Friday, May 28, 2010

Relevant News Articles for Seniors: Week Ending May 28, 2010

Follow the directions on your prescriptions.  When the doctor recommends that you take one pill an hour after eating, you should take one pill an hour after eating.  Older adults increase the risk of falling when not taking the medications as directed.  The directions are simple, don't make it complicated.  From Senior Journal.com.

But at least they have their prescriptions. Many Americans receiving prescriptions from doctors don’t bother to get them filled. So what?  Aside from the obvious risks of getting sicker and/or death, patients that don’t take their medications end up costing us.  A lot. “More than $170 billion annually in the United States alone.” From The New York Times.

Are there cures available?  Some very promising scientific-breakthroughs have developed for cancer and other diseases, but drug treatments are having a tough time being approved by the FDA.  From 1996-1999 the USDA approved 157 new drugs.  From 2006-2009 that number was down to 74.  We know scientist haven't stopped trying to find cures.  What's the reason for the decline?  From Newsweek.

More bad news for statin users.  Statins have been linked to a number of bad side effects in recent years.  Unfortunately, there's more bad news around the corner. According to a recent finding statin use is now being tied to eye, kidney and liver problems.  However, the benefits of the cholesterol fighting drugs are believed to outweigh the risks according to experts.  From Health Day.

This research also found no link between statin use and dementia.  Last year at an Alzheimer's conference I attended an audience member asked the presenter (a world-renown doctor focused on Alzheimer's Disease) if he had read any of the research that correlated statin use with dementia.  The doctor said he had seen some of the research suggesting a link as well as some suggesting no link, and he couldn't offer an affirmative yes or no without doing more research.  Here's another study that suggests no link between statin use and dementia.

Have a wonderful Memorial Day Weekend.  I'll be thinking about the soldiers while I enjoy my freedom.  No words can express my gratitude.

Wednesday, May 26, 2010

Resources for Decluttering

National Association of Professional Organizers at http://www.napo.net/ . . . to find a professional organizer near you.

National Association of Senior Move Managers at http://www.nasmm.org/ . . . for assistance helping older adults and their families downsize, relocate or modify their homes.

National Study Group on Chronic Disorganization at http://www.nsgcd.org/ . . . for various resources on combating clutter. This non-profit organization features fact sheets, a clutter-hoarding scale for professional organizers to help assess their clients, and a questionnaire to determine if someone is a chronic disorganizer. Chronic disorganization is defined by the group as ongoing (chronic), interfering with the ability to get things done or with relationships, and a history of failed self help.

Vickie Dellaquila, certified professional organizer and author of “Don’t Toss My Memories in the Trash” at vickie@organizationrules.com.

University of New Mexico Researcher Dr. Catherine Roster at Roster@mgt.unm.edu. Dr. Roster is a clutter researcher who serves as research director for The National Study Group on Chronic Disorganization. She is currently working on a clutter self-assessment tool that will help clutter collectors get to the root of their issues.

University of Kansas Professor Dr. David Ekerdt at dekerdt@ku.edu. Dr. Ekerdt is coordinating a “household moves” project to determine the role that possessions play in older people’s housing decisions.

Katherine “Kit” Anderson, CPO-CD, president of the National Study Group on Chronic Disorganization at kit@andersonorganizing.com.

To get seniors off of junk mail lists, go to . . . . http://www.dmachoice.org/, http://www.catalogchoice.org/, http://www.optoutprescreen.com/.

Tuesday, May 25, 2010

A Caregiver’s Guide to Spot Clutter Creep


If you notice these characteristics about your senior loved ones or their homes, clutter could start creeping up on them.

1. Piles of mail and unpaid bills.

2. Difficulty walking safely through a home.

3. Frustration trying to organize.

4. Difficulty managing activities of daily living.

5. Expired food in the refrigerator.

6. Jammed closets and drawers.

7. Compulsive shopping.

8. Difficulty deciding whether to discard items.

9. A health episode such as a stroke or dementia.

10. Loneliness.

Monday, May 24, 2010

If your senior won’t let go . . . .

Getting rid of stuff is actually a two-step process: sorting and deciding, on the one hand, and disposing on the other. That’s according to University of Kansas Professor Dr. David Ekerdt, who is coordinating a “household moves” project to determine the role that possessions play in older people’s housing decisions. But convincing seniors can be a challenge.

Following are strategies if your loved one doesn’t want to let go from Katherine “Kit” Anderson, CPO-CD, president of the National Study Group on Chronic Disorganization (NSGCD), and Vickie Dellaquila, certified professional organizer and author of “Don’t Toss My Memories in the Trash.”

1. Arrange and cheer small victories. Suppose you spend a short time helping your loved one clear off a table. Celebrate the accomplishment together.

2. Conduct an “experiment.” If your senior has 150 empty margarine tub containers, suggest donating 15 of those to a school for a painting project. Allow some time to go by and ask how she felt giving those up. Chances are she won’t feel as awful as suspected.

3. Gently approach the idea of health and safety. Remind your loved ones that too much clutter can actually keep them from being safe in their homes, which could jeopardize their ability to stay at home. They could trip over papers on the floor or lose bills and medications.

4. Draft an agreement. Agree to box up unused clothing or tools. Carefully list what’s in the box and track that for six months. If your loved one does not use the items in that time, suggest they donate them to a charity.

5. Consider the control issue. Clutter is all about control, but so is being the one to decide where stuff goes. Remind your loved ones if they don’t decide where something will go, someone else will.

For more information, contact the National Study Group on Chronic Disorganization (NSGCD) at http://www.nsgcd.org/ or visit http://www.homeinstead.com/. For tips on talking to a loved one about sensitive subjects, go to http://www.4070talk.com/.

Thursday, May 20, 2010

10 Reasons Seniors Hang On To Stuff and What To Do About It

Following, from Home Instead Senior Care and Vickie Dellaquila, certified professional organizer and author of “Don’t Toss My Memories in the Trash,” are 10 reasons seniors can’t or won’t give up their stuff and what to do about it.

1. The sentimental attachment. The beloved prom dress represents the history and memories of the event; it’s not the dress itself. Save only a piece of the dress to make a quilt or display in a shadow box. Scrapbooking and converting photos to DVDs are other ways to save treasured keepsakes without all the extra mess.

2. The sense of loyalty. Older adults who’ve received gifts from family and friends may be reluctant to part with them. Encourage your loved one to give unused gifts back to the giver or grandchildren.

3. The need to conserve. Seniors are the original green people. Appeal to a senior’s desire to help others. Counter a senior’s inclination to conserve by appealing to their desire to give back.

4. The fatigue. A home with a lifetime of memories can easily become too much for an older adult to handle. Help seniors manage clutter by establishing online bill paying. Also, get your senior off junk mail lists, which can put them at risk of identity theft, and buy them a shredder.

5. The change in health. Seniors who have suffered a brain trauma or stroke, who are wheelchair bound or who are experiencing dementia may no longer be able to manage household duties, which could contribute to clutter. If you see a health change, encourage your senior to visit his or her doctor and consider a professional organizer and caregiver to help your loved one.

6. The fear. Seniors often fear what will happen if they give up their stuff, like the older adult who saved three generations of bank statements. Use logic and information to help seniors understand it’s O.K. to let go.

7. The dream of the future. Those clothes in the closet don’t fit anymore, but your loved one is sure that some day she’ll lose enough weight to get into them. Ask seniors to fill a box with clothing they don’t wear much and make a list of the items in the box. Agree that if they have not gone back to the box in six months to wear the item, they will donate that to charity.

8. The love of shopping. Today’s seniors have more money than any other previous generation of older adults and they love to shop. Clutter can become so bad seniors can’t find things and they repurchase items they already have, contributing to the clutter cycle. Try to convince seniors to cut back and to say “no” to free stuff.

9. The history and memories. Keepsakes represent history and memories. Encourage seniors to take old photos to a family reunion and share with several generations. Let seniors know they can contribute to the history of their time and leave a lasting legacy by donating to museums and historical societies, a theater and library, or churches and synagogues.

10. The loneliness. Stuff can become a misplaced companion. Loneliness may also lead to depression, which makes it difficult for seniors to get organized. Consider the services of a professional organizer and caregiver. For more information, go to the National Association of Professional Organizers at http://www.napo.net/ or visit http://www.homeinstead.com/.

Other experts contributing to these tips include Katherine “Kit” Anderson, CPO-CD, president of the National Study Group on Chronic Disorganization; University of Kansas Professor Dr. David Ekerdt, who is coordinating a “household moves” project to determine the role that possessions play in older people’s housing decisions; and University of New Mexico Researcher Dr. Catherine Roster.

Tuesday, May 18, 2010

Happy Memories or Household Hazards?

Advice For Family Caregivers to Help Older Adults De-Clutter During Spring Cleaning to Avoid Home Dangers

While clutter is not a problem unique to seniors, conditions of aging including strokes, brain trauma and dementia can lead to disorder and chaos that could threaten seniors’ home safety and independence, experts say. It’s a problem all too familiar to family caregivers.

A lifetime accumulation of possessions combined with an influx of daily junk mail, bills, newspapers and magazines can quickly overwhelm seniors who are struggling physically, mentally or emotionally.

Experts say even seniors who simply don’t know how to part with their possessions are vulnerable. The risks are many from slipping on loose papers to the threat of fire to the health effects of mold and mildew. Clutter can also interfere with family relationships and leave adult children wondering if the only inheritance awaiting them is a big mess.

Spring is a great time for family caregivers to help seniors de-clutter for their own health and well-being.

“Cluttering – for those with this tendency – probably has been happening for years, but a ‘trigger episode’ such as going into a wheelchair or a health issue could worsen the problem,” said Katherine “Kit” Anderson, CPO-CD, president of the non-profit National Study Group on Chronic Disorganization (NSGCD) and a certified professional organizer. While the source of clutter can be anything from outdated medications to a kitchen full of unused pots and pans, paper is the biggest clutter culprit, Anderson said.

“It’s sort of the elephant in the room,” added Dr. Catherine Roster, a University of New Mexico clutter researcher. “People don’t want to acknowledge there is a problem, which creates an underlying anxiety, stress, guilt or embarrassment that can have a negative effect on their mental health and productivity. There are a lot of issues including economics. When there is general disorganization, people lose important documents and can’t find bills and then miss payments. So some serious issues start affecting them. All the research shows that people are slow to recognize the problem.”

Family caregivers can become just as overwhelmed as seniors.  Try a three-step plan where the family caregiver brings three bins -- one for the stuff the senior wants to keep, one for donations and the other for trash. Sometimes seniors just need a little help.

Monday, May 17, 2010

Home Instead Senior Care in the News!

Derek Pruitt - dpruitt@poststar.com The entrance to Frank Blasko's home sits cluttered with turtle cages, walkers, wheelchair and loads of random items in Greenfield on Friday, May, 14, 2010. Blasko admits the casual observer may not notice the difference, but several sessions with Home Instead Senior Care workers has helped him gain some control of his home He said he can see and use his dining room table and the kitchen counters are once again in daily use and not just storage spaces.

Clearing the Clutter
Greenfield man housed his hobby to deal with pain
By LYDIA WHEELER
From the Post Star

GREENFIELD - For Frank Blasko, vacuuming while controlling a motorized chair is like trying to rub your belly and pat your head at the same time, nearly impossible.

Vacuuming isn't his only hardship. Any kind of cleaning is difficult for Blasko, who lives alone and has traveled a tough road his last 60 years.

When he was 13, his father walked out on his mother. Blasko's mother decided to move him and his siblings from Manhattan to Whitehall to be closer to her family.

A few years after relocating, his 17-year-old brother and 24-year-old sister were killed by a drunk driver.

In 1998, an accident at Finch Pruyn, where he had been employed for 30 years, caused a major back injury, forcing him to retire and live on disability. Ten years later, he lost his partner of 30 years to liver cancer.

Shortly after, Blasko, a diabetic, said he slipped into a diabetic coma and went into the hospital for two months.

Improper care, he said, caused him to get 18 bed sores, seven of which were located on the bottom of his feet.

"Those haven't healed," he said.

Bed sores led to diabetic ulcers and both his left and right feet had to be partially amputated as a result. The open wounds force Blasko to wear medical booties at all times and impair his ability to walk or stand.

"I'm a healthy person, but I can't be on my feet," he said.

Blasko moves about his house with the use of a motorized chair, but his bad back and feet make daily cleaning and household chores extremely difficult, and it shows throughout his home.

Because he's unable to work, Blasko has taken up several hobbies, such as painting, showing his two smooth fox terriers at dog shows, knitting, ceramics and caring for 50 turtles he's licensed by the state to possess and sell.

His hobbies keep adding items to his home, cluttering an already disorganized domicile.

But recently Blasko was given a grant from Catholic Charities, money that allowed him to hire a senior care expert from Home Instead Senior Care, a home health care agency, to come in and help him clean.

"The amount of stuff we got done," he said letting out a sigh of surprise. "I don't even think it's noticeable unless you've been here before."

Home Instead Senior Care is encouraging seniors and their families to help their aging loved ones clear the clutter from their home to eliminate potential health and safety hazards by offering information to help sort, organize and dispose things no longer needed.

"That's what people do; if you're older you have accumulated things," said Cindy Harrington, a spokeswoman for Home Instead.

"In our clients, it's common for there to be a loss of an animal or someone close to them and when that happens the incentive to want to go through and get rid of your loved ones things isn't there. It's tough," she said.

"It's difficult to be alone. Al liked to clean and I liked to cook and keep track of bills. If I'm just a penny off I would've spent eight hours until I found that penny," he said.

But Blasko admitted that he hasn't balanced his checkbook since his partner passed away. Now, he calls the bank to learn his balance.

The Home Instead network and Vickie Dellaquila, a certified professional organizer, compiled a list of the top 10 reasons why seniors can't or won't give up their stuff and what to do about it.

That list includes the sense of loyalty, loneliness and a change in health.

There can be signs of hoarding, such as piles of mail and unpaid bills, frustration trying to organize, difficulty with daily living and a health episode.

"If you're focusing on the huge task of clutter, break it down into small jobs to accomplish otherwise you become overwhelmed," Harrington said.

Home Instead Senior Care has more information about warning signs and advice for seniors and families with seniors who need to de-clutter on their website at http://www.homeinstead.com/341.

Friday, May 14, 2010

Relevant News Articles for Seniors: Week Ending May 14, 2010

Researchers getting close to a cure for Alzheimer's Disease? There are currently five Alzheimer's related drugs in Phase 3 of clinical trials in the United States.  This is the last stage before a drug is eligible for FDA approval and is allowed onto the market.  These drugs, if approved, may slow down or even stop the progression of Alzheimer's Disease.  From the Los Angeles Times. 

Last November, the Home Instead Senior Care offices in Saratoga Springs, Albany, and Schenectady were approached to help find volunteers for an Alzheimer's drug clinical trial by a local hospital that was collaborating with Elan Pharmaceuticals . While keeping all our client information confidential, we informed our clients (or their family members) living with Alzheimer's Disease of the upcoming drug trial, and asked them to consider participating. Unfortunately our three offices and other organizations solicited by the hospital were unable to come up with even one volunteer. This shows how hard it is to gain commitment to a drug trial, maintain commitment during clinical trials, and gain approval from the FDA. The fact that there are five drugs focused on fighting Alzheimer's disease all in the final stages of research is remarkable.

Missing someone?  Last year, for the first time ever, seniors with dementia related illnesses were reported missing more often in some states than missing minors or hikers.   Unfortunately, unlike minors and hikers that are usually looking for salvation, someone with dementia may be paranoid and actually hide from any rescue operation.  From The New York Times.  Check out my blog post on Tuesday relating to this topic.  On Sunday a neighboring community had an all out man-hunt for a missing 79-year-old.  Fortunately Sunday's case had a happy ending.

Prevent a stroke.   Last week I highlighted an article regarding sodium intake.  USA Today continued this theme by suggesting that lowering the amount of salt you consume directly lowers your risk of stroke.  Restaurants are being encouraged, and soon may be legally required, to lower the sodium levels in their dishes.  If you live in "The Stroke Belt" - Alabama, Arkansas, Georgia, Louisiana, Mississippi, North Carolina, and South Carolina - you may personally want to push for sodium reduction at your local restaurant.  It just may save your life.  From USA Today.

Good Sleep = Good Life.  Researchers have found that a good night's sleep can lead to overall better health and may even lengthen life expectancy.  My husband better think twice before waking me up when he comes to bed late!  From Web MD.

Wednesday, May 12, 2010

Do You Have What it Takes to be a CAREGiver?

A profession caring for seniors brings many benefits. But it’s also not for everyone. That’s why it’s important to ask yourself important questions before pursuing this job path. If you love working with seniors, if you’re an understanding person and if you have served previously as a family caregiver to a loved one, or if you’re a senior yourself, you probably have some of the attributes needed to be a good professional caregiver.

In the meantime, why not complete the caregiver career self-assessment at http://www.heartofacaregiver.com/ to help you gauge whether caregiving would be a good career fit for you.

In addition to being the second fastest-growing job category nationally, CareerBuilder.com has listed personal and home care aides as one of the top 10 best part-time jobs1 as well as part of one of the top five recession-proof industries: health care2.

1.http://www.cnn.com/2008/LIVING/worklife/01/24/best.parttime.jobs/index.html
2.http://www.cnn.com/2008/LIVING/worklife/03/24/cb.recession.proof/index.html

Tuesday, May 11, 2010

What Can I Do About a Wandering Loved One?

This past Sunday the news was busy reporting a missing 79-year-old dementia patient. Estele Lindsey was last seen at her house at 7:30 a.m. Instead of preparing Mother's Day Brunch, Estele's family and friends participated in an all day man-hunt finally ending at 11 p.m. when a woman living six miles from Estele's residence called police alerting them that Estele was in her driveway.

Along with family and friends, the search party consisted of 50 officials from the Washington County Sheriff’s Office, member of the Hudson Falls Police, members from the Hudson Falls Kingsbury fire departments and the employees of the state Department of Environmental Conservation.  From the Post Star.

For someone unfamiliar with a wandering loved one this may seem like quite the operation for a missing adult. However, when taking into consideration that this is an older adult with dementia that may be confused, scared, and unsafe or even harmed this "extreme" measure is not only appropriate but necessary. "Wandering can put an individual's safety in jeopardy. More than 60 percent of those with dementia will wander, and if a person is not found within 24 hours, up to half of individuals who wander will suffer serious injury or death." (From the Alzheimer's Association)

Here at Home Instead Senior Care we receive calls from family members panicking because their family has just experience a similar situation to Estele's.  We once had a call from someone that had just found their loved one in the median of the Northway.  Last month a daughter contacted our office after receiving a phone call that her Father was walking down the yellow line of a major highway. Thankfully the caller recognized the gentlemen and got him into her car.

So how do you know if your loved one is a wander risk, and if they are a risk, what can you do?  Here is more information about wandering from the Alzheimer's Association.

Be aware of the risk factors for wandering, and enroll in MedicAlert + Alzheimer's Association Safe Return®, a nationwide identification program designed to assist in the return of those who wander and become lost.

SIGNS OF WANDERING BEHAVIOR

A person may be at risk for wandering if he or she:
  • Comes back from a regular walk or drive later than usual
  • Tries to fulfill former obligations, such as going to work
  • Tries or wants to "go home" even when at home
  • Is restless, paces or makes repetitive movements
  • Has a hard time locating familiar places like the bathroom, bedroom or dining room
  • Acts as if doing a hobby or chore, but nothing gets done (moves around pots and dirt without actually planting anything)
  • Acts nervous or anxious in crowded areas, such as shopping malls or restaurants
TIPS TO REDUCE WANDERING
If you live with or care for a person with dementia, here are a few tips to help you reduce the risk of wandering:
  • Move around and exercise to reduce anxiety agitation and restlessness
  • Ensure all basic needs are met (toileting, nutrition, thirst)
  • Carry out daily activities, such as folding laundry or preparing dinner to provide daily structure
  • Reassure the person if he or she feels lost, abandoned or disoriented
  • Avoid busy places that are confusing and can cause disorientation, such as shopping malls
  • Place deadbolts either high or low on exterior doors
  • Control access to car keys (a person with dementia may not just wander by foot)
  • Do not leave someone with dementia unsupervised in new surroundings

Monday, May 10, 2010

Who Will Care for Mom?

High Growth Job Category Won’t Keep Pace with Demand for Caregivers.

Reports from the U.S. Bureau of Labor Statistics that predict an increase in the personal and home care aides job category – forecasting that to be the second fastest-growing job group in the nation over the next decade – is welcome news in a recession. But the rapid growth in this job group may not be fast enough. The Home Instead Senior Care Network's recent research indicates that demand for these jobs will outpace supply in a big way.

This could become a national crisis issue. At our company alone – the largest of its kind, but one of many throughout our country – the number of CAREGivers nationally is about 60,000. To keep pace with this projected demand, our company will have to double its care force in just three years, according to our research.  On a positive note, these projections will result in job opportunities for area workers hit hard by the economy, providing a flexible part-time option for additional income or a new career in a fulfilling job field – caring for older adults.

In New York the personal and home care aides job category is expected to increase from from 74,680 jobs in 2006 to 100,790 positions in 2016 – a projected 35 percent increase. The influx of state jobs to this occupation is mirroring what is happening throughout the country. Nationwide, the personal and home care aides classification is expected to grow by more than 50 percent between 2006 and 2016, increasing from 767,000 to a projected 1.15 million jobs.  1

The government identifies personal and home care aides as professionals who help the elderly, disabled, ill and mentally disabled live in their own homes or in residential care facilities instead of in health facilities. The growing number of seniors in the U.S. as well as locally is expected to help fuel this job demand. According to the U.S. Census Bureau, the population age 65 and older is projected to double between 2000 and 2050.

We’ve certainly seen the needs of seniors in our area drive the demand for our services, which in turn creates more caregiving jobs.  The local Home Instead Senior Care office is part of an international franchise company whose professional CAREGivers go into the homes of seniors to help them with their non-medical needs.  National research conducted by the company reveals that 86 percent of seniors want to continue living in their homes as they age. This surge in seniors at home will help fuel the demand for these new positions as well.

U.S. Bureau of Labor Statistics Economist Colleen Teixeira Moffat, who studies the occupation of personal and home care aides, said increasing health-care costs partly explain this growing demand. “It’s a lot more cost-effective to leave a hospital sooner when all a senior might need is assistance with daily activities,” she said. “A visiting nurse, home health aide, and personal and home care aide all will be cheaper than a stay in a residential care facility,” she said.

The job’s flexibility also is attractive, she noted. “The education requirements are not high, so this job may be appealing to an individual who is new to this country or someone who wants to put off college for awhile. A job such as this can give people an opportunity to get a feel for working with others. It’s also a flexible job for those taking care of their own families or looking for a second job,” Teixeira Moffat added. Home Instead Senior Care also has discovered that seniors themselves make great caregivers.

The training process for the profession is comprehensive but not lengthy, industry experts note. Caregivers typically complete a four-step training program, which provides the basic skills and, for some, advanced skills necessary to care for seniors. These include a focus on safety, communications, emergency first aid, activities and routine meal preparation and light housekeeping. The more advanced training prepares caregivers to perform personal services such as toileting and bathing.

Caregiving companies are gearing up to meet this expected caregiving need by offering incentive recruiting programs and reaching out to groups that have proven to be attracted to this job category such as older adults. At Home Instead Senior Care, we have focused our efforts on retaining quality CAREGivers, who in turn can recruit other outstanding CAREGivers.

# # #

1. http://www.bls.gov/emp/emptab21.htm

Friday, May 7, 2010

Relevant News Articles for Seniors: Week Ending May 7, 2010

abcDefg...Vitamin D is proving to be quite the vitamin!  Already known to fight major illnesses like cancer, heart disease, and diabetes, Vitamin D has recently been connected to helping seniors stay mobile.  Seniors with higher levels of vitamin D were found to be more physically active than those with lower levels of the vitamin.  Sunlight and some foods are natural sources for Vitamin D.  From WebMD.

You lowered your calorie and fat intake.  How about sodium??   Many Americans focus more on calories and fat than the sodium levels they consume.  Diets high in sodium are linked with heart disease and stroke.  However, Americans tend to overlook the sodium levels when shopping for “healthier” foods.  Manufacturers and restaurants may soon find it harder to load on the salt, and may actually have to rely on the flavors of their product, if the government follows the advice recently given by the Institute of Medicine.  But can Americans cut back on the 1.5 teaspoons of salt we each consume every day? I'm keeping my fingers crossed.  From USA Today.

In case you need another reason to stop smoking. We all have been inundated with the bad news smoking cigarettes can bring - lung cancer, emphysema, heart disease. But perhaps you don’t know why cigarettes, or the ingredients within them, cause certain diseases. New evidence proves the link between smoking and heart disease when researchers measured smokers arteries against a non-smokers arteries at different ages. The findings - "arteries age twice as fast in smokers."  From HealthDay.

Too many medication choices for doctors.   Lipitor, Lescol, Mevacor, Pravachol, Crestor and Zocor all are being prescribed to lower cholesterol.  Lexapro, Celexa, Zoloft, Proxac, and Paxil are a few drugs prescribed to fight depression.  With so many choices, how does the doctor choose?  Do these medications all have the same effectiveness, or are some better than others?  If you are seeing more than one doctor, are you taking the same type of medication under a different name?  From the Los Angeles Times.   It is crucial that you are your own advocate and document what medications you are taking when visiting each of your doctors.  It not only may save you money, it may also save your life!

New findings may shift the direction for Alzheimer's Research.  A new study suggests that floating proteins may actually be the cause of Alzheimer's Disease and that the plaques previously blamed for the disease may be a product of the disease rather than the cause.  From HealthDay.

Happy Mother's Day to all the fantastic mothers out there - especially mine! 

Thursday, May 6, 2010

Help!!!! My Mother has Alzheimer's Disease and no Power of Attorney.

My mother has Alzheimer’s and has not filled out a Power of Attorney. Is there some way I can get this document completed?

Power of Attorney can be signed by any adult with mental capacity to understand the nature of the transaction. A Power of Attorney is considered to be a contract, and therefore the individual entering into the Power of Attorney must have the capacity to contract. In New York State, it is required that the individual understand the obligations she is undertaking and authority she is granting to her agent. Capacity is a medical determination, but a doctor’s decision about mental capacity can create legal issues. If a doctor determines that the Alzheimer’s is so progressed that your mother cannot understand that she is signing a legal document giving you authority to make all financial and “business” decisions for her, any document she then signs will be vulnerable to attack. The parties who would seek to attack the Power of Attorney could include any person who believes that the agent (presumably you) would be taking advantage of Mom in her diminished mental state. It is important to consider who can mount an attack on a Power of Attorney when determining the appropriateness of having a Power of Attorney executed.

When a person lacks capacity and does not have advanced directives in place and when the family finds that they cannot manage the financial affairs informally, the only option is a Guardianship. A guardianship is a proceeding during which the Court is asked to determine that the person is incapacitated, and the Court appoints someone to make decisions for that person. There can be a Guardianship of the Person (who can make personal decisions for the incapacitated person) and/or a Guardianship of the Property (who can make financial decisions for the incapacitated person). While a guardianship is a court proceeding with formalities and strict rules that must be followed, if no person objects to the appointment of the guardian, the Guardianship proceeding will be an uncontested guardianship, which will result in a significant reduction of time and expense.

This information was provided by JulieAnn Calareso, Esq., an attorney practicing Elder Law at the law firm of Burke & Casserly, P.C. in Albany, New York. Please feel free to visit Burke &Casserly’s website at http://www.burkecasserly.com/.

What questions do you have about Elder Law?

Wednesday, May 5, 2010

Active Soul: Start a Collection

Think about items of interest that have been collected through the years. Many seniors have stashed away old coins or stamps or baseball cards. How about costume jewelry from the 1940s or ‘50s?

Perhaps pieces of the collection are scattered around the house. Make it a treasure hunt of sorts.

Next, decide where you would store this collection. Depending on what you have gathered or the senior has decided to collect, it may need a lot of room or a special place that will help preserve the items being collected. Think about different ways to display these treasures. If your senior decides to collect valuable items, such as baseball cards, he or she may need to consider a safe deposit box at the bank.

Or you could begin a collection that a senior would pass down through the family. Need help? Start collecting by visiting garage sales, looking for the items while traveling or researching on the internet.

Tuesday, May 4, 2010

The Book Stages of Senior Care Describes Caregiving Options

The Chicago Tribune recently ran an interview with Paul Hogan, the Founder and CEO of Home Instead Senior Care. He, along with his wife Lori, wrote the book Stages of Senior Care - Your Step-to-step Guide to Making the Best Decisions.

The interview began with Paul describing his experience caring for his grandmother who had fallen ill. The family came together to keep his grandmother at home - the only other option at that time for senior care was a nursing home. While caring for his grandmother Paul realized first hand the physical and emotional strains caregiving can put on a family member.

After this experience Paul and his wife Lori founded Home Instead Senior Care. Home Instead Senior Care has grown to be the number one trusted source of non-medical care in the North America, with franchises in each of the fifty states, throughout Canada, and is growing every year internationally.

Our local franchise has a personal experience behind it's inception as well. Home Instead Senior Care Saratoga began in 2000 under the leadership of Nelson Carpenter. Nelson's Mother began showing signs of what was later diagnosed as Alzheimer's Disease in the later part of the 1990s. Nelson was fortunate that his Mother had moved herself into an assisted living facility years before any symptoms developed.

The family questioned her decision when she decided to move, but she repeatedly told them that she wanted to make it as easy as possible for the family should a problem arise in the future. She'd seen too many arguments arise between her friends and their own children when issues pertaining to senior care developed.

Although his Mother made it somewhat easier for the transition by initiating it herself, Nelson wondered what other families did in these difficult situations, and that's when he discovered Home Instead Senior Care. Nelson continuing goal is to assure that the Saratoga office of Home Instead Senior Care remains the region's trusted source of companionship and non-medical home care for seniors.

Even with the vast success of Home Instead Senior Care, Paul Hogan and his wife Lori were still not satisfied. They wanted to reach even more families. They decided to co-author the book Stages of Senior Care. Below are the interview questions & answers about the book between Paul Hogan and Jane Glen Haas (McClatchy/Tribune News). To see the article in full click here.

Q) I'll admit I'm impressed. Most senior care books focus on one or two stages — assisted living and nursing homes, for example. Your book tells people first to check out community services and ends with hospice and end-of-life choices. You cover the gamut.

A) One of the big reasons we wrote the book is that the majority of people don't know all of their options — who pays for what? Is there government assistance? Should I have long-term care insurance or a reverse mortgage? In honesty, the majority of people are not doing any planning for their old age. And there are many cost-effective decisions that can help you stay in your home a few years longer.

Q) Do you consider the book a public service?

A) Yes. The proceeds all go to the Home Instead Senior Care Foundation. Our goal is to help people know what questions to ask, explore options and also face the need to plan.

Q) One of the sections that I rarely see discussed talks about coping with difficult relationships. You say if you have a strained relationship with a mother or father, chances are things will only get worse if you become the caregiver.

A) Yes, we talk about setting boundaries, about avoiding conversations with a parent that "get your buttons pushed." Again, getting the right options or the right caregiver can make a difference. Caregivers need to be able to avoid guilt trips. That can contribute to the caregiver ending up with worse health conditions than the person they care for.

Q) Your sections on funeral costs and dealing with bereavement are unusual to find in a book on senior care.

A) This book is all about the realities of senior care. It does no good to duck the obvious end-of-life issues.

Q) And for more information?

A) Go to stagesofseniorcare.com.

Q) One last question: Who is easier to care for — men or women?

A) I don't know that there's much difference.

Monday, May 3, 2010

Active Body: Day at the Beach

This mobility activity can be made easier for seniors with eyesight problems if the family caregiver describes the actions:
  1. Hold a beach ball at chest level in both hands.
  2. Stretch arms out straight.
  3. Then pull arms back to the chest.
  4. Repeat while counting to 10.
Put this skill to work while doing something a senior enjoys. When watching TV or listening to the radio, march to the beat of a favorite song on TV or the radio while in this sitting position.