New Unit at Memorial Hermann Southwest Hospital Provides
Personalized, Specialty Care for Houston Seniors Active seniors 65+ may benefit from the new Acute Care for Elders (ACE) unit at Memorial Hermann Southwest Hospital designed to help older patients get back on their feet more quickly after a hospitalization.
What is the ACE Unit?
The ACE unit cares for normally active older adults ages 65+ who become ill and need shortterm care. Conditions managed on the unit include pneumonia, heart failure, chronic obstructive pulmonary disease (COPD), uncontrolled high blood pressure, diabetes, etc. Patients admitted to the ACE unit should be able to actively participate in their care and communicate their health care goals. Patients are cared for by a team of hospitalists, nurses, case managers, social workers, physical and occupational therapists, dietitians and pharmacists, specially trained to care for seniors. Hospitalists consult specialists within the hospital.
To learn more about the ACE unit at Memorial Hermann Southwest, visit
memorialhermann.org/southwest
What types of care and services are provided?
When a patient is admitted to the unit, the team creates a customized plan of care to help the patient recover and return home as quickly as possible. Besides mobility activities, each patient meets with pharmacists, physical therapists and dietitians to learn about fall prevention, medication management, nutrition, wellness and ways to stay healthy and active after leaving the hospital. When it’s time for the patient to go home, the team’s case managers and social workers help connect the patient and their family to community resources while the team’s hospitalists follow up with the patient’s primary care physician. Memorial Hermann Southwest has been recognized by the Institute for Healthcare Improvement as an Age-Friendly Health System participant and is committed to the “4Ms” of age-friendly care: What Matters, Medication, Mentation and Mobility.
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the
CAREGIVING journey Rosalynn Carter says there are only four kinds of people in the world:
• Those who have been caregivers
• Those who are currently caregivers • Those who will be caregivers • Those who will need caregivers
C
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aregiving has a way of creeping up on us. As family, friends and neighbors, we all want to be there for our loved ones when they need us. Very few of us see ourselves as a “caregiver,” and most of the time we haven’t had any training on how to be a caregiver, or an understanding of the depth the role requires. For the majority, it takes a “trigger event” such as a fall, hospital admittance or diagnosis of a health condition before there’s full realization of the situation and what plans/actions need to take place. The Senior Resource Guide is designed and geared towards the unique needs of the modern caregiver. We’re here to help take the guesswork out of this challenging role by providing support and knowledge-based information at your fingertips when you need it—both in print and online. As you journey through different stages in your caregiving quest, our hope is that you’ll be able to use the Guide to help create space for flexibility and make well-informed decisions. At the end of the day, feeling good about your care and efforts, as well as seeing your caregiving experience as a positive expansion and transformation, will help you and your loved one live more fully. In the words of our Founder, here’s to your quest!
TRANSITION AND REFLECTION “What do I do now that they’re no longer here? How can I honor my journey? How have I grown?”
• The Post Caregiver Tasks (see pg. 152)
LATE PHASE FINDING BALANCE “I’m needing to recharge but there’s not enough time.”
• Overcoming the Overload: Coping with Caregiving Curveballs (see pg. 82)
FINAL PLANNING “How do I make sure they’re taken care of and their wishes are met?”
• Understanding Hospice (see pg. 144)
SHIFTING PRIORITIES “I know this is what’s going on and need to give it attention.”
INCREASING DEMANDS “This is getting bigger and needs more of my attention.”
MAJOR TRIGGER EVENTS “What are our next steps now that this event has happened?”
• Questions to Ask During Hospital Discharge (see pg. 111)
• Home Care versus Home Health Care (see pg. 72)
IDENTIFYING YOUR ROLE “I’m not sure if I’m doing enough.”
• Caregiving Confessions: The Truth Behind Our Thoughts and Emotions (see pg. 22)
MID PHASE
PLANNING AND PREPARING
• ADLs, IADLs, and Aging: Assessing Daily Living Skills (see pg. 30)
EARLY PHASE
• Getting Connected With Help (see pg. 26) • Do you Need Power of Attorney? (see pg. 48)
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DETECTING CHANGES “Is this part of normal aging?”
“What’s causing these changes, and what can I do?”
CONTENTS \\
GENERAL INFO \\ 4
The Caregiving Journey
10
Our Legacy
11
The Senior Resource Guide Team
EARLY PHASE \\
28
THE PLAN
28
16
THE ROLE
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16
The Power of Accepting Help: Why Family Caregivers Refuse It and How to Ease Into It
22
Caregiving Confessions: The Truth Behind Our Thoughts and Emotions
26
Get Connected
Why it’s Essential to Research Senior Living Facilities
30 ADLs, IADLs, and Aging: Assessing Daily Living Skills 33
Assisted Living Pros (see also pg. 1)
34
Creating a Care Plan
36
What Level of Care is Right
38
What’s an Adult Day Center
52
40 Ombudsmen are Here to Help
42
CONVERSATIONS
INITIAL MEDICAL CARE
52
Understanding Medicare: Parts, Plans and Meeting Your Needs
57
Legacy Community Health (see also back cover)
58
WellMed
60
Doctor’s Appointments: Your Role as the Caregiver
LEGAL + FINANCIAL
62
Mobile Care
48
65
Get a Better Understanding of Your Loved One’s Prescriptions
42
44
Mastering Dementia Communication: Strategies for Meaningful Phone Calls The Road Ahead: Tips for Starting the Conversation About Aging Care Arrangements
48
Do You Need Power of Attorney?
50 Shielding Vulnerable Seniors from Financial Scams
68
DAILY CARE
68
How to Choose a Home Care Company
72
Home Care VS Home Health Care
74
Home Care Comparison Chart
76
How to Handle Abuse Accusations
7 \\ SENIOR RESOURCE GUIDE
MID PHASE \\
CONTENTS \\
82
94
82
MEMORY + DEMENTIA
SELF CARE
85
Overcoming the Overload: Coping with Caregiving Curveballs Platinum Senior Care (see also pg. 3)
88
Zesty Zen Zone Recipe
89
10-Minute Energizing Breakfast Recipe
90
DIET + WELLNESS
94
Memory Loss and Seniors: How to Handle Not Being Recognized
100 Caring for a Loved One with Dementia: Tips for Building a Meaningful Relationship 102 Beyond Dementia: Other Reasons for Memory Loss in Seniors
90 Easy Ways to Schedule Daily Movement
106
93
NEW STEPS
Sneaky Superfood Sweetness
106 Care Transitions
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108 Stay One Step Ahead: Key Questions to Ask When Your Loved One Experiences a Fall 111
Questions to Ask During Hospital Discharge
113 Memorial Hermann Southwest (see also inside front cover) 114 How to Encourage a Loved One to Consider Senior Living 117 How Can a Senior Living Community Help You Live Your Best Life?
119
SENIOR LIVING
119 Anthology of Tanglewood (see also inside back cover)
128 Senior Living Communities 132 Assisted Living Made Simple: What You Need to Know 137 Questions to Ask When Considering Skilled Care 139 Momentum Skilled Services (see also pg. 2) 140 What’s Skilled Care and Where Do I Start? 142 How to Identify the Right Memory Care Options
120 Age-Proof Your Home: How to Make it Safe and Accessible for Seniors 126 Types of Residential Care for Seniors
144 Understanding Hospice
152 The Post Caregiver Tasks
148 Hospice Options
158 Celebrating Important Dates After Losing a Loved One
150 Questions to Ask When Choosing a Hospice Program
9 \\ SENIOR RESOURCE GUIDE
LATE PHASE \\
Cora Hobbs 1915-2006
Our
Karyn Dean 1957-2020
LEGACY
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W
hat began as a simple collection of local resources has blossomed into what we now know as the ultimate guide to aging care. As a caregiver for her grandmother and an eldercare advocate for over 25 years, our Founder Karyn Dean realized she was not alone in the quest for information and resources. It was her dream to create a reliable resource that caregivers, seniors and eldercare professionals could turn to when navigating the many challenges associated with aging—thus was born the Senior Resource Guide. Although Karyn is no longer with us, her dedicated mission of educating family caregivers and senior care professionals as well as her memory lives on. Her beautiful spirit guides every thought and decision throughout our transition into the modern caregiver’s resource. What started out as a passion project with her husband quickly grew into something more when their children united behind the mission and joined SRG. Today, a team of compassionate individuals are part of the SRG family and bring an enthusiastic energy to helping caregivers through their journey.
Our SPIRIT “I consider myself incredibly blessed that Karyn had the foresight to recommend we start this business and bridge a crucial gap in our community.”
“Whether through a voicemail, email, or at an event, hearing from someone whose life was positively impacted by the Guide brings me immense joy.”
“We don’t just connect people—we create a web of support, care, and understanding.”
–Alex Dean, Director of Business Development
–Jennifer Stavert,
–Terry Dean, CEO
Director of Marketing
“I value the incredible connections we have with case managers and senior care professionals, as they drive our mission forward.”
“I know that caregiving is one of the most important jobs in our society, and yet it often goes unacknowledged. I’m happy to contribute to a project that provides ongoing support to seniors and caregivers.”
“It’s an honor for me to be part of a compassionate team who truly cares about supporting and educating the aging community and their caregivers, making it easier for them to get the care they each need.”
–Jaclyn Threadgill,
–Erin Suwwan, Publication Designer
–Brian Stavert, Chief Operations Officer
Graphic Designer
PUB L I S H ER The Dean Family
CONTRIBUTORS
©2023. Senior Resource Guide is published semi-annually for the Greater Houston, Austin & San Antonio markets by: SRG Services, Inc., 77 Sugar Creek Center Boulevard, Suite 600, Sugar Land, Texas 77478 \\ 281–277–2333 \\ SRGTEXAS.com
Disclaimer of Endorsement: Reference herein to any specific products, process, or service by trade name, trademark, manufacturer, or otherwise, does not necessarily constitute or imply its endorsement, recommendation, or favoring by the Senior Resource Guide.® The views and opinions of authors herein do not necessarily state or reflect those of Senior Resource Guide® and shall not be used for advertising or product endorsement purposes.
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Anthology of Tanglewood, Momentum Skilled Services, Sharon Wagner, Texas Health and Human Services, The American Elder Care Research Organization, We Care Rx Pharmacy
THE BEST
in the Greater Houston area Here are the senior care organizations, businesses and people who were deemed the best in our 2022 Readers’ Choice Awards.
JOY & WELLNESS
HOUSING & HOME CARE
Best Nonprofit: CAP of Pearland
Best Home Care (nonmedical): Encore Caregivers
Best Senior Center: Thomas A. Glazier Senior Education Center
Best Home Care (medical): Family Tree Private Care
Best Adult Day Center: Libbie’s Place Senior Day Program Best Mobile Care Provider: Mobile Dentistry Solutions Best Senior Technology (app or device): LiveWell Mobility and Modifications Best Place to Get Fit: YMCA of Greater Houston
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Best Pharmacy: Apteek Pharmacy Best Respite Care: The Village at The Woodlands Waterway
Best Senior Living (assisted): Reunion Court of The Woodlands Best Senior Living (independent/retirement): The Hallmark Best Senior Living (skilled): Baywood Crossing Rehabilitation & Healthcare Center Best Senior Living (memory care): Evergreen Cottages Best Senior Living Dining: The Park At Bay Area Best Home Modification Provider: LiveWell Mobility and Modifications
TEXAS PROFESSIONALS Best Senior Living Administrator: Jeny Knight with The Abbey at Westminster Plaza Best Social Worker: Nicole Flagg-Thompson
Best Nursing Staff: Bayou City Hospice Best Senior Care Advisor: Andrea Zaite with A to Z Geriatric Care
MEDICAL FACILITIES Best Hospital: Houston Methodist Best Mental Health Facility: Oceans Healthcare
Best Elder Law Attorney: Hegwood Law Group
Best Rehabilitation Facility: PAM Health
Best Financial Planner: Skyler White
FINAL PLANNING
Best Doctor: Dr. Karan Sra Best Eye Care Provider: Dr. Caroline Wells with Today’s Vision Katy Best Hearing Care Provider: Today’s Hearing Best Dentist: Mobile Dentistry Solutions Best Realtor: Tiffany Cole Best Family Owned/ Operated Business: The Abbey at Westminster Plaza
Best Funeral Service Provider: Carnes Funeral Home Best Hospice: Devotion Hospice Best Palliative Care: Devotion Hospice
See more
WINNERS
SRGTEXAS.COM/BESTOF
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Best Case Management: Family Tree Private Care
EARLY PHASE \\ THE ROLE
THE POWER OF ACCEPTING HELP Why Family Caregivers Refuse It and How to Ease Into It
T
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hey say it takes a village to raise a child, but what about caring for an aging parent? As a family caregiver, you may feel like you’re shouldering the weight of the world on your own, juggling doctor’s appointments, medication schedules, and endless hours of care. It’s like having a full-time job on top of a full-time job, with no set of instructions or clear path forward. But one of the biggest challenges for family caregivers? Accepting help. The reluctance of family caregivers to ask for help is a common problem, and it often stems from a variety of reasons such as fear of losing control, guilt, lack of trust, privacy, cultural and societal norms, financial concerns, and the belief that it’s easier to do it themselves. Although these reasons hold understandable weight, refusing help can lead to serious consequences for both the caregiver and their loved one. In this article, we’re going to dive into strategies for easing into accepting help.
WAYS TO EASE INTO ACCEPTING HELP
Taking care of someone else can be a lot to handle, but you don’t have to do it alone. Here are some ways to ease into accepting help.
THE ROLE \\ EARLY PHASE
IDENTIFY WHAT’S PREVENTING YOU FROM GETTING HELP. Are you afraid of losing control? Do you feel guilty asking for help? It’s important to take some time to identify the reasons why you may be hesitant to accept help.This will give you a clearer path forward and the opportunity to work on finding a solution. Consider journaling or talking to a trusted friend or peer who has gone through a similar situation for additional support and insight.
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START SMALL. Sometimes the thought of asking for help can be overwhelming, so start with something small. Ask a family member or friend to pick up groceries for you or sit with your loved one for an hour while you take a break. This can help you build trust with potential helpers and allow you to gradually adjust to accepting assistance. Additionally, consider hiring home care for a few hours a week to help with specific tasks or provide respite care for yourself.
EARLY PHASE \\ THE ROLE
“Right now, I am good, but as you know, things can change quickly. I may come back to you when there is something you can do to help.”
GIVE SOME THOUGHT ON WHO YOU CAN ASK FOR HELP. Who do you know that is reliable and willing to lend a hand? You may be pleasantly surprised at how many people are happy to help if you simply ask. Also, give some thought on what tasks they might be able to assist with, so you can make a specific and realistic request for support.
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COMMUNICATE WITH LOVED ONES. Your friends and family may be willing and able to help, but they might not know how to support you if you don’t tell them. Share your needs openly and honestly, and keep your family members informed by sharing the most current health information with them. You can use various methods to achieve this, such as group texts, emails, conference calls, or caregiving apps, to ensure everyone is included and up-to-date. LEAVE THE DOOR OPEN FOR FUTURE HELP. Many caregivers find it challenging to answer the question, “What can I do to help?” A few responses that can be effective is to say, “Right now, I am good, but as you know, things can change quickly. I may come back to you when there is something you can do to help.” or “I don’t have anything specific right now, but I’m sure there will be times in the future when I could use some assistance.” These responses can give you the freedom to ask for help when you need it, without feeling guilty or like you’re burdening others.
Serving Aging Texans in counties:
Austin, Brazoria, Chambers, Colorado, Ft. Bend, Galveston, Liberty, Matagorda, Montgomery, Walker, Waller & Wharton
Meals: Provide nourishing meals with socializing in senior centers and deliver to eligible homebound seniors.
Medicare & other Benefits Assistance: Trained benefits counselors assist Texans over 65 or disabled understand, shop plans and apply for assistance programs for Medicare. Help with Medicaid, health insurance and legal assistance also available. In-Home Services: Help seniors maintain independence with
personal care assistance, health maintenance, home modifications/ accessibility and case management.
Caregiver Support Services: Help family caregivers through a care system of respite care, support groups, and education. Targeting those with greatest economic needs, living in rural areas and caring for those with moderate impairments. Nursing Home Advocates: Trained ombudsmen (advocates) visit nursing homes and assisted living facilities to ensure the quality of care and quality of life of residents. They inform residents of their rights and investigate and resolve complaints. Information & Referrals: Link older Texans and disabled to
community resources.
800-437-7396
EARLY PHASE \\ THE ROLE
Make it Easier
SEEK PROFESSIONAL/ OBJECTIVE ADVICE. Our comprehensive Sometimes speaking with a counselor Care Directory at or therapist who is not emotionally srgtexas.com/find is invested in the situation can be a perfect place to helpful. It’s also important to note that start your search for other caregivers can offer a unique local care providers. understanding that can’t be found elsewhere. Connecting with fellow caregivers through a support group, whether it be online or in person, can be an invaluable resource. It allows you to share your experiences, ask questions, and find support from others going through similar situations. UNDERSTAND THAT ASKING FOR HELP IS A SIGN OF STRENGTH. This can’t be stressed enough. It takes courage to admit that you need help, and it shows that you’re willing to do whatever it takes to take care of your loved one.
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UTILIZE COMMUNITY RESOURCES. There are a variety of community resources available to caregivers, from respite care to meal delivery services. Do some research and see what’s available in your area. You can also connect with other caregivers in your community through local support groups or peer-led organizations for additional resources. Remember, accepting help can be a gradual process, and it’s important to be patient with yourself as you navigate this new territory. With time, practice, and a little bit of courage, you can learn to accept help and find the support you need.
t! i o d n a c u Yo
Help is just one call away. At United Way of Greater Houston, we connect our neighbors with help 24/7/365. Whether you need help with food, housing, utility assistance, or other social services, just dial 211.
NEED HELP?
Dial 211
WANT TO HELP?
Text “UWGH” to 41444 to donate
EARLY PHASE \\ THE ROLE
CAREGIVING CONFESSIONS
The Truth Behind Our Thoughts and Emotions
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H
ave you ever found yourself thinking something that made you stop and wonder, “Did I really just think that?” We hear you, and want you to know that you’re not alone. Being a caregiver is a challenging job, and it demands a lot from you both physically and emotionally. It’s natural to experience conflicting emotions and thoughts that may feel uncomfortable to admit. But bottling up these feelings can take a toll on your wellbeing and the quality of care you provide. That’s why it’s crucial to be honest with yourself and seek support when needed. In this article, we’re going to dive into the topic of caregiving confessions. These are the thoughts and emotions that we may feel guilty or ashamed about, but that are all too common in the caregiving world. We’ll explore why it’s essential to acknowledge and process these thoughts, and we’ll offer some coping strategies to help you take care of yourself while taking care of others. Let’s start a conversation about this important topic and help each other become better caregivers. As a caregiver, you are tasked with a tremendous responsibility. You pour your heart and soul into providing care for someone else, but that doesn’t mean you don’t have your own emotions and thoughts to contend with. In fact, it’s perfectly natural to experience a wide range of feelings, including those that may make you feel vulnerable or uncomfortable.
THE ROLE \\ EARLY PHASE
Overcoming Overwhelm “I wish I could just walk away sometimes.”
FRUSTRATION AND RESENTMENT It’s only human to feel frustrated and resentful when you’re giving so much of yourself to someone else. You may feel like you’re not appreciated or that you’re neglecting your own needs in the process. It’s important to acknowledge these emotions and find ways to take care of yourself as well. GUILT AND SELF-DOUBT It’s easy to fall into the trap of feeling guilty or like you’re not doing enough for your loved one. You may also doubt your own abilities, particularly if you’re dealing with a complicated or challenging situation. Remember, you’re only human, and caregiving is a tough job. Don’t be too hard on yourself. AMBIVALENCE AND CONFLICTING EMOTIONS Caregiving can stir up a range of emotions, some of which may seem contradictory. It’s not uncommon
“I’m tired of pretending everything is okay.” “I resent having to give up my own life for theirs.” “I feel guilty for feeling resentful.” “I’m not sure if I’m doing enough.” “I’m afraid of what the future holds.” “I don’t know how much longer I can do this.”
When these thoughts arise, take a few deep breaths and acknowledge them without trying to push them away or dwell on them. Instead, accept them without judgment, try to focus on the present moment, and engage in an activity that helps you feel calm and centered.
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Let’s explore some of the most common emotions and thoughts experienced by caregivers:
EARLY PHASE \\ THE ROLE
Shif t your Mindset
Reframe negative thoughts as positive affirmations.
For example, if you find yourself thinking “I’m not sure if I’m doing enough,” try reframing that thought into something like “I am doing the best I can, and that is enough.”
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This can help shift your mindset towards a more positive and self-affirming perspective.
to feel both love and hate, gratitude and resentment, joy and sadness all at once. Don’t feel guilty for having these feelings. Instead, try to understand them and find ways to manage them in a healthy way. Recognizing and addressing your emotions can be daunting, but it’s essential for your well-being. Denying or suppressing these thoughts and feelings can lead to burnout, depression, and physical illness. But, by sharing your emotions with others, you can gain new perspectives and coping strategies. You’ll also realize that you’re not alone in your struggles. Seeking support from friends, family, or a professional caregiver can help alleviate the burden of caregiving and allow you to focus on self-care. Remember, caregiving is not easy, and it’s okay to admit that. Sometimes, we need to find humor in our thoughts and take a deep breath, scream into a pillow, or indulge in some chocolate. By working through your feelings, seeking support, and balancing caregiving with self-care, you’ll be on the path to cultivate resilience and fulfillment in your caregiving role.
Helping Bridge the GAP for a Secure Future
Brazos Bend Guardianship Services assists incapacitated and disabled adults and their families with legal guardianship, money management and adult guardianship education. To learn more about Guardianship Services call 281-232-7701 Ask about our monthly group Information Sessions!
www.brazosbendguardianship.org 830 3rd St. #209, Rosenberg, Texas 77471
EARLY PHASE \\ THE ROLE
GET CONNECTED Familiarizing Yourself with Local Resources That Can Help
TEXAS HEALTH AND HUMAN SERVICES The agency offers a wealth of information to connect you to resources, health care providers and services that can help you and your aging loved one live healthier. In the menu bar on their website is a dropdown for “Services,” which provides a wide range of helpful resources for people with medical, physical, intellectual or developmental disabilities; older adults; and caregivers who need a break from their duties. If you’re unsure how they can help, or even if you may not qualify for a program or service, Texas Health and Human Services’ trained professionals can help steer you in the right direction.
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Call 1-855-937-2372 or visit hhs.texas.gov
2-1-1 TEXAS As a trusted state resource available for free 24/7, 211 Texas is a connector for all Texans to critical, community-based services. Whether it’s a sudden medical bill, a natural disaster, a veteran trying to return to civilian life, or a concern about an aging parent—people from all walks of life can find themselves in need of assistance and confronted with a maze of agencies and programs that are challenging to navigate. Their trained helpline specialists are good listeners, blending understanding and expertise to provide information and referrals drawn from a comprehensive database of social services. Call 2-1-1 or visit 211texas.org
THE ROLE \\ EARLY PHASE
UNITED WAY OF GREATER HOUSTON United Way seeks to ensure that all older adults can live vibrant lives. They offer resources to a number of programs that focus on older adults’ health, financial security and engagement.
An Overlooked Resource
Support groups are an excellent resource and there are many specifically for caregivers. See srgtexas.com to find support groups in your area.
AREA AGENCY ON AGING Serving over 250,000 people annually, Texas’ 28 area agencies on aging offer help to Texans age 60 and older, their family members and caregivers to locate and access local services, including benefits counseling, legal assistance, care coordination, caregiver support services, in-home support and the ombudsman program. Houston-Galveston Area Agency on Aging Call 1-800-437-7396 or visit h-gac.com/area-agency-on-aging Harris County Area Agency on Aging Call 832-393-4301 or visit houstontx.gov/health/Aging
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Visit referral.unitedwayhouston.org for a searchable directory that offers information on several community programs covering an array of categories including transportation, housing options, benefits screenings, dementia evaluations and elder abuse.
EARLY PHASE \\ THE PLAN
Why it’s Essential to
RESEARCH SENIOR LIVING FACILITIES
F
inding a suitable location for your loved one can be a challenging undertaking. Some facilities may not have a lot of publicly available information, others may have too much, and some may have conflicting details altogether. There are hundreds of senior living facilities located all over the state and narrowing it down to one may be difficult if you haven’t thoroughly vetted your options. People need care in different ways at different stages in their lives; what works for one person may not work for another. It’s important to check if a facility has all the services and features that your loved one is in need of and ensure it’s up to your standards. Services that are non-negotiable should take precedence over those services that could be considered “nice Doing your research to haves.” beforehand is a For example, if your loved one necessary step in has been told by their doctor that confirming your they need to get daily exercise and loved one is getting spend more time outside, it would the care and living be beneficial to find a location that has ample outdoor walking paths. arrangements If they’ve suffered from any recent they need. falls or injuries, they may need some occasional assistance or companions to join them on these walks. The facility may indeed have those paths. But upon looking through online reviews, you may discover that the staff is often unable to accompany the resident, and many have found this to be frustrating.
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tep S t n t a r o p m I
THE PLAN \\ EARLY PHASE
Take these items This could be a red flag as you want into consideration your loved one to be safe while still when looking for a maintaining a healthy and active lifestyle. care facility for your loved one. On the other hand, the reviews may show you that not only do they have Overview ratings ample opportunities for assisted walking trips, they also encourage their residents Health inspections to do so, if they’re physically capable, and have an easy-to-use platform to Staffing schedule those walks as needed. This information would be a nice selling point for the property as it shows quality of life as well Quality measures as personal safety. COVID-19 Just because a service or feature is data including included on the website doesn’t always vaccination guarantee that it’s up to standard or percentages of readily available to all residents. both residents Doing your research beforehand and staff is a necessary step in confirming your Fire safety loved one is getting the care and living inspections and arrangements they need. emergency It also helps alleviate some of preparedness the anxiety around a new facility and validate any information you’ve already Number of been provided. penalties and fines No two residents are the same and each experience is unique to the individual. However, looking through online reviews and resources can help you identify any underlying patterns or trends. It can also spark questions to ask the intake staff who can provide the answers you’re looking for, and ultimately narrow down your search.
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Key Criteria for Evaluating
EARLY PHASE \\ THE PLAN
ADLs, IADLs, and Aging:
ASSESSING DAILY LIVING SKILLS
L
et’s be real, we all have those days where just getting out of bed feels like a major accomplishment. But imagine if even the most basic tasks, like brushing your teeth or taking a shower, were suddenly a struggle. Unfortunately, for many people, that’s a reality. Activities of daily living (ADLs) and instrumental activities of daily living (IADLs) are the things we do every day without even thinking about it, but they become a challenge for some individuals as they age or face health challenges. Changes in ADLs and IADLs can be an important signal that it’s time for a significant change in care. These changes can impact the cost of care, whether living at home is a viable option, and the eligibility for specific long-term care services. ADLs, or Activities of Daily Living, are basic self-care tasks that most people perform every day. These tasks are essential for maintaining independence and include things like: • Eating and drinking • Bathing and grooming • Dressing and undressing
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• Using the toilet • Transferring from one place to another (such as getting in
and out of a bed or chair) IADLs, or Instrumental Activities of Daily Living, are more complex tasks that are important for living independently in the community. These tasks require higher-level thinking and
THE PLAN \\ EARLY PHASE
• Managing finances • Shopping and running errands • Meal preparation and cooking • Housekeeping and
home maintenance • Using transportation to get around
ow
Need to Kn
It is important to note that the assessment of ADLs and IADLs is not a one-time event, but rather an ongoing process.
The ability to perform both ADLs and IADLs is essential for maintaining independence and quality of life. Changes in ADLs and IADLs can be a sign of declining health or a need for additional support, and it’s important for individuals and their caregivers to recognize these changes and take appropriate action to maintain independence and quality of life. In general, the more assistance an individual requires, the higher the cost of care. For example, individuals who require assistance with bathing, dressing, or other ADL tasks may need to move into a nursing home or assisted living facility, where the cost of care can be significant. Similarly, those who need help with transportation, meal preparation, or other IADL tasks may require in-home care or other services to ensure they can continue to live independently. Furthermore, changes in ADLs and IADLs can also affect eligibility for certain long-term care services. For example, Medicaid may only cover long-term care services for individuals who require assistance with at least two ADLs, such as bathing or dressing. Likewise, some long-term care insurance policies may only provide coverage if an individual requires assistance with a certain number of ADLs or IADLs.
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problem-solving skills, and include things like:
EARLY PHASE \\ THE PLAN
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HOW ARE ADLS AND IADLS ASSESSED BY HEALTHCARE PROFESSIONALS? Healthcare professionals typically assess a person’s ADL and IADL function by conducting a comprehensive evaluation. This evaluation may include a review of the person’s medical history, physical examination, and observation of the person’s ability to perform various tasks. For ADLs, healthcare professionals may use a tool called the Katz Index of Independence in Activities of Daily Living, which assesses a person’s ability to perform six basic activities: bathing, dressing, toileting, transferring, continence, and feeding. Each activity is rated on a scale of independence, with scores ranging from dependent to independent. For IADLs, healthcare professionals may use the Lawton Instrumental Activities of Daily Living Scale, which assesses a person’s ability to perform more complex activities, such as managing finances, preparing meals, shopping, and using transportation. The scale rates each activity on a scale of independence, with scores ranging from dependent to independent. In addition to these standardized assessments, healthcare professionals may also conduct more informal assessments by observing a person’s ability to perform tasks during a clinic visit or home visit. They may also ask the person or their caregivers about any difficulties they may be experiencing with ADLs and IADLs. Overall, healthcare professionals use a combination of assessments to gain a comprehensive understanding of a person’s ADL and IADL function, which can help guide treatment and support services.
More
Visit srgtexas.com for steps caregivers can take to improve, prevent, or delay decline in daily living skills. As well as, how to prepare for an ADL/IADL assessment.
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EARLY PHASE \\ THE PLAN
CREATING A CARE PLAN
W
ith more Americans living well beyond their 70s, many individuals are now finding themselves entrusted with the position of caring for their aging parents, relatives and/or friends. For many, providing help for aging parents can be financially, logistically and emotionally challenging. This is why addressing long-term care needs before a major life event occurs can help alleviate some of the stress. Here are four steps to creating a cohesive care plan:
1. CONDUCT A NEEDS ASSESSMENT Put together a list of topics and questions to discuss with your parents. Consider the following: • Family Support – who is available to provide support/care
as needed? • Home Safety – are there safety concerns to be addressed? • Medical/Cognitive – are medical and cognitive health needs
being considered? • Mobility – what assistance with transportation is needed?
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• Legal Documents & Finances – are there plans in place for
paying for long-term care? Have necessary legal documents been addressed? • Housing – is their preference to age at home or move to a senior community? • Socialization – are they getting adequate opportunity to socialize? Communicate your concerns and include your parents in the dialogue on their future needs. If they’re unwilling to discuss
THE PLAN \\ EARLY PHASE
Remember
• Support comes in many shapes • Open the lines of communication before a crisis happens • Understand their financial situation without judgment • It’s not all about you
something you feel is important, agree to a time in the future when they would be willing to readdress. Alternately, they may be interested in writing out their wishes for you to review at a later date.
2. RESEARCH ELDERCARE PROVIDERS AND RESOURCES The current and future needs of your loved one will dictate the types of services and resources you need to look for. Explore available aging options on srgtexas.com.
4. EXECUTE A CARE PLAN Now that you’ve outlined any needs, steps and goals, along with roles and responsibilities, it’s time to put the plan into action. Over time, you’ll need to look for signs and know when to reassess the situation to put updated roles and responsibilities in place. Remember to be flexible and keep an open line of communication on care topics with your loved one.
Start here
To see a Care Plan example and access a free template for you to work from, visit srgtexas.com/caregivertoolkit
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3. CREATE A CARE PLAN Put a plan together that everyone agrees will meet both immediate and long-term needs. See an example of a Care Plan in our Caregiver Toolkit.
EARLY PHASE \\ THE PLAN
WHAT LEVEL OF CARE IS RIGHT
Understanding the Care Continuum ADULT DAY CARE An ideal option for older adults who wish to age at home but need daytime supervision. Adult day care centers provide services which typically include meals and activities that provide social interaction. Some centers specialize in services for individuals with Alzheimer’s and dementia. HOME CARE/HOME HEALTH For seniors living independently but require assistance. Nonmedical care (home care) or skilled medical care (home health) aim to allow an individual to remain at home by filling any gaps in care. These care services can range from specialized such as wound care to generalized like companionship and housekeeping.
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CONTINUING CARE RETIREMENT COMMUNITY A housing option whereby a spectrum of aging care can all be met within one community. Beginning with independent living, moving to assisted living and finally skilled nursing as needed. All are typically located together on one campus. INDEPENDENT LIVING A housing option for individuals who require little or no assistance with activities of daily living but enjoy access to dining, medical, hospitality and entertainment services. Also known as 55+ apartments or independent/retirement communities.
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Medicare
These types of care typically accept Medicare: • Skilled Nursing Continuing Care • Skilled Nursing Rehab • Home Health Care • Hospice Care
ASSISTED LIVING A housing option similar to independent living but for those who require more assistance and have difficulty with daily living activities. PERSONAL CARE HOME Assisted living in a home-like setting that typically has fewer residents. SKILLED NURSING/ REHABILITATION FACILITY Ideal for those individuals who require constant nursing care. These facilities are licensed and equipped to provide residents with health care that meets the needs of more involved medical conditions.
HOSPICE CARE End-of-life care for the terminally ill, usually via visits in the home or facility of residence.
More
For a more detailed look at each of these levels of care, visit srgtexas.com.
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ALZHEIMER’S/DEMENTIA CARE Provides special programs and assistance for those with memory loss. Some facilities may provide special security measures.
EARLY PHASE \\ THE PLAN
WHAT’S AN ADULT DAY CENTER? How it Can Help Caregivers
A
dult day centers provide care and companionship to seniors in a structured setting, which allow primary caregivers an opportunity to work, catch up on personal items or simply relax. Are adult day centers the same as your community’s senior center? While senior centers are intended for healthy, independent and physically capable older adults, adult day services are for individuals with physical or cognitive limitations. Adult day centers are an ideal option for older adults who wish to age at home but need some supervision. Different programs and services can be found at each adult day center. For example, some centers may specialize in Alzheimer’s or dementia care while others may offer therapeutic exercise, mental interaction, social activities and assistance with personal care. Some centers offer weekend or evening hours, but most operate weekdays during daytime hours. Many provide daily activities, nutritional meals and transportation to and from the center at no cost or on a per-ride basis. Depending on the services offered, costs for adult day care can range from $25 to over $100 a day, according Visit srgtexas.com to the U.S. Administration on Aging. to further your Texas has one of the lowest average understanding and learn: daily rates around $35. • When exactly is the right To find adult day care programs time for adult day service in your area, type your zip code into • What questions to ask the National Adult Day Services when vetting centers Association’s searchable online directory • How to help your loved (found on their website) or contact your one adjust to the new care local Area Agency on Aging.
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More to Know
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EARLY PHASE \\ THE PLAN
OMBUDSMEN ARE HERE TO HELP Courtesy of Texas Health and Human Services
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A
long-term care ombudsman not only enforces, but also helps nursing home residents to understand their rights. Living in a nursing home doesn’t mean giving up your freedom. If you feel someone is violating you or your loved one’s rights, the Texas Health and Human Services Commission’s long-term care ombudsman can help. Nursing home residents have the same rights and protections of their health, safety and welfare that we all share. For nursing home residents, these rights include the right to vote, voice complaints, exercise personal choice, the opportunity to make medical and social decisions, visit with anyone they wish, and to be lawfully discharged and leave the facility. One of the most common issues one might face when being discharged is to potentially lose their spot in the nursing home they were initially admitted to. This practice, known as “patient dumping,” is among the top five frequent complaints Patty Ducayet, Texas long-term care ombudsman, sees. The long-term care ombudsman will make sure the individual knows their rights, including the right to appeal and return to the nursing home after a hospital stay, and can represent them during that appeal.
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Important Number
Call 800-458-9858 to report suspected elder abuse or neglect that occurs in nursing homes, assisted living facilities, day activity and health services. You can also report care concerns about home health and hospice agencies.
Often the most direct and expedient way to ensure your issue is addressed is to inform the skilled nursing facility’s management team, but the Texas Health and Human Services Commission stands by ready to help if needed. According to Texas Health and Human Services, some of the ways long-term care ombudsmen help nursing home and assisted living residents include: • Listening to residents and family members when they have
concerns or issues. • Telling residents about their rights. • Protecting resident health, safety, welfare and rights. • Helping families learn about nursing homes and how to pay
for them. • Working to solve problems and making sure state
“An ombudsman can help bring the resident’s concerns to management and offer ideas to address the concern,” Ducayet said. “An ombudsman can give everyone information about the nursing facility’s requirements about residents’ rights and will tell the resident about the option to report a complaint to HHSC LongTerm Care Regulatory Services.”
Find out more For more information on the ombudsman in your area: 800-252-2412 hhs.texas.gov (search for ombudsman)
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regulations and laws protect residents.
EARLY PHASE \\ CONVERSATIONS
MASTERING DEMENTIA COMMUNICATION
Strategies for Meaningful Phone Calls
T
he difficulties of communicating with a loved one who has dementia are well-known, but when it comes to phone conversations, the challenge can be even greater. Yet, as challenging as it may be, staying connected with loved ones is vital for their emotional wellbeing. Remember, it’s the little moments of connection that can make a big difference in someone’s life. So let’s dive in and explore how we can show up for our loved ones with compassion, empathy, and understanding.
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1. Focus on emotional connection. Rather than focusing on facts or details, prioritize emotional connection and engagement during your phone call. Ask your loved one how they are feeling and validate their emotions. 2. Use validation therapy. Validation therapy is a technique that involves acknowledging and validating the emotions and experiences of people with dementia, even if they may not be based in reality. For example, if your loved one believes they are speaking with a deceased family member, don’t try to correct them. Instead, validate their feelings and use this opportunity to reminisce about positive memories with that family member. 3. Ask open-ended questions. Ask open-ended questions that require more than a yes or no answer. This can encourage
CONVERSATIONS \\ EARLY PHASE
your loved one to share their thoughts and feelings, rather than just providing one-word responses. 4. Provide positive feedback. Provide positive feedback during the call, such as praising your loved one for sharing a memory or expressing their feelings. This can help boost their confidence and make them feel valued and supported. 5. Use sensory stimulation. Sensory stimulation can be a powerful tool for engaging people with dementia during phone calls. For example, you could ask your loved one to describe what they are seeing outside their window, or ask them to recall the smell of a favorite food. 6. Use gentle redirection. If your loved one becomes agitated or starts to focus on negative topics, use gentle redirection to steer the conversation back to positive topics. For example, you could ask them about a happy memory or a favorite hobby.
8. Seek professional support. If you are struggling to communicate effectively with your loved one, seek support from a professional caregiver or dementia care specialist. They can provide additional guidance and strategies for effective communication. By applying these tactics, caregivers can overcome the communication challenges associated with dementia and create meaningful connections with their loved ones, even when they can’t be there in person.
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7. Be patient and adaptable. People with dementia may experience changes in their cognitive abilities over time, so it’s important to be patient and adaptable. Be willing to adjust your communication style and approach as needed to meet their changing needs.
EARLY PHASE \\ CONVERSATIONS
THE ROAD AHEAD: Tips for Starting the Conversation About Aging Care Arrangements
H
aving a conversation about aging care arrangements is not easy, but it’s an essential step in ensuring that everyone’s needs are met and there’s a plan in place for the future. However, it’s important to prepare for the conversation to increase the likelihood of a successful outcome. In this article, we’ll discuss why it’s important to prepare, who should be involved in the conversation, and tips for getting ready.
WHY IT’S IMPORTANT TO PREPARE Preparing for the conversation can help to avoid misunderstandings, reduce anxiety and conflict, and ensure that everyone’s needs are taken into account. Additionally, it can help to ensure that the conversation remains focused and productive, rather than becoming overwhelming or unproductive.
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WHO SHOULD BE INVOLVED IN THE CONVERSATION The conversation should involve all relevant parties, including the person who will be receiving care, their family members or caregivers, and any medical professionals or financial advisors who may be involved in the decision-making process. HOW TO START THE CONVERSATION Starting the conversation can be as simple as expressing your concern for the future and your desire to plan ahead. You can begin by mentioning some of the research you’ve done and the information you’ve gathered about aging care arrangements. Alternatively, you could bring up a specific scenario or situation that has made you realize the importance of planning ahead.
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TIPS FOR PREPARING FOR THE CONVERSATION 1. Setting the Right Time and Place Choose a time and place where everyone can feel comfortable and free from distractions. Make sure that everyone is well-rested and in a good emotional state to avoid misunderstandings or unnecessary conflict. 2. Gathering Information Gather information about the different aging care arrangements, their pros and cons, and any relevant costs. This information can help to inform the conversation and ensure that everyone has a clear understanding of the options available. 3. Anticipating Objections and Questions Anticipate objections or questions that may arise during the conversation and prepare appropriate responses. This can help to prevent the conversation from becoming derailed or unproductive. 4. Considering the Emotional Aspect Recognize that the conversation can be emotional and that everyone involved may have different feelings and concerns. Be respectful of everyone’s emotions and try to approach the conversation with empathy and understanding.
COMMON SOURCES OF RESISTANCE AND CONFLICT Resistance and conflict can arise for a variety of reasons, including: • Fear of losing independence or control • Differing opinions on the best course of action • Discomfort with discussing aging, illness, and death • Concerns about the financial implications of aging care arrangements • Family dynamics and past conflicts
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NAVIGATING RESISTANCE AND CONFLICT Even with the best intentions and effective communication strategies, resistance and conflict can arise when discussing aging care arrangements.
EARLY PHASE \\ CONVERSATIONS
STRATEGIES FOR ADDRESSING RESISTANCE AND CONFLICT Addressing resistance and conflict requires patience, empathy, and a willingness to find common ground. Here are some strategies that can help: 1. Encouraging Open Dialogue Encourage everyone involved to express their thoughts and concerns openly and honestly. By creating a safe and non-judgmental space for dialogue, you can help to foster understanding and find solutions that work for everyone. 2. Finding Common Ground Identify areas of agreement and shared values, and use them as a starting point for building a plan. By focusing on what everyone wants rather than what they don’t want, you can help to create a sense of unity and cooperation. 3. Seeking the Help of a Mediator If the conversation becomes particularly challenging, consider seeking the help of a neutral third party. A mediator can help to facilitate communication, find common ground, and ensure that everyone’s needs are taken into account. 4. Taking a Break if Necessary If the conversation becomes too heated or emotional, it may be necessary to take a break and revisit the conversation at a later time. This can give everyone involved time to reflect and regroup, and can help to prevent the conversation from becoming more contentious.
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By following these tips, you can be better prepared for the conversation and increase the chances of a successful outcome. Remember, the goal of the conversation is to ensure that everyone’s needs are met and that there’s a plan in place for the future.
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Clearly define next steps, preferences, and necessary arrangements with our easy-to-use Care Plan template on srgtexas.com.
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EARLY PHASE \\ LEGAL + FINANCIAL
Do You Need
POWER OF ATTORNEY?
N
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o one ever wants to imagine a future where they’re unable to make decisions for themselves. But as a caregiver, you need to plan for that possibility. Power of attorney can help ensure that your loved one’s wishes are respected and that you have the legal authority to make decisions when needed.
WHAT IS POWER OF ATTORNEY? In simple terms, power of attorney is a legal document that grants someone else the authority to act on your behalf. This can include making decisions, signing documents, or managing finances. There are different types of power of attorney, including durable, limited, and medical. Durable power of attorney is one of the most common types and remains in effect even if the person who granted it becomes incapacitated. This can be helpful in situations where your loved one may not be able to make decisions for themselves due to a medical condition or injury. Limited power of attorney is another type and is used for specific tasks or a certain period of time. For example, you could use a limited power of attorney to allow someone to sign documents on behalf of your aging parent or spouse while they’re recovering from a surgery and unable to attend in person. Finally, medical power of attorney grants someone else the authority to make medical decisions on your loved one’s behalf if they become unable to do so themselves. Overall, power of attorney can provide great peace of mind to both the person being cared for and their caregiver, allowing for important decisions to be made quickly and efficiently in times of need.
Keep Copies
LEGAL + FINANCIAL \\ EARLY PHASE
WHAT’S THE DIFFERENCE BETWEEN POWER OF ATTORNEY, LIVING WILL AND TRUST? While power of attorney grants someone else the authority to make decisions on your behalf, a living will expresses your specific preferences regarding medical procedures. A trust is typically used to manage a person’s assets.
It’s generally recommended to keep both a physical copy and a digital copy of the power of attorney document.
WHEN WOULD IT BE BENEFICIAL FOR THE CAREGIVER TO HAVE POWER OF ATTORNEY? Medical decisions: When incapacitated, the agent makes medical choices for optimal care. Financial decisions: If the person being cared for is unable to manage their finances, their agent can step in to ensure that bills are paid on time, important financial decisions are made, and their assets are protected. Legal decisions: If legal documents or decisions arise, the agent acts on the person’s behalf, safeguarding their wishes and legal interests. Property management: For property or asset owners, the agent manages and protects their assets, ensuring their best interests are served.
Question Checklist
Discover the key questions to ask during a consultation with an attorney or law firm at srgtexas.com.
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DOES MY FAMILY AUTOMATICALLY HAVE POWER OF ATTORNEY IF SOMETHING HAPPENS TO ME? This is a common misconception, but it’s not necessarily true. Without a power of attorney in place, family members may need to go through a lengthy and expensive legal process to be appointed as an agent. By having a power of attorney in place, you can choose who you want to make important decisions on your behalf and avoid potential conflicts between family members.
EARLY PHASE \\ LEGAL + FINANCIAL
Shielding Vulnerable Seniors from
FINANCIAL SCAMS
F
inancial scams can be particularly devastating for seniors who are too trusting or have dementia. These individuals may be more susceptible to fraud and may not even realize they are being taken advantage of. As a caregiver, it’s important to take extra steps to protect your loved ones in these situations. Consider seeking legal guardianship or power of attorney. If your loved one is particularly vulnerable to financial scams, you may want to consider seeking legal guardianship or power of attorney. This can give you the legal authority to make financial decisions on their behalf and protect them from fraud.
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Use call-blocking technology. To protect seniors from scammers who use phone calls as a means of targeting them, it’s advisable to use call-blocking technology. This can include setting up call screening or blocking calls from unknown numbers. You can also set up a voicemail message that instructs callers not to leave personal information and to call back from a verified number to ensure the call is legitimate. Post reminders in visible locations. Posting reminders in visible locations, such as next to the phone or on the refrigerator, can also be helpful. These reminders can include instructions not to give out personal information or money, as well as phone numbers for trusted family members, caregivers, or professionals who can be contacted if there is any suspicion of fraud.
Beware!
LEGAL + FINANCIAL \\ EARLY PHASE
Regularly check credit reports. Regularly checking credit reports can help detect any fraudulent activity, such as unauthorized credit card applications or loans. Consider setting up a credit monitoring service or regularly checking credit reports for your loved one.
According to the U.S. Social Security Administration, scams come in many varieties, but they all work the same way: • Scammers pretend to be from an agency or organization you know to gain your trust.
Be cautious of caregivers or helpers. • Scammers say there is a When hiring caregivers or helpers, problem or a prize. it’s important to be cautious and do • Scammers pressure you to act immediately. your due diligence to ensure that you’re working with someone you can • Scammers tell you to pay in a specific way. trust. Not all care providers have good intentions, so it’s important to take steps to protect yourself and your loved one. Consider conducting a thorough background check on any potential helper before hiring them. Keep important documents, such as wills, trusts, and powers of attorney, in a secure location and limit the amount of financial information that a hired helper has access to.
Install security software on their computer. If your loved one uses a computer, encourage them to install antivirus or malware protection to help prevent online scams or fraudulent activity. Use a shredder to destroy sensitive documents. Sensitive documents, such as bank statements or credit card offers, should be shredded before being thrown away and never left out in the open where they can be stolen.
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Consider using a financial advisor or money manager. If your loved one is struggling with managing their finances, consider hiring a financial advisor or money manager to assist them. These professionals can provide valuable guidance and advice, and can help protect your loved one’s assets from scams and fraud.
EARLY PHASE \\ INITIAL MEDICAL CARE
UNDERSTANDING MEDICARE:
Parts, Plans and Meeting Your Needs Courtesy of Sharon Wagner, seniorfriendly.info
M
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any Americans who enter into Medicare do so with a sketchy understanding of how the system works. That’s rather alarming considering how much older Americans rely on Medicare for their health care needs. It’s essential that seniors and their caregivers understand how the program works to avoid missing out on important benefits and paying unnecessarily high costs. Sometimes, the best approach is to start from the beginning when unraveling a complex subject like Medicare.
PARTS OF MEDICARE When you sign up for Medicare at age 65 you’re automatically enrolled in Plan A, which is hospital coverage, and Plan B, which covers outpatient coverage. Part A covers room and board in a hospital or skilled nursing facility, while Part B covers things like doctor visits, surgeries, lab work, equipment and diagnostic tests. Prescription drugs are covered under Part D, which provides a card that allows you to buy prescription medications at a significantly lower cost than retail. Part D insurance is voluntary coverage, but it’s a key part of the system because paying out-ofpocket for medications can be extremely expensive.
HOW THE PARTS WORK Your Medicare Part B coverage is based on income, with enrollees starting at a base rate of $135.50 while higher-income enrollees pay an “income adjustment” (meaning they pay more for Medicare). Part B is a necessity; you can’t purchase supplemental insurance unless you have both Part A and B. If you’re working for a large employer, your health insurance there continues as your primary with Medicare playing a secondary role, meaning you can delay enrolling in Part B if your group insurance already includes outpatient benefits. Part B covers 80% of medical services, with your share being the remaining 20%. Certain treatments and procedures can be quite expensive, which means you could end up with a hefty co-pay. Part D has built-in co-pays for medications, so you won’t need supplemental insurance for the cost of needed medications. MEDICARE ADVANTAGE Choosing the right supplemental coverage is one of the most important decisions you’ll make as a Medicare enrollee.
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INITIAL MEDICAL CARE \\ EARLY PHASE
EARLY PHASE \\ INITIAL MEDICAL CARE
Fortunately, you can select plan options based on your budget. Medicare Advantage, also known as Part C, offers plans that provide a low-cost alternative to Medicare. These plans have their own local network of providers and usually have lower premiums than Medigap, though there are co-pays for hospital stays, doctor visits and other approved services. Medicare Advantage also has a folded-in version of Part D, though it’s important to remember that it may not include the specific medications you need.
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MEDIGAP As mentioned, Medicare pays 80%. A Medigap plan pays the other 20% of your Part B outpatient expenses. Some Medigap plans also cover Part A and B deductibles, though you purchase your own stand-alone Part D coverage since Medigap doesn’t cover prescription medications.
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info@leadingagetexas.org
www.leadingagetexas.org
(512) 467-2242
EARLY PHASE \\ INITIAL MEDICAL CARE
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DECIDING WHETHER MEDICARE ADVANTAGE COULD BENEFIT YOU Check to make sure your doctor is in-network and accepts Medicare Advantage (some accept original Medicare instead). Keep in mind, most Advantage plans are good about pairing you with a specialist if your doctor is out of network. You’ll also want to make sure any medications you take are covered. If you take several prescriptions and have reached the “donut hole,” the annual limit on what Medicare Advantage will cover (between $3,820 and $5,100 on covered medications), bear in mind that Part D enrollees get a 75% donut hole discount on brand-name drugs starting at $3,800. Consider also your out-of-pocket costs if you anticipate health care expenses. You can always choose a plan with lower out-of-pocket costs. Check out the plan finder at Medicare.gov to find Medicare Advantage plans in your area that meet your needs. Note that plans such as Humana Medicare Advantage have extensive benefits, including vision and dental coverage as well as an innovative fitness program called SilverSneakers, which provides access to over 13,000 fitness centers. It’s important to understand the Medicare system so you can find the coverage you need. As you compare and contrast plans, carefully check network provider and covered prescription medication lists. And stay abreast of the changes which frequently occur with Medicare. It also helps to know that if your plan doesn’t work for you this year, you can change it next year.
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Welcoming adults 63+ with Medicare, Medicare Advantage and most HMO/PPOs.
Schedule an appointment today! New patients welcome! Four Convenient Locations! Aurum Wellness A Legacy Clinic 3021 Texas Pkwy Missouri City, TX 77489 T: (713) 814 3640 AurumWellness.com Legacy Stafford Fountains 12540 Sugardale Drive Stafford, TX 77477 T: (713) 814 3655 Legacy Third Ward 2222 Cleburne Street Houston, TX 77004 T: (832) 548 5000 Legacy San Jacinto 4301 Garth Road Baytown, TX 77521 T: (832) 548 5000
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Because Your Primary care for Medicare patients It matters who takes care of you, regardless of your age. At WellMed, our doctors and care teams focus on prevention to help you live healthier because to us, your health matters. Put your health in the hands of experienced health care professionals you can trust. With WellMed, you can rely on our dedicated team of doctors, clinicians and specialists who:
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18 locations across the greater Houston area We accept Original Medicare and select Medicare Advantage plans. The company does not discriminate on the basis of race, color, national origin, sex, age, or disability in health programs and activities. We provide free services to help you communicate with us such as letters in other languages or large print. Or, you can ask for an interpreter. To ask for help, please call 888-781-9355. ATENCIÓN: Si habla español (Spanish), hay servicios de asistencia de idiomas, sin cargo, a su disposición. Llame al 888-781-9355. 請注意： 如果您說中文 (Chinese)，我們免費為您提供語言協助服務。 請致電：888-781-WELL (9355)。 © WellMed Medical Management, Inc.
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EARLY PHASE \\ INITIAL MEDICAL CARE
DOCTOR’S APPOINTMENTS: Your Role as the Caregiver
A
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s a caregiver, your role in managing your loved one’s health care cannot be overstated. One of the most important roles you play is accompanying them to doctor’s appointments. Doctor’s appointments can be overwhelming and confusing, especially for seniors or individuals with chronic illnesses. In this article, we’ll explore the role of caregivers in doctor’s appointments and provide some tips on how to make the most out of each visit.
PREPARING FOR THE APPOINTMENT Before the appointment, it’s crucial to ensure that you have all the necessary information and documentation. This includes making sure you have any necessary documents that need to be brought along (i.e., insurance and medical records, including a list of medications, allergies, and past medical procedures). It’s essential to provide your loved one’s doctor with as much information as possible to facilitate a more accurate diagnosis and treatment plan. It’s also helpful to prepare a list of questions to ask the doctor during the appointment. Encourage your loved one to be involved in this process by asking them what they want to discuss with the doctor. Write down any concerns, symptoms, or changes in their condition since their last visit. Preparing these questions ahead of time ensures that you don’t forget any important details during the appointment. It also helps to prioritize the most pressing issues to ensure they are addressed during the appointment. ACCOMPANYING YOUR LOVED ONE Being present during doctor’s appointments is essential for caregivers. It allows you to act as an advocate for your loved one and make sure their needs are being met.
INITIAL MEDICAL CARE \\ EARLY PHASE
AFTER THE APPOINTMENT After the appointment, it’s important to follow up with the doctor and implement any recommended treatments or lifestyle changes. This may involve scheduling additional appointments or tests, picking up prescriptions, or making dietary or exercise changes. Encourage your loved one to take an active role in their healthcare by reminding them of the doctor’s recommendations and helping them stick to a care plan. To ensure you don’t miss anything, use a calendar or planner to set reminders for medications or upcoming appointments, tests, and treatments. If you notice any changes in your loved one’s condition or symptoms, don’t hesitate to contact the doctor for further advice or care. CONCLUSION Remember to stay organized, ask questions, and act as an advocate for your loved one’s needs. With a positive attitude and a supportive approach, you can help make doctor’s appointments a productive and beneficial experience for both you and your loved one.
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Start by ensuring that your loved one is comfortable and prepared for the appointment. This may mean bringing snacks, water, or medication, or helping them use the restroom before the appointment. During the appointment, listen carefully to what the doctor says and ask follow-up questions if something is unclear. If your loved one has difficulty hearing or understanding the doctor, speak up and ask the doctor to repeat or explain things in simpler terms. You should also take notes to ensure that you don’t forget any details. It’s also helpful to record the appointment or take a family member or friend with you to help you remember important details. It’s essential to be a supportive and attentive presence during appointments. This involves providing emotional support and reassurance to your loved one, especially if they’re anxious or uncomfortable. Be prepared to provide practical assistance, such as helping your loved one get dressed or walk to the appointment if they have mobility issues.
EARLY PHASE \\ INITIAL MEDICAL CARE
MOBILE CARE TELEMEDICINE PROVIDERS
HOUSE CALL PHYSICIANS
The following offer a “digital visit” via an app, cell phone or computer.
There are times when getting to the doctor’s office is prohibitive or not practical. For those times, consider a physician who makes oldfashioned “house calls.”
Houston Concierge Medicine 713-333-6464 houstonconciergemedicine.com
DispatchHealth
Houston Methodist Virtual Urgent Care
720-647-5329 dispatchhealth.com
713–790–3333 houstonmethodist.org/virtualurgent-care
Geriatric Home Care Physicians 281-491-6767 ghcphouston.com
M. Sandra Scurria, MD 281–661–5901 mdvip.com/doctors/sandrascurriamd
Harris Health House Calls and Palliative Care Program
Texas Center for Lifestyle Medicine
713-566-6832
713–690–1991 texascenterforlifestylemedicine.org
713-234-7057 drjulielester.com
Village Medical
Quentin Mease House Call Program
Julie Lester, DPM (podiatry)
713–461–2915 villagemedical.com
Visiting Physicians Association
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713-532-6884 visitingphysicians.com
WellMed 1-866-290-4895 wellmedfindadoctor.com
713-566-6832 harrishealth.org
UT Physicians Center for Healthy Aging House Call Program 713-486-5150 uth.edu/aging
Denotes Telemedicine Providers who also offer house call visits.
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INITIAL MEDICAL CARE \\ EARLY PHASE This content is proudly provided by
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Get a Better Understanding of
YOUR LOVED ONE’S PRESCRIPTIONS
M
edicine can be a complicated subject, and it’s easy to get overwhelmed, especially when you’re dealing with someone else’s well-being. Every time you pick up a prescription, your pharmacist will ask the usual, “Do you have any questions about your medication?” Most of us get in the routine of thoughtlessly saying no, giving in to the ongoing fear of looking foolish for asking questions. But the other option is trusting the reliably unreliable Dr. Google. So, what’s the real solution to help you understand your loved one’s medication? Ask your pharmacist these important questions.
Okay, so this one may seem a little obvious, but starting with the basics helps you know what to expect. Knowing what each medicine does and how long it takes to see the effects is a valuable part of confirming if it’s working. While you may be hyperaware of any changes in your loved one, or he/she may tell you new feelings, at the beginning, the effects of medicine that takes several weeks to work may slip under your radar. Having a general timeline will let you know when to check back in.
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What does this medication do? When can we expect it to start working?
EARLY PHASE \\ INITIAL MEDICAL CARE
Is there anything my loved one should avoid while on this medication? (e.g., activities, foods, other prescriptions or medicines) Prescription meds have targeted impacts on the body. However, their impact can be altered, worsened or diminished when combined with anything that reacts with them. Some things like alcohol are typical on the list of “things to avoid,” but staying up to date on everything to watch out for can help improve your loved one’s treatment experience. It’s important to be aware if your loved one should or should not be doing anything in particular, like wearing extra SPF or avoiding grapefruit. How should I store the meds? (As in, should I take my grandmother’s advice and put them all in the refrigerator?)
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Have you ever wondered why some people keep medications in their fridge? Some medicines, especially antibiotics, are recommended to be kept cold. Otherwise, most medications will do fine in a cool, dry space. Also, finding ways to dispose of medication and syringes is vital to keep you and others safe. Some pharmacies have on-site disposal for pharmaceutical waste, including tablets, syringes, sharps and more. Be sure to confirm with the pharmacist what the proper methods are for both storing and disposing. Being prepared for a pharmacy visit can help you find valuable advice and peace of mind. So, the next time the pharmacist asks the usual, “Do you have any questions about your medication?” you might have some questions of your own.
More to Know
There’s more of this article in our free Caregiver Toolkit. Get the answers to additional pharmacist FAQs, plus what you should know about prescription bottle labels: srgtexas.com/caregivertoolkit
THE PHARMACY FOR CAREGIVERS
We Care Rx Pharmacy specializes in tailoring your loved ones’ medication needs so you can spend more time at home with them. Our trusted pharmacists are experts at helping caregivers manage prescriptions. Let us simplify your life through delivery and shipping or our medication management services. Call us today for FREE delivery on your first prescription you fill with us. • SAME-DAY DELIVERY • NEXT-DAY SHIPPING • MEDICATION MANAGEMENT • ASSISTED PRESCRIPTION REFILLS
mywecarerx.com 12390 Kingsride Ln, Houston, TX 77024 (832) 582-6933
MID PHASE \\ DAILY CARE
How to Choose a
HOME CARE COMPANY
A
s our loved ones age or face health challenges, finding the right care and support becomes a top priority. Home care companies can provide valuable services that help maintain their independence and quality of life. But with so many options available, how do you choose the right home care company? In this article, we will explore some factors to consider when selecting a home care provider.
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DETERMINE YOUR NEEDS The first step in choosing a home care company is to determine your needs. Home care services can vary widely, and it’s important to find a provider that offers the services you need. Consider the type of care required, the frequency of care, and any special requirements or preferences. Some common home care services include personal care, companion care, respite care, medication management, and transportation. RESEARCH POTENTIAL PROVIDERS Once you have determined your needs, research potential home care providers in your area. Look for companies that are licensed and insured, and that have a good reputation in the community. You can start by asking for referrals from friends, family, or healthcare professionals. Online reviews and ratings can also be a helpful resource. CHECK CREDENTIALS AND TRAINING It’s important to ensure that the home care provider you choose has qualified
Search for care options by keyword, city, or zip code at srgtexas.com/find. And, to take your search one step further, check out our comprehensive Home Care Comparison chart to determine which local providers check off your boxes.
DAILY CARE \\ MID PHASE
and trained staff. Check the company’s credentials, such as licensing, certifications, and accreditations. Ask about the qualifications and training of the caregivers who will be providing care. They should have experience and training in the specific services you require.
CONSIDER COST AND PAYMENT OPTIONS It’s important to understand the cost and payment options upfront. Some companies may accept Medicare or Medicaid, while others may require private pay. Make sure to ask about fees, billing procedures, and any additional costs for services or supplies. EVALUATE THE QUALITY OF CARE The quality of care is crucial in choosing a home care company. Ask the provider about their quality control measures, such as staff training and supervision, client satisfaction surveys, and quality improvement programs. Look for a provider that has a good reputation for delivering high-quality care and that is responsive to the needs of their clients.
In conclusion, choosing a home care company can be a daunting task, but with some research and careful consideration, you can find a provider that meets your needs and provides high-quality care. By evaluating your needs, researching potential providers, checking credentials and training, considering cost and payment options, evaluating the quality of care, and assessing communication and customer service, you can make an informed decision and find a home care provider that you trust.
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ASSESS COMMUNICATION AND CUSTOMER SERVICE Communication and customer service are also important considerations when choosing a home care provider. You want a provider that is responsive to your needs and that communicates effectively with you and your loved one. Look for a provider that offers clear communication channels and that has a responsive and friendly customer service team.
When it comes to home care, not all providers are created equal.
Use the Senior Resource Guide’s Home Care Comparison Chart and online Care Directory to find the provider that’s right for your loved one. SRGTEXAS.COM/HOME-CARE
DAILY CARE \\ MID PHASE
Day or Night Encore Caregivers is there for your loved ones – when and where they need us! Unique to Encore Caregivers • Celebrating 2,000,000 hours of service • Celebrating 13 years of service • Houston family-owned and operated • 24-hour access to professional staff just a call away
7925 Katy Freeway, Suite N Houston, Texas 77024 | 713.686.2233 EncoreCaregivers.com | care@encorecaregivers.com LICENSED | BONDED | INSURED | PRIVATE PAY & INSURANCE
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Comfortable & Lightweight • Waterproof Wearable as a Pendant *$19.95 is the monthly price of subscription to a MobileHelp Classic at home only system. There is a one-time $49.95 processing fee and $15 shipping fee required to subscribe to this plan. Equipment may vary as shown. System featured in photo above is the MobileHelp DUO available at an additional monthly cost. Call or see terms and conditions for further details. 50% off Fall Detection Promotion valid when Fall Detection Service is added to your monitoring system and MobileHelp Connect Premium service is included with the order. Offer is valid for the first year of service only. This offer is for new customers only and cannot be combined with any other offers. Promotion available for select plans only and for a limited time. During the promotional term, you will receive $5 off the $10 full retail price of Fall Detection service. After first year, Fall Detect pricing reverts to discounted price of $7.50/ month when combined with MobileHelp Connect Premium. Fall Button does not detect 100% of falls. If able, users should always push their help button when they need assistance. Fall Button is not intended to replace a caregiver for users dealing with serious health issues. Service availability and access/coverage on the AT&T network is not available everywhere and at all times. Current GPS location may not always be available in every situation. MobileHelp is a registered trademark. Patented technology. MobileHelp is an FDA registered company. MHPN-00939 Rev. 1
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HOME CARE VS HOME HEALTH CARE HOW CAN I DETERMINE IF HOME CARE IS NECESSARY? When self-care at home becomes difficult and/or family caregivers are not available to assist, home care may be the answer. Home care often relieves family members of basic caregiving functions and makes it possible to spend quality time, rather than the functional caregiving time. Home care is often easier and faster than moving to an institutional care setting and allows the senior to stay at home in familiar surroundings.
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WHAT IS HOME HEALTH CARE? When the need exceeds what home and personal care can provide, a home health care agency may be required. Home health care provides skilled medical services (such as administration and adjustment of medication levels, monitoring and dressing of wounds, etc.) in the home by trained medical personnel. Home health care is always ordered and supervised by a physician. WHAT IS HOME CARE? Simply put, home care is non-medical personal assistance provided in the home. Home care may include help with bathing, dressing and personal hygiene. It may include a wide range of services: taking and recording vital signs, assistance in the bathroom, light housekeeping, meal preparation, companionship, grocery shopping and pharmacy errands, home safety supervision, medication reminders, bill-paying, laundry and transportation.
DAILY CARE \\ MID PHASE
GREATER HOUSTON AREA
HOME CARE / HOME HEALTH OPTIONS DediCare Home Health 346-701-7915
Encore Caregivers 713-686-2233
Platinum Senior Care 281-306-6615
Transition Home Healthcare 713-665-5471
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WILL MY INSURANCE COVER THE COSTS? Medicare, Medicaid and private insurances are sources of payment for receiving home and home health care. Home health care services are typically medically necessary. They are paid for by Medicare or other health insurance, and have been ordered by a physician. Private duty home care services are typically paid for privately, or using long-term care insurance, reverse mortgage proceeds, Veterans aid and attendance pension benefits, or some combination of any of these programs.
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DEDICARE HOME HEALTH
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PLATINUM SENIOR CARE
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HOME CARE COMPARISON
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COMPANIONSHIP
MEAL PREPARATION
LIGHT HOUSEKEEPING
For a full comparison chart that includes accepted forms of payment, criminal background checks, medication reminders, respite care, plus more, visit srgtexas.com
TRANSPORTATION
OCCUPATIONAL THERAPY
More
MID PHASE \\ DAILY CARE
HOW TO HANDLE ABUSE ACCUSATIONS
C
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aring for an aging family member, whether at home or in a senior living community, can put stress on the family. If your loved one suddenly begins making accusations of theft or abuse, the stress is multiplied exponentially. It can be terrifying to think that your loved one may be suffering and a victim of some form of mistreatment, but don’t leap to conclusions. There are a variety of situations in which an elderly person might make false accusations against caretakers or other residents. As sad as it may be to consider this possibility, it must be considered to determine the truth behind the accusation and provide the necessary help and support for your loved one. In this article we’re covering the circumstances that might give rise to abuse accusations from an aging loved one, and some suggestions on how to deal with them whether there true or groundless. There are also tips on what to look for to help determine whether abuse has occurred.
DEMENTIA AND DECLINE Seniors with dementia are frequently confused and disoriented. These senior delusions can be intense and cause them to put themselves or others in danger, which is what usually prompts their admission into a senior living facility. Even when dementia isn’t present, a decline in cognitive abilities and a gradual loss of short-term memory can make the world around them a scary, frustrating place.
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“I’M BEING ABUSED” False accusations of abuse are much more serious and complicated than others. Abuse covers a wide array of actions and interpretations. Seniors who are afflicted with dementia may falsely accuse someone of abuse if they’re feeling paranoid, frustrated, or uncomfortable. Asking an elderly person with dementia to provide more details about the abuse may not be as productive as hoped to be. The best way to look for signs of abuse is by visually observing your loved one.
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These negative feelings, in addition to dementia, Alzheimer’s or a more gradual memory loss and confusion, can easily lead to paranoia that results in false accusations of theft or abuse.
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Abuse can be physical, emotional, or sexual. Look for any sudden changes in your loved one. Do they have bruises, cuts or lesions that can’t be explained? Are they suddenly withdrawing from activities they used to enjoy? Are their glasses or other accessories broken or damaged? Any unusual physical or emotional changes you observe should be investigated. It’s important to be alert for these signs. People with dementia may wrongly accuse those around them if they’re feeling confused or uncomfortable, but the signs of abuse typically show up, whether an accusation is leveled or not. If you observe signs of abuse, whether your loved one has accused someone or not, seek help.
HANDLING FALSE ACCUSATIONS If you’ve verified that accusations of abuse are false, you can:
Good to Know
Other allegations of wrongdoings that seniors most commonly make include: • “I’m being poisoned” • “I’m being held prisoner” • “You/They are stealing from me” You can additionally seek help from a local ombudsman program, which is focused on supporting policies and consumer protections to improve long-term care at the facility, local, state and national levels.
• Distract them by steering the conversation to another topic.
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• Look for something you can do to make them happy. Seniors
with dementia lose the ability to do things, and this alone can feel like abuse to them. • When possible, switch the caregiver in question. Give the accused a break from caregiving. Sometimes a break is necessary for both parties. • Assure them that you’ve investigated the abuse and would never let them be abused.
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*Qualifying system purchase requires minimum $599.99 equipment purchase, professional installation and applicable services agreement. DIY system purchases and reactivations of previouslyinstalled systems not eligible for offer. Offer not available in all states or provinces. Equipment purchase may be financed separately subject to an agreement with one of Vivint’s third-party financing partners. Monthly $1.48 cellular network maintenance fee applies. Taxes and local permit fees may apply. New Vivint Customers only. Financing eligibility and terms subject to credit approval by one of Vivint’s third-party financing partners. Qualified customers may finance equipment purchase at 0% APR for up to 60 months. Month-to-month service agreement available when equipment is purchased upfront. System supports up to six cameras subject to sufficient WiFi speeds. Without a Vivint services plan, product and system functionality is limited (including loss of remote connectivity). Speak to a Vivint representative at the phone number in this offer for complete equipment, services, and package details, including pricing and financing details. Products and services in Louisiana provided by Vivint Louisiana Commercial Certificate #58280. See comprehensive Vivint license numbers on Vivint.com.
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HOW TO REPORT ELDER ABUSE OR NEGLECT IN TEXAS If you believe your loved one is being mistreated, seek help. Your first steps should always be to share your concerns with the senior living facility, doctors who see them regularly, and anyone else close to them. If you find abuse, report it. You can call Texas Health and Human Services Commission at 800-458-9858. The commission’s website has other information on reporting abuse. (hhs.texas.gov/ services/your-rights/complaint-incident-intake/how-can-i-reportabuse-neglect-or-exploitation) If you have proof of an act of abuse or neglect, you’re legally required to report it, a point that’s emphasized on the website of Texas Attorney General Ken Paxton. You’re protected under the law and won’t be named. If the senior is being abused or neglected in a facility that receives Medicaid funding, you should report it to the Attorney General’s Medicaid Fraud Unit at 800-252-8011. By understanding what can cause elderly people to make false accusations, you can better determine the truth behind the accusation and properly deal with whatever situation you confront.
Interfaith Senior Services promotes independent living to senior adults 62 and older From young people to senior adults, if there is a need, Interfaith of The Woodlands is here to help. We offer many services to our senior neighbors, including: Financial Assistance Prescription Drug Assistance Information & Referral Transportation Numerous Wellness Programs Interfaith answers the needs of senior adults in South Montgomery County. As our name suggests, Interfaith of The Woodlands fosters the belief that all faiths can work together to address critical human needs. If you or someone you know are in need of assistance, a helping hand is waiting.
4242 Interfaith Way, The Woodlands, TX 77381 woodlandsinterfaith.org | woodlandsdirectory.com
MID PHASE \\ SELF CARE
OVERCOMING THE OVERLOAD:
Coping with Caregiving Curveballs
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ave you ever felt like life was handing you more than you could handle? Like you were juggling too many balls and they were all about to come crashing down? As a caregiver, you know this feeling all too well. Between managing appointments, medications, and daily tasks, it can be easy to feel overwhelmed, frustrated, and burnt out. But what happens when life throws an unexpected curveball? A hospital stay, a family conflict, a financial crisis? These are the moments when our resilience is put to the test, and we have a choice: to crumble under the weight of it all or to rise up and face the challenge head-on. Even with the best preparations, unexpected events can still occur, and it’s important to have coping strategies in place to help you manage during those times. It’s normal to feel frustrated and overwhelmed when faced with unexpected challenges, but it’s important to remember that you can reverse those feelings by adopting coping strategies that work for you. Here are some strategies that can be helpful:
PRACTICE MINDFULNESS When faced with unexpected events, it’s easy to get caught up in negative thoughts and feelings. Practicing mindfulness can help you stay in the present moment and manage your thoughts and emotions more effectively. This can be as simple as taking a few deep breaths, focusing on your senses, and acknowledging your thoughts without judgment.
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TAKE CARE OF YOURSELF Self-care is always important, but it’s especially crucial during times of stress. Make sure you’re getting enough sleep, eating well, and taking time to do things that make you happy and relaxed. FOCUS ON WHAT YOU CAN CONTROL In many cases, unexpected events are out of our control. Instead of dwelling on what you can’t control, focus on what you can. This could include making a plan, taking action on things you can change, or simply accepting the situation as it is.
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REACH OUT FOR SUPPORT During times of stress, it’s important to have a support system in place. This could include family members, friends, or support groups. Don’t be afraid to reach out for help and support when you need it.
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MeTime Create space to recharge by taking a few meaningful minutes to do something for yourself. Here are some 5-minute ideas: • Make yourself a cup of tea or coffee • Five-minute breathing exercise • Meditate (or just close your eyes and relax) • Read a short article of interest
PRACTICE REFRAMING NEGATIVE EVENTS Instead of automatically assuming that something you don’t want is bad, try to keep an open mind and look for potential opportunities or silver linings. This can help you stay optimistic and proactive in the face of adversity. For example, if your doctor is no longer covered by your insurance, instead of feeling frustrated and defeated, you could take the opportunity to research and find a new doctor who may be an even better fit for you or your loved one. By reframing the situation, you can turn a negative event into a chance for growth and improvement.
• Stretch
BE KIND TO YOURSELF It’s easy to be hard on ourselves during • Chat with a friend or family member times of stress, but it’s important to remember that we’re only human. Be kind to yourself and allow yourself to feel whatever emotions come up, without judgment or criticism.
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• Take a power nap
PAUSE BEFORE YOU ACT When an unexpected event occurs, it’s easy to react without thinking. But taking a moment can help you fully assess, make better decisions, and avoid any unnecessary mistakes. It may be helpful to write down your thoughts and feelings to gain some clarity. Remember, the first moments after an unexpected event can be the most difficult to manage, so take the time you need to think things through.
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WE SPECIALIZE IN HOME CARE
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WE EXCEL IN DEMENTIA CARE
We provide customized care using a Montessori and holistic approach because you deserve the best quality of life. And, our COVID-19 procedures are designed to ensure your safety. Personalized Care Light Housekeeping | Meal Preparation | Grooming/Bathing/Dressing Customized Activities/Hobbies | Hospital/Rehab to Home Companion Care (in-home/facility/appointments) | Errands/Grocery Shopping
Call us today for a FREE assessment! • PERSONAL CARE • COMPANION CARE • RESPITE CARE • DEMENTIA CARE/TESTING
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PRACTICE EMOTIONAL DETACHMENT While it’s important to acknowledge and process your emotions, it can also be helpful to cultivate a degree of emotional detachment when dealing with unexpected events. This doesn’t mean being cold or unfeeling, but rather acknowledging your emotions without letting them control you. It means taking a step back from the situation and not allowing your emotions to completely take over. When you detach yourself from the situation, you can approach it with a more objective and rational mindset, which can help you make better decisions and cope more effectively. Remember that excessive attachment to the familiar can make it harder for you to adapt to changes and can amplify the negative impact of unexpected events.
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MAKE IT A LEARNING OPPORTUNITY Every situation, no matter how difficult or challenging it may seem, has something to teach us. Try to approach the situation with a curious and open mindset, and ask yourself questions like “What can I learn from this experience?” or “How can I grow from this situation?” By doing so, you can turn a negative event into a positive opportunity for personal development and growth. This mindset shift can also help you feel more empowered and in control of the situation. Remember that setbacks and failures are a natural part of life, and that every successful person has experienced them. It’s not about avoiding them, but rather about learning from them and using them to become a better version of yourself. By implementing these coping strategies, you can get better at handling unexpected events and minimize their impact on your life and your loved ones. It’s not about dodging every curveball that life throws our way—let’s be honest, that’s impossible—but about building up our resilience and flexibility so we can handle anything that comes our way with grace and strength.
Caring for a senior can be rewarding, but it’s not always easy.
Find support and recharge. Visit the Senior Resource Guide’s website and explore our online Care Directory for local care options and respite solutions. SRGTEXAS.COM/RESPITE
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ZESTY ZEN ZONE
H
ibiscus tea is a tart and refreshing beverage made from steeping dried hibiscus flowers in hot water. It’s a popular drink in many parts of the world and is known for its vibrant red color and fruity flavor. It has been traditionally used for its medicinal properties. Studies have shown that hibiscus tea can help to lower blood pressure and cholesterol levels, which can have a positive impact on heart health. It’s also high in vitamin C, which can help to boost the immune system and promote healthy skin. Overall, it’s a refreshing and healthy beverage that can be enjoyed hot or cold. It’s easy to make and can be customized to taste with honey, agave nectar, or other natural sweeteners.
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HIBISCUS ICED TEA INGREDIENTS
DIRECTIONS
• 4 cups of water • 1/2 cup of dried hibiscus flowers • Honey or agave nectar to taste • Fresh lime wedges for garnish • Ice cubes
In a large pot, bring water to a boil. Add the dried hibiscus flowers to the water and remove from heat. Let the flowers steep in the water for 10-15 minutes. Strain the tea through a fine mesh sieve to remove the flowers. Add honey or agave nectar to taste and stir until dissolved. Chill the tea in the refrigerator for at least 2 hours or until cold. Serve the tea over ice and garnish with fresh lime wedges.
Eat up!
Find more recipes on srgtexas.com
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10-MINUTE ENERGIZING BREAKFAST
S
tart your day off right with this quick and easy breakfast that’s packed with protein, fiber, and healthy fats. Chia seeds are a nutritional powerhouse, packed with fiber, protein, and omega-3 fatty acids. They can help reduce inflammation, lower cholesterol, and regulate blood sugar levels. When mixed with liquid, chia seeds create a gellike consistency that can help keep you feeling full and satisfied, making them a great choice for breakfast or as a snack. This recipe also includes coconut milk, which is rich in medium-chain triglycerides (MCTs), a type of healthy fat that can provide a quick source of energy for the body. The addition of fresh berries adds natural sweetness and an extra boost of vitamins and antioxidants. By choosing a natural sweetener like maple syrup or honey, this recipe can be a healthy alternative to store-bought desserts.
BERRY CHIA SEED PUDDING
INGREDIENTS
DIRECTIONS
• 1/2 cup chia seeds • 1 can (13.5 oz) full-fat coconut milk • 1/2 teaspoon vanilla extract • 2 tablespoons honey or maple syrup • 1/2 teaspoon cinnamon • 1 cup mixed berries (fresh or frozen)
In a mixing bowl, whisk together chia seeds, coconut milk, vanilla extract, honey or maple syrup, and cinnamon until well combined. Let the mixture sit for 5-10 minutes and then whisk again to break up any clumps that have formed. Cover the mixture and refrigerate for at least 2 hours or overnight, stirring occasionally to prevent clumping. Once the pudding has thickened and set, divide it between two serving bowls or jars. Top each serving with mixed berries and enjoy.
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Makes 2 servings
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Easy Ways to Schedule
DAILY MOVEMENT
A
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s we age, staying active becomes increasingly important for our physical and emotional well-being. Physical activity helps us build endurance, strength, balance, and flexibility, which in turn helps us maintain our independence and mobility while reducing the risk of falls. Plus, it gives us that sweet, sweet endorphin rush that makes us feel like we can take on the world. Now, we’re not saying you have to run a marathon or anything (unless that’s your jam, in which case, keep it up!), but scheduling movement into your day can be a game-changer. Although busy schedules, physical limitations, and a lack of motivation can make it challenging to incorporate movement into daily life, we’ve got some ideas to help. Let’s explore some easy ways to get your body moving and grooving in no time.
ENDURANCE • Participate in virtual fitness classes • Take a bike ride on a stationary bike • Play Wii Fit or other interactive video games • Walk around the house while talking on the phone • Do seated marching while watching TV • Take the stairs instead of the elevator • Do household chores such as sweeping or vacuuming • Join a senior-friendly dance class (or watch a chair-based Zumba class on YouTube) • Do water aerobics or go for a swim • Play with grandchildren outside • Put on the music and take a dance break while making dinner • Make a few laps around the house during commercial breaks • Park a little further away from the store entrance to get some extra steps in
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Smart Tip!
BALANCE • Stand on one leg while brushing teeth • Try yoga poses that focus on balance (tree pose, warrior III) • Do heel raises while holding onto a chair and closing your eyes • Sit on an exercise ball while watching TV or reading • Walk heel-to-toe along a straight line • Do calf raises while waiting for the microwave to beep • Stand on one foot and do arm circles • Take a Tai Chi or Qigong class • Walk on uneven surfaces such as grass or sand • Stand on a soft surface like a pillow or mat • Walk backwards up and down a hallway • Practice standing up and sitting down without using hands
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STRENGTH • Do bicep curls with water Use a pedometer bottles or canned goods or fitness tracker • Use resistance bands to do arm to monitor daily and leg exercises steps and set goals • Lift weights or use weight for increasing machines at the gym activity levels. • Do push-ups against a wall or counter • Use ankle weights during daily activities • Do squats while holding onto a chair for support • Do chair yoga • Use hand grippers to improve grip strength • Do bodyweight exercises such as planks or lunges • Walk with a weighted backpack
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FLEXIBILITY • Try stretching exercises before getting out of bed • Stretch your arms while waiting for the coffee to brew • Do seated stretches while watching TV (leg extensions and torso twists) • Do a 10-minute yoga routine in the morning (include downward facing dog) • Use a resistance band for assisted stretching • Attend a chair yoga, stretching, or gentle pilates class • Practice deep breathing exercises • Do shoulder and neck stretches while sitting at a desk • Do full body stretches after a hot shower • Practice stretching before and after any physical activity • Do hip circles while standing in the kitchen
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By setting aside time for physical activity each day and finding simple ways to incorporate it in everyday functions, we can make movement a habit that sticks and reap the benefits. And remember to always consult with a healthcare provider before starting any new exercise routine, especially if you have limited mobility or a medical condition.
Simple Stretches
Learn easy stretches you can do while watching TV, sitting in the car, or before even getting out of bed at srgtexas.com.
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SNEAKY SUPERFOOD SWEETNESS
T
hese indulgent brownies are a healthy twist on a classic dessert. Sweet potatoes are high in fiber and can help reduce inflammation, while dark chocolate contains antioxidants that can reduce stress and improve mood. This recipe is easy to make and can be prepared in advance, so you can have a healthy treat on hand whenever you need a moment of indulgence.
SWEET POTATO CHOCOLATE BROWNIES
INGREDIENTS
DIRECTIONS
• 1 cup of mashed sweet potato • 1/2 cup of almond butter • 1/4 cup of maple syrup • 1/4 cup of coconut flour • 1/4 cup of unsweetened cocoa powder • 1 teaspoon of baking powder • 1/2 teaspoon of salt • 1/2 cup of dark chocolate chips
Preheat the oven to 350°F. In a mixing bowl, combine the mashed sweet potato, almond butter, and maple syrup. Mix until well combined. Add in the coconut flour, cocoa powder, baking powder, and salt. Mix until well combined. Fold in the dark chocolate chips. Pour the batter into a lined baking dish. Bake for 25-30 minutes, or until a toothpick comes out clean. Let cool and enjoy!
Bon appétit
Find more recipes on srgtexas.com
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Makes 9-12 servings
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Memory Loss and Seniors:
HOW TO HANDLE NOT BEING RECOGNIZED
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I
magine walking into your elderly parent’s home, only to be greeted with confusion. “Who are you?” they ask. It’s a heart-wrenching moment that can leave you feeling hurt and frustrated. But remember, your loved one’s memory loss is not their fault, and it’s not a reflection of their love for you. They’re not intentionally trying to hurt you or push you away. They’re simply struggling with a difficult condition that’s beyond their control. So why do seniors sometimes remember one person but not another? Memory loss can be selective and often depends on the type of memory being affected. For example, someone with Alzheimer’s might forget recent events but remember childhood memories. Additionally, seniors might be more likely to remember someone they’ve known for a longer period of time or someone they’ve had a particularly strong emotional connection with. If your loved one doesn’t recognize you or someone you’re with, it’s essential to approach the situation with compassion and patience. Remember, it can be emotionally jarring for both parties. You may be feeling hurt and unsure how to respond, and your loved one might be feeling embarrassed and confused.
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COPING STRATEGIES WHEN YOUR LOVED ONE’S MEMORY LAPSES • Acknowledge your feelings: It’s natural to feel hurt,
frustrated, and angry when your loved one doesn’t recognize you. But it’s important to acknowledge these feelings and to find healthy ways to process them. Talk to a therapist or a trusted friend, join a support group for caregivers, or find other ways to take care of your mental health. • Focus on the present: While it’s painful to think about the
• Practice positive self-talk: It’s easy to fall into a negative
mindset when you’re dealing with a difficult situation. But it’s important to practice positive self-talk and to remind yourself that your loved one’s memory loss is not a reflection of your worth. Speak to yourself with kindness and compassion, and remember that you are doing the best you can.
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past and the memories you once shared with your loved one, it’s important to focus on the present. Find activities that you can enjoy together in the moment, whether it’s watching a favorite TV show or going for a walk outside. Cherish the moments you have together, even if they look different than they used to.
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• Seek professional help: There is no shame in asking for help.
Reach out to a geriatric psychiatrist or a dementia specialist who can offer guidance and support for both you and your loved one. They can also provide medication or therapy to help manage symptoms and improve quality of life.
SPECIFIC TACTICS FOR TRIGGERING MEMORY While memory loss can be a frustrating and difficult issue, there are specific tactics that caregivers can use to help seniors trigger their memory in the moment. Here are some tips: • Stay calm: It’s important to remain calm and patient. Your
loved one might sense your frustration or impatience, which can make the situation worse. Take a deep breath and approach the situation with compassion. • Introduce yourself: First, introduce yourself and remind
your loved one of your relationship to them. You could say, “Hi, Mom, it’s me, your daughter Jane.” • Provide context: If your loved one doesn’t recognize
someone who is with you, encourage that person to introduce themselves and provide some context about their relationship to your loved one. • Use visual cues: Seeing familiar faces or objects can help
trigger your loved one’s memory. Try using photographs, mementos, or other items that have special meaning to your loved one to help them remember who you are.
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• Avoid correcting or arguing: It’s natural to want to correct
your loved one or argue with them if they don’t remember something correctly. However, this can be counterproductive and cause more confusion and frustration. Instead, try to redirect the conversation or gently provide them with the correct information.
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• Be patient and repeat yourself: Your loved one might need
some time to process the information or remember who you are. Don’t take it personally if they don’t remember right away. Repeat yourself if necessary, but try not to be condescending or impatient. • Offer reassurance and support: Your loved one might
feel scared or confused if they don’t recognize you or someone else. Validate their feelings and offer reassurance by saying something like, “I know it’s hard not being able to remember. I’m here with you, and I love you.” or “It’s okay if you don’t remember right now. I’m here to help you.” Using a compassionate and empathetic tone can help them feel heard and understood.
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REMEMBER SELF-CARE Being a caregiver can be emotionally and physically taxing. It’s important to take care of yourself as well. Make sure to take breaks, talk to a friend or counselor, and practice self-care activities like exercise or meditation. Remember, you can’t pour from an empty cup, and taking care of yourself will make you a better caregiver for your loved one. The pain of having an aging parent or loved one not recognize you can be unbearable, and might even feel like a part of them and yourself has been lost. It can be tempting to retreat and pull away from the pain and fear. But here’s the thing: your loved one still needs you, even if they don’t recognize you. They need your love, compassion, and patience. By staying present and approaching the situation with a positive mindset, you have the power to make a meaningful difference in your loved one’s life, even amidst the challenges of memory loss. Together, you can create cherished moments of connection that will be remembered long after memories have faded.
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Day or Night Encore Caregivers is there for your loved ones – when and where they need us! Unique to Encore Caregivers • Celebrating 2,000,000 hours of service • Celebrating 13 years of service • Houston family-owned and operated • 24-hour access to professional staff just a call away
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We provide customized care using a Montessori and holistic approach because you deserve the best quality of life. • PERSONAL CARE • COMPANION CARE • RESPITE CARE
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Light Housekeeping, Meal Preparation, Grooming/Bathing/Dressing, Customized Activities/Hobbies, Hospital/Rehab to Home, Companion Care (in-home/facility/appointments), Errands/Grocery Shopping
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We EXCEL in Dementia Care
• DEMENTIA CARE/ TESTING
MID PHASE \\ MEMORY + DEMENTIA
CARING FOR A LOVED ONE WITH DEMENTIA:
Tips for Building a Meaningful Relationship
D
ementia can rob a person of their memories, their ability to communicate, and their sense of self. It can also take a toll on their loved ones, who may struggle to connect with them in meaningful ways. However, it’s still possible to have a fulfilling relationship with a loved one who has dementia or Alzheimer’s. In this article, we’ll explore some tips on how to create and maintain such a relationship.
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ACCEPT WHAT IS The first step is to truly understand their condition. It can be difficult and emotional to witness a loved one struggling with cognitive changes that impact their memory, communication skills, and behavior. It’s important to acknowledge that these changes may hinder their ability to perform certain tasks or recall important events from the past, which can be a frustrating experience for both the individual and their loved ones. By accepting their condition and the challenges they face, you can begin to focus on the present moment. CELEBRATE THE MOMENTS Another important step is to celebrate the moments that you do have with your loved one. This means finding joy in the little things and cherishing the time you spend together. It could be something as simple as sharing a cup of tea or listening to their favorite song. By focusing on the positive moments, you can create a sense of connection and joy that can help sustain your relationship. KNOW THAT YOU’RE MAKING A DIFFERENCE Finally, it is important to know you’re making a difference in your loved one’s life, even if they cannot express it in the same way as before. Every interaction, every moment of connection, can have a
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positive impact on their sense of well-being and quality of life. By providing love, support, and care, you are helping them navigate a difficult and confusing time.
In each of these scenarios, the activity itself may have changed, but the enjoyment and connection that can be derived from it are still present. Remember, your loved one is still the same person they have always been, even if their abilities have changed. With patience, compassion, and a focus on the present moment, you can create a meaningful relationship that will enrich both of your lives.
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FINDING WAYS TO CONNECT • They may not remember the names of their loved ones, but it doesn’t mean they wouldn’t appreciate a warm embrace or a simple touch on the hand. The feeling of connection and love is still experienced, just in a different way. • They may have difficulty communicating their thoughts and feelings, but it doesn’t mean they wouldn’t benefit from spending time with someone who listens and shows interest in their company. The act of being present and engaged in the moment can bring joy and comfort. • They may struggle with completing tasks they once did with ease, but it doesn’t mean they wouldn’t enjoy being involved in simple activities like folding laundry or setting the table. The act of participating in familiar tasks can provide a sense of purpose and accomplishment. • They may forget their favorite foods or how to cook a meal, but it doesn’t mean they wouldn’t enjoy the taste and aroma of their favorite dish or the experience of sharing a meal with loved ones. The pleasure of good food and company is still present, even if the details are forgotten. • They may no longer be able to follow complex instructions in the kitchen, but it doesn’t mean they wouldn’t enjoy helping to prepare a simple meal or snack. They may take pleasure in stirring a pot or chopping vegetables with supervision, and the sensory experience of cooking can be calming and enjoyable for them.
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BEYOND DEMENTIA: Other Reasons for Memory Loss in Seniors
A
s people age, it’s common for them to experience some degree of memory loss. However, not all memory loss is due to dementia or Alzheimer’s disease. As a caregiver, it’s important to understand the different types of memory loss seniors may experience so that you can provide appropriate care and support. Here are some of the other reasons why seniors may experience memory loss.
MEDICATIONS Some medications can cause memory loss as a side effect. This can include medications for high blood pressure, sleep aids, and some antidepressants. If you notice your loved one experiencing memory issues after starting a new medication, speak with their doctor to see if there is an alternative medication available.
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DEPRESSION Depression can cause cognitive impairment, including memory loss. If your loved one is experiencing symptoms of depression such as sadness, loss of interest in activities, or changes in appetite or sleep patterns, speak with their doctor about treatment options. VITAMIN DEFICIENCIES Deficiencies in certain vitamins, such as vitamin B12 and folate, can cause memory loss. This is because these vitamins are essential for brain function. If your loved one is experiencing memory loss, their doctor may recommend a blood test to check their vitamin levels.
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Memory Check
SLEEP APNEA Sleep apnea, a condition where a person’s breathing is interrupted during sleep, can cause memory loss and other cognitive issues. If your loved one has been diagnosed with sleep apnea, it’s important they receive appropriate treatment to improve their quality of sleep and reduce the risk of cognitive impairment. STRESS AND ANXIETY Stress and anxiety can affect memory function. If your loved one is experiencing high levels of stress or anxiety, consider speaking with their doctor about ways to manage these symptoms.
Age-related memory loss typically involves occasional forgetfulness, such as misplacing keys or forgetting appointments, but individuals are still able to perform daily tasks and remember important information over time. In contrast, dementia typically involves more severe and frequent memory loss, along with other cognitive impairments such as difficulty with language, problemsolving, and decision-making.
CHRONIC PAIN Chronic pain can cause cognitive impairment, including memory loss. If your loved one is experiencing chronic pain, speak with their doctor about treatment options that may improve their pain and cognitive function.
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THYROID ISSUES An underactive thyroid can cause memory loss, as well as other cognitive symptoms such as confusion and difficulty concentrating. If your loved one is experiencing these symptoms, speak with their doctor about testing their thyroid function.
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ALCOHOL AND SUBSTANCE USE Alcohol and substance use can cause memory loss and other cognitive impairments. If you suspect that your loved one is misusing alcohol or other substances, consider speaking with their doctor or a substance abuse counselor for guidance. It’s important to note that many seniors may experience multiple factors contributing to their memory loss. For example, a senior may have both depression and a vitamin deficiency. It’s important to work with their doctor to identify all potential factors and develop a care plan that addresses each one. In addition to working with their doctor, there are things you can do as a caregiver to support your loved one’s cognitive function. These include: • Encouraging regular physical activity, which has been shown
to improve brain function and cognitive performance. • Promoting a healthy diet rich in fruits, vegetables, whole
grains, and lean protein. • Providing opportunities for social interaction, such as group
activities or outings with friends. • Helping your loved one stay mentally active by engaging in
activities such as puzzles, games, or reading. • Creating a structured routine to help your loved one stay
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organized and reduce stress. In conclusion, while dementia and Alzheimer’s disease are common causes of memory loss in seniors, there are many other potential factors that can contribute to cognitive impairment. As a caregiver, it’s important to work with your loved one’s doctor to identify all potential causes and develop a care plan that addresses each one. By doing so, you can help your loved one maintain their cognitive function and quality of life.
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*$19.95 is the monthly price of subscription to a MobileHelp Classic at home only system. There is a one-time $49.95 processing fee and $15 shipping fee required to subscribe to this plan. Equipment may vary as shown. System featured in photo above is the MobileHelp DUO available at an additional monthly cost. Call or see terms and conditions for further details. 50% off Fall Detection Promotion valid when Fall Detection Service is added to your monitoring system and MobileHelp Connect Premium service is included with the order. Offer is valid for the first year of service only. This offer is for new customers only and cannot be combined with any other offers. Promotion available for select plans only and for a limited time. During the promotional term, you will receive $5 off the $10 full retail price of Fall Detection service. After first year, Fall Detect pricing reverts to discounted price of $7.50/ month when combined with MobileHelp Connect Premium. Fall Button does not detect 100% of falls. If able, users should always push their help button when they need assistance. Fall Button is not intended to replace a caregiver for users dealing with serious health issues. Service availability and access/coverage on the AT&T network is not available everywhere and at all times. Current GPS location may not always be available in every situation. MobileHelp is a registered trademark. Patented technology. MobileHelp is an FDA registered company. MHPN-00939 Rev. 1
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CARE TRANSITIONS
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W
hen it comes to long-term care, people often use more than one solution over time. As people switch from one type of care to another, there is a transition period. A care transition may occur when someone leaves the hospital and needs support to heal at home after they’ve been discharged from the hospital, or it might happen when someone who is receiving in-home care decides to move into a supportive community, such as assisted living or senior housing. The goal is to avoid a gap in care for the individual as they pivot between different care types. When someone leaves the hospital or a rehab facility for home, their doctor or nurse can’t go with them, and a family or professional caregiver might be needed as they continue to heal at home. For example, someone might need help with using the bathroom, taking new medications, or going back to see the doctor for follow-up appointments. An even longer and different type of transition may occur when someone decides to move from their current residence to a
new one—whether that’s from a stand-alone home into a senior housing apartment, assisted living facility or in with family across town or another state. A caregiver—whether a family member or a professionallytrained one—can help to make these types of transitions smooth. If they’re transitioning to an assisted living facility, a caregiver can inquire about opportunities to join in meals and activities prior to moving in. This type of engagement can help the individual feel more relaxed about their new surroundings and making a big change. When making changes in long-term care options, aim for a continuity of care during the transition so risks for setbacks are minimized and chances for success are increased.
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ne Stay o p ahead ste Key Questions to Ask When Your Loved One
EXPERIENCES A FALL
A
s a caregiver, one of the most challenging situations you may face is when your loved one experiences a fall. Falls can be distressing for both the person who fell and their caregivers, often resulting in injuries and a heightened sense of vulnerability. In such moments, it’s crucial to gather all the necessary information to ensure proper care and support. This article highlights essential questions to ask when your loved one has a fall.
QUESTIONS TO ASK YOUR LOVED ONE 1. Can you move your arms and legs? Do you feel any numbness or tingling? 2. Did you hit your head during the fall? Are you feeling dizzy or experiencing any confusion? 3. Can you recall any warning signs or factors leading up to the fall? For example, feeling lightheaded, unsteady, or experiencing balance problems.
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4. Have you been experiencing any changes in sleep patterns or fatigue? 5. Are you taking any medications or supplements that could potentially affect balance? 6. Are there any changes in your vision or hearing that might have affected your balance? 7. Do you feel anxious or fearful about falling again?
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QUESTIONS TO ASK YOURSELF AS A CAREGIVER 1. Does immediate medical attention seem necessary? 2. Have there been any recent changes in medications, health conditions, or physical abilities that might have increased the risk of a fall? 3. Are there any obvious hazards in the environment that contributed to the fall? How can we address or modify them? 4. Are there any activities or lifestyle habits that may need adjustment to minimize the risk of falls? For instance, exercise routines, footwear choices, or using assistive devices like canes or walkers. 5. Have we discussed fall prevention strategies with the healthcare provider? Are there specific recommendations we should implement? 6. How often are they falling? Is there a pattern? 7. How can we help our loved one feel safe and reassured after the fall?
QUESTIONS TO ASK THE DOCTOR 1. What is the prognosis for recovery? Are there any potential long-term consequences we should be aware of? 2. How can we manage their pain or discomfort effectively?
4. What signs or symptoms should we monitor closely in the coming days or weeks? 5. Are there any specific physical therapy exercises or rehabilitation programs that would aid in their recovery? 6. What preventive measures can we take to reduce the risk of future falls?
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3. Do any changes need to be made to their medication or treatment plan as a result of the fall?
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NEW STEPS \\ MID PHASE
at
questions to ask
h w w o n K to ask
DURING HOSPITAL DISCHARGE
B
y asking the right questions and taking an active role in your loved one’s care, you can bridge the gap that patients typically experience when transferring from one care setting to another, which is one of the top causes for hospital readmission.
2
3
4 5
Will my loved one be safe at home upon discharge or will someone need to be with them 24 hours a day? Keep in mind dressing, bathing, cooking and housework. Can you show me how to do tasks that require special skills? i.e. changing a bandage, giving a shot, wheelchair transfers, etc. If we need help with these tasks, who do we contact? What is the average length of recovery time? Which doctor appointments are needed after discharge and when should they be scheduled?
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1
What care or therapies are needed after discharge? i.e. home health, outpatient therapy, rehab/skilled nursing, etc.
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6 7
8
9 10 11 12
What problems, symptoms and side effects should we watch for? May we have the latest list of prescribed medications? What does each medicine do and why is it needed? What are the medication dosages, conflicts and side effects? Who should we contact with questions about the medications? What medical equipment is needed? i.e. walker, oxygen, etc. Who will arrange for this? Are there any activity restrictions and for how long? Are there any dietary restrictions? And if so, for how long? What are our options for when/where my loved one is being discharged?
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My Questions
Jot down any questions or thoughts.
New Unit at Memorial Hermann Southwest Hospital Provides
Personalized, Specialty Care for Houston Seniors Active seniors 65+ may benefit from the new Acute Care for Elders (ACE) unit at Memorial Hermann Southwest Hospital designed to help older patients get back on their feet more quickly after a hospitalization.
What is the ACE Unit?
The ACE unit cares for normally active older adults ages 65+ who become ill and need shortterm care. Conditions managed on the unit include pneumonia, heart failure, chronic obstructive pulmonary disease (COPD), uncontrolled high blood pressure, diabetes, etc. Patients admitted to the ACE unit should be able to actively participate in their care and communicate their health care goals. Patients are cared for by a team of hospitalists, nurses, case managers, social workers, physical and occupational therapists, dietitians and pharmacists, specially trained to care for seniors. Hospitalists consult specialists within the hospital.
To learn more about the ACE unit at Memorial Hermann Southwest, visit
memorialhermann.org/southwest
What types of care and services are provided?
When a patient is admitted to the unit, the team creates a customized plan of care to help the patient recover and return home as quickly as possible. Besides mobility activities, each patient meets with pharmacists, physical therapists and dietitians to learn about fall prevention, medication management, nutrition, wellness and ways to stay healthy and active after leaving the hospital. When it’s time for the patient to go home, the team’s case managers and social workers help connect the patient and their family to community resources while the team’s hospitalists follow up with the patient’s primary care physician. Memorial Hermann Southwest has been recognized by the Institute for Healthcare Improvement as an Age-Friendly Health System participant and is committed to the “4Ms” of age-friendly care: What Matters, Medication, Mentation and Mobility.
MID PHASE \\ NEW STEPS
How to Encourage a Loved One to
CONSIDER SENIOR LIVING OPTIONS
A
s our loved ones age, it can become increasingly difficult for them to manage their day-to-day lives. In many cases, they may need assistance with everyday activities such as cooking, cleaning, and managing medications. If you’re concerned about a loved one’s ability to live independently, it may be time to start considering senior living options. Broaching the topic of senior living can be a delicate matter. Many seniors are resistant to the idea of leaving their homes and giving up their independence. However, with the right approach, you can encourage your loved one to consider senior living in a positive and supportive way.
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START THE CONVERSATION EARLY It’s never too early to start the conversation about senior living. It’s important to approach the topic before a crisis occurs, such as a fall or an illness that requires hospitalization. Starting the conversation early allows your loved one to have time to consider their options and make an informed decision. BE EMPATHETIC It’s important to be empathetic when discussing senior living with your loved one. Acknowledge that the decision to move to senior living can be a difficult one, and that it may be emotionally challenging for them. Listen to their concerns and fears, and validate their feelings. PROVIDE INFORMATION Provide your loved one with information about different senior living options. Research local senior living communities and share brochures and websites with them. Make sure they understand
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the benefits of senior living, such as access to medical care, social activities, and 24-hour assistance.
HIGHLIGHT THE POSITIVE ASPECTS When discussing senior living with your loved one, focus on the positive aspects of the experience. Talk about the opportunities for socializing and making new friends, the convenience of having meals prepared and housekeeping taken care of, and the peace of mind that comes with having access to medical care. INVOLVE THEM IN THE DECISION-MAKING PROCESS Make sure your loved one is involved in the decision-making process. Ask them what they want and need in a senior living community, and make sure their preferences are taken into account. Tour different communities together and discuss the pros and cons of each one. ADDRESS THEIR CONCERNS If your loved one has concerns about moving to senior living, address them directly. Be honest and transparent about any potential drawbacks or challenges, but also provide reassurance and support. If necessary, involve a healthcare professional or senior living specialist in the conversation to provide additional information and support.
In conclusion, encouraging a loved one to consider senior living can be a challenging process, but it’s important to approach the topic with empathy, patience, and support. By providing information, highlighting the positive aspects, involving them in the decision-making process, and addressing their concerns, you can help your loved one make an informed decision that meets their needs and preferences.
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GIVE THEM TIME Moving to senior living is a major life change, and it’s important to give your loved one time to adjust to the idea. Be patient and understanding, and allow them to make the decision on their own timeline. Offer support and encouragement throughout the process.
NEW STEPS \\ MID PHASE This content is proudly provided by
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How Can a Senior Living Community
HELP YOU LIVE YOUR BEST LIFE?
A
VIBRANT, ENGAGING LIFESTYLE Many seniors may lack engagement or social interaction with their peers because they stay in their homes or don’t have available transportation, but in a senior living community, limits like these don’t exist. Senior living communities offer a host of different amenities like a game room, library or fitness center with a daily activity schedule, and transportation to and from appointments, outings and other events.
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ctive seniors today want to believe that their golden years—their best years—are still ahead of them. They’re looking to embrace healthier, more active lifestyles where they can focus on their health and the hobbies they love. Senior living communities provide many amenities, programs, and services to facilitate an active lifestyle. Discover a few reasons why living in a senior living community can enhance your or your loved one’s quality of life.
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Savvy Suggestion DELICIOUS CHEFPREPARED DINING Since variety is the spice of life, many senior living communities offer daily dining with three meals a day included. Delicious meals are prepared by a professional chef with variety and nutrition playing a key role.
When considering a community for yourself or a loved one, the culinary experience should be a top priority. Taking a tour at mealtime allows the opportunity to sample the food, check out the menus and ask questions about food availability and diet considerations.
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COMPASSIONATE CARE Equally important to a community’s amenities and programs is the personalized care offered within that community. You want to feel fully secure entering senior living—to know that the community you’ve chosen is the right one to meet your unique needs. Many communities are staffed with nursing professionals to ensure residents receive proper and timely care, whether that’s assisting with daily living tasks or providing more focused attention and memory care.
EXPECT THE EXTRAORDINARY It’s the smallest things that make the biggest difference in living your best life: high-quality finishes, compassionate care, greetings by name.
EXPECT THE
Extraordinary When it comes to living your best life, little things make a big difference. At Anthology of Tanglewood, it’s the high-quality finishes. The compassionate care. The greeting by name. Our independent living, assisted living and memory care community is intentionally designed to provide a first-class lifestyle so you can continue your life story with no compromises.
DISCOVER THE EXTRAORDINARY
CALL 832-426-3167 TODAY! CONTINUE YOUR LIFE STORY WITH US ANTHOLOGY OF TANGLEWOOD
504 Bering Dr. / Houston, TX Independent Living / Assisted Living / Memory Care License Pending AnthologyTanglewood.com
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AGE-PROOF YOUR HOME:
How to Make it Safe and Accessible for Seniors
A
s we grow older, it’s essential to make sure our homes are senior-friendly, allowing us to age gracefully and maintain our independence. By making some simple adjustments, we can prevent accidents and ensure our homes remain a safe haven where we can live comfortably and confidently. Let’s dive in and explore ways to age-proof your home.
BANISH THE TRIP HAZARDS Tripping on clutter or loose rugs is a real hazard. Take a stroll through your home and remove anything that could obstruct your path. Check your floors for any uneven surfaces and address any issues promptly.
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EMBRACE THE POWER OF GRAB BARS Grab bars provide extra support and help prevent falls. Consider installing them near the toilet and in the shower. Choose sturdy grab bars that can support your weight, and make sure they’re installed correctly. BRIGHTEN UP YOUR WORLD Poor lighting is a significant hazard, especially for those with declining eyesight. Add extra light fixtures to your home, especially in areas like hallways, staircases, and bathrooms. Nightlights can also be a lifesaver for preventing accidents during the night. MAKE STORAGE ACCESSIBLE If you have to jump up to grab a mug or plate, it’s time to adjust your shelves and cabinets. Keep frequently used items within reach and store anything rarely used up high.
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Spotting Senior Dangers
Here’s a list of common safety hazards in the home for seniors:
• Unstable furniture, such as chairs or tables that can tip over or collapse. • Electrical hazards, such as frayed cords or overloaded electrical outlets. • Improperly stored chemicals or cleaning products that can be toxic if ingested or inhaled. • Inadequate fire safety measures, such as malfunctioning smoke detectors or no fire extinguishers. • Poorly maintained appliances, such as stoves, ovens, or water heaters, that can pose a fire hazard or emit harmful fumes. • Low-hanging light fixtures or ceiling fans that can be bumped into or cause head injuries. • Sharp or pointed edges on furniture or other household items that can cause injury. • Overcrowded or cluttered rooms that can make it difficult to navigate and increase the risk of falls.
• Poorly lit staircases, hallways, or outdoor areas that can make it difficult to see and increase the risk of falls. • Pets or other animals that may cause tripping or injury, particularly if they are larger or more active. • Lack of proper ventilation or air quality control, which can increase the risk of respiratory illness or exacerbate existing conditions. • Unsecured rugs or mats that can easily slide or bunch up, causing a trip hazard. • Large or heavy objects placed in high or hard-to-reach areas, which may lead to falls or injuries while attempting to retrieve them. • Lack of grab bars or handrails in areas such as the bathroom or along staircases, which can make it difficult for seniors to maintain balance and increase the risk of falls. • Lack of secure and easily accessible storage areas for medication, which can lead to accidental overdoses or missed doses.
CREATE CLEAR WALKWAYS Seniors with mobility challenges may find it difficult to maneuver around cluttered and cramped spaces. Rearranging furniture and fixtures to create clear walking paths can help reduce the risk of falls and improve accessibility. Keeping floors and countertops free of obstructions can also help prevent tripping hazards.
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• Slippery surfaces, such as wet floors or polished tile that can lead to falls.
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ENHANCE SAFETY WITH SMALL CHANGES Making simple adjustments like lever-style handles on doors and faucets can increase safety and accessibility in your home, allowing you to maintain your independence and live comfortably. Installing an anti-scald device in the shower and sink can prevent accidental burns, while a stove with automatic shut-off features can reduce the risk of fire.
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CONSIDER A WALK-IN SHOWER OR BATHTUB Stepping in and out of the bathtub can be tricky, but a walk-in bathtub or shower can make life easier. With a low threshold and built-in seating, they offer a safe and comfortable way to bathe. RAISE YOUR THRONE If getting up and down from the toilet is difficult, consider installing a raised toilet seat. These seats can be added to your existing toilet and come in different heights to suit your needs.
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USE NON-SLIP MATS Water spills can happen at any time, so it’s crucial to have nonslip mats in areas where spills are likely to occur. Place them in the bathroom, kitchen, and any other area where water may pose a hazard. KEEP ESSENTIAL ITEMS WITHIN REACH Particularly for seniors who may have mobility issues, keeping important items like medication, glasses, hearing aids, and emergency contact information in an easily accessible location is vital. This can save precious time and reduce stress in an emergency. Additionally, having supplies such as a flashlight, phone charger, and first aid kit nearby can be helpful in case of a power outage or other unexpected event.
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FIND PEACE OF MIND A home security system can offer a sense of comfort and protection. With features like emergency response buttons and fall detection sensors, they can alert caregivers or emergency services if you need assistance. Additionally, consider installing a peephole or intercom system to safely identify visitors before opening the door and security cameras which can provide added reassurance to caregivers and family members. By following these tips and making some simple modifications, you can create a home that is safe, comfortable, and accessible for seniors. Remember to reassess your home periodically and make any necessary adjustments to meet your changing needs. With a little effort and foresight, you can enjoy your home for years to come.
More
Is your home dementia-friendly? Find out how to make it so at srgtexas.com.
SENIOR LIVING \\ MID PHASE LUXURY ACTIVE ADULT
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Untitled-1 4
Game Room & Poker Lounge
MID PHASE \\ SENIOR LIVING
TYPES OF RESIDENTIAL CARE FOR SENIORS INDEPENDENT LIVING
ASSISTED LIVING COMMUNITIES
DESCRIPTION
Single family homes or townhomes for self-sufficient seniors that offer the security and social activities of a community living environment.
Communities, typically of 2-3 story apartments, that provide 24 hr assistance with activities of daily living such as eating, bathing, and using the bathroom, but not 24 hr medical services.
SERVICES
• Laundry/linen service • Meals • Transportation • Social activities
• Laundry/linen service • Meals • Transportation • Social activities • Bathing/Dressing • Toileting • Housekeeping • Medication assistance • Security and emergency calls
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NOTE – there are more luxury communities that have all the amenities of country clubs.
REGULATION
Not Regulated
State Regulations
ALSO KNOWN AS
Retirement Communities, Retirement Homes, Senior Apartments, Senior Housing, Senior Living Communities, Active Adult Communities
Assisted Living Facilities, Personal Care Homes, Eldercare Facilities, Domiciliary Care, Board and Care, Residential Care Facilities, Community-Based Retirement Facilities, Adult Living Facilities, Adult Foster Care, Sheltered Housing, Community Residences, Group Homes, Adult Family Homes
APPROXIMATE Market rate to rent or buy a COSTS home plus community fees from $700 – $6,000/month.
$2,844 – $9,266/month Avg cost in Texas is $3,795 – source Assisted Living Research Institute
SENIOR LIVING \\ MID PHASE
Information courtesy of The American Elder Care Research Organization
SKILLED NURSING (NURSING HOMES)
CONTINUING CARE RETIREMENT COMMUNITIES
Communities, typically private and shared rooms, which provide 24 hr assistance with activities of daily living and medical care by nurses and therapists.
Campus-like communities that provide a continuum of care, from private residences to assisted living and skilled nursing care; designed for individuals with declining conditions and those that want to remain in a single location.
• Laundry/linen service • Meals • Transportation • Social activities • Bathing/Dressing • Toileting • Housekeeping • Medication assistance • Security and emergency calls • 24 hr nursing care • Condition specific care • Hospice/end of life services • Doctors on call
• Laundry/linen service • Meals • Transportation • Social activities • Bathing/Dressing • Toileting • Housekeeping • Medication assistance • Security and emergency calls • 24 hr nursing care • Condition specific care • Hospice/end of life services • Doctors on call
State & Federal Regulations
Some State Regulations
$4,639 – $12,623/month
Varies with breadth of services required.
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Skilled Nursing Facilities, SNF, Nursing Home CCRCS, Continuing Care, Retirement Facilities, Care and Rehabilitation, Convalescent Life Care Facilities, Life Care Communities, Life Hospital, Rest Home Plan Community
MID PHASE \\ SENIOR LIVING
SENIOR LIVING COMMUNITIES in the Greater Houston Area AL ADL Assisted Living
55+ Arella on Jones
AL ADL Assisted Living
SNF Baywood Crossing
AL ADL Assisted Living Elena Estates
SNF Cypress Creek Rehabilitation & Healthcare Center
3604 Autumn Ln, Baytown 77521 713-298-5098
3903 Canterbury Dr, Baytown 77521 713-298-5098
710 N Main St, Highlands 77562 713-298-5098
AL Anthology Senior Living MC Tanglewood
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IL
504 Bering Dr, Houston 77057 832-426-3167
Key
12840 Jones Rd, Houston 77070 832-500-5477
5020 Space Center Blvd, Pasadena 77505 713-575-1800
13600 Birdcall Ln, Cypress 77429 832-431-1777
SNF Deerbrook Skilled Nursing 9260 Humble Westfield Rd, Humble 77338 281-446-5160
55+ Active 55+ Community SNF Skilled Nursing
IL Independent Living
AL Assisted Living
MC Memory Care
We embrace and appreciate the opportunity to care for your loved one.
Providing Skilled Nursing, Assisted Living & Memory Care Services Providing Skilled Nursing, Assisted Living Memory Come see what makes us&diff erent.Care Services Admissions accepted 24 hours a day 7 days a week. Come see what makes us different. Admissions accepted 24locations hours ato day 7 days Four convenient serve you: a week. Four convenient locations to serve you:
Baywood Crossing
The Park at Bay Area
rehabilitation & healthcare center
Enhanced Assisted Living
5020 Space Center Blvd. • Pasadena, TX 77505 www.baywoodcrossing.com • Phone: 713-575-1800 • Fax: 713-575-1801
www.parkatbayarea.com • PH: 281-721-2500 • Fax: 832-770-4362 5000 Space Center Boulevard 5000 Space Center Blvd.
5020 Space Center Boulevard 5020 Space Center Blvd.
Pasadena ••713-575-1800 PASADENA 713-575-1800
Mont Belvieu rehabilitation & healthcare center
14000 Lakes ofBlvd. Champions Blvd. • Mont Belvieu, TX 77523 14000 Lakes of Champions 14000 Lakes of Champions Boulevard • Phone: 832-669-3900 • Fax: 832-669-3890 www.MontBelvieuRHC.com MONT BELVIEW • 832-669-3900 Mont Belview • 832-669-3900
5000 Space Center Blvd. • Pasadena, TX 77505
Pasadena••281-731-2500 281-731-2500 PASADENA
License #307855 Alzheimer’s Alzheimer’sCert# Cert# 104746 License #307855 104746
Trinity rehabilitation & healthcare center
314 East Caroline 314 E. Caroline St. • Trinity, TXStreet 75862 314 East Caroline Street TRINITY • 936-744-1300 Trinity • 936-744-1300
www.trinityrhc.com • Phone: 936-744-1300 • Fax: 936-744-0263
Facilities managed managed by by Pillar Facilities Pillar Stone Stone Healthcare HealthcareCompany, Company,LLC. LLC. 1120 Nasa Pkwy, Suite 107 • Houston Texas 77058 • www.mypillarstone.com 1120 Nasa Pkwy, Suite 107 • Houston Texas 77058 • www.mypillarstone.com
All Centers comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex.
All Centers comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex.
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AL Evergreen Cottages Bridgewater MC
SNF Park Manor Cypress Station
AL Evergreen Cottages Jasmine MC
SNF Park Manor Humble
21715 Bridgewater Village Dr, Katy 77449 281-670-9810
420 Lantern Bend Dr, Houston 77090 832-249-6500 19424 McKay Dr, Humble 77338 281-319-4060
21609 Provincial Blvd, Katy 77450 281-670-9810
SNF RollingBrook Rehabilitation & Healthcare Center
AL Evergreen Cottages Magnolia MC 21605 Provincial Blvd, Katy 77450 281-670-9810
750 Rollingbrook Dr, Baytown 77521 832-431-1777
SNF Fall Creek Rehabilitation & Healthcare Center
AL The Park at Bay Area
MC
14949 Mesa Dr, Humble 77396 832-431-1777
SNF Trinity Rehabilitation & Healthcare Center
SNF Mont Belvieu Rehabilitation & Healthcare Center
314 E Caroline St Trinity 75862 936-744-1300
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14000 Lakes of Champions Blvd, Mont Belvieu 77523 832-669-3900
Key
5000 Space Center Blvd, Pasadena 77505 281-731-2500
SNF West Houston Rehabilitation & Healthcare Center 13428 Bissonnet St, Houston 77083 832-431-1777
55+ Active 55+ Community SNF Skilled Nursing
IL Independent Living
AL Assisted Living
MC Memory Care
SENIOR LIVING \\ MID PHASE
ASSISTED ASSISTED LIVING LIVING IN IN AA HOME HOME ENVIRONMENT ENVIRONMENT
Owned by by a a Registered Registered Occupational Occupational Therapist, Therapist, Owned Owned by Registered Occupational Therapist, our our type B assisted livings are licensed by the state Owned by aa Registered Occupational Therapist, our type B assisted livings are licensed by the state type B assisted livings are licensed by the state and provide and provide 24 hour hour care. We have by a Visiting Visiting our type B assisted livings areWe licensed the state and provide 24 care. have a 24 hour care. We have a Visiting physician, Visiting physician, Visiting podiatrist and provide 24 hour care.and Weprovide have a long-term Visiting physician, Visiting podiatrist and long-term podiatrist and provide long-term careprovide or care.as care or respite respite care. Hospice care is respite provided physician, Visiting podiatrist and provide long-term care or care. Hospice care is provided as Assisted Assisted Living Living Hospicethrough care is provided as needed through agencies. needed agencies. Our facilities will allow care or respite care. Hospice care is provided as Assisted Living needed through agencies. Our facilities will allow Our facilities will allow your loved one to AGE IN PLACE. your loved one to to AGE AGE IN PLACE. needed your through agencies. Our IN facilities will allow loved one PLACE. your one toBaytown AGE IN PLACE. Lane,TXBaytown TXloved 77521 |Dr, 3903 Canterbury Dr, N Baytown TX 77521 36043604 AutumnAutumn Lane, Baytown 77521 | 3903 Canterbury TX 77521 | 710 Main St, Highlands, TX 77562
ADL ADL
3604 Autumn Lane, Baytown TX 77521 | 3903 Canterbury Dr, Baytown TX 77521 | 710 N Main St, Highlands, TX 77562 SECURE COMMUNITY MEMORY CARE: 710 Main| 710 St, Highlands, TX 77562 3604 Autumn Lane, Baytown TXOFFERING 77521 | 3903 Canterbury Dr, Baytown TXN77521 N Main St, Highlands, TX 77562 For more information, please call Virginia Campbell at 713-298-5098
For more information, please call Virginia Campbell at 713-298-5098 For call Virginia VirginiaCampbell Campbellatat713-298-5098 713-298-5098 Formore moreinformation, information, please please call
Find the right senior living option for your mom or dad with our free personalized process Our service is at no cost to you, as we’re paid by our participating communities and providers.
Make
CONFIDENT CARE decisions
Use our online Care Directory at srgtexas.com/find
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1-866-491-0076
MID PHASE \\ SENIOR LIVING
ASSISTED LIVING MADE SIMPLE: What You Need to Know
A
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s our parents, grandparents, or other loved ones get older, it can be challenging to ensure that they receive the care and support they need to thrive. For many seniors, assisted living facilities can offer the support and care they need while also providing a sense of independence and community. Whether you’re a senior looking for a new home or a caregiver trying to find the right place for your loved one, there are important things to consider. From quality of care to cost of living, it’s essential to do your research and ask the right questions. So, let’s dive in and explore what assisted living is all about, and how you can find the best option for you or your loved one.
WHAT IS ASSISTED LIVING? Assisted living is a type of senior living that offers residents help with daily activities, such as bathing, dressing, and medication management, while also providing opportunities for socialization and engagement. Assisted living facilities typically provide meals, housekeeping, transportation, and around-the-clock supervision and security. Assisted living is just one of several options available for senior living. Skilled nursing facilities (also called nursing homes) provide more intensive medical care and support, while independent living communities are designed for active seniors who are able to live on their own but appreciate the social and recreational opportunities provided by a community setting. Assisted living is a good fit for seniors who need some help with daily activities but do not require the level of medical care provided by skilled nursing facilities.
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WHEN IS ASSISTED LIVING NECESSARY? Assisted living may be necessary if a loved one is struggling to live independently at home or if their current living situation is unsafe or inadequate. Signs that a loved one may need assisted living include difficulty with basic tasks such as bathing and dressing, forgetfulness, social isolation, and mobility issues. Assisted living can provide many benefits for seniors, such as socialization opportunities, access to medical care, and increased safety and security. HOW TO FIND THE RIGHT ASSISTED LIVING FACILITY Choosing the right assisted living facility can feel overwhelming, but there are several factors to consider that can make the process easier. Start by researching facilities online, looking for reviews and ratings from other families. Then, narrow down your list based on factors such as location, cost, and amenities. Once you have a shortlist of facilities, schedule tours and ask questions. Some key questions to ask include:
We can help Our online Care Directory (srgtexas.com/find) is an excellent place to start. You can search for care options by keyword, city, zip code, and there’s even a map view.
• What are the costs and payment options? • What is the staff-to-resident ratio during the day, night, and
weekends? What is the staff turnover rate? • What security measures and emergency plans are in place? • Is there a waiting list, and if so, how many people are on it?
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• What services are provided?
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Great idea!
Consider arranging a visit for your loved one to have a meal at the assisted living facility before making a decision. This can provide a firsthand experience of the atmosphere, food quality, and an opportunity to socialize with staff and residents.
Finally, don’t forget to evaluate the quality of care provided by each facility. Look for signs of cleanliness, observe interactions between staff and residents, and ask for references from current residents and their families.
PREPARING FOR THE MOVE TO ASSISTED LIVING Moving to assisted living can be a big adjustment for both the senior and their caregiver. To make the transition smoother, consider the following tips:
• Start the conversation early, and involve your loved one in
the decision-making process as much as possible. • Downsizing and decluttering can be emotionally and
physically challenging, so approach the task with empathy and patience. • Create a plan for how to handle the logistics of the move, such as arranging transportation and moving belongings.
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Making the decision to move to assisted living can be challenging, but with careful research, open communication, and a focus on finding a facility that meets your unique needs, it can also be a positive step towards improving quality of life.
Know what to Ask
For a comprehensive list of questions to ask when looking for an assisted living facility, visit srgtexas.com.
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Deerbrook Skilled Nursing 9260 Humble Westfield Road Humble, TX 77338 www.Deerbrook-Humble.com 281.446.5160 Park Manor Cypress Station 420 Lantern Bend Drive Houston, TX 77090 www.ParkManor-CypressStation.com 832.249.6500
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Park Manor Humble 19424 McKay Drive Humble, TX 77338 www.ParkManor-Humble.com 281.319.4060
For on-site assessment and a personal tour, please contact the site of your interest.
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Make
CONFIDENT CARE decisions Find local senior living options at srgtexas.com/find
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questions to ask
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WHEN CONSIDERING SKILLED CARE 1
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What is the staff-to-resident ratio during the day, at night and on weekends? Does the same team of nurses and certified nursing assistants (CNAs) work with the same resident all week? What happens when the Medicare reimbursement runs out? What amenities are private pay? Is Wi-Fi available and if so, where on the property? Are there safety locks on the doors and windows?
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tart with a visual assessment of both the inside and outside. Also, note if the residents are engaged in activities or just sitting.
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Is there an emergency generator or alternate power source? What is the evacuation plan should it be necessary? What is the pet policy? Can special dietary needs be accommodated? Do residents have a choice of food items at each meal? Are the meals prepared on-site or off-site? What is the policy for residents eating in their rooms? Does the residence offer worship services? Is there a functioning security system? Are there pharmacy, lab, dental or x-ray services available on-site? Are they Medicare and/or Medicaid certified? Is abuse prevention training and background checks a requirement for all staff? How often are residents bathed? What special services can be provided if needed, such as on-site rehab, therapeutic whirlpool baths, ventilators, hospice, etc.?
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Houston, we have a facility for you. Looking for long-term or post-acute care? Momentum Skilled Services can help you in your time of need. We operate skilled nursing facilities in the Greater Houston area. Whether you’re in Humble, Baytown, Cypress or Houston, we have a facility for you.
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MID PHASE \\ SENIOR LIVING This content is proudly provided by
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WHAT’S SKILLED CARE AND WHERE DO I START?
Looking for long-term or post-acute care? Momentum Skilled Services can help you in your time of need. We operate skilled nursing facilities in the Greater Houston area. Whether you’re in Humble, Baytown, Cypress or Houston, we have a facility for you. For more information or to schedule a tour, please contact Casey Mosley at (832) 431-1777.
Tips From Experts in the Industry
SKILLED NURSING FACILITY DEFINED It’s an in-patient rehabilitation and medical treatment center staffed with trained medical professionals. • They provide the 24-hour medically necessary services
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of licensed nurses, physicians, physical and occupational therapists, speech pathologists, pharmacist, dietitians and more. • A short-term care and long-term care center that is aimed to help care for your loved one. • Also referred to as SNF (pronounced sniff )
SELECTING A SKILLED NURSING FACILITY Picking a skilled nursing facility can be hard. It’s a big decision to make. There are a lot of options out there and many things to consider. To help make this process easier, we got inside information from industry professionals on what they personally look for and what they tell their friends to look for when considering skilled care. Let’s take a look at some of their insightful suggestions.
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TOUR ANY FACILITY YOU ARE CONSIDERING. Tour multiple buildings so you can get a feel of the entire building or campus. If inperson touring is unavailable due to COVID-19, ask for a virtual tour, the facility’s website, any pictures they have, and their social media handles.
Expert Advice For an in-person tour, make sure to go twice with one of the visits being during a mealtime.
WATCH THE INTERACTION between staff members and the residents who live there. It shouldn’t be robotic. Residents should be happy and talking to the staff like they are friends. LOOK FOR CLEANLINESS. While most buildings will look clean, you can tell if they deep clean by looking for dust on the picture frames. While most people think smell is an inevitable part of nursing facilities, it is not. Smell is a sign of poor cleanliness.
More more of this article in our free Insider There’s Caregiver Toolkit. For the full list of what when considering skilled care, Insight tovisitknow srgtexas.com/caregivertoolkit
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LOCATION IS IMPORTANT to consider. While most people want the closest option to them for visiting purposes, remember at the end of the day you can drive away but your loved one cannot. Pick the better facility even if it is farther away. Your loved one will thank you for it.
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How to Identify the Right
MEMORY CARE OPTIONS
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s a caregiver, you know that providing quality care for your loved one is key. But when it comes to memory care, how do you know what to look for? In this article, we’ll guide you through the process of identifying the right memory care options for your loved one. Memory care is a type of long-term care that provides specialized support for individuals with memory loss. It’s designed to help people who are experiencing cognitive impairments, such as Alzheimer’s disease or dementia, to maintain their independence and quality of life while receiving the assistance they need. Unlike other senior living options, memory care facilities offer secure environments with features like locked doors and alarm systems Visit apps.hhs.texas. gov/ltcsearch to prevent wandering, as well as to search for programs and activities specifically and compare designed to promote socialization long-term care and engagement. While it can be providers in Texas. more expensive than other senior You can search by care options, it offers a higher level location and facility type, and access of support and safety. information on each When it comes to choosing the facility’s services, right memory care option, there are quality ratings, and a few factors that caregivers need inspection reports to to keep in mind. First and foremost, help you make an it’s important to evaluate the informed decision.
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Saavy Source
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Types of Memory Care Settings quality of care and services offered by • Standalone memory care facilities • Assisted living communities with memory care units • Skilled nursing facilities with specialized memory care units • Continuing Care Retirement Communities (CCRCs) with memory care services • Home care services • Adult day care centers Each type offers different levels of care and services. Carefully research and evaluate each option to determine the best fit for your loved one’s needs.
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potential facilities. This means doing your research, talking to staff members and residents, and asking all the tough questions to ensure that your loved one will receive the level of care and support they need. When touring memory care facilities, don’t be afraid to ask questions. Ask about the staff-toresident ratio, the types of activities and therapies offered, and how they handle medical emergencies. Pay close attention to the overall atmosphere of the facility—does it feel warm and inviting, or sterile and clinical? Remember, your loved one will be spending a significant amount of time here, so you want to choose a facility that feels like a good fit for their personality and needs. At the end of the day, choosing the right memory care option requires a mix of research, intuition, and trust. It’s not an easy decision to make, but by taking the time to evaluate your options and prioritizing your loved one’s needs, you can feel confident that you’re making the best choice for your loved one.
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UNDERSTANDING HOSPICE
H
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ospice care is a philosophy of care that accepts dying as a natural part of life. When death is inevitable, hospice seeks neither to hasten nor postpone it. Hospice provides care, comfort and support for persons with life-limiting conditions as well as their families.
HOW DOES HOSPICE WORK? Hospice care is for any person who has a life-threatening or terminal illness. All hospices consider the patient and family together as the unit of care. Most reimbursement sources require a prognosis of six months or less if the illness runs its normal course. Patients with both cancer and non-cancer illnesses are eligible to receive hospice care. The majority of hospice patients are cared for in their own homes or the homes of a loved one. “Home” may also be broadly construed to include services provided in nursing homes or hospitals. Typically, a family member serves as the primary caregiver and when appropriate, helps make decisions for the hospice patient. Members of the hospice staff make regular visits to assess the patient and provide additional care or other services. Hospice staff is on call 24 hours a day, seven days a week. Whether paid for by Medicaid or private insurance, hospices will work with the person and their family to ensure needed services can be provided.
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HOW IS HOSPICE PAID FOR? Hospice is paid for through the Medicare Hospice Benefit, Medicaid Hospice Benefit and private insurers. If a person doesn't have coverage through Medicare, Medicaid or a private insurance company, hospices will work with the person and their family to ensure needed services can be provided.
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WHO IS THE HOSPICE TEAM? Hospice care is a family-centered approach that includes, at a minimum, a team of doctors, nurses, social workers, counselors, and trained volunteers. They work together focusing on the patient’s needs; physical, psychological and spiritual. The goal is to help keep the patient as pain-free as possible until death. The hospice team develops a care plan that meets each patient’s individual needs for pain management and symptom control.
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WHO IS ELIGIBLE FOR MEDICARE HOSPICE BENEFITS? Hospice care is covered under Medicare Part A (hospital insurance). You are eligible for Medicare hospice benefits when you meet all of the following conditions: • You are eligible for Medicare Part A (hospital insurance) • Your doctor and the hospice medical director certify that
you are terminally ill and probably have less than six months to live • You sign a statement choosing hospice care instead of routine Medicare covered benefits for your terminal illness • And you receive care from a Medicare-approved hospice program. Please note: Medicare will still pay for covered benefits for any health problems that aren’t related to your terminal illness.
WHAT DOES MEDICARE COVER? Medicare covers these hospice services and pays nearly all of their costs: • Doctor services and nursing care • Medical equipment (like wheelchairs or walkers) • Medical supplies (like bandages and catheters) • Drugs for symptom control and pain relief
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• Short-term hospital care, including respite and inpatient for
pain/symptom management • Home health aide and homemaker services • Physical, occupational and speech therapy • Social work services and dietary counseling • Grief support to help you and your family Please note: You will only have to pay part of the cost for outpatient drugs and inpatient respite care.
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Hospice Resources
RESPITE CARE AND MEDICARE Respite care is care given to a hospice patient by another caregiver so that the usual caregiver can rest. As a hospice patient, you may have one person who takes care of you every day, like a family member. Sometimes your caregiver needs someone to take care of you for a short time while they do other things that need to be done. During a period of respite care, you might be cared for in a Medicare-approved facility, such as a hospice residential facility, hospital or nursing home.
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THE MEDICARE HOSPICE BENEFIT DOES NOT COVER THE FOLLOWING: • Caring Connections • Treatment intended to cure your caringinfo.org terminal illness. You should • Hospice Link talk with your doctor if you 1-800-331-1620 are thinking about potential • National Hospice and treatment to cure your illness. Palliative Care Helpline • Medications not directly related 1-800-658-8898 to your hospice diagnosis. • Texas and New Mexico Hospice Organization Hospice team members will 1-800-580-9270 consult with the hospice physician and will inform you and your family which drugs and/or medications are covered and which ones are not covered under the Medicare Hospice Benefit. • Room and board aren’t covered by Medicare. You may receive hospice services wherever you live, even in a nursing home, however, the Medicare Hospice Benefit does not pay for nursing home room and board.
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HOW DO I BEGIN RECEIVING HOSPICE? Anyone can inquire about hospice services. You or your loved one may call a local hospice and request services. The hospice staff will then contact your physician to determine if a referral to hospice is appropriate. Another way to inquire about hospice is to talk with your physician, and he or she can make a referral to hospice. Hospice can begin as soon as a referral is made by the person’s doctor. As a hospice patient, you always have the right to stop getting hospice care and receive the “traditional” Medicare coverage you had before electing hospice. All care that you receive for your illness must be given by your hospice team.
GREATER HOUSTON AREA
HOSPICE OPTIONS Faith Community Hospice 281-422-0414
Living Waters Hospice
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832-723-0420
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What services are provided? What kind of support is available to the family/caregiver? What roles do the attending physician and hospice play? How does hospice work to keep the patient comfortable? How are services provided after hours? How and where does hospice provide short-term inpatient care? Can hospice be brought into a nursing home or long-term care facility?
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Do physicians visit the patient in the home? What is the staff-to-patient ratio? Are any alternative therapies provided to manage symptoms? What extras does the hospice provide?
My Questions
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Are any of the staff members certified or credentialed in hospice?
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POST-CAREGIVER TASKS
Navigating the Journey Beyond Caregiving
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he transition from caregiver to post-caregiver can be a daunting one, filled with uncertainty and a dizzying array of tasks to tackle. From sorting through personal belongings to updating legal documents, it can feel like there’s no end to the to-do list. But Where do you even begin? How do you make that transition? In this article, we’ll guide you through the uncharted territory of post-caregiving and offer practical tips to help you navigate this new terrain.
COPING WITH GRIEF AND LOSS Caring for a loved one can be an all-consuming task, one that leaves little time or energy for anything else. When that role comes to an end, it’s not uncommon to feel lost, adrift, and unsure of what comes next. Grief and loss are normal, natural responses to the passing of a loved one, but they can be overwhelming and difficult to navigate on your own. One of the most important things you can do in the aftermath of caregiving is to acknowledge your grief and allow yourself to feel your emotions fully. This may mean taking time off work, finding a support group, or talking to a therapist. It’s important to recognize that everyone grieves differently, and there is no “right” way to do it. Give yourself permission to feel the full
range of emotions that come with the end of a caregiving journey. It’s natural to feel a sense of loss or sadness, as well as relief or freedom. All of these feelings are valid, and it’s okay to take the time you need to process them. Another way to cope with grief and loss is to find ways to honor your loved one’s memory. This may mean creating a memorial, planting a tree in their honor, or participating in a charity walk or other fundraising event. By finding ways to keep your loved one’s memory alive, you can find a sense of meaning and purpose in the aftermath of their passing. It’s also important to take care of yourself during this time. This may mean engaging in activities that bring you joy, like reading, gardening, or spending time with friends and family.
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You may also consider starting a new hobby or pursuing a longdormant passion. Taking care of yourself in this way can help you rebuild your sense of identity and find a new sense of purpose in your post-caregiving life. Ultimately, coping with grief and loss after caregiving is a deeply personal journey. But by acknowledging your emotions, finding ways to honor your loved one’s memory, and taking care of yourself, you can find a way forward and create a future that feels hopeful and meaningful.
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LEGAL AND ADMINISTRATIVE TASKS In addition to coping with emotions, there are also practical matters that must be attended to in order to wrap up their affairs. This can include reviewing and updating legal documents, managing finances and debts, closing out accounts and subscriptions, notifying government agencies, and canceling services and insurance policies. It may be helpful to seek the assistance of a lawyer or financial advisor to help you navigate these tasks. Sorting through your loved one’s personal possessions can also be a daunting task. It’s important to give yourself time and space to do this, and to enlist the help of family and friends if needed. You may also consider donating or selling some of their belongings, or keeping items that have sentimental value to you. REBUILDING YOUR LIFE After the intense demands of caregiving and the emotional fallout of grief and loss, it’s natural to wonder how you will rebuild your life. But with time and support, it is possible to find a new sense of purpose and fulfillment. One way to begin the process of rebuilding is to set goals for yourself. These may be small, achievable goals, like taking a walk each day or trying a new recipe. Or they may be larger, long-term
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CONCLUSION As we’ve explored in this article, the end of a caregiving journey can bring about a multitude of tasks and emotions. But it’s important to remember that you don’t have to go through it alone. Seeking out support, whether it be through therapy, support groups, or online communities, can help you feel less isolated and provide a space for you to share your experiences with others who have gone through similar challenges. Remember to also prioritize your own physical and emotional well-being. Reconnecting with your own interests and goals, and planning for your future, can help you regain a sense of control and purpose in your life. At the end of the day, your caregiving journey has likely taught you a lot about yourself, your loved one, and the strength of the human spirit. Reflecting on this experience can help you find meaning and closure, and serve as a reminder of the love and compassion that fueled your journey as a caregiver. As you move forward into this new chapter of your life, know that there’s hope and support available to you. Take one day at a time, be kind to yourself, and remember that the journey of caregiving doesn’t end with the loss of your loved one, but rather, it’s a part of your story that will stay with you forever.
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goals, like starting a new career or pursuing further education. By setting goals for yourself, you can create a sense of structure and direction in your life, and begin to move forward with a sense of purpose. Another way to rebuild your life after caregiving is to focus on your relationships with others. Whether it’s spending time with friends and family, volunteering in your community, or joining a support group, connecting with others can help you feel less isolated and alone. It can also be a way to give back and find a sense of meaning and purpose in your post-caregiving life.
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CELEBRATING IMPORTANT DATES After Losing a Loved One
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hen a loved one passes away, their absence can be felt acutely during times of celebration and tradition. It can be hard to imagine carrying on with the same traditions that were once so important to us, especially when they seem to highlight the empty space where our loved one used to be. However, there are ways to honor our loved one’s memory and create new traditions that feel authentic and meaningful.
ADJUSTING TRADITIONS Adapting our traditions can be a powerful way to pay tribute to our loved ones and forge new connections with those around us. This doesn’t necessarily mean throwing everything out and starting from scratch. It can be as simple as making small tweaks to existing traditions or incorporating new elements that honor our loved one’s memory. For example, we might light a candle or share a favorite memory during a holiday meal, or we might incorporate a special activity or ritual that reminds us of our loved one’s interests or passions. It’s also important to remember that adjusting traditions is a process, and it’s okay if it takes time to figure out what feels right. We might try something new and realize it doesn’t quite hit the mark, or we might feel hesitant to make changes at first. But by staying open, we can gradually uncover new paths that feel meaningful and authentic to us.
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HONORING THE RELATIONSHIP It’s important to remember that the relationship between the caregiver and their loved one was unique and multifaceted. This means that there is no one-size-fits-all approach to honoring their memory. To truly honor the relationship, we must take the time to reflect on the shared experiences, inside jokes, and favorite things that made the relationship special. We must recognize the nuances of our loved one’s personality and interests, and incorporate them into our celebrations in a way that feels authentic and meaningful. It can be tempting to fall into the trap of comparing our celebrations to those of others or trying to conform to societal expectations of what a celebration should look like. But when we do this, we risk losing sight of the true essence of the relationship and what made it special. Instead, let’s embrace the richness of our relationships and celebrate them in all their complexity. Let’s laugh about the inside jokes that no one else understands and indulge in our loved one’s favorite foods, even if they seem unconventional. Let’s celebrate the moments that made us feel alive and connected to our loved one, even if they were bittersweet. Honoring the relationship means being true to ourselves and our loved one, and celebrating in a way that reflects the depth of our connection. It may not look like anyone else’s celebration, but that’s okay - because our relationship was unique, and our celebration should be too.
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Ultimately, it’s about finding a balance between honoring the past and embracing the present. By adapting to reflect our changing circumstances and relationships, we can find new ways to connect with our loved ones, even in their absence.
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DATES AND OCCASIONS TO CELEBRATE Caregivers may choose to celebrate various dates after losing a loved one, with some common occasions including: • The loved one’s birthday: This is an opportunity to reflect
on the joy and light that our loved one brought into the world, and to celebrate their life. • The day they passed away: While it may feel painful to
acknowledge this date, it can also be a way to honor our loved one’s life and the impact they had on us. • Holidays and special occasions: These can be particularly
challenging after a loss, but finding ways to include our loved one’s memory in these celebrations can be healing and help us feel connected to them. • Anniversaries: Celebrating anniversaries of important
events in our loved one’s life, such as a wedding anniversary or a significant accomplishment, can be a way to honor their legacy and the milestones they achieved. • Personal milestones: These can be bittersweet after a loss,
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but celebrating personal milestones like graduations, new jobs, or major life changes is not only a way of recognizing the progress and growth we’ve made in our own lives, but also a way of acknowledging the support and encouragement they provided along the way.
CONCLUSION In times of grief and loss, it can be difficult to imagine carrying on with traditions that once brought us so much joy. But adapting our traditions to honor our loved ones’ memories can create new meaning in our lives. It’s a process that takes time and patience, and there’s no right or wrong way to do it. By embracing the unique ways our loved ones enriched our lives, we can find comfort and connection in the midst of loss.
When it comes to home care, not all providers are created equal.
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