News from Pleasantries Adult Day Services June 2010

Babies evoke a positive emotional response in most older adults. When our guests are able to hold a baby, their day is better. The interaction is priceless.The smiles shared and the sweet baby talk create a happy environment. We are lucky to have guests whose grand-children visit us.

We have multiple days where children will visit and interact with our guests.

Intergenerational activity is mutually beneficial. While the children experience diminished fear of an older adult and enjoy the contact with our guests, the guest experiences a sense of increased self-worth, and an improved emotional state. My guests are able to carry the positive emotions throughout their day.

Now we know what has been eating our lillies!

At the breakfast table, my guest, Ann said, "There are two animals in the yard." As I looked out, I was amazed to find two deer grazing. We went out on the deck and I was able to capture them on camera as they leaped away. Pretty awesome!

Tammy Pozerycki

Owner & Director

NFCA, National Family Caregivers Association

The National Family Caregivers Association educates, supports, empowers and speaks up for the more than 50 million Americans who care for loved ones with a chronic illness or disability or the frailties of old age. NFCA reaches across the boundaries of diagnoses, relationships, and life stages to help transform family caregivers' lives by removing barriers to health and well being.

Membership is free to family caregivers, and includes a quarterly, e-mailed newsletter. For those who would rather receive a print copy of the newsletter, NFCA offers an upgraded, Family Caregiver Plus membership at the special introductory rate of $10/year. Click here to join on-line.

Raise your hand if you're a caregiver.

How Can Doctors and Caregivers Work Together?

from: HealthBridge's In-Home Care Blog

Dr. Pauline Chen took an insightful look at this topic in her "Doctor and Patient" column in the New York Times. She writes:

For all our assertions about the importance of caring in what we do, doctors as a profession have been slow to recognize family members and loved ones who care for patients at home. These “family caregivers” do work that is complex, physically challenging and critical to a patient’s overall well-being, like dressing wounds, dispensing medication, and feeding, bathing and dressing those who can no longer do so themselves.

Many of these caregiving tasks were once the purview of doctors and nurses, a central component of the “caring professions.” But over the past century, as these duties increasingly fell to individuals with little or no training, doctors and even some nurses began to confer less importance, and status, to the work of caregiving.

The end of the office... and the future of work - The Boston Globe

The end of the office... and the future of work - The Boston Globe


We love to hate the workplace, but we’ll miss it when it’s gone

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Work Without Boundaries Networking facilitates working around the world.
http://groups.google.com/group/wwboundaries_network

Communities are ill-prepared to meet the need for senior services

Communities south of Boston face dramatic increase in senior population, demand for elder services - The Boston Globe

“Tomorrow’s seniors are not your father’s grandfathers,’’ said Timothy G. Reardon, senior regional planner for the Metropolitan Area Planning Council, which analyzed demographic trends including births, deaths, and migration and other factors to forecast the changes in populations. “COAs and other organizations that work with seniors must rethink the types of services they provide. It’s not going to be all meals on wheels and Sunday suppers at the COA hall.’’

gift choices | useful, needed and something won't complicate their lives.

TIME GOES BY | Gifts for Elders on Your List... by Ronni Bennett

Gifts for Seniors on Your List....and perhaps as hints for family members who might not know what you would like to have.

A Study of need for services when reaching age 65

Comparing Costs For In-Home Care, Nursing Homes, RCFE Assisted Living And Adult Day Care | Elder Care Residential Services

A 2008 long term care study done by Prudential insurance has some surprising information regarding the costs of care for services needed as we age. This is information is important to assist in making plans for the “golden years”.

The study shows that the average cost of a nursing home can exceed $70,000 a year for a semi private room. A break down of the daily charges is $194 per day. A private room can exceed $79,000 a year or $217 a day. These costs will, of course depend on the area of the country you live in. Some areas will be more and some less. It was also noted that there has been a 7% increase in the cost of living in a nursing home over the past 2 years. Nursing home costs have had an increase of over 30% in the past 5 years.

Assisted living facilities have seen the greatest increase in costs over the past 2 years. The average for living in an assisted living facility rose to nearly $39,000 per year. This is an average daily charge of just over $100 per day.

There was an average of a 15% increase in rates for the assisted living facility that provide care for Alzheimer’s and dementia patients.

In -home care has had the smallest increase rate of all the service providers. The rate of in-home care has had an increase of 5% over the past two years and only 17% over the past 7 years.

The average cost for a certified nursing assistant providing in-home care is $21 per hour. The services provided by a certified nursing assistant are bathing, dressing and care provided under the supervision of a register nurse. These services are ordered by a physician and generally covered by insurance. These services are only provided intermittently and for a limited amount of time.

The 2008 Genworth Financial study of cost of care also covers the non skilled in home care. This is a growing segment of the in-home care services, as many individuals want to remain in their homes as long as possible.

The average cost for homemaker services is $18 an hour. The rate of these services has increased by 4% over the last year. A homemaker provides companionship, light housekeeping duties, assistance with cooking and running small errands.

In- home care also provides home health aides. These individuals are able to provide basic assistance with personal care, but are not permitted to perform and medical tasks.

The average rate of a home health aide is $19 an hour. This is an increase of 3% over the past year.
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This lengthy article is well worth the read. http://ow.ly/15YGwf

NOTE: they show average values, you will find costs in your area may differ wildly.

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I suggest following the blog http://ow.ly/15YGwf provided by:

Elder Care Residential Services

Mailing address:
610 Cypress Street
Pismo Beach, CA 93449
805-473-7400
FAX: 805-473-4704

Cell: 805-452-3225 9am TO 5pm Pacific Time

info@eldercareresidentiaservices.com

Senior Centers and Adult Day Care activities

Browsing the Web to see what many adult day care programs and Senior Centers were offering. I found the following:

Active floor and table games
Art Therapy,
Arts
Bingo
Card Games
Chair exercises
Chorus & Music Therapy
Cooking
crafts,
Daily Exercise
Discussion groups (books, films, current events)
Discussions: contemporary and devotional
Entertainment
Exercise classes personalized for individual levels of activity and ability.
Gardening
Group discussions on a wide range of subjects
Guest speakers from community organizations
Health awareness talks
health monitoring by a nurse to meet individual needs. There is a
Holiday and birthday celebrations
Horticultural Therapy
individual counseling,
Inter-generational Programs
Kosher Lunch
Local outings.
Mental stimulation games such as BINGO
miniature golf course on site
Music
Musical entertainment and sing-a-longs
nutrition education,
Nutritional Snacks
meals and snacks individualized for specific dietary needs.
field trips,
On Site Library
Organized games of bridge, bingo, cards and trivia,team events
personal care,
Pet Therapy
podiatry care,
Poetry Class
Pottery
quiet rooms with rest areas and television
recreational classes,
Relaxation time
Reminiscing
Spiritual Program
Stretching or other gentle exercise
Student Interns
Tai Chi Class
Talking about current events
Transportation
Volunteers
Weight Loss Club
Woodworking Shop

Motivation And Improving Health In Older Adults, Medical News Today

Boosting Motivation And Improving Health In Older Adults, With The Use Of A Simple Tool

Researchers from Boston University School of Medicine (BUSM) have identified a tool, the "Getting-Out-of-Bed (GoB) measure" to assess motivation and life outlook in older adults. The study, which appears in the October issue of the /i>Journal of Psychosocial Oncology, shows that the tool has the potential to be an easy-to-use measure to bolster motivation and thus, improve health behaviors and outcomes in the growing population of older adults.

Reverse mortgages may be the next subprime crisis

Reverse mortgages may be next crisis - The Boston Globe

NEW YORK - Reverse mortgages may be the next subprime crisis, according to the National Consumer Law Center.

Some of the same US lenders that helped drive the real estate boom with loans to home buyers who could not afford the payments are now targeting senior citizens, the center said. Brokers, who are given financial incentives to sell the loans, may be making misleading claims, according to a report titled “Subprime Revisited,’’ released yesterday by the Boston-based NCLC.

“This market is designed to serve seniors, so when we find abuses cropping up and migrating from the subprime market to the senior market, that sounds an especially loud warning bell,’’ said Rick Jurgens, an advocate at the NCLC who contributed to the report.

Reverse mortgages enable people 62 and older who are looking for extra cash to use the equity in their homes and receive lump-sum payments, periodic checks, a line of credit, or a combination of the three. Lenders are repaid from the sale of the home when the borrowers die or move.

<snipped>

Kohl and McCaskill released a government report in June that said some lenders falsely market reverse mortgages as “lifetime income’’ and sell mortgages coupled with other financial products, such as annuities, even though Congress banned so-called cross-selling in 2008.

The center’s study recommended enhancing borrower counseling prior to taking out a loan and holding lenders and brokers to a suitability standard.

Ten Facts About the Child and Dependent Care Credit, IRS Tax Tip 2009-46

Top Ten Facts About the Child and Dependent Care Credit If you paid someone to care for a child, spouse, or dependent, you may be able to reduce your tax by claiming the Child and Dependent Care Credit on your federal income tax return. Below are the top ten things you need to know about claiming a credit for child and dependent care expenses.

1.
The care must have been provided for one or more qualifying persons. A qualifying person is your dependent child under age 13. Additionally, your spouse and certain other individuals who are physically or mentally incapable of self-care may also be qualifying persons. You must identify each qualifying person on your tax return.

2.
The care must have been provided so you – and your spouse if you are married – could work or look for work.

3.
You – and your spouse if you are married – must have earned income from wages, salaries, tips, other taxable employee compensation or net earnings from self-employment. One spouse may be considered as having earned income if they were a full-time student or they were physically or mentally unable to care for themselves.

4.
The payments for care cannot be paid to your spouse, to someone you can claim as your dependent on your return, or to your child who is under age 19, even if he or she is not your dependent. You must identify the care provider on your tax return.

5.
Your filing status must be single, married filing jointly, head of household or qualifying widow(er) with a dependent child.

6.
The qualifying person must have lived with you for more than half of 2008.

7.
The credit can be up to 35 percent of your qualifying expenses, depending upon your income.

8.
For 2008, you may use up to $3,000 of the expenses paid in a year for one qualifying individual or $6,000 for two or more qualifying individuals.

9.
The qualifying expenses must be reduced by the amount of any dependent care benefits provided by your employer that you exclude from your income.

10.
If you pay someone to come to your home and care for your dependent or spouse, you may be a household employer. If you are a household employer, you may have to withhold and pay social security and Medicare tax and pay federal unemployment tax. For information, see Publication 926, Household Employer's Tax Guide.

For more information on the Child and Dependent Care Credit, see Publication 503, Child and Dependent Care Expenses. You may download these free publications from IRS.gov or order them by calling 800-TAX-FORM (800-829-3676).

Home safety for elder care or alzheimer's patient

Preparing the Home for an Alzheimer's Patient from http://www.webmd.com/

Preparing the Home for an Alzheimer's Patient

Caring for an Alzheimer’s patient at home can be difficult. In taking the proper steps to become a successful caregiver, it is essential that you prepare your home for your loved one's arrival. Likewise, if your loved one's Alzheimer's is mild and they still live on their own, it is important that you ensure that their living environment is safe.

Not only must space often be reorganized, but every room in the house that your loved one will be using should also be made as accident-proof as possible. There are many basic guidelines that can be followed in order to provide safe and effective caregiving in the home.

In order to ensure a thorough approach, a room-by-room checklist can be very helpful. The following guidelines can be used for the caregiver's own home if the loved one is living with the caregiver, or for an elderly loved one's home.

Creating A Safe Home by Anne Marie Mills

Creating A Safe Home

Creating A Safe Home. Santa Clara Signal staff writer, Anne Marie Mills

One of the simplest modifications involves creating a “barrier-free” home. According to Santa Clara Signal staff writer, Anne Marie Mills in her article, “Is Your Home Safe?” what this means is that the home has no barriers prohibiting people with disabilities to freely navigate the home. For example, a person in a wheelchair needs to have door opening sizes increased from the basic 29 inch to 30 inch width to as much as 36 inches to 42 inches. Carpets need to be commercial-contract carpet similar to the type used in banks and office buildings, rather than the traditionally thicker home carpets so that a person in a wheelchair or using a walker will have no problem walking on them.

In addition, there are three other key areas of focus for modifying your home for your elder--lighting, the bathrooms and home furnishings.

Home Safety Evaluation Checklist, from Toghers

Toghers' {Toe–gers} mission is to provide the roadmap that will guide caregivers along their own caregiving journeys.

They offer a comprehensive
Home Safety Evaluation Checklist .
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This evaluation can be used to determine if someone is safe living home alone given the current state of the home.

Any NO response indicates an area of concern. NO responses do not necessarily mean that the person can no longer remain at home, but do indicate areas in which the home may need to be modified or where assistance should be brought in to ensure safety.

If the care recipient is unable to perform a task independently mark NO; if a caregiver is available to assist with the task mark CAREGIVER. This will help determine whether the care recipient is safe without a caregiver present.

Aging in Place Remodeling from Aging in Place Guide (blog)

Aging in Place Guide: Aging in Place Remodeling #1

In a series on the basics of Aging in Place remodeling. The issues are:
1. Getting in and out.
2. Moving around with in the house
3. Safely getting into and out of bed and getting to clothing storage
4. Safe use of the bathroom including ergonomic caregiving
5. Preparing and taking meals
6. Home office function
7. Entertainment- TV, music, reading, guests
8. Enjoying the outdoors

All these issues are not priorities for every client, household or house. It is always important to spend our resources wisely....making sure the problem we set out to solve is taken care of by the work we have done.


Posted by Aging in Place Guide blog

Louis Tenenbaum 's Aging in Place empowers older citizens with Choice and Control, Dignity and Independence - the essentials of happier homes, better lives and more economical housing and care.

Louis Tenenbaum is one of the nation’s leading authority on Aging in Place. He has years of experience helping individual families, builders/developers and communities set the stage for folks to remain safe and comfortable in their own homes.

Contact: louis @ louistenenbaum.com

Every man, woman and child should enjoy the pleasure of building a wooden boat. Building a wooden model boat is a good place to start

Every man, woman and child should enjoy the pleasure of building a wooden boat

Every man, woman and child should enjoy the pleasure of building a wooden boat. Building a wooden model boat is a good place to start. The files provided here are for building a stand off scaled model of the International Star Boat to be scratch built by novice or seasoned skipper.

RunMyErrand Boston community

Connecting Boston with a community of trusted local Errand runners.

RunMyErrand: Post your errands and get connected with local Errand Runners immediately! A Service Network

You may have seen us mention Service Networking. It's because that's what we do. While RUNmyERRAND is a place to outsource small jobs, what we're actually doing is harnessing the power of a community. Social networking has become quite popular in recent years and capturing this essence, and leveraging it to get real things done, is some pretty exciting stuff.

Caring elderly seniors, parent, elderly spouse, domestic partner or close friend

http://www.aging-parents-and-elder-care.com/ Twitter: twitter.com/mike_gamble

Elder Care - Overcoming the challenges of long term elder care

This article will walk you through the first steps of elder care – whether your loved one has Alzheimers Disease or another form of dementia, is recovering from a broken hip, or you are trying to figure out Medicare benefits. It is a primer - a source of both information and comfort. Each elder care situation is unique, of course. Your loved one's medical history, financial resources, personality, relationships with potential caregivers, proximity to services and other factors all determine the best approach to take.

Citizen Creator project, edit and share compelling narratives.

Introduction to Story Capture | story capture

Introduction to Story Capture

Our goal is to create an easy-to-use tool and process for chronicling non-profit initiatives, volunteer projects, and corporate social responsibility (CSR) programs. But we've also realized that the same approach is useful in a wide variety of fields and communities, including healthcare, marketing, and product development.

Story Capture looks and works like many common blog systems, but provides a set of tools for reversing the sequence of blog posts (putting them in chronological order) and then editing the resulting "story line" into a coherent narrative. Participants and staff can input story material using widely accessible social media (blog posts, email, Twitter, etc.) and then edit that material (through a shared interface) into compelling stories, articles or web pages including photos, video and other types of media files.

The Basic Idea

The basic idea of Story Capture is simple ... create a story, blog about what you're doing (write a paragraph or two) on a regular basis, and attach photos or video that you've shot. Then we provide an easy way to roll up those blog posts and generate a "story line" ... the same content in reverse order (the linear sequence in which we would tell a story), formatted to be easy to read and/or re-edit into a final report or web document.

How Tos and Suggestions

Of course, the tool is just a convenience. What's important is your process for capturing the story. (Building a story can be an individual or group effort; if you're mainly a visual person, you might want to collaborate with a word person, or vice versa.) It helps to think and talk about what's the core story behind your project. What are you trying to do? Why is it important? Who's involved in this story? Who should I interview, what questions should I ask? What's the timeline of the project, and how often should I write and shoot video or take pictures? The depth and quality of the story will depend on thinking deeply about what you're trying to capture.

Check out "How to ..." for nitty-gritty help on using the tool, and "Suggestions for ..." to get tips on how to improve your stories and media.

Who We Are

The Story Capture program is an initiative of the Citizen Creator project, which is being supported by the Learning Worlds Institute. We're hoping to encourage the use of storytelling methodologies to help volunteers and non-profit organizations to document and celebrate the good work they do. We're interested in developing and spreading the Story Capture process and tools through pilot projects and workshops. Please contact us (pilots@storycapture.org) if you'd like to work together.

Short and Long term Care for your Pets, plan now

When Aging Parents Can No Longer Care for their Pets | Tender Loving Eldercare

Short Term Care Options

During a brief illness or a short-term hospital stay, seniors would probably prefer a family member, neighbor or friend to care for their pet(s). Identify who they would like them to be, and also designate one or two back up people just in case the first choice isn’t available for some unforeseen circumstance. Ask the designated individuals or families in advance if they can, and would be willing to, take on this responsibility. Also ask if they would or could consider caring for the pets if your aging parents’ hospital stay is lengthier than anticipated. Prepare a resource list of the pets’ daily routines, favorite foods (and treats), exercise needs, medical records, any medications they take and the veterinarians’ contact information.