Friday, December 25, 2009

Keeping an eye on the elderly

Thursday, December 24, 2009 3:04 AM

MAIN STORY

* Best holiday gift: Check up on your elderly parents

Children can observe their elderly parents during the holidays for signs of dementia and other health issues that need to be addressed. Here are a few places to start:

• The kitchen. Is there enough food? Is it fresh? Is food that needs refrigeration in the refrigerator?

• The home. Is it at least fairly clean? Brightly lighted? Are blinds pulled all day?

• The mail. Are bills getting paid? Is mail being opened?

• Friends and neighbors. Do they have concerns about your parents?

• Health. Are there marked changes in mobility, speech, weight, memory?

• Driving. Can they drive safely?

• Conversations. Do they engage with others? Can they hear what others say?

• Clothing. Is it clean? Do they get dressed every day? Are they bathing regularly?

Sources: Golden Guidance, Barbara McVicker

Verlia Caldwell, Pres.

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Tuesday, December 15, 2009

Studies Shows Elderly Blacks Are More Likely To Skip Their Medication Than Whites And Maybe At Risk For Other Medication-Related Problems

Older adults experience a number of medication-related problems, including under treatment, suboptimal drugs, suboptimal dosing, and non-adherence, which can have negative effects on their quality of life. Now new research1, from the UNC Eshelman School of Pharmacy at the University of North Carolina at Chapel Hill shows that blacks have more medication-related problems than whites, and non-adherence to medical regimens is a particular issue for this group. Dr. Mary Roth and colleagues' study of the racial disparities in the quality of medication use appears this week in the Journal of General Internal Medicine², published by Springer.

Older adults are likely to have a number of co-existing chronic diseases, visit more than one doctor, and use multiple drugs, which puts them at greater risk of developing medication-related problems. As a consequence, their health status and quality of life can be compromised. For the first time, Dr. Roth and her team's paper looks at the overall quality of medication use in individuals rather than focusing on certain medication-related problems or diseases. Their work also assesses the effect of race on the overall quality of medication use, another new dimension.

A total of 200 (100 white and 100 black) adults 60 years of age and older were recruited through the Department of Aging and two senior housing complexes in North Carolina. They were interviewed three times in their own homes, once at the start of the study, after six months and a year. Roth and colleagues measured quality of medication use in two ways: a clinical pharmacist's judgment and using Assessing Care of Vulnerable Elders quality indicators. This paper presents findings from the pharmacist assessment of quality only.

The researchers found that, on the whole, whites used more medications than blacks, had a greater number of chronic medical conditions and used more physicians. Nearly a third of blacks (28 percent) could not purchase their medication due to cost compared with only 12 percent of whites. Whites (58 percent) were more likely to have adequate health literacy skills than blacks (29 percent).

Each participant had at least one medication-related problem. The most common problems for both whites and blacks were under treatment (83 percent vs. 87 percent), suboptimal drug use (59 percent vs. 66 percent), suboptimal dosing (48 percent vs. 56 percent) and non-adherence (42 percent vs. 68 percent). The difference between whites and blacks was particularly noteworthy for non-adherence to medications, with smaller differences noted for inadequate medication monitoring. Interestingly, although blacks were prescribed fewer medications than whites, they had significantly more problems than whites. The authors note that this study supports previous findings that elderly blacks have higher rates of nonadherence to medications than whites, but beyond this, suggests that medication-related problems, in general, are prevalent and persist in both races.

The authors conclude: "Strategies to better measure the quality of medication use in older adults are needed, and efforts to improve the quality of medication use in older adults must account for potential differences in both the number and types of problems affecting whites and blacks."

Funding was provided by the National Institutes of Health, National Institute on Aging (Principal Investigator (MTR): Research and Career Development Award). The study was also supported by an American College of Clinical Pharmacy (ACCP) Frontiers Fund Research and Career Development Award.

References
1. Roth MT et al (2009). Racial disparities in the quality of medication use in older adults: baseline findings from a longitudinal study. Journal of General Internal Medicine. DOI 10.1007/s11606-009-1180-9
2. The Journal of General Internal Medicine is the official journal of the Society of General Internal Medicine.

Source: Ami Finkelthal
New York University

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Monday, December 7, 2009

Seniors May Need Help Overcoming Holiday Blues

HealthDay


Sat Nov 28, 11:47 pm ET

SATURDAY, Nov. 28 (HealthDay News) -- For many seniors, the holiday season can trigger melancholy as they think about lost loved ones, struggle with health issues or worry about money problems, according to the American Geriatrics Society.

To help overcome the seasonal blues, the AGS Foundation for Health in Aging offers the following advice:

* Get out and socialize or invite family and friends over. Those who find it hard to get around should ask relatives and others for help traveling to parties and events.
* Volunteering can help improve mood. Contact the United Way or call local schools or religious organizations to ask about opportunities nearby.
* Don't drink too much alcohol because it can actually lower your spirits.
* Accept the fact that many people feel blue during the holidays and there is nothing wrong with not being "merry."
* Talking to someone about your feelings may help you understand the reasons why you feel sad.
* Watch for warning signs of depression. While holiday blues are temporary and mild, depression is more serious. Signs of depression include: persistent sadness; lack of interest; frequent crying; changes in appetite, weight or sleep; constant feelings of fatigue, restlessness, worthlessness, or guilt; suicidal thoughts.
* If you're depressed, contact your health-care provider. Depression is treatable.

The AGS Foundation for Health in Aging also offers tips for people with older loved ones who experience sadness during the holidays:

* Invite them out and to gatherings. Remember to take into account their needs, such as transportation or special diets.
* Lend a hand by offering to help with shopping and preparations for get-togethers in their homes.
* Encourage them to talk about their feelings. Acknowledge their sadness, including a sense of loss if family or friends have died or moved away.
* Suggest your loved one talk with a health-care provider. Many older people don't realize when they're depressed. Let your loved one know depression is a medical illness and there's no shame in having it.

More information

Mental Health America has more about holiday depression and stress.

Verlia Caldwell, Pres.

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Monday, November 30, 2009

Elder care added to UAB medical school curriculum

November 27, 2009 By The Associated Press JEFF HANSEN (The Birmingham News)
Quick Summary

Growing older population causes UAB to add elder care to medical school curriculum

BIRMINGHAM, Ala. - BIRMINGHAM, Ala. (AP) — With a ballooning population of older people, the UAB School of Medicine is changing its curriculum to ensure every medical student learns about caring for the elderly.

Historically, the University of Alabama at Birmingham and other medical schools have failed to give broad training in geriatrics, the area of medicine that focuses on diagnosing and treating diseases and problems particular to older people.

UAB has now joined 39 other medical schools to correct that, with the help of $80 million of funding from the Donald Reynolds Foundation. Reynolds was a media tycoon who built a fortune in newspapers, radio, television and outdoor advertising.

UAB got its $2 million, four-year grant last year and is spending it to improve education for its 875 medical students, as well as for 350 residents and numerous faculty and community physicians.

"There has been a huge gap in geriatrics training," said Dr. Christine Ritchie, director of palliative and supportive care in the UAB Division of Gerontology, Geriatrics and Palliative Care, and director of the new program.

Some parts of the new Alabama Reynolds Program for Care of the Complex Older Adult are under way.

Internal medicine residents are now required to spend one month in geriatrics training in settings that include acute hospital care for the elderly, a long-term care facility, outpatient clinics and home care visits.

Medical students have started a senior mentoring program in which older people from the community talk to the students. Other parts of the program will be added over the next two years.

Ritchie and others are systematically working to increase geriatric education in all four years of the medical school curriculum.

They are also developing interactive, online training modules with 10 different virtual patients. In one, an older man and his adult daughter come to see the doctor, with the daughter explaining that her dad has become very withdrawn. The modules will be tested in collaboration with the University of South Carolina, the University of Arizona, Emory University and Vanderbilt University.

Ritchie and other physicians are also developing special geriatrics training for residents in internal medicine, family medicine, emergency medicine and pediatrics.

"Why pediatrics?" said Ritchie. "What we're seeing is multigenerational caregivers, where a grandparent is the caregiver."

She has one simulation in which a young child comes in after overdosing on his grandmother's blood pressure medicine. "The pediatrician has to figure out what's going on with the grandparents - what do you have to be aware of when you have an older caregiver?" Ritchie said.

Geriatrics presents some special problems.

One great danger that older patients face is transitions, when they move from one care setting, say a hospital, to another, such as home or a nursing home.

"It's very hazardous for patients, because balls get dropped," said Ritchie.

One study in the New England Journal of Medicine this year found that 30 percent of Medicare patients who had been hospitalized for a medical condition were readmitted to the hospital within 60 days. The cost of those potentially preventable hospitalizations may be as high as $12 billion a year.

To avoid transition problems, doctors have to make sure medications are managed properly during the change, that a follow-up outpatient appointment has been set, and that patients and caregivers know the "red flags" of their illnesses that require quick attention. Patients and families also have to be able to take charge of the health care plan.

Older patients can face multiple chronic conditions.

Dr. John Burton, a geriatrics expert at Johns Hopkins University, has said the average adult has two to three chronic medical conditions by age 75, and some have as many as 10 or 12 conditions. And he has said that just as doctors do not treat a child and a middle-aged adult the same way, there are remarkable differences in the medical treatment of a 50-year-old and an 85-year-old.

Geriatric doctors also have to understand the patient's family system and the culture they come from.

"People's caregiver support is highly variable," Ritchie said. "In the past it was sort of 'don't ask, don't tell.'"

This improved training at UAB comes at a point when people 85 and older are the fastest-growing group in the United States. It also comes just as the baby boomer generation starts to reach Medicare age. The demand for geriatric care will only increase.

Dr. Mustafa Ahmed, an internal medicine resident who went through medical school in England, will finish his UAB geriatrics rotation next week. Ahmed said he was surprised by the lack of geriatrics training in America - especially since so many of the patients that internists see are older.

"In England, there is a heavy emphasis on geriatrics training," he said. "It's essential for our training."

Ritchie believes the UAB changes will improve the quality of medical care that patients and families receive.

"I hope it means that the future care of them or their loved one is more clued in to the various complex issues that surround the care of older adults," she said.

Copyright 2009 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

Verlia Caldwell, Pres.

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Tuesday, November 17, 2009

Sources: Senate weighs long-term care program

By RICARDO ALONSO-ZALDIVAR, Associated Press Writer

WASHINGTON (AP) -- Senate health care legislation expected this week is likely to include a new long-term care insurance program to help the elderly and the disabled avoid going into nursing homes, Democratic officials say.

Senate Majority Leader Harry Reid, D-Nev., is expected to incorporate the voluntary program in legislation to be unveiled as early as Wednesday, said the officials, who spoke on condition of anonymity because a final decision has not been made.

Known as the Community Living Assistance Services and Supports Act, or CLASS Act, the program was a top priority for the late Sen. Edward M. Kennedy, D-Mass. It would begin to close a gap in the social safety net that's received little attention in the health care debate.

Fiscal conservatives and government economists have questioned whether the program would be financially sustainable over the long run, and insurance companies are lobbying to strip it from the health care bill.

Nonetheless, the House included the program in its health care legislation, with the approval of the Obama administration. In the Senate, the Health Committee bill had included it, but the Finance Committee omitted it. The approach Reid is considering in a combined bill would address the objections of fiscal conservatives by stipulating that premiums from the program could not be counted in offsetting the cost of the broader health care bill. Reid's office had no comment on Tuesday.

The cost of nursing homes averages $70,000 a year, and a home care attendant runs about $29 an hour. Medicare only covers temporary nursing home stays. Middle-class households have to exhaust their savings before an elder can qualify for nursing home coverage through Medicaid. Continue readinghttp://www.ksdk.com/news/local/story.aspx?storyid=189903

Verlia Caldwell, Pres.

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I Care For You Home Care, L.L.C.
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Wednesday, November 11, 2009

Home Health Care for Your Elderly Parents

When a nursing home doesn't feel like the right move, home health care can be a good option. Here's how to make your decision

By Beth Piskora

Your mother doesn't see as well as she used to, and sometimes has trouble walking. You wonder if it's a good idea for her to stay alone in that house, or if there is a better option for her. But you just can't stomach the idea of putting mom in a nursing home.

You're not alone.

According to the National Academy on Aging Society, there are 8.5 million people over age 70 in America with limitations in walking, dressing, bathing, shopping, paying bills, and preparing meals. This number will increase dramatically in the future, perhaps to 21 million in the next quarter century, according to estimates. In addition, the National Association of Home Care & Hospice Care reports the number of home-care agencies has increased to 17,700 in what has become a $53.4 billion industry. Readhttp://www.businessweek.com/investor/content/sep2008/pi20080910_761489.htm

Verlia Caldwell, Pres.

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Thursday, November 5, 2009

The Anti-Aging Diet

Can what you eat help you age gracefully?
By Kathleen M. Zelman, MPH
WebMD Weight Loss Clinic-Feature
Reviewed by Louise Chang, MD

It seems we're all trying to find the "magic bullet" that delays the natural aging process. Put an antiaging label on most any product, and it flies off the shelves.

Yet if you're trying to look your best without going under the knife, a secret ingredient might be right under your nose. Some experts say one answer to aging gracefully can be found in the grocery store -- in fruits, vegetables, green tea, and a host of other healthful foods that are rich in antioxidants and other potentially age-deterring compounds.
What Is Aging?

Of course, the signs of aging include not only wrinkles, but also memory loss, decreased brain function, and an increasing risk for chronic diseases such as heart disease, osteoporosis, and cancer. Healthy aging is also defined as living a longer, healthier life. And many studies have documented the link between a healthy diet and prevention of age-related or chronic diseases.

Adopting a healthy lifestyle that includes regular physical activity, adequate rest, avoiding tobacco, and a diet full of healthy foods and beverages can be the best defense against aging.

"Dietary choices are critical to delay the onset of aging and age-related diseases, and the sooner you start, the greater the benefit," says Susan Moores, RD, a spokesman for the American Dietetic Association.
Antioxidants and Inflammation

Some foods and beverages contain powerful substances called phytonutrients that some believe are capable of unlocking the key to longevity. Phytonutrients, which are members of the antioxidant family, gobble up "free radicals" -- oxygen molecules that play a role in the onset of illnesses such as heart disease, cancer, osteoporosis, and Alzheimer's disease. Read morehttp://www.webmd.com/healthy-aging/guide/anti-aging-diet

Verlia Caldwell, Pres.

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I Care For You Home Care, L.L.C.
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Thursday, October 29, 2009

Limited Mobility of Another Sort

By Paula Span

In theory, the continuing care retirement community, or C.C.R.C., makes great sense: build different types of senior housing on a single campus, or even in a single building, so that as residents need more care, they can transfer within the facility — from independent living apartments to assisted living units to a nursing home — instead of being uprooted from familiar surroundings. More than a half-million older Americans find this an attractive idea and have moved into such a retirement community.

Yet ever since reporting a few years ago in an assisted living facility in Bethesda, Md., and hearing about a resident who pushed the wrong elevator button and then screamed in horror when the doors opened onto the nursing home floor, I have wondered how these transitions work in practice.

Tetyana Shippee, a research associate at the Center on Aging and the Life Course at Purdue University, chose an unorthodox way to learn more. Ms. Shippee, then 21, moved into a C.C.R.C. in a Midwestern town and, for two years, observed, ate with, got to know and interviewed its residents.

Ms. Shippee’s findings, recently published in The Gerontologist, show how elusive the aging-in-place ideal remains, even in a facility expressly set up to foster it.

People liked their independent living apartments just fine, Ms. Shippee discovered, but were often reluctant to move to assisted living when their health and mobility declined. “There was a certain level of stigma involved,” she said. It was not that the assisted living units and nursing home, with their separate dining room, were particularly far away; they were just a seven-minute walk from the independent living apartments. “Mostly,” she explained, “there are social boundaries.”

In Ms. Shippee’s facility, where introductory tours often bypassed the assisted living/nursing wing altogether, the health and vigor required for independent living had become an important source of status. To leave an independent living apartment meant not only losing one’s home and social network, but also a part of one’s identity. Friendships often did not survive the move; visits became more like duties or favors than part of reciprocal relationships. Small wonder, then, that Ms. Shippee observed anger, stress and a keen sense of loss when residents were faced with moving.

It is possibly different in other facilities. At least, said Steve Maag of the American Association of Homes and Services for the Aging, a C.C.R.C. allows for the possibility of continuing social connections, so much harder to maintain across geographic distances. Mr. Maag pointed out, too, that C.C.R.C.’s were adapting to these unexpected social wrinkles, adding home care programs to accommodate residents who did not want to move.

But wasn’t the ability to move within the facility — with the assurance that as one needed more help one could remain socially connected — the whole point of selecting a continuing care community?

The prospect of an involuntary move led Sally Herriot, who cherished her cozy independent-living apartment in Palo Alto, Calif., to make a federal case of the issue — literally. Mrs. Herriot already employed private aides and had agreed to increase their hours, but in 2006, when C.C.R.C. administrators told her she would have to move into assisted living anyway, she filed suit in federal court and charged that forcing her to move was a violation of the Fair Housing Act. “It amounted to a loss of control, a lack of privacy and dignity,” her son Robert Herriot said.

A judge sympathized but ruled that state law permitted the C.C.R.C. to make such decisions. Mrs. Herriot, represented by AARP lawyers and by Relman & Dane, a civil rights firm in Washington, has appealed the verdict; meanwhile, Mrs. Herriot, 91 and very frail, remains in her apartment with her helpers.

Could C.C.R.C.’s improve the situation by promoting more interaction, with less physical and social separatism, among residents who require different levels of care?

“Independent living residents don’t like that,” Ms. Shippee pointed out. “They view themselves as healthy and active. If you try to integrate them with people in wheelchairs who have problems, they will object.”

In the dining room, she added, “they want to feel like they’re in a nice restaurant, conversing with friends; they don’t want to be faced with those in declining health.”

Mr. Herriot has heard of residents who have gone so far as to conceal their health problems, fearing that they will be the next ones moved.

So much for theory. Most C.C.R.C. residents who are told to move will comply, but having to leave a home is disruptive and distressing, it seems, whether you are moving 7 minutes or 70 miles away.


Paula Span is the author of “When the Time Comes: Families With Aging Parents Share Their Struggles and Solutions.”

Verlia Caldwell, Pres.

Visit us at http://www.icareforyouhomecare.com if you need home care in the Charlotte, N.C..

I Care For You Home Care, L.L.C.
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Tuesday, October 20, 2009

The Power of Prevention

The most effective way of lowering healthcare costs starts with each of us managing our own health. Preventive steps like these can help Americans avoid chronic diseases:

* Eating well.
* Vaccinations.
* Wellness visits.

Some chronic diseases and their complications can be prevented. In fact, a nonprofit health advocacy group, Trust for America’s Health, issued a report in July 2008 which studied the impact of community health programs for physical activity, healthy eating, and smoking cessation. The study found that within 2 years, these programs can reduce levels of diabetes and blood pressure by 5% and, within 10 to 20 years, some forms of cancer. It also found that states could save up to $9.90 per $1 invested in prevention programs, resulting in millions of dollars over just a few years.4

Continue reading http://www.forahealthieramerica.com/ts/prevention.html

References:

1. Thorpe K., et al., “Trends: The Impact of Obesity on Rising Healthcare Costs,” Health Affairs, web exclusive, October 20, 2004.
2. Weight–control Information Network. Statistics Related to Overweight and Obesity. Bethesda, MD: Weight-control Information Network, 2007. Available at http://win.niddk.nih.gov/statistics/index.htm. Accessed May 18, 2007.
3. Centers for Disease Control and Prevention. Fact Sheet: Health Effects of Cigarette Smoking. Atlanta: CDC, 2007. Available at http://www.cdc.gov/tobacco/data_statistics/Factsheets/health_effects.htm. Accessed May 18, 2007.
4. American Heart Association, 2008
5. CDC. National Vital Statistics Reports: Deaths: Final Costs for 2000. Hyattsville, MD: National Center for Health Statistics; 2002.
6. NCHS “Number of Deaths from 113 selected causes by age: US 2005”
7. US Centers for Disease Control and Prevention (CDC) in Atlanta, JAMA 2003;290:1884-1890.


Verlia Caldwell, Pres.

Visit us at http://www.icareforyouhomecare.com if you need home care in the Charlotte, N.C..

I Care For You Home Care, L.L.C.
1(800) 383-0520

Wednesday, October 14, 2009

Domestic Violence Linked to Clinical Illness

By Rick Nauert PhD Senior News Editor
Reviewed by John M. Grohol, Psy.D. on October 13, 2009

Domestic Violence Linked to Clinical IllnessNew research discovers a physically abusive relationship influences health in a far wider spectrum than initially believed.

In addition to mental trauma and musculoskeletal injuries, women abused by intimate partners suffer higher rates of a wide variety of doctor-diagnosed medical maladies compared to women who were never abused.

In the study of more than 3,000 women, researchers discovered many health problems not commonly associated with violence, such as abdominal pain, chest pain, headaches, acid reflux, urinary tract infections, and menstrual disorders.

“Roughly half of the diagnoses we examined were more common in abused women than in other women,” said Amy Bonomi, lead author of the study and associate professor of human development and family science at Ohio State University.

“Abuse is associated with much more than cuts and bruises.”

Compared with never-abused women, victims had an almost six-fold increase in clinically identified substance abuse, a more than three-fold increase in receiving a depression diagnosis, a three-fold increase in sexually transmitted diseases and a two-fold increase in lacerations.

Bonomi led the study, co-authored with researchers from the Group Health Research Institute and the University of Washington in Seattle, and published in the Oct. 12, 2009 issue of Archives of Internal Medicine.

Their research examined data from 3,568 randomly selected women patients at Group Health Cooperative, a health system in the Pacific Northwest. All women in the study consented to giving researchers confidential access to their medical records.

Women in the study were surveyed by telephone about whether they experienced any physical, sexual or psychological abuse from intimate partners, including husbands and boyfriends, within the past year.

Researchers then checked their medical records from the past year to see the diagnoses they had received from doctors in primary, specialty and emergency care settings.

The researchers then compared the diagnoses of the 242 abused women with the remaining women who had never been abused.

While other research has found a link between intimate partner violence and health, this is among the first major studies that has not relied on self-reports by women about their health status.

“We were able to go to the medical records and find out what abuse victims had been formally diagnosed with in the past year,” Bonomi said.

“These women are not just saying they are depressed or have cuts and bruises,” she stressed. “They are going to the doctor and having their problems diagnosed.”

In addition, the study improves on past work because it includes a random sample of women enrolled in the health plan, and not just women who were already seeking some kind of health services.

Bonomi noted that many of the doctors involved in treating these women probably didn’t know of their abuse history.

“For most women, abuse likely never enters into the conversation with their doctors,” she said.

The results suggest that physicians should use a “targeted screening” approach with their female patients to determine if they are being abused.

Any women who come to the doctor with complaints of depression, substance abuse, sexually transmitted disease, or cuts and bruises should be interviewed about the possibility of abuse.

“Many women may not volunteer that they are in abusive relationships, so health care providers should be suspicious if their female patients have any of these diagnoses and symptoms that occur much more often among abuse victims,” she said.

Bonomi said these results may be conservative, and that many abused women may suffer even higher rates of some health problems than the study suggests. That’s because the participants in this study all had health insurance, and research shows that women who are not consistently insured have higher rates of intimate partner violence and may have worse health overall.

Source: Ohio State University

Verlia Caldwell, Pres.

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I Care For You Home Care, L.L.C.
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Tuesday, October 13, 2009

Prepare to Care

A planning guide for families

Source: AARP.org

Today, 44 million households are providing care for an adult over the age of 50—and that number is expected to double over the next 25 years. If you have not yet begun to discuss a caregiving plan with your family, it’s not too late. It doesn’t matter who starts the conversation. What really matters is that every family has the opportunity to talk about and create a caregiving plan for their loved ones based on the needs and wishes of those who will be receiving the care.

Each of the following five steps in PDF format (requires free Adobe Reader) includes information on how to get started, questions to ask and where to find basic resources. Don’t be discouraged if you can’t answer every question or fill in every blank.

The important thing is to start the conversation in a way that works for you and your family:

Step 1: Prepare to Talk
Step 2: Form Your Team
Step 3: Gather and Organize Information
Step 4: Make a Plan
Step 5: Take Action

Readhttp://www.aarp.org/makeadifference/gettinghelp/articles/prepare_to_care.html

Verlia Caldwell, Pres.

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I Care For You Home Care, L.L.C.
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Edit this entry.

Tuesday, October 6, 2009

Ten Tips for Prescription Safety

According to the Institute of Medicine, at least 1.5 million preventable adverse-drug reactions occur in the United States each year," notes Virginia E. White, Pharm. D., FCSHP, senior vice president and chief clinical officer of Health Net Pharmaceutical Services, the pharmacy benefit management subsidiary of Health Net, Inc. She adds, "Seniors need to be particularly careful, as they take more medication than any other age group. In fact, a study reported in the July 2008 edition of the Annals of Pharmacotherapy found that one out of every 10 elderly individuals is admitted to the hospital due to an adverse-drug reaction."

Ten tips

"While medications are obviously designed to help rather than harm you," White explains, "serious complications -- even death -- can result if certain precautions aren't taken." To help avoid such complications, White suggests taking the following steps:

Make a list. Write down the names of all medications -- both prescription and OTC -- as well as vitamins, dietary supplements or herbal remedies, that you're currently taking. Be sure to additionally note dosage levels. Bring this list to all doctor appointments. In case of an emergency, keep a copy of the list in your wallet; one also should be given to a family member or friend.

Talk before taking. Add OTC products to your medication schedule only after talking to your physician or pharmacist. Many OTC medications -- including cold remedies, pain relievers, sleep aids, antacids, and even mineral supplements -- can cause adverse reactions or interact negatively with prescription medications.

Don't wait! Notify your doctor immediately of any adverse symptoms -- stomach upset, diarrhea, difficulty urinating, constipation, forgetfulness, skin irritation, dizziness -- that you experience, especially after starting any new medication.

Read carefully. Make sure you know each medication's purpose, dosage, recommended time to take, requirements relative to food, and preferred storage method. Also be aware of potential side effects and what to do if they occur.

Use reminder systems. If you're taking multiple medications, use of a reminder system -- such as a daily pillbox, calendar, or wall chart -- is recommended.

Take only as needed. Some medications are designed to address specific symptoms and are only for short-term use; consequently, if symptoms persist, notify your health care provider promptly.

Tell all. Make sure that your primary care physician is aware of all medications that have been prescribed by other providers, such as specialists; similarly, inform all providers regarding medications prescribed by your primary care doctor.

Limit pharmacies. Try to fill as many prescriptions as possible at the same pharmacy or chain; limiting the number of pharmacies reduces the potential for prescription mishaps.

Make sure they know. If you're admitted to a hospital or nursing facility, or if you're receiving treatment in an emergency room, make sure that attending health professionals know your medical history and medication schedule. Also, request a full explanation, preferably in writing, of any change made to your medications.

Beware of "drowsy" medications. Some medications cause drowsiness, and drowsiness can result in injury. Examples of such medications include: Atarax; Benadryl; Darvocet-N; Darvon; Doxepin; Fiorcet; Fiorinal; Flexeril; Robaxin; Soma and Valium. If you take any of these medications or their generic equivalent, ask your physician if there are safer alternatives.

Store safely, toss safely

"While proper consumption of prescription and other medications tops the safety-priority list, attention also should be paid to proper storage and disposal of medications," says White. Toward that end, she recommends:

Store medications in a cool, dry spot free of humidity; unless a bathroom is well ventilated, it should not serve as a storage space, and that includes medicine cabinets.

Place medications in a childproofed cabinet or drawer if youngsters live in the home.

Keep your medications on a separate shelf or in a separate drawer from those of other family members.

Secure bottle lids tightly and keep medications in their original containers.

Remove cotton from inside pill bottles; it can absorb moisture and adversely affect medication.

Mix unused, unneeded or expired medications with undesirable substances such as used coffee grounds or kitty litter, then put in sealed bags and throw in trash.

Do not flush prescription medications down the toilet unless the label instructions indicate it is safe to do so.

Take advantage of community pharmaceutical disposal programs or community solid-waste programs.

Source: aarp.org

Explore http://www.SCPharmacist.net for Prescription Savings tips, links to Patient Assistance Programs, and valued health care information

Verlia Caldwell, Pres.

Visit us at http://www.icareforyouhomecare.com if you need home care in the Charlotte, N.C..

I Care For You Home Care, L.L.C.
1(800) 383-0520

Friday, October 2, 2009

A Gathering Place for Readers

By The New York Times

The Times has launched an online meeting place, called Health Care Conversations, for readers who want to join the national discussion about health care. Three topic areas may be of particular interest to New Old Age regulars: nursing home and end-of-life care, Medicare and the elderly and drug costs. Jump into the fray and, as ever, be sure to let us know your thoughts.

Verlia Caldwell, Pres.

Visit us at http://www.icareforyouhomecare.com if you need home care in the Charlotte, N.C..

I Care For You Home Care, L.L.C.
1(800) 383-0520

Thursday, September 24, 2009

Democrats Trying to Sell Health Plan to Seniors

By ALAN FRAM
Associated Press Writer


WASHINGTON (AP) -- The White House and Democrats are laboring to attract skeptical seniors to their drive to reshape the nation's health care system, leading some to press the behemoth but reluctant AARP to be more aggressive about backing them.

Polls show people age 65 and up - the only age group that preferred Republican presidential candidate John McCain last November - have also had the most negative views about President Barack Obama's attempt to overhaul health care. Among that age group, six in 10 disapprove of the job Obama is doing on health care and about the same number oppose the plans being considered in Congress, according to an Associated Press-GfK poll earlier this month. Continue reading at http://hosted.ap.org/dynamic/stories/U/US_HEALTH_CARE_SENIORS?SITE=AP&SECTION=HOME&TEMPLATE=DEFAULT

Verlia Caldwell, Pres.

I Care For You Home Care, L.L.C.

(800) 383-0520

visit us at http://www.icareforyouhomecare.com if you need home care services in the Charlotte, N.C. area.

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http://www.linkedin.com/in/liacald4773

http://twitter.com/vcaldwell773

Wednesday, September 9, 2009

Grandparent's Day

Mecklenburg County Department of Social Services Family Caregiver Support Program Celebrates the 3rd Annual “Celebration of Grandparents’ Day”

Saturday, September 12, 2009
11:00 am to 2:00 pm
(Registration starts at 10:30 am)
Event hosted by: Shamrock Senior Center
Location:
Shamrock Senior Center
3925 Willard Farrow Drive
Charlotte, NC 28215
The center is located at the corner of Shamrock Drive and Willard Farrow Drive near the Asbury Nursing Home

Continue reading at http://www.charmeck.org/Departments/Just1Call/ENG/CareGiver+Support/Grandparents+Day.htm

Visit us at www.icareforyouhomecare.com if you need home care services in the Charlotte, N.C. area.

Verlia Caldwell, Pres.

I Care For You Home Care, L.L.C.

(800) 383-0520

Monday, August 24, 2009

Importance of Keeping a Personal Medical Record

Everyone should maintain their own personal medical record. You should gather the information yourself. It helps you to be more pro-active, and more engaged in your health. Your information maybe the only information, or there maybe serious medical conditions, or allergies. There should be a record of what prescriptions you are taking. It is not true that medical records are true, or readily available.

People move, change jobs, insurance, and have been treated by many doctors. You should have lab results, names and phone numbers of doctors who have treated you, and information about other family members.

Have your information in one place, and accessible. It could be in a notebook, folder, computer. The future holds better automatic systems for information.


Verlia Caldwell, Pres.
www.icareforyouhomecare.com
(800)383-0520

Monday, August 17, 2009

Healthy Aging

HEALTHY AGING: “The Psychology of Confidence” by Thomas J. Schumacher, Psy.D., R-CSW

Let’s face it -- most people wish to speak to their partner, spouse, family, friends, colleagues and accounts with an air of confidence. They believe that if they project confidence, they will project credibility and the people in their life will heed their recommendations and advice … both at home and in the market place. Similarly, they believe that if they speak without an air of confidence, then people will be suspicious of them and will withdraw. They believe that not appearing confident is tantamount to inviting attack and criticism. Who would want to be in a relationship with someone, or do business with someone who does not comport himself or herself with a posture of ultimate confidence in what they say?

As a result, many people work hard to craft an image of confidence. They develop their speech patterns, appearance, clothing and manner to suggest that they know what they are doing. Any doubts or uncertainty must be banished if the person is to succeed. Key: Unfortunately, many people are far better at projecting confidence than in being confident. They suppress their private doubts out of fear and embarrassment. Most cannot admit their doubts to their loved ones and/or business associates. Many cannot admit their doubts to themselves.

Read Dr. Schumacher’s complete article at http://www.ec-online.net/Knowledge/Articles/confidence.html

Verlia Caldwell, President
http://www.icareforyouhomecare.com
(800)383-0520

Monday, August 10, 2009

Social Activity Keeps Elders Young, Agile

MONDAY, June 22 (HealthDay News) -- Older people who don't socialize much might be increasing their risk for declining motor function and hastening their death, researchers from Rush University Medical Center report.

On the positive side, sociable seniors who keep active physically and mentally tend to stave off the decline in physical ability often associated with aging, the scientists added.

"A broader range of activities in elders, including physical, social and cognitive activities, may slow the rate of age-related decline," said lead researcher Dr. Aron S. Buchman, an associate professor in the department of neurological sciences.

"Less frequent participation in social activity was associated with a more rapid rate of motor decline," he added.MONDAY, June 22 (HealthDay News) -- Older people who don't socialize much might be increasing their risk for declining motor function and hastening their death, researchers from Rush University Medical Center report.

On the positive side, sociable seniors who keep active physically and mentally tend to stave off the decline in physical ability often associated with aging, the scientists added. Continue readinghttp://businessweek.com/lifestyle/content/healthday/628297.html

Verlia Caldwell, Pres.
www.icareforyouhomecare.com
(800)383-0520
http://twitter.com/vcaldwell773
http://www.facebook.com/pages/Charlotte-NC/I-Care-For-You-Home-Care-LLC/82169019227?ref=ts
http://www.linkedin.com/in/liacald4773

Tuesday, August 4, 2009

How to Determine if Your Senior Parent Can Stay at Home

by Marlo Sollitto, Editor

To determine if an elderly person can safely continue living at home, take a good look at the present housing situation, financial resources, health status and medical needs. Braun says some topics of the assessment should include:

* Medication
Are medications expired? Are they spread out in different rooms, with no apparent structure or routine?
* Meal preparation
Can they cook for themselves? Are they able to safely operate appliances? Do they remember to turn appliances off when finished cooking?
* Safety
Is the home equipped with grab bars, emergency response systems and other tools to ensure safety? Do they have a plan in place to contact help in case of an emergency?
* Personal hygiene
Can they bathe themselves, groom adequately and launder clothes?
* Transportation
Are they driving? Should they be driving? Do they have alternate means of transportation?
* Socialization
Are they isolated from others most of the time? Do they have friends? Are they going to church? Are they depressed? Are there signs of alcohol abuse?
* Home management
Are they paying their bills on time? Are there stacks of papers and unpaid bills laying around? Is the house in general disarray? Is the house relatively clean?

Print an Assessment Checklist

Having been involved in many of these assessments, Braun says, “It’s a delicate situation – it’s a role reversal between adult child and parent, and it typically is not welcomed by the elderly person.”

Verlia Caldwell, Pres.
www.icareforyouhomecare.com
(800) 383-0520

Friday, July 31, 2009

National Senior's Day

National Senior's Day is August 21. We should recognize and show our appreciation for the value and contribution of seniors.

Seniors around the world will be honored for all of their achievements throughout life, and for all they continue to accomplish today. We should take our hats off for them. Make sure they are safe by placing them in good neighborhoods where they can live a long life.

Take time out of your schedule to spend some time with a senior in your life on August 21. Take a senior out to dinner, or volunteer at a senior facility. I am sure there will be plenty of activities, senior specials, and bargains in Charlotte. They are well deserved.


Verlia Caldwell, Pres.
I Care For You Home Care, LLC
www.icareforyouhomecare.com
(800)383-0520

Monday, July 27, 2009

Doctor And Nursing Shortage Could Undermine HeathCare Reform

Main Category: Primary Care / General Practice
Also Included In: Nursing / Midwifery; Health Insurance / Medical Insurance
Article Date: 24 Jul 2009 - 3:00 PDT


A shortage of doctors and nurses could damage health care reform. Analysis finds that more incentives are needed for primary care doctors and that most medical graduates choose better paid specialties. Meanwhile, a nurse temp agency forms in Texas to address the shortages there.

Reuters reports: "A growing shortage of primary care doctors could place a major burden on the U.S. healthcare system if President Barack Obama succeeds in extending medical insurance to millions of Americans who currently lack it. As healthcare legislation works its way through the U.S. Congress, most of the focus has turned to how to finance a reform that could cost $1 trillion in the next 10 years and aims to cover most of the 46 million uninsured Americans. Less attention has been paid to what might happen if millions of new patients join a healthcare system that is unprepared and unequipped to handle the load. The United States already has a shortage of between 5,000 and 13,000 primary care doctors, according to the Robert Graham Center. Add millions of previously uninsured people and the shortfall will balloon to as many as 50,000 doctors. "http://www.medicalnewstoday.com/articles/158694.php


Verlia Caldwell, Pres.
www.icareforyouhomecare.com
(800)383-0520

Friday, July 24, 2009

A new drug approved for drug related-Osteoporosis

Health News

Forteo Approved for Drug-Related Osteoporosis

7/24/2009
Print E-mail

FRIDAY, July 24 (HealthDay News) -- Eli Lilly's Forteo (teriparatide injection) has received expanded approval from the U.S. Food and Drug Administration to treat osteoporosis associated with long-term use of glucocorticoid medication, the company said Thursday.

Glucocorticoid therapy is commonly prescribed for inflammatory conditions including rheumatoid arthritis and obstructive lung disease. These drugs are among the most common causes of secondary osteoporosis, which increases users' risk of bone fracture, Lilly said in a news release. continue reading http://www.everydayhealth.com/publicsite/news/view.aspx?id=629360

Verlia Caldwell, MA
www.icareforyouhomecare.com
(800)383-0520

Tuesday, July 21, 2009

For Elderly Investors, Instant Experts Abound


Elderly clients thought they had every reason to trust Michael DelMonico as a financial counselor. After all, the Massachusetts insurance agent had become a certified senior adviser in 2002, a credential he made sure to advertise on fliers sent to retirees. continue reading http://www.nytimes.com/2007/07/08/business/08advisor.html?_r=1&scp=1&sq=elderly%20articles&st=cse




Verlia Caldwell
www.icareforyouhomecare.com
(800)383-0520

Friday, July 17, 2009

QuestionsTo Ask About Arthritis

Questions to Ask Your Doctor About Arthritis

Get the most out of your visit to the doctor.
By Jen Laskey

Medically reviewed by Ed Zimney, MD, and Rosalyn Carson-DeWitt, MD

Print Email

While your doctor usually asks the questions during an exam, you can respectfully and proactively take charge, too. In fact, asking the right questions can make a big difference in the way you manage your arthritis. Your health is important both to you and to your doctor, so don't hesitate to inquire about any consideration you feel is relevant to your condition, whether it's a question about your diagnosis, something regarding your arthritis medication, curiosity about complementary or alternative therapies for arthritis, or concern about your emotional health, your financial health, or any other lifestyle issue. continue reading http://www.everydayhealth.com/arthritis/arthritis-questions-to-ask-your-doctor.aspx?xid=nl_EverydayHealthHealthyAging_20090717


Verlia Caldwell, MA
www.icareforyouhomecare.com
(800)383-0520

Monday, July 13, 2009

Yes, we do. Even at our age.

Published: July 10, 2009

I SAT on the examining table in my urologist’s office and tried to cover myself with the ridiculous blue paper gown that has become the standard patient uniform in our throwaway society. Surely this wasn’t designed with an adult in mind.

“Put it on with the opening in the front,” the nurse mumbled, probably for the 20th time that day, as she raced out of the room.

Or did she say to put the opening in the back? Either way, it was never going to cover my thighs. I hugged the two halves of the gown together as I waited for the doctor.

The urologist, who most likely saw a similar scene in every examining room, ignored my open-in-the-front gown and began to ask about my symptoms. When did I first notice the problem? Do I need to get up more than two times a night?

Monday, July 6, 2009

Donate A Family In Need For A Financial Makeover.

Gradient Gives Back Community Outreach Program

Our Gradient Gives Back Community Outreach Program awards financial makeovers to deserving families during one of the most challenging economic environments. We are helping struggling families get back on their feet and stay there!

The highly philanthropic Bill Rancic - first season winner of Donald Trump’s “The Apprentice” and star of A&E’s current show “We Mean Business” - joins us as our national spokesperson in the search for families in immediate financial need.

Selected families will receive a comprehensive financial makeover utilizing Gradient financial resources, our highly skilled financial team, third-party affiliates and our partnering financial services professionals. Together we will rebuild lives, but we need your applications.

Apply now or nominate a deserving family in your community. Families throughout the country will be selected based on their heartfelt stories and their immediate financial need.

It takes just one person to change the world!

The Comprehensive Financial Makeover Includes:

FINANCIAL ASSISTANCE

Gradient Financial Group will provide financial assistance!

  • Provide up to six months of mortgage/lease payments
  • Assist with utility companies, car loan companies, and other applicable debt
  • Determine available government money and grants
  • Procure donations and charitable contributions

FINANCIAL ANALYSIS & TAX PLANNING

Nick Stovall, CPA, MBA – Gradient Financial Group, Chief Financial Officer

  • Provide a review and analysis of the following:
    • Past two years’ taxes
    • Current income, expenses, interest rates, debt and more
  • File 2009 and 2010 taxes

FINANCIAL PLANNING

Wayne Schmidt, CFA, MBA - Gradient Investments, Chief Investments Officer

  • Provide comprehensive financial planning services
    • Current asset analysis
    • Risk tolerance assessment
    • Create retirement objectives
  • Oversee plan implementation

CAREER COUNSELING GUIDANCE

Tami Lucius – Gradient Financial Group, Chief Operating Officer

  • Provide career coaching and counseling services
    • Interview training
    • Technical training
  • Assess current skill level and marketability
  • Provide professional resume

The lives of families across the country will forever be changed through our Gradient Gives Back Community Outreach Program.

Application Submission Period:

April 1, 2009 - December 31, 2009

Gradient Gives Back Apply Now
Nick Stovall
Wayne Schmidt
Tami Lucius

Thursday, July 2, 2009

Senior Center Will Close Without Funding

Senior center will close without funding

11:51 AM EDT on Thursday, July 2, 2009
By NewsChannel 36 Staff
E-mail Us: NEWS@WCNC.com

CORNELIUS, N.C. -- The North Mecklenburg Senior Center in Cornelius will be forced to close in 90 days if the center doesn't raise enough money to offset funding cut by the United Way.

A drop in donations forced the United Way to cut 30 percent of their funding to the Charlotte-Mecklenburg Senior Centers. That's about $66,000. continue reading http://www.wcnc.com/news/topstories/stories/wcnc-070209-mw-senior_center_funding.a3b6d.html


Tuesday, June 30, 2009

Coping With the Stress of Being A Caregiver

Caregiver: Stressed Out? Advice to Help You Cope

Sometimes, the pressure of caring for someone who is elderly or who has a chronic illness can lead to stress and a condition called "caregiver burnout." To prevent this, it's essential to know how to manage your stress.

What Is Stress?

Stress is a reaction to changes that require you to adjust or respond. Our bodies are designed to feel stress and react to it. Not always a bad thing, stress keeps us alert and ready to escape danger.

It's not always possible to avoid change or the situations that can cause stress; as a result, you can begin to feel overwhelmed and unable to cope. When it persists, stress can affect the body's immune system, leading to illness. The key to coping with stress is to identify the causes of stress in your life, then learn healthy ways to deal with them. It's important to remember that stress comes from how you respond to stressful events. Therefore, you have some control over stress and how it affects you.

What Causes Stress?

Stress can be caused by anything that requires you to adjust to a change in your environment. Your body reacts to these changes with physical, mental, and emotional responses. We all have our own ways of coping with change, so the causes of stress can be different for each person. Becoming a caregiver is a common source of stress for many people.

When you are not sure of the exact cause of your stress, it may be helpful to know the warning signs. Once you can identify these signs, you can learn how your body responds. Then you can take appropriate steps to reduce the stress.

What Are the Warning Signs of Stress?

Your body sends out physical, emotional, and behavioral warning signs of stress. continue reading at http://www.webmd.com/healthy-aging/caregiving-insights/handle-stress

Friday, June 26, 2009

Who Is Taking Care of the Caregiver

The caregiver have a family of her own to care for. We call this the sandwich generation. Where is the balance? She/He is working a full-time job, caring for her/his elderly parents, and caring for her/his own growing children. Trying to juggle all of these responsibilities come with a cost. Who cares for the caregiver?
As a caregiver, you have to remember to take care of yourself. God forbid if the caregiver is ill. This can happen if you don't take care of yourself. You should make sure you eat right. Do not miss any meals. Eat healthy foods. Try to stay away from fast foods, junk foods, and processed foods. If you eat unhealthy, it can raise your stress level.
Call on friends and family members to help you. Take some time out for yourself. This should not be a burden for only you. If you don't have family members, or friends to relieve you, call for respite care.
Have you ever considered using a home care agency. There is affordable home care available to relieve you of some of the daily activities of living. A few hours a day is better than nothing. A caregiver could assist with bathing, cooking, cleaning, laundry, errands, and companionship. This could give you some quality time to spend with your family.
Being the caregiver of an aging loved one is not easy, but by putting yourself first and using others to help you will keep you healthier.


Verlia Caldwell, President
www.icareforyouhomecare.com
(800) 383-0520

Tuesday, June 23, 2009

World's 65 and Older to Triple by 2050

WASHINGTON - The world's 65-and-older population will triple by mid-century to 1 in 6 people, leaving the U.S. and other nations struggling to support the elderly.

The number of senior citizens has already jumped 23 percent since 2000 to 516 million, according to census estimates released on Tuesday. That's more than double the growth rate for the general population.

The world's population has been graying for many years due to declining births and medical advances that have extended life spans. As the fastest-growing age group, seniors now comprise just under 8 percent of the world's 6.8 billion people. But demographers warn the biggest shift is yet to come. They cite a coming wave of retirements from baby boomers and China's Red Guard generation that will shrink pensions and add to rising health care costs. continue reading at http://www.msnbc.msn.com/id/31507341/ns/health-aging/

Wednesday, June 17, 2009

I Care For You Home Care LLC Newsletter

Our monthly newsletter for the month of June is ready online at http://www.merchantcircle.com/merchant/newsletter/detail?id=50014. Please sign up for our newsletter. We are always trying to deliver some interesting articles, and coupons to save you money.

Verlia Caldwell, President
http://icareforyouhomecare.com/

Private Duty Home Care Is Booming

Due to the increase of nursing home negligence, the elderly are hesitant to leave their homes. They prefer to stay in their homes. Non-medical home care services are increasing due to this change. A recent economic outlook survey released by the National Private Duty Association discovered that over 70% expect an increase in revenues from 2008 to 2009, while another 12% that their revenue will remain steady.........read more at http://blog.privatedutytoday.com/2009/06/private-duty-home-care-is-booming.html

Verlia Caldwell, President
www.icareforyouhomecare.com

Tuesday, June 9, 2009

Power Marketing Super Conference

From the Desk of Valerie VanBooven RN BSN,

Hey everyone, I said I'd never do this....I usually speak at OTHER people's events, but I've been convinced that this year is probably one of the most important years ever to reach out to as many elder care and senior service providers as possible to show them NEW ways to market their businesses.

Marketing budgets are tight tight tight, and we are facing an uphill economic battle for the rest of 2009. All of that being said, there are TONS of ways to market on a shoestring budget that will absolutely blow the competition out of the water.

Here's the scoop:

Sept 30 and Oct 1, 2009 I am letting 50 people, yep ONLY 50 people into my inner circle for 2-days of non-stop education on power marketing techniques BOTH online and offline.

(UPDATE: June 3 at 2pm Central- After sending out only one email, only 38 spots left. We WILL SELL OUT)

Our Power Marketing SuperConference will be workshop style, getting down to the nitty gritty, no fluff, no puffery, only stuff that works.

This is about MAKING THE PHONE RING IN YOUR OFFICE.

That's it.

In 24 hours I will show you every technique and strategy that works RIGHT NOW, TODAY. (Not yesterday's old hat stuff).

Here's a general run down of topics I KNOW you want to learn more about:

  • Top strategies for networking that bring in referrals fast.
  • Who your referral source should REALLY be in your local area.
  • Strategies that give people every reason to believe that you are the only expert they should be doing business with.
  • Online Social Media Marketing A-Z. (We could spend a whole day on this alone!)
  • Prospect/ Lead Follow Up BluePrint A-Z
  • Collateral materials that every office should have to hand out (hint: not a brochure)
  • How to attract crowds at senior fairs/seminars fast, effective, and inexpensively.
  • Seminar success strategies- fill the room every time.
  • Lots of time for Q/A with Valerie VanBooven- anything you want to ask.
  • Possible round table discussion with successful business owners and new business owners- what works and what doesn't work in their areas.
  • Learn how to use video to your advantage!

Cost? Surprisingly cheap of course.

The lowest fee we could justify to cover our costs for location and materials was $249.

Then we decided we could do better for EARLY BIRD ENROLLMENT.

So right now the price is $179. Until August 1. Then the price goes UP!!
Click HERE to REGISTER!

That's per person, the whole conference, all materials included. Refunds available until August 30, 2009 only minus a $25 processing fee. After August 30, NO REFUNDS, NO EXCEPTIONS.

You are- of course- responsible for your own travel and hotel stay.

We will provide continental breakfast both mornings, the rest of your meals are on your own.

Here are the details:

  • Location: Ameristar Resort Spa and Conference Center, St. Charles, Missouri
    • Ameristar Casino Resort Spa's all new hotel features 397 spacious suites measuring over 650 square feet. Each of these spectacular rooms feature free wireless high speed internet, 3 plasma screen TV's, an automated mini-bar, his and hers granite top sinks, a separate shower and tub, and a marble entryway. Indoor & Outdoor Pool, Wi-Fi, Breakfast, & Fitness Room.

      Handicapped accessible
      Motorcoach parking is available
      #1 Ameristar Blvd.
      St. Charles, MO 63301
      636-949-7777
      www.ameristar.com
  • Negotiated Room Rate (very limited in availability) is $159 per night. This hotel maintains a 98% occupancy, so reserve your rooms NOW.
  • The discount code for the room rate is Long Term Care Experts.
  • There are 7 places to eat onsite, plenty of choices for meals.

  • Dates/Times: Wednesday, September 30, 2009 - Thursday, October 1, 2009
    • Start Times: Wednesday: 8-10am Continental Breakfast, 9-10am Registration, 10am Conference Begins, 5pm Conference Ends.
    • Start Times: Thursday: 8am Continental Breakfast, 9am Conference Begins, 12noon Conference Ends. Check Out.

Power Marketing Super Conference

From the Desk of Valerie VanBooven RN BSN,

Hey everyone, I said I'd never do this....I usually speak at OTHER people's events, but I've been convinced that this year is probably one of the most important years ever to reach out to as many elder care and senior service providers as possible to show them NEW ways to market their businesses.

Marketing budgets are tight tight tight, and we are facing an uphill economic battle for the rest of 2009. All of that being said, there are TONS of ways to market on a shoestring budget that will absolutely blow the competition out of the water.

Here's the scoop:

Sept 30 and Oct 1, 2009 I am letting 50 people, yep ONLY 50 people into my inner circle for 2-days of non-stop education on power marketing techniques BOTH online and offline.

(UPDATE: June 3 at 2pm Central- After sending out only one email, only 38 spots left. We WILL SELL OUT)

Our Power Marketing SuperConference will be workshop style, getting down to the nitty gritty, no fluff, no puffery, only stuff that works.

This is about MAKING THE PHONE RING IN YOUR OFFICE.

That's it.

In 24 hours I will show you every technique and strategy that works RIGHT NOW, TODAY. (Not yesterday's old hat stuff).

Here's a general run down of topics I KNOW you want to learn more about:

  • Top strategies for networking that bring in referrals fast.
  • Who your referral source should REALLY be in your local area.
  • Strategies that give people every reason to believe that you are the only expert they should be doing business with.
  • Online Social Media Marketing A-Z. (We could spend a whole day on this alone!)
  • Prospect/ Lead Follow Up BluePrint A-Z
  • Collateral materials that every office should have to hand out (hint: not a brochure)
  • How to attract crowds at senior fairs/seminars fast, effective, and inexpensively.
  • Seminar success strategies- fill the room every time.
  • Lots of time for Q/A with Valerie VanBooven- anything you want to ask.
  • Possible round table discussion with successful business owners and new business owners- what works and what doesn't work in their areas.
  • Learn how to use video to your advantage!

Cost? Surprisingly cheap of course.

The lowest fee we could justify to cover our costs for location and materials was $249.

Then we decided we could do better for EARLY BIRD ENROLLMENT.

So right now the price is $179. Until August 1. Then the price goes UP!!
Click HERE to REGISTER!

That's per person, the whole conference, all materials included. Refunds available until August 30, 2009 only minus a $25 processing fee. After August 30, NO REFUNDS, NO EXCEPTIONS.

You are- of course- responsible for your own travel and hotel stay.

We will provide continental breakfast both mornings, the rest of your meals are on your own.

Here are the details:

  • Location: Ameristar Resort Spa and Conference Center, St. Charles, Missouri
    • Ameristar Casino Resort Spa's all new hotel features 397 spacious suites measuring over 650 square feet. Each of these spectacular rooms feature free wireless high speed internet, 3 plasma screen TV's, an automated mini-bar, his and hers granite top sinks, a separate shower and tub, and a marble entryway. Indoor & Outdoor Pool, Wi-Fi, Breakfast, & Fitness Room.

      Handicapped accessible
      Motorcoach parking is available
      #1 Ameristar Blvd.
      St. Charles, MO 63301
      636-949-7777
      www.ameristar.com
  • Negotiated Room Rate (very limited in availability) is $159 per night. This hotel maintains a 98% occupancy, so reserve your rooms NOW.
  • The discount code for the room rate is Long Term Care Experts.
  • There are 7 places to eat onsite, plenty of choices for meals.

  • Dates/Times: Wednesday, September 30, 2009 - Thursday, October 1, 2009
    • Start Times: Wednesday: 8-10am Continental Breakfast, 9-10am Registration, 10am Conference Begins, 5pm Conference Ends.
    • Start Times: Thursday: 8am Continental Breakfast, 9am Conference Begins, 12noon Conference Ends. Check Out.

Thursday, June 4, 2009

Sedatives Increase Suicide Risk Among Elderly

THURSDAY, June 4 (HealthDay News) --Sedatives greatly increase the risk of suicide in the elderly, Swedish researchers say.

In their study, hypnotic medication also was linked with a greater likelihood of suicides in older people. "Sedative treatment was associated with an almost 14-fold increase of suicide risk in the crude analysis and remained an independent risk factor for suicide even after adjustment for the presence of mental disorders," wrote Anders Carlsten, of Gothenburg University. "Having a current prescription for a hypnotic was associated with a fourfold increase in suicide risk in the adjusted model."

The drugs may increase suicide risk in the elderly by triggering aggressive or impulsive behavior, or by providing the means to take an overdose, the researchers said. It's also possible that sedatives may merely be markers for other factors related to suicide, such as sleep disturbance, lack of a social network, interpersonal problems, alcohol abuse and physical disability.

"Persons with these problems might be more likely to seek health care and perhaps more likely to receive prescriptions for psychotropic drugs. However, given the extremely high prescription rates for these drugs, a careful evaluation of the suicide risk should always precede prescribing a sedative or hypnotic to an elderly individual," Carlsten said.

The study appears in the current issue of BMC Geriatrics.

More information

The U.S. National Institute of Mental Health has more about older adults and suicide.

Copyright © 2009 ScoutNews, LLC. All rights reserved.

Thursday, May 21, 2009

Seniors On The Web

What is actually old these days? Senior citizen no longer mean old. Seniors are much fitter now compared to when they were younger. They are traveling around the countryside in RV's enjoying their many years of labor. Retirement from work does not mean retirement from life.

Senior does not mean retirement from work either. There are many people in their late 60's who are still working. By being healthy, they are able to remain in the workforce.

Many seniors are comfortable with the web now. They have embraced the web, and many even shop on the web. The days are gone when the web used to be a place strictly for the young.

Verlia Caldwell, Pres.
www.icareforyouhomecare.com

Thursday, May 14, 2009

Just 1 Call In Charlotte, N.C.

There are over 100,000 seniors and adults with disabilities living in Charlotte, N.C. The Charlotte Mecklenburg Aging Coalition sponsored an Aging Issues Report that revealed over one-third of the seniors polled did not know where to turn for information about services.

Citizens, especially seniors do without senior services when they are not aware of their existence. Needs that are simple may become urgent, and even critical because information and assistance is not easily available. It has been a problem providing comprehensive Information services to states throughout the U.S. and Canada for years.

Just call the one stop, high-tech, high-touch information and assistance service in Mecklenburg County (Charlotte), North Carolina. This is a service of Mecklenburg County government and was designed by a diverse team of professionals, consumers, and other key stakeholders, both in the public and private, for-profit and not for profit sectors.

Just call used input from seniors, outline strategies to eliminate the barriers to obtaining and effectively using information. Just Call does not use an automated telephone answering system. There are no complicated push-button menus or transfers from one operator to another that often confuse and frustrate senior callers.

Just Call operators are answered by trained and experienced social workers that have the ability to effectively communicate and listen not only to what is said by caller, but what is not said, knowing when and how to delve into deeper, often difficult issues.

The social worker who answers the call is most often the only person the customers will have to speak to in order to have the confronting problems addressed, whatever these problems maybe. The social worker can do comprehensive screening and assessments by need, either over the phone or in the customer’s house.

Just Call’s social workers do a great deal more than disbursing phone numbers of service providers. To achieve the highest level of customer service, the social workers practice what J1C calls “cloning the loop.” The social workers will engage in three-way calls to assure that an effective connection is made between the caller and provider, and that accurate information is received and understood by all parties involved.

Just 1 Call can help customers access a variety of services in Charlotte Mecklenburg such as:

• Transportation and housing.
• Health care services and products.
• Financial bid.
• Leisure and social activities.
• Legal services.

Just 1 Call is totally confidential, free of charge and easy to use.

Just 1 Call has solid partnership with businesses, agencies, and organizations throughout Mecklenburg County. They are the first information and assistance provider in the region to include for-profit providers in their database.

Just 1 Call recognizes the vast cultural diversity in Mecklenburg County and can deliver the same quality service to callers in more than 140 languages. Just 1 Call also recognizes individual’s preferences regarding methods of communication.

Just 1 Call has an easy-to-read “interactive web site, which allows Internet users to access the entire Just 1 Call provider database as well as the “hottest” information on the Community Bulletin Board. Service providers can apply for inclusion or change current data in the Just 1 Call database via the web.

Just 1 Call is very successful. It has been recognized both nationally and internationally as a model of a community-based information and assistance program.
Just 1 Call has been reviewed in the state of N.C., Texas, New York, Mississippi, and Maryland.
Locally, one customer has called Just 1 Call “the best use of my tax money I have ever seen.” Another commented, “When I use Just Call, I never feel rushed, and I get the help I need. No problem is ever too big or too small for Just 1 Call.”

Just 1 Call can be contacted at (704) 432-1111 in the Charlotte Mecklenburg area, or toll-free at (877) 889-0323. You can visit Just 1 Call on the Internet at www.just1call.org.

Verlia Caldwell, Pres.
www.icareforyouhomecare.com

Ref: Alan Geltman, Just1Call Project Coordinator

Saturday, May 9, 2009

Why Choose I Care For You Home Care L.L.C. In Charlotte, N.C.

1. Caregivers screened and credentialed in accordance with industry standards.

2. Total care coordination between the client, family caregiver, and agency.

3. Client to caregiver matching service ensuring compatibility.

4. Friendly, and supportive caregivers, and staff.

5. Regular client visits by management ensuring customer satisfaction.

6. 24-hour accessibility.

7. Flexible schedules.

Verlia Caldwell, MA

www.icareforyouhomecare.com

www.linkedin.com/pub/dir/verlia/caldwell

www.facebook.com/people/Verlia-Caldwell/1501174872

www.twitter.com

Friday, May 8, 2009

When Is A Senior Too Old To Drive

Americans are living longer than ever before. This is due to healthier lifestyles, increased exercise, greater awareness about nutrition, and more advanced medications to either control or delay the onset of old age. So, when do they become to old to drive?


Aging slows down your physical, and neurological mobility. Simple everyday tasks, once easy to perform become more daunting. We are robbed of our independence. Driving is one of the last frontiers of freedom we have. This makes it hard for an adult child to tell a parent, or love one that they shouldn't drive anymore because their ability is impaired, and they are a danger to themselves, and others. Expect them to put up a fight.


You should watch for a change in a parent's driving ability, such as, driving slower, poor reaction time to lights, and signs, more timid about faster drivers, reluctant to drive on the freeway. This is a good time to ask how he/she has been feeling lately.


Look for any unusual complaints like more tired than usual, not seeing as well, hearing seems impaired, etc.. Pay attention to his/her behavior around the house. It could be a case of over medication. When was the last time he/she had a checkup. They won't admit to physical ailments. This is when we have to take charge. We should rule out medical causes first for the change in driving habits. If it is not a medical problem, it is old age slowing down the senses. It could be their sight, hearing, or just a slowing reaction time.


Offer to drive to the grocery store, or movies with them. Observe their diriving skills to see if anything is different. Are they driving in a manner that could cause an accident, or put them in harm's way. If a difference is noticed in their driving ability, contact the family and call a meeting to discuss your findings.


If you find a parent is too dangerous on the road, develop a plan on how to address the findings. Develop a plan that works best for your situation. Be as caring as possible. When you offer your observations, don't sound accusatory. This is their freedom being taken away, so it won't be easy. Put yourself in their shoes. They will be angry, and rebellious. Do not hold it against them. Tell them you are doing this because you love them, and want them to be safe.


Taking away a parent's driving privilege is a difficult thing to do, so you may not succeed. If your parent has always been independent, the last thing he/she want is to depend on you or anyone else for help. It is vital that you have a plan in place that will be easy, and simple to follow. Make sure it does not interfere with their usual routine.


Our responsibility is to make sure that safe driving habits are not only practiced by our children, but by our aging parents as well. Take good care of them, and treat them with the same dignity, and respect that you would want for yourself when you are their age. It is never as far away as we think.


Verlia Caldwell

President/Owner



Tuesday, May 5, 2009

When Elderly Parents Will Not Accept Help

There are no easy answers when a parent will no longer accept in-home caregivers. Here are some things you can do. Call a family meeting (without your parents). Sit down with everyone involved in parental care and talk about your options. If you have no family involved, sit with a good friend, your pastor, therapist, or someone you can trust so you can talk it out. This normally takes place when that last line has been crossed, and care at home is no longer an option. Do not get into a battle with your parent. Be prepared to stand firm on the fact that home care is no longer an option. You could say, " Dad we have tried this, but it doesn't work and the only other option we have left is to try assisted living. If your parent becomes furious, and try to manipulate you, listen to what he has to say. He deserves this respect. Your job as his adult child is to make sure your parent has the proper care, rather than only provide the care yourself.

Conduct an interview with the caregiver agency out of the home. You want to be able to discuss with the caregiver the challenges your parent will bring forward. You will want to discuss the qualifications and assurances that they have many experienced caregivers. You do not want them sending you an inexperienced caregiver that they do not know well to your parent. Make sure a manager will be visiting regularly. This manager will need to get to know your parent as well.

Once the caregiver is hired, you should spend some time with the caregiver without your parent. During this time you should discuss the challenges and ways to redirect or manage tantrums and unreasonable demands. When you find a trustworthy, reliable caregiver who is willing to hang in there, do whatever you can to make her feel honored and appreciated.

You will need to understand that if your parent is of sound mind, you will not be able to force him to accept help at home. He maybe unable to cook, bathe, or take care of his home for himself. But if he is able to understand the possible consequences of his choices, then you cannot force him to do what he doesn't want to do. You cannot do anything to prevent the consequences of the choices he make. If your parent have dementia, or some other cognitive disability, you will have to find alternative living because in home care will not work.

Never move into the home of a demanding, unreasonable parent who want you to be his only caregiver. Do not bring a demanding, unreasonable parent into your home. These arrangements always have serious long-term regrets.

Thursday, April 30, 2009

Home Care Costs

How can a family afford home care costs? Besides digging into a love one's assets, or your adult children assets, there are alternative sources of funding, and financial support that can keep a senior at home. The alternative sources are available, if not always easy to identify. There is long- term care insurance, and government programs if the right conditions are met. Every possible source of funding and free assistance should be investigated. Call all of the agencies, and government departments at the same time, because waiting for decisions can take time. Contact your volunteer caregiving programs, churches, and other faith community organizations.

Friday, April 24, 2009

The Penn's


The Penn's have ended their contract with I Care For You Home Care, LLC. We helped Mr. Penn with his wife. She had several strokes, and needed assistance taking care of herself. This was a very rewarding experience for me. I worked 21 hours with her. She was a very courteous, polite woman. She would always talk about her family. I hired an employee to work 24 hours. Her name was Melodie. She was a good match. We worked good together. Mr. Penn loved having Melodie at the house. She was a hard worker. I wish I could have paid her more. She kept the house spotless, and she cared about the Penn's. They no longer could afford our services, so the contract was ended. It was a rewarding experience for me. I am glad I had the opportunity to work with the Penn's.

Thursday, February 5, 2009

The business is prospering.  This is a rewarding business.  I feel so good when I can help a client receive the best care we have to offer.  I wish I had opened this business earlier.  I enjoy helping people in need.  This is my purpose in life.  I feel so good going to work everyday.  I love my job.

Mrs. V.