data.”


“We are pleased to have collaborated with the ONC on this
project,” said Susan McAndrew, deputy director of OCR’s Division of
Health Information Privacy. “We believe this tool will greatly assist
providers in performing a risk assessment to meet their obligations
under the HIPAA Security Rule.”

The SRA tool’s website contains a User Guide and Tutorial video to help providers begin using
the tool. Videos on risk analysis and contingency planning are available
at the website to provide further context.

The tool is available for both Windows operating systems and iOS iPads. Download the Windows version at http://www.HealthIT.gov/security-risk-assessment. The iOS iPad version is available from the Apple App Store (search under “HHS SRA tool”).

HHS releases security risk assessment tool to help providers with HIPAA compliance: