r + Aunt + Grandfather + Daughter + Son + Father + Un
ther + Grandmother + Mother + Child + Neighbor + Aunt +
Free
+ Son + Father + Uncle + Friend + Sister + Brother + G
hild + Neighbor + Aunt + Grandfather + Daughter + Son +
+ Sister + Brother + Grandmother + Mother + Child +
ather + Daughter + Son + Father + Uncle + Friend + Siste 2014/15 GUIDE
r + Mother + Child + Neighbor + Aunt + Grandfather +
+ Uncle + Friend + Sister + Brother + Grandmother + Mot
Aunt + Grandfather + Daughter + Son + Father + Uncle +
r + Grandmother + Mother + Child + Neighbor + Aunt +
+ Son + Father + Uncle + Friend + Sister + Brother + G
hild + Neighbor + Aunt + Grandfather + Daughter + Son +
+ Sister + Brother + Grandmother + Mother + Child +
ather + Daughter + Son + Father + Uncle + Friend + Siste
r + Mother + Child + Neighbor + Aunt + Grandfather +
+ Uncle + Friend + Sister + Brother + Grandmother + Mot
Aunt + Grandfather + Daughter + Son + Father + Uncle +
One person caring about another represents life’s greatest value.
r + Grandmother + Mother + Child + Neighbor + Aunt +
Son + Father + Uncle + Friend + Sister + Brother + Gran
caregiver guide 2014/2015 1 + Neighbor + Aunt + Grandfather + Daughter + Son + Fat
Child + Neighbor + Aunt + Grandfather + Daughter + Son
We are here
You
for
+ Sister + Brother + Grandmother + Mother + Child + Neig
+ Daughter + Son + Father + Uncle + Friend + Sister +
+ Mother + Child + Neighbor + Aunt + Grandfather + D
2014/15+ Mot Uncle Contents + Friend + Sister + Brother + Grandmother
2 Hospice Care + Daughter + Son + Father + Uncle + Aunt + Grandfather Departments Learn what hospice care really means
+ Grandmother + Mother + Child + 5 Neighbor + Aunt + G
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A Continuing Care Retirement Community • Intensive Short Term Rehabilitation • Personal Care & Independent Living Apartments
Serving from the heart in the spirit of friendship, love and truth
to patients and their families
10 The Key To Managing Stress
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Identify causes & find simple solutions
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Local Resources Directory Sister + Brother +
15 Get Smart About Asthma
9 National DaughterSupport + Son & Services
+ Neighbor + Aunt + Grandfather + 16 Age In Place, With Grace
Help Lines
Being able to continue enjoying things you love
Gra
+F
million Americans are living with asthma Sister +25Brother + Grandmother + Mother 18 + Child + Neigh
How to + stay atSon home+ longer + Daughter Father + Uncle + Friend + Sister +
+ Mother + Child + Neighbor + AuntEditor/Publisher +SukleGrandfather + D Louise louisesukle@pressandjournal.com
Sales Manager Uncle + Friend + Sister + Brother + + Mot DaveGrandmother Brown
Any one of us can be a rainbow Aunt + + Daughter + Son + Father + Uncle + in Grandfather somebody’s clouds davebrown@pressandjournal.com creative DIRECTOR Julianna Sukle julianna@juliannasukle.com
RepresentativeS + Grandmother + Mother + Child +Advertising Neighbor + Aunt + G Tina M. Rinehart
— Maya Angelou
Gloria Brown Son + Father + Uncle + Friend + Sister + Brother + Gra gloriabrown@pressandjournal.com tinarinehart@pressandjournal.com
Egan + Neighbor + Aunt + Grandfather +Sara Daughter + Son + F saraegan@pressandjournal.com SALES ASSISTANT
999 W. Harrisburg Pike Middletown, PA 17057 717-944-3351
www.middletownhome.org
of Press + And JChild ournal+ INC. Neigh Sister + Brother + GrandmotherA publication + Mother 20 South Union Street, Middletown, PA 17057 Tel: (717) 944-4628 | Fax: (717) 944-2083 pandjinc.com | info@pressandjournal.com
+ Daughter + Son + Father + Uncle + Friend + Sister +
caregiver guide 2014/2015 1 Mother + Child + Neighbor + Aunt + Grandfather + Daught
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Hospice Care
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+ Aunt + Grandfather + Daughter + Son + Father + Uncle + Friend + Si
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+ Son + Father + Uncle + Friend + Sister + Brother + Grandmother +
What it really means to + Child + Neighbor + Aunt + Grandfather + Daughter + Son + Father + patients & their families
+ Friend + Sister + Brother + Grandmother + Mother + Child + Neigh
Aunt + Grandfather + Daughter + Son + Father + Uncle + Friend + Si
W hat makes a good death? This is a question thatBrother + Grandmother time, hospice care can improve his or her quality of + Mother + Child + Neighbor + Aunt + Grandfa many people prefer not to think about in their day-to-day lives. However, for patients facing an uncertain future, it is an extremely relevant reality. The answer can vary from person to person, depending on individual personalities, interests and desires. However, for most people, a good death is quite simple. It means being physically comfortable, at peace in your own home, surrounded by your loved ones doing the things you love to do up until the very end. These essential details are made possible by hospice care.
life. Research shows that health care providers feel responsible to discuss hospice with their patients when the time is right, as it provides a kind of care that they are unable to give. Nearly three-fourths of family caregivers agree that hospice care is a better choice for a terminally ill patient. Of this group, 69 percent believe that involvement in hospice makes a better impact on the patient’s family as well.
Daughter + Son + Father + Uncle + Friend + Sister + Brother + Grand
+ Mother + Child + Neighbor + Aunt + Grandfather + Daughter + Son
Uncle + Friend + Sister +myth Brother + Grandmother + Mother + Child + N Another hospice is that families lose control over + Grandfather + Daughter + Son + Father + Uncle + Friend + Sister
Hospice, by definition, is a team-oriented approach to providing specialized care for people facing a lifelimiting illness or injury. It includes expert medical care, pain management and emotional support for patients and their families. But more simply, hospice care supports living one’s life to the fullest with dignity regardless of how much time remains.
what happens to their loved ones. The facts are that a family is generally able to choose their preferred hospice provider for a loved one, and It’s never too soon to explore your end-ofcan be trained to life options. To find a hospice or learn more serve as a primary caregiver, with about hospices in your area, visit the National a specialist to Hospice and Palliative Care Find a Provider tool provide support when needed. at nhpco.org/findaprovider It is the unique nature of hospice To join the national conversation on how to that allows for the make the most of your moments of life, visit feeling of family and comfort to facebook/nhpco become embedded and vital in the patient’s care. This concept of more family interaction explains the overall goal of hospice - creating more moments of life before a life is over.
Grandmother + Mother +
Child
Son + Father + Uncle +
Frien
+ Aunt + Grandfather
Seven in 10 Americans said they would prefer to die at home according to a Time/CNN Poll. Statistics show that 25 percent actually do according to the Centers for Disease Control and Prevention. In a recent national survey, the overwhelming majority of respondents agreed that expertise in keeping a terminally-ill patient as comfortable and as pain-free as possible is the single most important service to consider when caring for a loved one and the end-of-life experience. This is the essence of hospice care.
Brother + Grandmother
One of the great myths of hospice, for many who have not experienced it, is that hospice patients are merely lying in a bed, barely conscious. This is not the case. When a patient is admitted at an appropriate 2 caregiver guide 2014/2015
Hospice enables moments and memories that would otherwise not occur. It is the quality of these final moments, after all, that can define a “good death.”
+
+M
Source: BPT
caregiver guide 2014/2015 3
directory
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caregiver guide 2014/2015 5
Local Resources Acute Rehabilitation Hospital HealthSouth Rehabilitation Hospital of Mechanicsburg After injury or illness, demand Acute Rehabilitation, demand HealthSouth. Ask for HealthSouth by name and choose a higher level of care because your life or the life of your loved one could depend on it.
Home Care Services Bayada Home Health Care A trusted provider of clinical and assistive care services at home for adults of all ages. Our services for adults are organized into three specialty practices: Home Health, Adult Nursing, and Assistive Care. Cathy Benfer, Director: Adult Nursing
175 Lancaster Blvd. Mechanicsburg, PA 17055 (717) 691-3700 www.healthsouthpa.com
4807 Jonestown Road, Suite 254 Harrisburg, PA 17109 (717) 652-1130 (phone) (717) 652-1132 (fax) www.bayada.com
Durable Medical American Home Medical Equipment Company Get all your home medical needs in one place! We’re dedicated to providing home medical equipment services and in-home setup that exceed your satisfaction as well as industry standards. 2300-A Old Gettysburg Road Camp Hill, PA 17011 (717) 737-5584 (717) 761-9124 Mon-Fri 8:30 AM – 5:00 PM www.americanhomemedicalcompany.com Healthcare PinnacleHealth Medical Group Primary, Pediatric and Specialty Care physicians connected to the region’s leading healthcare system, offering convenient locations and flexible hours, many with same-day appointments and walk-in services. (717) 231-8900 www.pinnaclehealth.org/phmg
6 caregiver guide 2014/2015
Bello Nurses We provide a wide range of services to fit YOUR unique needs. Offering 24-hour Caregiver, RN, LPN and CNA’s, helping hand caring hearts. 915 North Mountain Road, Suite A Harrisburg, PA 17112 (717) 540-1700 administrator@bellonurses.org www.bellonurses.org Home Instead Senior Care To you, it’s finding a trusted solution. To us, it’s personal. From a few hours a week, to 24/7 care, providing companionship, meal preparation, incidental transportation, med reminders, personal care, and much more. Serving the Cumberland and Perry County areas. CAREGivers bonded, insured and licensed. 5002 Lenker Street, Suite 101 Mechanicsburg, PA 17050 Phone: (717) 731-9984 Fax: (717) 731-9985 www.homeinstead.com/242
Visiting Angels Living Assistance Services Providing bathing assist, dressing assist, grooming, assistance with walking, medication, reminders, errands, shopping, light housekeeping, meal prep, and companionship. Flexible hours. Respite for families with live-in care. 4607 Locust Lane Harrisburg, PA 17101 (717) 652-8899 (717) 737-8899 www.visitingangels.com Visiting Nurse Association of Central PA Providing a comprehensive range of home health care services that encompass Hospice Care, Skilled Nursing, Therapy and Private Duty caregivers support. 3315 Derry Street Harrisburg, PA 17111 800-995-8207 www.VNACentralPA.com Legal Issues Jan L. Brown & Associates, An Estate Planning & Elder Law Firm We have over 43 years of experience. Our firm provides legal advice to seniors and their families on Wills, Trusts, Powers of Attorneys, probate, trust administration, guardianships, Medicare, Medicaid and sheltering assets if nursing home care or assisted living care is needed. Evening, weekend, and home visit appointments are available.
Lottery Pennsylvania Lottery The Pennsylvania Lottery again generated more than $1 billion last year for programs that benefit older Pennsylvanians. www.palottery.state.pa.us Medical Device Company Keystone Mobility A history of Compassionate Service. A Mission to Make Life More Accessible. Since 1999, we’ve been helping people regain their independence, spend more quality time with friends and family, and get more out of life. Call or go online for your FREE GUIDE. 8118 Adams Drive Hummelstown, PA 17036 (717) 482-8140 www.keystonemobility.com Memory Care Facility Arden Courts Memory Care Community Specialized in the care of Dementia and Alzheimer’s patients. “Memory care is all we do” 2625 Ailanthus Lane Harrisburg, PA 17110 Phone: (717) 540-7018 Fax: (717) 540-7019 susquehanna@arden-courts.com
845 Sir Thomas Court, Suite 12 Harrisburg, PA 17109 (717) 541-5550 www.janbrownlaw.com
caregiver guide 2014/2015 7
Senior Care Asbury Bethany Village Bethany Village offers a stress-free lifestyle with a secure plan for the future in a community of active seniors who know how to have fun. 325 Wesley Drive Mechanicsburg, PA 17055 (717) 766-0279 www.BethanyVillage.org Columbia Cottage Licensed assisted living residence offering seven levels of care, with just the right amount of care when needed. Promoting independence, choice, and dignity. “Violation Free Inspection 2014!” 103 North Larkspur Drive Palmyra, PA 17078 (717) 832-2900 info@columbiacottage.com www.columbiacottage.com Middletown Home The Middletown Home, a non-profit, CCRC serves in the spirit of Friendship, Love, and Truth. We offer comprehensive rehabilitation services for those recovering from hospitalization, plus independent living, personal care and skilled nursing services. 999 West Harrisburg Pike Middletown, PA 17057 (717) 944-3351 www.middletownhome.org
Wellness East Shore Branch YMCA At the Y, we’re for Healthy Living! Our Active Older Adults club and modified fitness classes provide opportunities to interact socially while building strength and endurance. 701 North Front Street Harrisburg, PA 17101 (717) 232-9622 www.ymcaharrisburg.org/eastshore YMCA of West Shore The Harrisburg Area YMCA is a nonprofit, charitable organization that offers programs, services and initiatives focused on youth development, healthy living and social responsibility. 410 Fallowfield Road Camp Hill, PA 17011 (717) 737-9622 wsymca@ymcaharrisburg.org www.ymcaharrisburg.org
National Support & Services Alzheimer’s Association Information and support for people with Alzheimer’s disease and their caregivers. Operates a 24/7 helpline and care navigator tools. www.alz.org 800-272-3900 Alzheimers.gov The government’s free information resource about Alzheimer’s disease and related dementias. www.alzheimers.gov ARCH Respite Network Find programs and services that allow caregivers to get a break from caring for a loved one. www.archrespite.org Eldercare Locator Connects caregivers to local services and resources for older adults and adults with disabilities across the United States. www.eldercare.gov 800-677-1116 Family Caregiver Alliance Information, education and services for family caregivers, including the Family Care Navigator, a state-by-state list of services and assistance. www.caregiver.org 800-445-8106 Medicare Provides information about the parts of Medicare, what’s new and how to find Medicare plans, facilities or providers. www.medicare.gov/caregivers 800-Medicare
8 caregiver guide 2014/2015
National Alliance for Caregiving A coalition of national organizations focused on family caregiving issues. www.caregiving.org National Family Caregivers Association Information and education for family caregivers; includes the Caregiver Community Action Network, a volunteer support network in over 40 states. www.caregiveraction.org The National Clearinghouse for Long-term Care Information Information and tools to plan for future long-term care needs. www.longtermcare.gov Social Security Administration Information on retirement and disability benefits, including how to sign up. www.socialsecurity.gov 800-772-1213 State Health Insurance Assistance Program A program that offers one-on-one insurance counseling and assistance to people with Medicare and their families. www.shiptalk.org Veterans Administration Support and services for families caring for veterans. Maintains a VA caregiver support line. www.caregiver.va.gov 855-260-3274
caregiver guide 2014/2015 9
The Key To Managing Stress: Senior Homecare
Identify Causes & Find Simple Solutions
by
Angels
®
We Care Every Day, In Every Way. ®
Experienced senior care for total peace of mind.
If there is one aspect of life in the modern world that affects all of us, it’s stress. Stress can lead to a wide variety of health conditions including impaired immune function, headaches, sleep problems, cardiovascular diseases, uncharacteristic anger, anxiety and even depression, according to the U.S. Centers for Disease Control and Prevention. The key to managing stress is in our ability to identify its causes. Events or conditions that cause stress trigger our mind and body into action in an effort to cope with the situation. When this happens, the body releases adrenaline and cortisol which can provide quick energy and sharpened focus. This can be beneficial when experiencing short-term situations such as running late for an appointment, preparing for a test at school, having to take a traffic detour, or making a presentation to our boss. It’s when a stressful situation overcomes our ability to cope with it, or becomes the norm and continues for long periods of time, that its negative effects can become a real health problem. Managing stress, whether short- or long-term, can depend upon the source of the factors or stressors that caused it in the first place. There could be environmental factors such as the change in seasons and natural or man-made toxins. Social factors such as living or working in crowded conditions and financial downturns are common triggers. Even our personal values and beliefs can come in conflict with everyday events which can cause or aggravate an existing situation. Understanding what causes or increases our stress levels is the first 10 caregiver guide 2014/2015
step toward finding a means to lessen its negative effects. The impacts of stress on daily life are often unique to each individual as these tend to manifest in our weaker areas. Our bodies and minds can become fatigued and we feel tired or worn out. Our immune systems can become slow to respond so that we become ill more often or recovery from an existing illness becomes much more difficult to achieve. One or more important areas of our social lives may be affected such as work and personal relationships, and parenting. We just don’t find pleasure and take less time to do the things that will help to relieve stress and promote relaxation. While we cannot always change or eliminate the things that trigger stress in our lives, we can make a conscious effort to change our behaviors in response to these factors. We can say no to new responsibilities, or put limits to what we take on. We can take care of our bodies by healthful eating, drinking plenty of water, and exercising. We can use various stress reduction strategies such as setting aside some quiet time for ourselves, adding humor to our day, visiting with friends, or getting a massage. Stress-causing situations may be commonplace in our fastpaced society but this doesn’t mean that we have to accept their consequences as a fact of life. This is where exercising our personal power to take control and either change the conditions or our response to situations can make all the difference.
Bathing Assistance Dressing Assistance Grooming Medication Reminders Errands Shopping Meal Preparation Light Housekeeping Friendly Companionship Flexible Hourly Care Respite Care for Families Live-in Care
(717) 652-8899 (717) 737-8899 Each Visiting Angels agency is independently owned and operated.
www.VisitingAngels.com
Source: BPT
caregiver guide 2014/2015 11
Helping hands. Caring hearts.
Parkinson’s disease (PD), which inhibits motor skill function and cognitive ability, affects not only the person diagnosed but also family and friends around them. Carolyn manages her PD with proper treatment, exercise and support from her husband and caregiver of 51 years, Joe.
In his caregiver role, Joe says, “From day one, I had to accept the hand we were dealt and do what I could to ensure that Carolyn remained active and continued taking her medication as directed.” After experiencing a slight tremor in her right thumb and persistent handwriting abnormalities for five years, Carolyn and Joe visited a neurologist who diagnosed her PD and prescribed medication and regular exercise to help manage her disease. While symptoms and treatment may vary among patients, Carolyn finds that having her husband, Joe, as a dedicated caregiver makes life easier. When asked his most important piece of advice for fellow caregivers, Joe replied, “Long-term planning for medical and financial security is essential.” Additionally, he cites patience and understanding as two virtues that all caregivers must display.
With Joe’s care and her daily treatment, Carolyn has been able to continue enjoying the things she loves, like spending time with her grandchildren, traveling and enjoying water sports at a nearby lake.
Providing a wide range of services to fit your unique needs.
12 caregiver guide 2014/2015
skilled Home HealtHCare:
• Supervision • Companionship • Bathing & Personal Care • Meal Prep & Feeding Assistance • Housekeeping & Personal Errand Assistance
• Skilled Nursing Care • Certified Home Health Aides • Physical Therapy • Occupational Therapy • Speech & Swallowing Therapy • Medical & Clinical Social Workers
24 hour caregiving www.bellonurses.org Email: administrator@bellonurses.org 915 N. Mountain Rd, Harrisburg, Suite A
Source: (NewsUSA)
s r e v i g e r a C e l o R
Unskilled Home Care:
717-540-1700 We are serving the following areas: Perry, Dauphin, Cumberland, Lebanon, York, Lancaster and Berks.
caregiver guide 2014/2015 13
The Law Office for
OlderPersons andTheir Families
Practice exclusively in: Attorney Jan L. Brown
• Estate Planning & Probate: Wills, Trusts, Powers of Attorney, Tax Planning, Special Needs Trusts • Elder Law: Protecting Assets From Nursing Home Costs, Qualifying for Benefits, Incapacity Planning
Attorney Jacqueline Kelly
Jan L. Brown & associates Attorneys-at-Law
845 Sir Thomas Court, Harrisburg 17109
(717) 541-5550 www.janbrownlaw.com
Attorney Christa Aplin
Members of the National Academy of Elder Law Attorneys
Get Smart
GetSmartAboutAsthma.com
About Asthma 25 Million
Americans Are Living with Asthma
16
million adults
44k
people have an asthma attack everyday
36k
27k
kids miss school due to asthma everyday
adults miss work due to asthma everyday
Asthma Facts • The airways in the lungs have the surface area of a small tennis court. Large Airways
• Asthma is characterized by narrowing and inflammation of the airways. • Asthma inflammation is not just contained to the large airways, but also extends to the small airways.
Small Airways = 2mm
Asthma Triggers
Environmental • Allergens • Air pollution • Dust & mold • Animal dander 14 caregiver guide 2014/2015
Seasonal • Temperature changes • Pollen allergens
Exercise-induced • Aerobic sports • Strenuous activity
caregiver guide 2014/2015 15
Home Modifications
Age in place,
Living at home longer may mean renovating a home to make it more accessible. This can include such things as installing ramps to bypass stairs, building a bedroom on the main floor, placing grab bars in the shower, changing the height of kitchen countertops or making a bathroom safer and more accessible.
with grace. Most people prefer to stay in their home or apartment for as long as possible. The best way to make this a reality is to plan ahead of time to make the amenities in your home as safe and accessible as possible. It can be hard to imagine that tasks around the house that were once done with ease can one day pose a challenge. Often, with some minor modifications, your home can be adapted to help you stay as long as possible even with some loss of mobility.
how to stay at home longer:
1
90
%
SENIORs AGE 50 AND OLDER WHO PLAN TO AGE IN PLACE FOR THE NEXT 10 YEARS. Seniors say • A bedroom and bathroom on the main these things level of their home. would help them feel safer in • Non-slip floor surfaces. their homes: • An entrance without steps.
16 caregiver guide 2014/2015
Those who are unable to perform Activities of Daily Living (ADLs), such as getting in and out of bed, walking, bathing, dressing, and eating, can often continue to stay at home with outside help.
• A garage or covered parking. • A personal emergency response system that allows people to call for help in emergencies.
2
Stay connected
It’s healthy to keep or create close relationships with friends and family. Lonely older adults have a greater decline in: body strength: 13.2% climbing stairs: 12.3% daily activities: 13.2% risk of death: 8.6%
3 Stay safe Falls are a big deal and are one of the leading causes for older adults to enter nursing homes.
Stay mentally & physically active
Research shows that people who exercise their brains and bodies have a reduced risk of dementia. Activities like reading regularly and completing crossword puzzles are especially helpful.
Learn a language. Hit the dance floor. People who are bilingual develop dementia 4 to 5 years later than people who speak just one language.
1 in 3
60%
More than 1 in 3 adults 65 years or older will experience a fall in a year. Of those, two-thirds of those will fall again within six months.
Almost 60% of older adults who have a fall will go to the emergency room for treatment or advice.
People who go dancing at least twice a week reduce the risk of dementia by
11%
1
#
FALLS ARE THE LEADING CAUSE OF ACCIDENTAL DEATH IN OLDER ADULTS.
caregiver guide 2014/2015 17
Every moment is with a
Lift Chair
Made in the USA!
Help Lines Dauphin County Area Agency on Aging 2 South 2nd Street, Third Floor, Harrisburg www.dauphinc.org  rburns@dauphinc.org (717) 780-6130 Pennsylvania Deptartment of Aging 555 Walnut Street, 5th Floor, Harrisburg www.aging.state.pa.us aging@state.pa.us (717) 783-1550
3 months deferred payment for those who qualify. As always, no charge for in-home delivery and set-up!
(717) 737-5584 (717) 761-9124 2300-A Old Gettysburg Rd. Camp Hill, PA 17011 Mon-Fri 8:30 am – 5:00 pm
Elder Abuse Hotline Any person who believes that an older adult is being abused, neglected, exploited or abandoned may file a report 24 hours a day with any Area Agency on Aging or call this hotline number. (800) 490-8505 APPRISE The APPRISE program offers counseling and assistance on a variety of topics including: Medicare, Medicaid, Medicare Supplemental Insurance; long-term care financing options and other health insurance options. www.state.pa.us  (800) 783-7067 There is also a long-term care hotline to be reached at: 1-866-286-3636 Pennsylvania Senior Law Helpline The SeniorLAW Helpline is a free, confidential telephone legal service, staffed by attorneys, that is available to give Pennsylvania residents, 60 and older, legal information and advice. 100 South Broad Street, Suite 1810, Philadelphia www.seniorlawcenter.org  (215) 988-1244 Toll free (877) 727-7529
www.americanhomemedicalcompany.com
18 caregiver guide 2014/2015
caregiver guide 2014/2015 19
You can be a daughter again.
Let us help. You can be a daughter again.
Let us help.
Whether you are looking for someone to help
an aging parent a few hours a week or need more
comprehensive assistance, Home Instead can help.
Call for a free, no-obligation Call for a free, appointment:
no-obligation appointment:
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Cumberland and Perry Counties 717-731-9984
homeinstead.com/600 Whether you are looking for someone to help an aging parent a few hours a week or need more comprehensive assistance, Home Instead can help.
20 caregiver guide 2014/2015
Call for a free, no-obligation Each Home Senior Care CallInstead for a free, appointment: franchise office is independently owned and operated. ®
© 2009 Homeappointment: Instead, Inc. no-obligation
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Cumberland and Perry Counties 717-731-9984
homeinstead.com/600