Caregivers Guide

Caregiver’s 2016-2017

Guide

OF SOUTHEASTERN WISCONSIN Published by

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Home Health Care DIRECTORYpage 18

2B • 50PLUS • CAREGIVERS GUIDE • OCTOBER 2016

Caregiver Stress Warning Signs

The Leeza Gibbons Memory Foundation – www.leezasplace.org The first step in dealing with caregiver stress is to recognize the signs.

Common signs that stress may be affecting your health include:

PHYSICAL SIGNS • Disturbed sleep • Back, shoulder or neck pain, muscle tension • Headaches • Stomach/digestive problems (upset or acid stomach, cramps, heartburn, gas, irritable bowel syndrome, constipation, diarrhea)

• Loss of hair • High blood pressure, irregular heart beat, palpitations • Weight fluctuation (gain or loss) • Chest pain • Fatigue • Perspiration

• Skin disorders (hives, eczema, psoriasis, tics, itching) • Periodontal disease, jaw pain • Reproductive problems/infertility • Weak immune system suppression: more colds, flu, infections • Sexual dysfunction, lack or libido

EMOTIONAL SIGNS • Anxiety • Depression • Moodiness/mood swings • Butterflies • Feeling out of control

• Irritability, easily frustrated, road rage • Argumentative • Feeling of isolation • Memory problems and lack of • Job dissatisfaction concentration • Increased substance abuse • Phobias

FOR MORE INFORMATION Please visit www.leezasplace.org and to take a Caregiver Stress Assessment, please visit

We Can Help.

FAMILY CAREGIVER SUPPORT NETWORK (414) 220-8600

www.living-options.org • www.caregiversupportnetwork.org • www.interfaithmilw.org

OCTOBER 2016 • CAREGIVERS GUIDE • 50PLUS

• 3B

Caregiver’s TABLE OF CONTENTS Caregiver’s Guide Listings..........................................3 Adult Day Services.................................................... 5 Alcohol and Substance Abuse..................................... 5 Alzheimer’s and Memory Loss..................................... 5 Animals/Pet Care...................................................... 5 Assisted Living........................................................... 5 Caregiver Education..................................................5 Consumer Protection.................................................. 5 Dental...................................................................... 7 Driving..................................................................... 7 Employment Services................................................. 7 Elder Abuse..............................................................7 Faith/Spirituality........................................................ 9 Financial Issues.........................................................9 Funeral and Burial..................................................... 9 Geriatric Assessment.................................................. 9 Geriatric Care Management and Support.................... 9 Grandparents and other Relatives Raising Minors....................................................... 9 Grief Resources........................................................9 Health Care Clinics.................................................... 9 Hearing Resources................................................... 10 Home Maintenance / Chores................................... 10 Home Safety........................................................... 10 Homemaking and Healthcare................................... 10 Hoarding...............................................................10

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Guide

Hospice.................................................................. 10 Housing.................................................................. 11 Insurance- Medicare................................................ 11 Legal Matters.......................................................... 11 LGBT Caregiving.....................................................11 Lifelines- Medical Alarms.......................................... 11 Long-Distance Caregiving.........................................11 Medicaid/ T-19....................................................... 12 Medical Equipment.................................................. 12 Mental Health and Counseling.................................. 12 Nursing Homes....................................................... 12 Nutrition-Dietitians, Home Delivered Meals................. 12 Older Adult Services-ADRC and Volunteer..................13 Older Adult Services by Volunteers............................13 Podiatry.................................................................. 13 Publications............................................................. 13 Relocation/Moving.................................................. 13 Respite Care........................................................... 13 Silver Alert Program................................................. 13 Socialization........................................................... 13 Support Groups....................................................... 14 Transportation......................................................... 14 Veterans Benefits ..................................................... 14 Visions Resources.................................................... 14 Websites................................................................. 14

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For advertising information on this Caregiver’s Guide or 50 Plus News Magazine, please call: 262-367-5303 Ext. 12.

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4B • 50PLUS • CAREGIVERS GUIDE • OCTOBER 2016

The “I” In Caregiver

A

member of the Family Caregiver Support Network Advisory Committee once said that as a caregiver people always ask how your mother or father, husband or wife is, but rarely ask how you are doing, so, how are you doing? You are the I in caregiver and only you can answer that question.

Caregiving even for the most independent individual can be and most often is lonely. It is lonely at times even when we have help because it is such an individual thing.

Let’s take the two sisters both willing to assist mom with her groceries. One believes in getting her out and into the store as an outing while the other cannot handle the amount of time it takes to read the new product labels so she prefers to shop for her mother. Sound familiar? Lonely is not a bad thing as long as the feeling of being alone does not create the stress associated with feeling isolated.

Caregiving brings change into our lives. Change brings on stress and impacts our lives in ways we may not even realize. The type of stress we live with depends on whether we have selected a role as victim, survivor or navigator.

Which role do you think you are?

Navigator is where you need to strive to be.

A critical thing to understand about “caregiver stress” is that it is not for sissies. (Wow? A double whammy of i’s.) Stress cannot be taken lightly if we want to remain both healthy and our body actually respond in predictable ways:

z All of our senses are heightened. z Our hearing can be more acute and our eyes can dart from side to side. z Our blood pressure and pulse increase and our heart can race. z We breathe more quickly but with more shallow breaths. z Constant stress lowers our immune system. z Our thyroid speeds up and we can feel jittery. z Because we are jittery we can lose weight or because we do not take time to prepare meals, we gain weight from eating out more and/ or not exercising. z We do not produce as many sex hormones so our sex drive decreases. z W e put out more insulin and no longer metabolize sugar well so we have an increased tendency towards diabetes. z Our cholesterol increases which can lead to an increased chance of stroke and heart disease.

We need to listen to what our bodies are saying to us. The following five suggestions will go a long way to help maintain physical, emotional and spiritual well-being: Exercise is the easiest and most beneficial thing we can do to help our bodies. A regular exercise routine of even 20 minutes a day helps us feel better physically and mentally. It allows us to be alone with our thoughts and we can concentrate on our bodies so we stay well.

We get busy as caregivers and we may not take the time to think about our nutrition, what we are putting into our own bodies, even though we watch what our loved

ones eat very carefully. We may eat out more, eat more fast food or snack more. We may be upset, lose our appetite and eat less. We feel tired and need energy so we eat more sugar and caffeine. We often forget that it is as easy to cut up an apple as it is to dig into the ice cream, and that a glass of water will go a long way toward keeping us hydrated. In addition, it is important to consume enough vitamins, especially from fruits and vegetables.

Taking care of our mental health lets us blow off steam. There is no road map to caregiving; at times it is constant change. Most caregivers say that only other caregivers get it. So how do we hold our emotions in check? How and to whom do we express our anxieties and still feel safe? Who will listen?

For some caregivers, the answer is to join a caregiver support group.

For others, it is seeing a therapist.

(Our office has lists of both.) We once asked a large group of caregivers at a conference what helps them through their days? 85 percent said their “faith.” Most believe they do not walk their journey alone and without spirituality, they would not make it through most days.

Prayer can be a form of meditation.

It causes mental relaxation. People also find their strength through worship, prayer, song and fellowship. Prayer and meditation help to counteract many of the negative symptoms of stress.

Lastly, reclaim you life to include caregiver but not to be only a caregiver. You are the daughter or son, wife or husband, who is now also a caregiver. Write down all the

roles that you now have and remember you should have no more than seven, including that of caregiver. Once you have done that, can you …Take a class? Plant a garden?

Walk your dog? Go fishing? Get a job? …and somehow remember there is no i in stress….only in caregiver.

Interfaith Older Adult Program’s Family Caregiver Support - 414.220.8600 – www.interfaithmilw.org www.living-options.org www.caregiversupportnetwork.org

Caregiver’s Code I need to…

Take care of myself physically, emotionally, spiritually; Accept my limitations and be satisfied with doing my best; Recognize and get help, no matter how difficult that may be; Enjoy time away without guilt; Maintain relationships with friends, family, co-workers; Set goals, pursue dreams and remember to live life.

A prepared, informed and supported family caregiver provides better self and older adult care.

OCTOBER 2016 • CAREGIVERS GUIDE • 50PLUS

declines to a diversity of past or www.ebhs.org Adult Day Centers are designed present medical conditions, nutri- Waukesha..................262-542-8851 www.hawspets.org to service adults who are experi- tional deficiencies or medication encing a decrease in physical, men- side effects. If you or your loved Washington...............262-677-4388 www.wchspets.org tal and social functioning and who one is experiencing trouble with may need the protective environ- memory, discuss the problem with Ozaukee.....................262-377-7580 www.wihumane.org ment when their caregivers are at your physician.

Refer to your yellow pages for work or in need of respite. Full and half day services are usually avail- For 24/7 information and refer- pet related services such as in home able. Range of services may include ral helpline (English and Spanish), veterinary care, pet sitting, groomrecreational therapy, meals, social contact Alzheimer’s Association ing and yard clean up. These serservices, transportation, personal Southeastern Wisconsin chapter at. vices have often been the answer to care, including bathing, hair and ................................ 1-800-272-3900 a number of older adult pet owners’ www.alz.org/sewi needs. nail care, nursing services, rehaWisconsin Alzheimer’s Institute bilitation therapy and medical services. Fees for Adult Day Services – Milwaukee Project: Education, ASSISTED LIVING Assisted living facilities are for vary based on what services are in- services, research opportunities, cluded in the fee. Some centers may and resources for Milwaukee’s Afri- people who need assistance with Activities of Daily Living (ADLs), be able to offer low income persons can American Community but wishing to live as independent...................................414219-5083 a reduced fee based on ability to ly as possible. Assisted living exists www.wai.wisc.edu pay. Most centers offering the wide to bridge the gap between inde(WAI Milwaukee tab) range of services are licensed by the pendent living and nursing homes.

State. Those that are more informal Dementia Care Specialist The services provided may include Milwaukee County Department with more of a recreational model but are not limited to meals, assison Aging are not licensed. ....................................414-289-5792 tance with bathing, dressing, launiShould you need community ser- dry, housekeeping and assistance iContact your local county vices and or respite, contact your with medications or medication resources. local county resource. monitoring.

Memory Cafe ALCOHOL AND Share your stories and socialAssisted Living options include: SUBSTANCE ABUSE ize with others who have worries Residential Care Apartment Alcohol and Substance Abuse is at epidemic proportions among with memory. There are a number Complex (RCAC) independent the elderly. It remains for the most of Memory Cafes in Southeast Wis- apartment units that can provide up to four hours of skilled and/or part, unreported, undiagnosed, or consin.

Alzheimer Association of SE supportive care per day. ignored. Most drinkers who startWisconsin. . ................414-479-8800 Community Based Resed late are affected by social isolawww.alz.org/sewi/ (click on idential Facility (CBRF) state lition and physical health problems Memory Cafe) censed supportive living facilities which may include grief or loss, housing, marital or mental health Partnership Memory Cafes............. where five or more adults reside. ....................................414-289-5792 They are staffed 24 hours per day problems. and can provide three hours of For a facility locater in WisconANIMALS/PET CARE skilled nursing care per week. sin go to: www.theagapecenter.

Whether you are looking for Adult Family Homes (AFH) a com/treatment-centers/wisconsin listings of animal friendly land- place where three or four adults reor refer to your local yellow pages under Alcoholism information and lords, information on the impor- side and receive care, treatment or tance of spaying and neutering, services that may include up to sevtreatment centers. You may also available options when you are no en hours per week of nursing care. choose to talk to local county longer able to care for your pet and resources.i nutrition programs to provide food iCall Family Caregiver Support for pets of individuals with low in- Network – Living Options service ALZHEIMER’S AND come, contact your local Humane for more information, MEMORY LOSS call 414-220-8600 or Problems with memory can Society.

800-449-4481 or visit have many causes that may range Milwaukee.................414-264-6257 www.living-options.org or call www.wihumane.org from normal age related memory your local County resource.

Elmbrook...................262-782-9261

ADULT DAY SERVICES

• 5B

iLOCAL RESOURCE FOR FAMILY CAREGIVERS

Milwaukee County....................414-220-8600 Ozaukee County.......................262-238-8120 ...............................................262-284-8120 Walworth County.....................262-741-3400 Washington County..................877-306-3030 Waukesha County....................262-548-7848 Waukesha County Toll Free.......866-677-2372 State Wide Toll Free..................866-843-9810

To file a complaint or ask about State regulations contact the Office of Quality Assurance ....................................800-642-6552

CAREGIVER EDUCATION

Caring for an older adult can be highly demanding work. Throughout your caregiving journey, you will have questions related to the many aspects of caring for your loved one. The following websites and phone numbers will provide you with the education, information and support you need. www.caregiversupportnetwork. org www.strengthforcaring.com www.caregiver.com www.caregiving.org www.caregiver.org www.CAREgivinghelp.org i Contact your local county resource for caregiver education that may be available in your community.

CONSUMER PROTECTION

Consumer Protection works to eliminate unfair or deceptive marketplace practices.

To file a complaint against a business contact the Better Business Bureau at................ 1-800-273-1002 ....................................414-847-6000 or www.bbb.org To file a complaint against a nursing home or assisted living facility contact the Office of Quality Assurance at ....................................414-227-5000 Concerns with inappropriate marketing and sales practices of Medicare Advantage plan agents contact:

6B • 50PLUS • CAREGIVERS GUIDE • OCTOBER 2016

Advocacy 101

W

hen caring for someone who is vulnerable, whose wellbeing may be compromised, or whose rights as a person are not being honored, it may become necessary for family members or friends to speak up for them or take action on their behalf. This is known as being an advocate.

Are You an Advocate?

z Have you arranged a doctor’s appointment or called a pharmacist on behalf of someone you care for? z Have you spoken to a friend or neighbor to ask for their help with things like snow shoveling or yard work? z Have you accompanied a loved one to the hospital or to a doctor’s officer in order to ask questions and help get information? z Are you watching out for someone you care for to ensure that they are getting the best care possible? z Have you spoken for someone you care for at a time when they were unable to speak for themselves?

If you answered yes to any of these, you are an advocate.

You may not have ever used that word to describe yourself, but if you find yourself speaking up for someone else, or speaking out about something important, then advocate is exactly what you are.

Advocating comes easily to some caregivers but for others being assertive or speaking up to those in positions of authority may be unfamiliar or uncomfortable. However, if carried out correctly, advocating for those we care for will result in better care for them and greater peace of mind for you.

7 Advocacy Skills That Can Help You Help Others:

z KNOW YOUR REASONS: Advocacy is ultimately an act of love and respect for the person you care for. If you don’t protect your loved ones rights and dignity, who else will? Keeping this in mind may help bolster your confidence as you face challenges. z DISCUSS THE TOUGH STUFF: Make sure you know what your loved one wants. There may be times when you as the caregiver do not agree with the choices of your loved one, but honoring their wishes shows respect for the person. That in itself is advocacy. z GET THE FACTS: The more information you have, the more powerful you become. Get names, dates, times, amounts,

etc. Don’t be afraid to ask questions and do some research.

Find out what experts and other people in your position are doing and saying. z DOCUMENT EVERYTHING: Keep a journal or notebook and write down everything you do on behalf of your loved one.

Record all visits, appointments and phone calls with the date, place or person you are calling, the name of the person you spoke to. Keep all important papers together in a safe place. z “I” VERSUS “YOU” STATEMENTS: Consider the difference between the two following statements: z “Why does it always take you so long to respond to my mom after she presses her call light?”

And z “I am very concerned because my mother tells me she waits a long time after pushing her call light.”

“You” messages can sound accusatory and critical. They tend to derail problem solving because people become defensive rather that cooperative. Using “I” messages, on the other hand, will often produce the opposite effect. It may take some practice to master the difference, but this is an excellent skill to have. z ASSERTIVE VERSUS AGGRESSIVE: Advocacy requires both courage and patience. It helps to be forthright and passionate about your loved one’s care, however if you want others to listen to your concerns, it is important to manage frustration and other volatile emotions and to treat others with the same respect you are trying to establish for yourself and your loved one. z ASK FOR HELP: Start with Family Caregiver Support Network, 414-220-8600. We are here to assist and support you in your role as your loved one’s advocate. We have information you may need and we know the challenges you face and the emotions that you must wade through on any given day. Just as you are an advocate for your loved one, we are an advocate for you.

OCTOBER 2016 • CAREGIVERS GUIDE • 50PLUS

The Medigap helpline at ................................ 1-800-242-1060 Wisconsin No Call List prevents telemarketers from calling for two years...................... 1-866-966-2255

DRIVING

DENTAL

Driver Services Medical Division at.............1-608-266-2327 For Driver Safety contact www.AARP.org

As we age, our dental care becomes critical to our over all health and well being. Cost is one of the main reasons older adults do not seek dental care. Below is a list of dental clinics that offer services based on income or at discounted rates.

Driving is affected by a variety of health issues. If you have concerns about your loved one’s driving abilities contact:

For a Comprehensive Driver’s Readiness Evaluation, contactAurora Rehabilitation Centers: West Allis Memorial Hospital Milwaukee: ....................................414-328-6633 AIDS Resource Center of WI/ Sinai Medical Center Dental Clinic ............414-233-6800 ....................................414-219-5241 www.arcw.org/dental-clinic/ Guadalupe Dental Clinic, Inc The Alzheimer’s Association ....................................414-643-8787 has a variety of information and materials.

Independent Care Health Plan For 24/7 information and referral (ICare)........................414-223-4847 helpline- contact Alzheimer’s AssoToll Free.....................800-947-3329 ciation at ............... 1-800-272-3900 Marquette University Dental EMPLOYMENT SERVICES Clinic..........................414-288-6790 Significant numbers of workSpanish.......................414-288-1520 ing caregivers often need to make www.mu.edu/dentistry adjustments to their work life, from reporting late to work, reducing MATC Dental Hygiene Clinic hours or giving up work entirely. ....................................414-297-6573 For information on all State of Wisconsin Job Centers St. Elizabeth Ann Seton Dental www.wisconsinjobcenter.org/ Clinic..........................414-383-3220 directory/ www.columbia-stmarys.org/ Milwaukee Ann_Seton_Denta Milwaukee County Residents/ caregivers of any age can get job iContact your local County search assistance at the following resource for another clinic in your locations: community.

Northeast Comprehensive Job Center For a list of Title 19 dentists in your 1915 N. Martin Luther King Dr area, contact the Greater MilwauMilwaukee, WI 53212 kee Dental Association at ..............................414-267-3291 ....................................414-276-9911 Outside the Milwaukee area Job Center Central contact ................... 1-800-362-3002 4030 N. 29th Street Mobile Dental Care Milwaukee, WI 53216 ...........................262-786-4819 x222 ..............................888-258-9966 Job Center Northwest ..............................414-760-6060 ..............................414-385-6920

Hire Center www.milwaukeewib.org/ job-seekers/the/hire-center Job Center Southeast 2701 S. Chase Avenue Milwaukee, WI 53207 ..............................414-389-6600 Job Seekers age 55 and over can get assistance at the following locations: Mature Worker Resource Center Washington Park Senior Center 4420 W Vliet Street Milwaukee, WI ..............................414-931-0253 Interfaith Older Adult Programs 600 W. Virginia, Suite 300 Milwaukee, WI 53204 ..............................414-291-7500

Ozaukee

Workforce Development CenterOzaukee County 5555 West Highland Road (P.O. Box 547) Mequon, WI 53092 Phone..................262-238-2880 FAX......................262-238-2890

Walworth

Walworth Job Center 10 E. Centralia Street Elkhorn, WI 53121 Phone..................262-741-5180 FAX......................262-741-5275

Washington

Workforce Development Center Washington County 2200 Green Tree Road West Bend, WI 53095 Phone..................262-335-5300 FAX......................262-335-5321

Waukesha

Workforce Development Center Waukesha County 892 Main Street Pewaukee, WI 53072 Phone..................262-695-7800 FAX......................262-695-7890

• 7B

iLOCAL RESOURCE FOR FAMILY CAREGIVERS

Milwaukee County....................414-220-8600 Ozaukee County.......................262-238-8120 ...............................................262-284-8120 Walworth County.....................262-741-3400 Washington County..................877-306-3030 Waukesha County....................262-548-7848 Waukesha County Toll Free.......866-677-2372 State Wide Toll Free..................866-843-9810

For individuals 55 years of age and older call: Southeastern Area Agency on Aging, Inc. Attn: Older Worker Coordinator 125 N. Executive Drive, Suite 102 Brookfield, WI 53005 Phone:................ 262-821-4444 Southeastern Area Agency on Aging serves all four counties.

They also have a caregiver support program that can supply additional information. iContact your local county resource for Family Caregivers for employment or caregiver reimbursement options.

ELDER ABUSE

Wisconsin Statute 46.90 states that “Elder adult at risk” means any person age 60 or older who has experienced, is currently experiencing, or is at risk of experiencing abuse: Physical Abuse Emotional Abuse Sexual Abuse Treatment without Consent Unreasonable Confinement or Restraint Financial Exploitation Neglect Self-Neglect For Definitions of each of the above: www.dhs.wisconsin.gov/aps/ public/definitions.htm#adultatrisk To report a suspected case of elder abuse or neglect, call your county resource center.i For Milwaukee County call the Aging Resource Center at ....................................414-289-6874 www.dhs.wisconsin.gov/aps/index.htm

8B • 50PLUS • CAREGIVERS GUIDE • OCTOBER 2016

Questions to Ask When Considering In-Home Care

T

here are several options when trying to find in-home help to care for your older adult. The key is to find reliable help that you and your older adult feel comfortable with and meets the specific care needs.

“Home care” is defined by the type of care needed – homemaking, hands-on personal care (i.e. bathing, toileting), and supportive medical care. If basic visiting or homemaking for a couple hours is needed, there may be free faith-based or community resources where care is provided by a volunteer who have undergone background and criminal history checks.

Or, you may hire a care worker independently or through a home care agency. If you are hiring someone who is not part of a home care agency, contact the Family Caregiver Support Network for resources and tips on how to hire a worker.

When considering a home care or home health agency, there are some questions to ask in advance that can assist you in getting help that is best suited for your older adult. Before hiring an agency, ask:

z Is the agency certified for participation in Medicare and Medicaid programs or private insurance? z Does the agency accept payment from Long-term Care policies, Family Care or Community Care? z How long has the agency been serving the community? z Is the agency accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the Community Health Accreditation Program (CHAP), the Better Business Bureau (BBB), or other recognized accrediting body?

• Does it state this in its agency literature and contracts? z Does the agency provide an initial assessment to determine if the patient would be appropriate for home care and what those services might be? z Is there a fee for an initial assessment? z Does the agency provide all services needed?

z Can it provide flexibility to meet the patient’s changing health care needs? z How does the agency choose and train its employees?

• Are criminal background checks made?

• Are employees given drug screens?

• Does it protect its employees with written personnel policies, benefits packages and malpractice insurance?

• Are the employees bonded and insured? z Does the agency provide literature explaining its services, eligibility requirements, fees and funding? z Does the agency have arrangements in place for emergencies?

• Are the agency’s caregivers available 24 hours per day, seven days per week or on what limited time basis?

•How quickly can they start? z Are references from former clients available? z What types of programs does the company have in place to ensure quality care is provided?

z Will the agency advocate for you if your insurance company, Medicare or Medicaid fails to cover a claim you and the agency thought should be covered?

For more information about personal care or home health agencies that serve older adults in Milwaukee County, contact the Family Caregiver Support Network at (414) 220-8600. For information about agency certification for Medicare and/or Medicaid, results of state inspections of agencies, complaints filed against agencies within the last two years, or to make a complaint against an agency, call the Wisconsin Home Health Hotline at 1-800-642-6552 Interfaith Older Adult Program’s Family Caregiver Support 414.220.8600 – www.interfaithmilw.org www.living-options.org www. caregiversupportnetwork.org

OCTOBER 2016 • CAREGIVERS GUIDE • 50PLUS

FAITH/SPIRITUALITY

iFor information on how to talk As a caregiver you may draw with your loved one about funeral your strength each day from your arrangements, contact your local church, synagogue, mosque or oth- county resource for Family Career faith based groups to help you givers. manage your daily caregiving chalTalk with your funeral home of lenges. choice about the burial assistance program offered through your iContact your local county resource for Family Caregivers for county.

Caregiver Retreat Information or iFor more information, contact to find out about respite options your local county resources. that would allow the caregiver to attend church.

In Milwaukee contact the Benefit

FINANCIAL ISSUES

As seniors age, many struggle to keep up with their finances. Some pay their bills late or forget entirely.

It is uncomfortable for children— no matter if they are 30, 40 or 50— to ask if their parents are struggling to pay their bills. Below is a list of tools and resources available that will assist the caregiver with financial issues.

Specialists of Legal Action for burial trust information......414-278-7722

GERIATRIC ASSESSMENT

Progressive memory loss, a decline in eating or isolation from family or friends is not a normal part of the aging process, and often family members are the first to notice that something is wrong.

Early detection and intervention is crucial as many symptoms are reversible. A Geriatric Assessment For information on services that offers a comprehensive approach to may be available through Medicare dealing with the problems, which and Medicaid and information on include a multidisciplinary team all benefit programs in Milwaukee to diagnose and treat all types of County, contact Senior Law Benefit memory and health issues. Below Specialist of Legal Action at is a list of geriatric clinics or talk ....................................414-278-1222 with your family physician about options available in your area. iContact your local county resource for Family Caregivers Froedtert Memory Disorders or for Benefit Specialists in other Program ....................414-805-3666 counties.

Money management services are available through Aurora Center for Financial Wellness at ....................................414-482-8801

FUNERAL AND BURIAL

Preplanning a funeral allows an individual to express their views in the selection of services that best fit their beliefs and desires.

Preplanning can save a family 50% or more on funeral and burial arrangements.

iContact your local county resource for a list of Care Managers in your area.

Consumers may locate geriatric care managers throughout the Untied States by visiting www.aginglifecare.org

GRANDPARENTS AND OTHER RELATIVES RAISING MINORS

Researchers tell us that grandparents and other relatives raising children 18 and under are one of the fastest growing types of families in America. This is due to a number of reasons - death, divorce, mental health, crime/jail, drugs and alcohol. The courts would prefer to remove a child from their biological parent(s) and place them with a family member if at all possible.

This situation knows no racial or economic boundaries. It is estimated that 1 in 12 children are being raised by a ‘grandparent’. The National Family Caregiver Program has been asked to work with Grandparents 55+. iContact your County Aging / Family Caregiver Program for possible respite options, support groups, workshops and other local resources.

• 9B

iLOCAL RESOURCE FOR FAMILY CAREGIVERS

Milwaukee County....................414-220-8600 Ozaukee County.......................262-238-8120 ...............................................262-284-8120 Walworth County.....................262-741-3400 Washington County..................877-306-3030 Waukesha County....................262-548-7848 Waukesha County Toll Free.......866-677-2372 State Wide Toll Free..................866-843-9810

GRIEF RESOURCES

It is natural to grieve the death of a loved one before, during and after the actual time of their passing. The process of accepting the unacceptable is what grieving is all about. For support groups and to learn about resources for anticipatory grief, ambiguous loss, grief at death, chronic illness and loss, symptoms and stages of grief and helping those who are grieving, visit: www.cargiver.org

Caregiver Education Fact Sheets; caregiving issues and strategies; grief and loss.

If you have been involved with a hospice program, take advantage of their grief education and support. Or contact Horizon Home Care and Hospice Grief Resource Center ....................................414-586-8383

HEALTH CARE CLINICS

Many times individuals earn just enough income to be ineligible Also in Milwaukee, contact: for Medicaid coverage, yet do not Grandparents Support Group receive health insurance through ....................................414-220-8600 their employers and cannot afford Aurora Center for Senior Health ....................................414-219-7300 Kids Matter to pay for “out of pocket” health ....................................414-344-1220 insurance. Often, these individuals www.kidsmatterinc.org GERIATRIC CARE MANare forced to seek treatment at local AGEMENT AND SUPPORT Legal and social service information emergency rooms and become sadGeriatric Care managers AARP dled with medical bills that they are w w w. a a r p . o r g / f a m i l i e s / not able to afford. Free or reduced can provide coordinated care grandparents management for caregivers who fee medical clinics fill the gap in live near or far. They have exten- Parenting Network Helpline healthcare access for the uninsured. sive knowledge about quality, costs, and availability of services in your ....................................414-671-0566 iFor a list of free or reduced fee www.theparentingnetwork.org clinics in your area contact your community and can connect you The Women’s Center - Waukesha county aging services or 211. with the services that will be right for you or a loved one. Profession- ....................................262-547-4600 For a list of free medical clinics in your area contact al Geriatric Care Managers generwww.freemedicalcamps.com ally charge a fee and can be found throughout the country.

10B • 50PLUS • CAREGIVERS GUIDE • OCTOBER 2016

You ARE a Caregiver If... o You are concerned about an older adult who lives nearby or at a distance, either at home or in a facility. o You regularly help with grocery shopping, housekeeping, transportation, appointments, or finances. o You regularly assist with feeding, bathing, dressing or moving an older adult. o You worry about someone not bathing properly, wearing clean clothes, eating enough, or taking medications correctly.

o You regularly provide home repairs or maintenance, mow the lawn or shovel the snow for someone. o You are using your own sick leave or vacation days at work to help care for someone in need. o You are paying out of pocket for someone’s food, medicine, or other living expenses.

Many people are caregivers and don’t know it. For many people, looking after an older adult or a loved one with dementia or other disability, or raising a grandchild

doesn’t seem like anything special.

It’s just the right thing to do, and providing what is needed for the people around them is a meaningful and rewarding aspect of their lives. However, even with the satisfaction that caring for others can bring, there is no question that being a supportive spouse, family-member, friend or neighbor can also be demanding. It takes time, energy and resources.

No matter what it is called, being a Caregiver is hard work. The good news is that if you checked

HEARING RESOURCES

resource information:

HOMEMAKING AND HEALTHCARE

At least 25% of individuals over the age of 65 report problems with hearing. Persistent failure to understand what is being said can lead to frustration, discouragement and embarrassment. Two of the most common consequences of hearing impairment in the elderly are depression and withdrawal.

Independence First (main office) i ....................................414-291-7520 For volunteering see older adult services on page 15B. iA resource serving people with disabilities in Milwaukee, Ozaukee, Washington, Waukesha Counties: Your county resource may have other options available to you.

Today’s older adult wants to grow old at home, the place he/she feels most comfortable. Assistance with homemaking, personal needs and transportation can help an older adult maintain independence. iContact your county resource to discuss options or for resources for homemaking and healthcare providers.

any of the boxes above and are caring for someone in your life, you don’t have to do it alone. There are classes, programs, financial resources, retreats, support groups and other kinds of community support available in our area. For more information about Caregiving and supportive Caregiving resources, please contact Interfaith Family Caregiver Support Network at 414-220-8600 and ask to speak with one of our Resource Specialists.

iLOCAL RESOURCE FOR FAMILY CAREGIVERS

Milwaukee County....................414-220-8600 Ozaukee County.......................262-238-8120 ...............................................262-284-8120 Walworth County.....................262-741-3400 Washington County..................877-306-3030 Waukesha County....................262-548-7848 Waukesha County Toll Free.......866-677-2372 State Wide Toll Free..................866-843-9810

some underlying factors including: OCD, ADHD, Psychosis, and Dementia.

Catholic Charities in Home Support Program......414-771-2881 Covers Milwaukee and Waukesha Counties.

Contact the Center for Communication, Hearing and Deafness for HOME SAFETY information on the wide variety of Each year older adults are inservices offered................................... jured in and around their homes. HOARDING Hoarding is generally charac414-604-2200 Many of these injuries result from terized as obtaining and refusing iContact your local county rehazards that are easy to overlook to throw out a large number of souce for assistance.

HOME MAINTENANCE / but easy to fix.

For information, resources and items that would normally appear CHORES professional tools visit Although the average elderly iContact your county resource for to be worthless, hazardous, or unwww.milwaukeehoarding.weeindividual would prefer to remain a list of agencies that will do home sanitary. Living spaces become bly.com in their own home; frailty, chronic safety assessments and offer home significantly cluttered and prevent activities for which those spaces illness, and disability often prevent safety check lists. were designed. Hoarding can be HOSPICE this dream from materializing. BeThe hospice philosophy low is a list of programs available Contact the family caregiver a contentious issue among family recognizes death as the final stage to help the elderly remain in their support network website at www. members adding stress and frusof life and seeks to enable patients homes. caregiversupportnetwork.org for tration to an already sensitive issue. to continue an alert, pain-free While the exact underlying causes Volunteer chore services and a home safety check list. of hoarding are unknown, there are life and to manage other symp-

OCTOBER 2016 • CAREGIVERS GUIDE • 50PLUS

toms so that their last days may be spent with dignity and quality, surrounded by their loved ones.

Hospice care can be given in the patient’s home, a hospital, nursing home, or private hospice facility.

Typically, an interdisciplinary health care team of doctors, nurses, social workers, home health aides, clergy, therapists and trained volunteers care for you. iSee your local yellow pages under “Hospice” or talk with your County resource.

HOUSING

Southeastern Wisconsin has a wide variety of housing options.

Contact your county resource to discuss the options available to you.

Contact the County Resource – Living Options Services for information on all types of living options for older adults ....................................414-220-8600 ................................ 1-800-449-4481 www.living-options.org Contact United States Department of Housing and Urban Development (HUD) for area information on low income housing. ....................................414-297-3214 For information on housing available for individuals with disabilities contact Independence First at .......................414-291-7520 iSee your local yellow pages under “Hospice” or talk with your county resource.

INSURANCE - MEDICARE

For information on different types of insurance options, see the list: Medicare information, ordering Medicare booklets, and information about health plans, contact ................................ 1-800-633-4223 24 hours a day, 7 days a week Medigap / HMO Hotline / Spousal Impoverishment.................................

................................ 1-800-242-1060 Provides Information on Medicare Insurance, Long Term Care Insurance Home Health Care Insurance and other health insurance that might be available prior to Medicare.

Community Insurance Information Center 700 West Michigan Street, Suite 350, 53233 ....................................414-291-5360

programs, long term care, estate planning, advance directives and guardianship issues. Your local county resource may have a list or call: Milwaukee Bar Association’s Referral Service....... 414-274-6768

• 11B

iLOCAL RESOURCE FOR FAMILY CAREGIVERS

Milwaukee County....................414-220-8600 Ozaukee County.......................262-238-8120 ...............................................262-284-8120 Walworth County.....................262-741-3400 Washington County..................877-306-3030 Waukesha County....................262-548-7848 Waukesha County Toll Free.......866-677-2372 State Wide Toll Free..................866-843-9810

subscriber is unable to respond.

May discuss legal matters and Contact telephone monitoring or seek a referral to an attorney agency for listing of other monitorin Milwaukee and surrounding ing services offered as well. counties. iContact your county resource for Information on car, home (non Medicare) health and renters’ National Academy of Elder Law more options. insurance. Hours are Mon. 1:00 Attorneys...................703-942-5711 LONG-DISTANCE www.naela.com p.m-4:00 p.m. Tues.- Thurs.8:00 CAREGIVING a.m.-4:00 p.m.

If you are providing care or LGBT CAREGIVING assistance to a person who lives Railroad Retirement Board As American’s live longer, great310 West Wisconsin Avenue er attention is being paid to the con- an hour or more away, you are Suite 1300 cerns facing aging adults and care- “long-distance caregiving”. You 53203 givers. Some unique considerations may be paying bills on line, ar....................................877-772-5772 arise for Lesbian, Gay, Bisexual and ranging for services and appointRetirement unemployment and Transgender (LGBT) people deal- ments over the phone, commusickness program ing with aging. For information on nicating with service providers; a topics such as finding supportive care center, the bank, a pharmacy, Senior Care............ 1-800-657-2038 health service providers, dealing neighbors, friends, relatives or even Prescription drug assistance prowith your employer, and caring for driving or flying in when there are gram for Wisconsin residents 65+ an LGBT spouse, domestic partner appointments or “emergencies”. who meet eligibility criteria. or friend, the following resources Please know that you are not alone in your efforts. There may be as may be helpful: many as 7 million people caregivVeterans’ Insurance Information ....... ................................ 1-800-669-8477 The Milwaukee LGBT Community ing at a distance in the US. ProVeterans’ Affairs Regional Center........................414-271-2656 grams and services are growing in Office ...................................292-3070(SAGE) the understanding of your efforts 5000 W. National, www.mkelgbt.org/programs/ and dilemmas. Don’t be afraid to seek out the National Family CareMilwaukee, WI 53295 adults giver Support Program (NFCSP) in .............................. 1-800-827-1000 www.caregiver.com your community or the community Under caregiver education fact of your care receiver for informaWisconsin Medicaid For assistance with Title 19 and sheets, “Special Concerns of LGBT tion, assistance to access services, education, support, respite and SSI-E applications and financial Caregivers” supplemental services. assistance for individuals 60 and older, contact the Benefit Specialist LIFELINES - MEDICAL Wisconsin Caregiving ALARMS through your County resource.

Telephone monitoring systems ................................ 1-866-843-9810 www.wisconsincaregiver.org assist seniors in their home in case LEGAL MATTERS There are a variety of personal of a medical emergency. When a Eldercare Locater legal matters regarding health and subscriber activates a monitoring ................................ 1-800-677-1116 www.eldercare.gov finances which need to be taken pendant, the monitoring agency care of. This can best be done by immediately contacts the subscrib- Publication: So Far Away an Elder Law Attorney. Elder Law er as to inquire the type of assis- National Institute on Aging # 10Attorneys specialize in age related tance needed. Emergency Medical 5496............................800-222-2225 www.nia.nih.gov (search for legal matters and problems includ- Technicians and personal emering qualifying for public benefit gency contacts are notified if the So Far Away) www.findmilwaukeelawyers.org

12B • 50PLUS • CAREGIVERS GUIDE • OCTOBER 2016 Geriatric Care Managers www.caremanager.org iContact your local county resource for NFCSP services, additional suggestions and assistance in seeking help to move someone closer to you.

Independence First Assistive Technology ....................................414-291-7520 www.independencefirst.org

Experienced staff has information on assistive technology and adaptive equipment. The Try-AGadget Center offers 700+ items to try. Formal and informal assessMEDICAID/ T-19 ments, advocacy, information and For assistance with Title referral, and equipment trials are 19 and SSI-E applications and services available through this profinancial assistance for individuals gram.

60 and older, contact the Benefit Specialist through your county iContact your county resource for Aging and Disability Resource more options.

Centers (ADRCs).

For those 18-59 contact your ADRC. See MENTAL HEALTH AND “Older Adult Services ” ADRC COUNSELING section in this directory.

For both the caregiver and or You may apply for Medicaid the care receiver. by mail, telephone or in person. To Nearly 20% of those who are 55 obtain an application or apply in years and older experience mental person, contact your county aging disorders that are not part of norservice number. mal aging. Most common disorFor information on the Medicaid program contact their website at http://dhfs.wisconsin.gov/medicaid/index.htm

If you are unsure of where or how to obtain an application or need help in completing an application, call Recipient Services at................. . ................................ 1-800-362-3002

MEDICAL EQUIPMENT

The Independence First Mobility Store, formerly Wheelchair Recycling Program (WRP), is a non-profit program that offers low cost, refurbished and sanitized mobility and medical equipment to those who lack the resources to acquire new equipment. It also offers a selection of low-cost new equipment.

Greater Milwaukee Area, 3720 N. 124th Street, Unit F Wauwatosa ..............................414-988-5333 gma@ifmobility.org

for people with mental Illness and their families. NAMI also has educational programs. Everything is free of charge. iContact your local county resource for Family Caregivers for other counseling services within your community.

NURSING HOMES

Nursing Homes and Health Care Centers are skilled nursing facilities designed to meet the needs of persons convalescing from illness or surgery or to provide longterm care which is not appropriate for a hospital or available through other alternatives. All persons entering a nursing home do so under physicians’ orders. Their care is supervised by nurses and other professionals under the direction of a physician. Facilities may offer special programs in rehabilitation, mental health, developmental disders are anxiety, severe cognitive abilities, Alzheimer’s, hospice and impairment and mood disorders. subacute care. Along with meeting The rate of suicide is highest among long term care needs they may ofolder adults compared to any other fer outpatient services for rehabilitation, respite care (1-28 days) and age group.

Nearly one out of every four short term or recuperative care (1U.S. households provides care to a 90 days). relative or friend aged 50 or older.

Studies show that caregivers expe- Family Caregiver Support Network: rience a sense of burden and esti- Living Options services mated 46% are clinically depressed. ....................................414-220-8600 ................................ 1-800-449-4481 Assists when exploring options Center for Psychological Services ....................................414-288-3487 or needing to select a facility by providing Federal and State inspection at Marquette University report information, touring check Mental Health Association in Mil- lists and more information on facilwaukee County.........414-276-3122 ities (size, rates, smoking, a religious affiliation) in southeastern WisconResources for prevention in mental sin. health.

Ombudsman Program – State of Wisconsin.............. 1-800-815-0015 NAMI Wisconsin, Inc. “Ombudsman” means ‘advoGreater Milwaukee Office cate’.

Ombudsman acts as advocate ....................................414-344-0447 State Office............ 1-800-236-2988 in licensed facilities such as nursWaukesha Office.......262-524-8886 ing homes on behalf of residents and/or their families. Leave a meswww.NAMIwisconsin.org NAMI is an advocacy, refer- sage including the facility name so ral and support group, founded that your call can be routed to an

iLOCAL RESOURCE FOR FAMILY CAREGIVERS

Milwaukee County....................414-220-8600 Ozaukee County.......................262-238-8120 ...............................................262-284-8120 Walworth County.....................262-741-3400 Washington County..................877-306-3030 Waukesha County....................262-548-7848 Waukesha County Toll Free.......866-677-2372 State Wide Toll Free..................866-843-9810

Ombudsman assigned to the facility you are referring to.

State of Wisconsin Office of Quality Assurance................. 414-227-5000 Call to ask questions about nursing home regulations or file a formal complaint about a facility in southeastern Wisconsin.

Medigap Hotline ................................ 1-800-242-1060 Information on spousal impoverishment, nursing home insurance and other ways nursing home care may be paid for.

Nursing home inspection reports/ provider search website www.dhs.wisconsin.gov/bqaconsumer/search.htm

NUTRITION-DIETICIANS, MEALS ON WHEELS/ HOME DELIVERED MEALS

A significant number of elderly fail to get the amounts and types of food necessary to meet essential energy and nutrient needs. There is evidence that good nutrition promotes vitality and independence whereas poor nutrition can prolong recovery from illness and lead to a lesser quality of life. iContact your county resource 211 or Milwaukee County 414-289-6874 for a list of meal sites and providers of home delivered meals.

Outside Milwaukee

For aging and caregiver resources anywhere in the country contact the Eldercare Locater number at ............. 1-800-677-1116 www.eldercare.gov www.wisconsincaregiver.org ....................................866-843-9810

OCTOBER 2016 • CAREGIVERS GUIDE • 50PLUS

OLDER ADULT SERVICES ADRC AND VOLUNTEER

Aging and Disability Resource Centers (ADRCs) provide accurate, unbiased information on all aspects of life related to aging or living with a disability. ADRCs are friendly, welcoming places where anyone - individuals, concerned families or friends, or professionals working with issues related to aging or disabilities - can go for information tailored to their situation.

The ADRC provides information on a broad range of programs and services (home care/chores, home delivered meals, transportation, housing, financial assistance, elder abuse and much more), helps people understand the various long term care options available to them, helps people apply for programs and benefits, and serves as the access point for publicly-funded long term care. These services can be provided at the ADRC, via telephone, or through a home visit, whichever is more convenient to the individual seeking help. www.dhs.wisconsin.gov/adrc/

• 13B

ping, chores and other “neighbor50 Plus News Magazine iLOCAL RESOURCE ly” activities. Organized through P. O. Box 230 FOR FAMILY CAREGIVERS Milwaukee County....................414-220-8600 churches and other community Hartland WI 53029 Ozaukee County.......................262-238-8120 ...............................................262-284-8120 groups, older adults are assisted ..............................262-367-5303 Walworth County.....................262-741-3400 to remain independent in their Washington County..................877-306-3030 Waukesha County....................262-548-7848 homes.

Today’s Caregiver Waukesha County Toll Free.......866-677-2372 www.dhs.wisconsin.gov/adrc/ ..............................800-829-2734 State Wide Toll Free..................866-843-9810 Milwaukee - Interfaith Older A bi-monthly publication proAdults Program viding information, support and services offer a sliding scale fee. ....................................414-291-7500 guidance for family and professional iContact your county resource Ozaukee - Interfaith Caregivers of caregivers. for respite services and or a list of facilities that offer respite.

Ozaukee County iContact your local county reFacilities that offer respite, you ....................................262-376-5362 source for Family Caregivers to do not need to live in Milwaukee Waukesha - Interfaith Senior subscribe to a free caregiver newsCounty. letter within your community.

Programs ....................................262-549-3348 St. Ann Center for IntergenerationWashington County - Interfaith RELOCATION/MOVING Making the decision to relocate al Care Caregivers of Washington County ....................................262-365-0902 (move) can be a welcome decision ....................................414-977-5000 Based on assessment, provides Wisconsin InterFaith In Action or a traumatic one. Many procrasboth adult day and overnight sertinate because the thought of all the Network work to move, even where to move, vices to people 18 years and older www.wifian.org is overwhelming. There is a com- who have disabilities and special plete series of resources available to needs. Care is provided 24 hours a PODIATRY Foot care is of utmost impor- provide assistance all along the way. day, seven days a week for up tance in older adults because of the County social workers and other to 20 days. Reservations accepted. need for ambulation and mobility. professionals can help determine Circulation to the lower portions the best level of care. Placement SILVER ALERT PROGRAM Wisconsin’s Silver Alert law of the body tends to decrease with services, most of which do not age. Decreased circulation, coupled charge a fee, can assist in finding a (Act 264) took affect August 2015. with diminished sensation, can new ‘home’. A number of realtors Similar to an Amber Alert, Silver lead to skin breakdown and infec- have chosen to be certified as a Se- Alerts will go out by e-mail, cell tions. Older adults are less agile nior Real Estate Specialist (SRES) phone, text, or fax through the and may experience difficulty in and other companies are available Wisconsin Crime Alert Network to maintaining good hygiene of the to assist with packing, and all the notify the public that an adult with Alzheimer’s, dementia, or other feet. Many times podiatry services details of moving. permanent cognitive impairment are covered by insurance, depend- iContact your county resource. is missing. Anyone may subscribe ing upon your medical condition.

At home services are also available. Family Caregiver Support Network on-line to receive Silver Alerts and Crime Alerts for free by e-mail, cell, – Living Options Service iContact your county resource for ....................................414-220-8600 text or fax. Visit www.wisconsincrimealert.gov more information or talk with your ................................ 1-800-449-4481 primary care physician.

SOCIALIZATION

Milwaukee County DRC............................414-289-6660 (age 18-59) ARC............................414-289-6874 (age 60+) Ozaukee County.......262-284-8120 Walworth County.....262-741-3400 Washington County ....................................262-335-4497 Waukesha County....262-548-7848 For aging and caregiver resources anywhere in the country contact the Eldercare Locater ................................ 1-800-677-1116 PUBLICATIONS AARP - American Association www.eldercare.gov of Retired Persons Yearly membership & receive the OLDER ADULT SERVICES monthly newsletter “Bulletin” and

BY VOLUNTEERS There has been a long stand- the “Modern Maturity” magazine, ing tradition of “neighbor helping free brochures & discounts.

Membership Processing Center neighbor” in Wisconsin. Because P. O. Box 199 of active lifestyles, it is often volunLong Beach, CA 90801 teers who assist with friendly visits, phone calls, transportation, shop-

RESPITE CARE

Respite service allows caregivers to have free time for themselves while their loved ones receive assistance when needed. Respite services are available in a variety of options, ranging from a few hours to several weeks. They can be offered within the home, group home or nursing home, depending upon the level of care needed. Each service has a different rate of cost, some

Exposure to social and physical activity improves cognitive performance and sleep quality in the elderly. Maintenance of social engagement and avoidance of social isolation are important factors in maintaining cognitive vitality in old age. There are many opportunities for social interaction which include adult day programs, senior centers, friendly visitors, and telephone reassurance, to name a few.

14B • 50PLUS • CAREGIVERS GUIDE • OCTOBER 2016 iContact your county resource to discuss appropriate options or for a list of programs in your area.

SUPPORT GROUPS

For both the caregiver and the care receiver, support groups can help with the well being of one’s physical and mental health. A support group is one way to share your troubles, exchange ideas and gain new information. It can offer an atmosphere of understanding and support. iContact your local county resource for information on the many support groups in your area.

Alzheimer’s Support Groups ....................................800-272-3900 www.alz.org/sewi

TRANSPORTATION

Without effective transportation, many individuals cannot access medical appointments, shop for necessities and may be isolated in their home. This presents health and safety risks for some and may result in the elderly being forced from their homes before they need to be, solely because of the lack of transportation. iContact your county resource for transportation options in your area.

VETERANS’ BENEFITS

Eligibility for most VA benefits is based upon discharge from active military service under other than dishonorable conditions. Active service means full-time service as a member of the Army, Navy, Air Force, Marine Corps, and Coast Guard. Generally, men and women veterans with similar service may be entitled to the same VA benefits.

Benefits will also be based on conflict, time served and if a sustained injury had occurred.

Kenosha County Veteran’s Service Office 8600 Sheridan Rd., Suite 700 Kenosha, WI 53143-6516 ....................................262-605-6690 Milwaukee County Veteran’s Service Office VA Hospital Grounds, Bldg. 6 6419 W. Greenfield Ave. West Allis, WI 53214 ....................................414-266-1234 Ozaukee County Veteran’s Service Office 121 W. Main St., Rm 237 PO Box 994 Port Washington, WI 53074-0994 ....................................262-238-8326 Racine County Veteran’s Service Office 1717 Taylor Ave. Racine, WI 53403 ....................................262-638-6702 Walworth County Veteran’s Service Office PO Box 1001, 100 W. Walworth Elkhorn, WI 53121 ....................................262-741-4222 Washington County Veteran’s Service Office 432 E. Washington St. Rm 2006 West Bend, WI 53095 ....................................262-335-4457 ....................................800-616-0446 Waukesha County Veteran’s Service Office 500 Riverview Ave., Rm. G138 Waukesha, WI 53188-3680 ....................................262-548-7732

....................................414-286-3045 ................................ 1-800-242-8822 Sends books postage free, loans cassette players and much more at no charge.

Vision Forward ....................................414-615-0100 Local outlet for equipment, offers advocacy and organizations for the blind. iContact your County resource for services in your area.

WEBSITES

Interfaith www.interfaithmilw.org (support for family caregivers tab) Family Caregiver Support Network www.caregiversupportnetwork. org County Aging Services:

Milwaukee

www.county.milwaukee.gov/Aging

Ozaukee

www.co.ozaukee.wi.us/Aging/

Walworth

www.co.walworth.wi.us

Washington

www.co.washington.wi.us/adrc

Waukesha

www.waukeshacounty.gov/adrc Living Options www.living-options.org Elder Locator www.eldercare.gov/Eldercare/ Public/Home.asp VISION RESOURCES Social Security As we age, the quality of our www.ssa.gov vision diminishes naturally. Most Medicare changes typically are not severe, www.medicare.gov/caregivers and a new prescription for glasses AARP or a few adaptations, such as im- www.aarp.org/families/caregivproved lighting, may be all that is ing needed. Eye care is important. Only National Alliance for Caregiving a doctor can detect certain vision www.caregiving.org changes when you cannot—before National Caregiver Alliance symptoms become noticeable. www.caregiver.org Wisconsin Caregiver Wisconsin Regional Library for the www.wisconsincaregiver.org Blind and Physically Handicapped

NOTES

OCTOBER 2016 • CAREGIVERS GUIDE • 50PLUS

• 15B

Keeping Older Adults Safe at Home

P

oor vision or less stability in walking can increase an older adult’s chance of stumbling and being injured. Having a house that takes into account these frailties and offers easy accessibility to light fixtures and supportive devices can help prevent injuries and make life easier for an older adult. It can also give you, the family caregiver, peace of mind when you are away from the person you care about.

The checklist below can be useful in reviewing any home, including your own for safety.

OUTDOORS z Sidewalks and steps in good repair z Railings full-length of any steps z Yard free of loose boards, ground holes and other hazards

LIVING SPACE/LIFESTYLE z Doorways adequately wide, especially for walker or wheelchair needs z Chairs’ seats sufficiently tall for ease of sitting down and getting up z Shoes, boots and slippers with low heals and nonslip soles

HOUSEKEEPING z Clutter-free clear paths to cross within FLOORS rooms and from room-to-room z Non-skid wax used on wax floors z Frequently used items on shelves are within easy z Non-skid backs on rugs reach z Slope-free floors and carpet z Sturdy ladders/step stools with grip bars z All carpet edges tacked down z All carpet and rugs free of worn spots and rips LIGHTING/ELECTRICAL EQUIPMENT z All carpet with short, dense pile z Light switches near every doorway z Good lighting to eliminate shadowy areas z All stairways are well lighted z Light switches at the top and bottom of stairways

STAIRWAYS z Securely fastened handrails extending the full stairway z Stairways with no broken or sloping steps z Stairways free of any stored items z Non-skid plastic covering on stairway carpeting z Stair steps with no extruding metal edges z Rug-free area at top and bottom of stairs

BATHROOM z Grab bars in bathtub, shower and around toilet z Toilet seats high enough to get on and off easily z Rubber mat or non-slip decals in tub or shower z Night light in bathroom z Soap and wash cloths easy to reach BEDROOM z Bed at good height to easily get in and out z Light and telephone within reach of bed z Night light in bedroom z Obstacle-free, well-lighted path to bathroom

16B • 50PLUS • CAREGIVERS GUIDE • OCTOBER 2016

Staying at Home Responsibly Cost Sheet/Expenses Family Caregiver Support Network For Family Members and Friends Who Help or Care For Older Adults Compare the costs of bringing private pay services into the Home vs. Assisted Living at $2,200-$5,000 a month and Nursing Home care at $5,000+ per month.

Service Provided*

Home Delivered Meals (1-2x/day, 7 days a week)

Cost Per Day/Hour/Service

$6.00/Meal

Cost Per Week

Total $57.00-$99.00 $57.00-$78.00

$168.00-$336.00 +$60.00 Shipping (If shipped weekly) Total $228.00-$396.00 $228.00-$312.00

$18.00-$34.00

$72.00-$136.00

$7.00 Round Trip (Taxi Rides Transportation Using Milwaukee County’s Transit Plus May Exceed This Amount) (2x/week) (414) 343-1700

$14.00

$56.00

Adult Day Service (2x/week)

$100.00-$150.00

$400.00-$600.00

1x Installation Fee of $50.00-$99.00 (Sometimes Waived) Chore Service for Snow, Leaves $10.00-$25.00 etc. (1x/week) Medication Monitoring System 1x Installation Fee of $99.00 through Life Line

$7.00-$9.00

$35.00-$45.00

$10.00-$25.00

$40.00-$100.00

$12.50

$50.00

Grand Totals

$275.50-$421.50

$1,109.00-$1,695.00

Homemaking and/or Personal $19.00-$26.00 Care (1x/week) (Usually 3 hr. Minimum) Bathing Service (1x/week)

Life Line Alert Service

$18.00-$34.00/Bath

$50.00-$70.00/Day

$42.00-$84.00 + $15.00 shipping/week

Cost Per Month

Don’t forget to add up the other costs of living at home such as utilities, taxes, home maintenance etc. in addition to these supportive services. Then compare the total to a facility that offers it all under one roof. The Family Caregiver Support Network’s Living at Home Expense Sheet (Next Page) can be helpful in adding up the costs you already incur living at home.

Remember that with supportive in-home services you can adjust the type and amount of care to your needs. Your monthly totals may be different than the example above based on which services, how many and how much you choose or can afford to use. *There may be government assisted or volunteer services available to help offset the costs of some of these services. Contact the Family Caregiver Support Network (414) 220-8600, or the local Aging Resource Center of Milwaukee County (414) 289-6874 for more information on what may be available. **As supportive care needs increase to skilled care needs or if 24-hour care becomes necessary, a higher skilled assisted living or nursing facility may be a viable alternative to meet the senior’s needs safely.

OCTOBER 2016 • CAREGIVERS GUIDE • 50PLUS

Living at Home Monthly Expense Sheet Family Caregiver Support Network For Family Members and Friends Who Help or Care For Older Adults Supportive In-Home Care

Home

Mortgage/Rent Property Tax Homeowners/Renters Insurance Association Fees Home Security Home Maintenance/Repairs Invisible Mortgage* Monthly Total

Meals Homemaking/Personal Care Transportation Adult Day Services Life Line Alert Service Chore Services (lawn, snow, etc.)

Medication Monitoring System Monthly Total

$ $ $ $ $ $ $ $

Entertainment

Utilities

Water Electricity Gas/Fuel/Oil Trash Groceries, Cleaning Supplies and Hygiene Items Monthly Total

$ $ $ $ $ $ $ $

Cable TV, Internet, Phone Hobbies Shopping-Hair/Skin/Nail Care/Clothing Dining Out Gifts (birthdays/holidays etc.)

Monthly Total

$ $ $ $ $ $

$ $ $ $ $ $

Monthly Totals

Home Utilities Entertainment In-Home Care Monthly Grand Total

$ $ $ $ $

*The “Invisible Mortgage” or “Lost Interest” is 5% of the selling price of your house divided by 12 months. If you stay at home you are losing X amount of investment income, per month.

We Can Help.

(414) 220-8600 www.living-options.org www.caregiversupportnetwork.org www.interfaithmilw.org

• 17B

18B • 50PLUS • CAREGIVERS GUIDE • OCTOBER 2016

Recline. Relax. Repeat.

With prices from $599, our Man Cave Chair Collection features a chair for every budget and style. Made and assembled in the U.S.A., our lift chairs have FREE Delivery and Set-up ($150 Value) see coupon below. Need special financing? No problem. We are your Man Cave Chair experts. Visit our Retail Stores today!

Caregiver’s & Home Health

Directory

AT YOUR SERVICE

888 Thackeray Trail, Ste. 209 • Oconomowoc 262-354-3700 weare-atyourservice.com

Capri (GOLPR200) $599

FREE DELIVERY – $150 Value

We service Waukesha County and the surrounding counties.

We do paperwork on insurance claims.

We have registered nurses on staff.

We offer…dependable, flexible and affordable…conversation/companionship, medication reminders, Alzheimer’s/dementia care, household organization, light housekeeping, meal preparation, laundry/linens, grocery shopping/errands, incidental transportation, bath/hygiene/continence care, transfers/lifts, therapy exercise reminders, hospice assistance, respite care/ family relief.

“At Your Service” provides an affordable alternative for those individuals who wish to remain in their homes and live a fulfilling, healthier and happier life. We help all of our clients to experience quality of life, maintain independence and most importantly, peace of mind.

We are a locally owned company, not a franchise or a large corporate entity. We deliver extraordinary client service at an affordable price. Our highly personalized approach is designed to maximize peace of mind and we place high value on integrity, honesty and trust. Our caregivers are knowledgeable, friendly and personable, creating lasting relationships with our clients.

“At Your Service” was built on three guiding principles; quality care, consistent caregiving and the ultimate client experience. We strive to develop long-term relationships with our clients to enrich their lives. We bring them a sense of the outside world, give them a consistent visit to anticipate and they listen and engage in what their clients have to say.

Whether you are caring for a loved one or just want to stay in your own home maintaining peace of mind, independence and quality of life, “At Your Service” can help.

Bring in this 50Plus ad to get Free Delivery and Set-up on any Lift Chair purchase. For more information on fabrics, styles, and financing options, visit our Retail Stores today (chair inventory varies at each store). 50Plus Fastrack Code 3026.

We know caring for a loved one can take a toll on your family. Our mission is to provide quality, compassionate care, to let you get back to being a loving family member, instead of a primary caregiver.

We provide as much or as little help as you desire. You select the hours. We keep you informed of your loved one’s condition, and if called for, adjust our services as needed.

Milwaukee Retail Store 4818 South 76th Street Sheboygan Retail Store 2922 South Business Drive West Bend Retail Store 1709 South 18th Avenue Shop Online HomeCareMedicalShopOnline.com Facebook facebook.com/homecaremedical 50Plus

OUR SERVICES:

Personal Care and Assistance Homemaking Services Companionship Services

Contact us today for your elderly and special needs care Office 414-323-6416 Cell 414-534-8811 www.the-jackson-group.com

OCTOBER 2016 • CAREGIVERS GUIDE • 50PLUS

Caregiver’s & Home Health BRIDGES HOME HEALTHCARE 1121 E. Sumner St., Ste. B • Hartford 262.673.6600 www.bridgeshh.com

Serving Dodge, Washington, Ozaukee, Waukesha, Milwaukee, Racine and Kenosha Counties. Bridges Home Healthcare offers personal care, baths, etc., companion/daily check and skilled nursing, PT, OT, SLP, and MSW. Medicare approved with paperwork done on insurance claims. Our staff includes RNs, PT, OT, MSW and Home Health Aides. Benefits of home health care offer personalized care plans for each individual client. It keeps you in your own home with the skilled care that you need. Reduces hospitalizations, eliminates the need to find transportation for persons that cannot safely leave home. The future of home care is one of the fastest growing areas of healthcare. Skilled care received in the home is far less expensive than care in a facility. Monitoring of patient needs is much more efficient and thorough with a skilled home care agency.

COMFORCARE HOME CARE 1020 James Drive, Ste. F • Hartland 262-446-2000 www.comforcare.com/wisconsin/waukesha

We will complete paperwork on insurance claims.

We have registered nurses on staff.

We offer housekeeping, respite care, cooking/feeding, telephone reassurance, overnight care, personal care, baths, check medication compliance, companion/daily check, Alzheimer’s and dementia care.

We offer one on one care. Individualized care plans focusing on safety and well-being.

We believe more seniors will choose to stay home all the way to end of life.

Directory

• 19B

20B • 50PLUS • HOME HEALTH CARE • OCTOBER 2016

Caregiver’s & Home Health

Directory COMFORCARE HOME CARE 4466 Highway P, Ste. 205 • Jackson 262-674-1515 www.WestBend.ComForCare.com

We service Washington and Ozaukee Counties We are Medicaid approved #100027491 We do file paperwork on insurance claims.

We have registered nurses on staff.

We offer housekeeping, respite care, cooking/feeding, telephone reassurance, overnight care, personal care, baths, administer medication, check medication compliance, companion/daily check, 24/7 care, live-in care, transportation and errands, 24/7 staff on-call. We are owner owned and operated.

We see the benefit of individual’s ability to stay living independent, but safe, within their own home. As much (24/7), or as little (2 hours) can be used. “We don’t want to change your life…rather enhance your life!”

We believe more individuals want to stay living in their own homes, and families are being stretched to find care support. ComForCare can help individuals and families meet these demands, while keeping individuals safe!!

Coming in 2017- new building to house ComForCare Home Care and Just Like Home Adult!

HOME CARE MEDICAL

•Personal Care •Skilled Nursing •Housekeeping •Respite Care •Cooking/Feeding

•Companionship •Occupational Therapy •Physical Therapy •Speech Therapy

Skilled homecare agency that is Medicare and Medicaid certified.

Serving Washington, Dodge, Ozaukee, Waukesha, Milwaukee, Racine & Kenosha Counties.

Need Some Help?

Call Today

262-354-3700 w e a re - a t y o u r s e r v i c e . c o m

4818 South 76th Street • Milwaukee • 414-423-8800 2922 South Business Drive • Sheboygan • 920-458-5768 1709 South 18th Avenue • West Bend • 262-957-5501 www.homecaremedical.com

Home Care Medical proudly serves 13 counties in Southeastern Wisconsin: Calumet, Dodge, Fond du Lac, Jefferson, Kenosha, Manitowoc, Milwaukee, Ozaukee, Racine, Sheboygan, Walworth, Washington and Waukesha.

For over 40 years, Home Care Medical has been providing the highest quality home care products and services: bathroom and bedroom safety products, bracing and compression, lift chairs, respiratory care (CPAP/BiPAP), and mobility (canes, crutches, wheelchairs, walkers, scooters and ramps).

Home Care Medical is a contract provider for PAP, oxygen, standard wheelchairs (power and mobility), scooters and walkers.

We will complete paperwork on insurance claims.

We have a registered nurse on staff at our corporate headquarters.

Whether you are recovering from an injury or surgery, or adjusting to the limitations of growing older, Home Care Medical has many products available to increase your safety and independence in your home—wherever that may be. From the living and bedroom to the kitchen and bath, Home Care Medical’s goal is to assist you with the activities of daily living to help you get on with life.

The baby boomer generation (folks born between 1946 and 1964) are entering their retirement years and they are reinventing what it means to be retired.

Many are living longer and are in better health, but when they do encounter problems, Home Care Medical is available to help folks stay in their homes longer and continue to be independent.

OCTOBER 2016 • HOME HEALTH CARE • 50PLUS

Caregiver’s & Home Health

• 21B

Directory

JACKSON CARE LLC / THE JACKSON GROUP

342 North Water Street Ste. 600 • Milwaukee 414-534-8811 • 414-323-6416 www.the-jackson-group.com

We service Milwaukee, Kenosha, Waukesha, Walworth, Ozaukee, Jefferson and Racine Counties.

We do not do paperwork on insurance claims.

We have registered nurses on staff.

We offer housekeeping, respite care, cooking/feeding, telephone reassurance, overnight care, personal care, baths, companion and daily check.

Allowing patients to receive personal care in the privacy and comfort of their own home is one of the greatest benefits of home health care.

We are planning on an increase in our service areas in the future.

JEFFERSON MEMORY CARE 414 County Hwy Y • Jefferson 844-877-6702 www.jeffersonmemorycare.com

We service Jefferson, Dane, Dodge, Rock and Waukesha Counties.

We provide itemized statements for insurance claims.

We have registered nurses on staff and physicians oversight.

We offer housekeeping, respite care, cooking/feeding, telephone reassurance, overnight care, personal care, baths, administer medication, companion/ daily check, CBRF, respite, assisted living, specializing in dementia & Alzheimer’s care.

RIGHT AT HOME

131 West Layton Ave. • Milwaukee 414-877-1795 www.RAH-Milwaukee.com

We service Southern and Western Milwaukee County We partnered with IRIS, Community Care and Family Care.

We do paperwork on insurance claims.

We offer housekeeping, respite care, cooking/feeding, telephone reassurance, overnight care, personal care, baths, administer medication, companion/ daily check, and check medication compliance.

The benefits of home health care are that we provide “Right Care”. We are the right people doing the right things the right way for the right reasons.

We believe more seniors are staying right at home where they are familiar with their surroundings and can receive engaging care from family and the right care givers.

Home Care by Seniors for Seniors

There’s a huge difference in the kind of home care you can receive from someone who really understands what your life is like as a senior. The concerns you have. The need for independence. Someone who like you, has a little living under his or her belt.

Our loving, caring compassionate seniors are there to help. We offer all the services you need to stay in your own home, living independently.

• Companion Care • Housekeeping Services • Meal preparation/cooking • Personal Care

• Overnight & 24-hour care • Transportation • Shopping • Doctor Appointments

• and more

Call us today. Like getting a little help from your friendsTM.

262-225-7978

www.seniorcarewaukesha.com

After breast surgery, recovery is a process.

Whether you have recently undergone surgery or are a long-term survivor, choosing the correct product can aid in healing and help you regain your confidence. Our team of Certified Mastectomy Fitters, with more than 25 years of experience, will assist you in finding just the right products for your needs. The Independence Store, located at Cedar Community is a fully accredited Medicare supplier, carrying a large selection of breast prostheses, bras, camisoles and fillers. Call today to schedule a consultation with a certified fitter in our dedicated, private fitting room!

5595 County Road Z West Bend, WI 53095 t: 262.306.4269  f: 262.306.4576 tf: 1.800.317.8899 theindependencestore.org

22B • 50PLUS • HOME HEALTH CARE • OCTOBER 2016

Caregiver’s & Home Health

Directory SENIORS HELPING SENIORS P.O. Box 208 • Sussex 262-225-7978 www.seniorcarewaukesha.com

We service Waukesha County and the surrounding areas.

We do not do paperwork on insurance claims.

We do not have a registered nurse or physician on staff.

We offer housekeeping, respite care, cooking/feeding, telephone reassurance, overnight care, personal care, baths, companion/daily check, check medication compliance and pet care.

The greatest benefit of home health care is allowing seniors to age in place in their own home.

People are living longer and there will be more need for quality elder care.

THE INDEPENDENCE STORE 5595 County Road Z, West Bend 800.317.8899 or 262.306.4269

Bringing Independence Home: Serving greater southeastern Wisconsin. The Independence Store, a Medicare competitive bid winner for walkers and related accessories, standard and (power) wheelchairs, scooters and related accessories, has the products you need! For mobility we offer canes, crutches, walkers, lift chairs, ramps, wheelchairs, power wheelchairs and scooters. For home safety: Grab bars, raised toilet seats, bath benches, commodes, reachers and bed rail assists. For comfort: Pressure-relieving cushions, cervical collars, compression stockings, incontinence products and other personal care living aids. For health: Blood pressure monitors, nutritional supplements, braces and supports. If we don’t have an item in stock, we can order it.

OCTOBER 2016 • HOME HEALTH CARE • 50PLUS

CAREGIVERS need care, too.

Are you caring for a loved one with dementia, Alzheimer's disease, a disability, or raising a grandchild?

YOU DESERVE AS MUCH HELP AS YOU GIVE. Interfaith Older Adults Programs offers FREE HELP AND SUPPORT for family members and friends who help older adults.

Contact a Family Caregiver Support Network Resource Specialist today and learn how Interfaith can CARE FOR YOU!

(414) 220-8600 interfaithmilw.org•

• 23B

24B • 50PLUS • CAREGIVERS GUIDE • OCTOBER 2015

50 PLUS NEWS MAGAZINE Salutes All Caregivers During “Take Care to Give Care”

The theme for National Family Caregivers Month November 2016 is “Take Care to Give Care”

The first rule of taking care of others: take care of yourself first. Caregiving can be a rewarding experience, but it is also physically and emotionally demanding. The stress of dealing with caregiving responsibilities leads to a higher risk of health issues among the Nation’s 90 million family caregivers. So as a family caregiver, remember to pay attention to your own physical and mental wellness, and get proper rest and nutrition. Only by taking care of yourself can you be strong enough to take care of your loved one. You really do need to “take care to give care!”

Caregiving can be a stressful job. Most family caregivers say they

feel stressed providing care for a loved one.

With all of their caregiving responsibilities – from managing medications to arranging doctor appointments to planning meals – caregivers too often put themselves last.

The stress of caregiving impacts your own health.

One out of five caregivers admit they have sacrificed their own physical health while caring for a loved one. Due to stress, family caregivers have a disproportionate number of health and emotional problems. They are twice as likely to suffer depression and are at increased risk for many other chronic conditions.

Proper nutrition helps promote good health. Ensuring that

you are getting proper nutrition is key to help maintain your strength, energy and stamina, as well as strengthening your immune system. Maintaining a healthy diet is one of the most powerful things you can do to take care of yourself and keep a positive attitude overall.

Ensuring good nutrition for your loved one helps make care easier. As many as half of all

older adults are at risk for malnutrition.

Good nutrition can help maintain muscle health, support recovery, and reduce risk for re-hospitalization – which may help make your care of a loved one easier.

news

50PLUSmagazine What’s New for

Phase Two of Your Life

Remember: “Rest.

Recharge. Respite.” People

think of respite as a luxury, but considering caregivers’ higher risk for health issues from chronic stress, those risks can be a lot costlier than some time away to recharge. The chance to take a breather, the opportunity to re-energize, is vital in order for you to be as good a caregiver tomorrow as you were today.

During National Family Caregivers Month, we remind family caregivers that to be strong enough to care for your loved one, you must

Take Care to Give Care!