Caregivers 2009

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2009

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Choosing the Right Medicare Advantage PlanNot Quite as Hard as It Seems!

Medicare Advantage plans – technically know as Medicare Part C – are an increasingly popular choice for many Medicare-eligible individuals.

In fact, today more than one out of every four Wisconsinites is now a member of one of these plans and nearly 11 million across the country.

And despite the rhetoric in the news today, Congress has made NO program changes this year that affect Medicare Advantage plans in 2010.

Congress developed Medicare Advantage to provide additional choices in healthcare coverage for Medicare-eligibles. The plans are developed by private insurance companies through a contract with the federal government and frequently provide more benefits than traditional Medicare, sometimes without having to pay any additional premium.

There are certainly lots of plans to choose from! So how do you decide which plan is right for you? Here’s a quick checklist of items to consider.

What type of plan do you want?

There are three major types of plans: Network-based, non-network based and special needs plans.

Network-based plans – as their name implies – have a network of physicians, hospitals and healthcare providers you are required to use for your medical needs. This category includes HMO, POS and PPO plans.

One difference is that POS and PPO plans provide coverage for services from providers outside of the network - this option gives you more choice and may provide more flexibility if you travel regularly.

Non-network plans – known as Private Fee For Service (PFFS) plans – allow you to obtain services from any provider willing to accept payment from the insurance company. These plans provide maximum flexibility in

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provider choice, but also don’t offer any guarantees regarding access.

Important note: Congress did pass legislation in 2008 that will require PFFS in most Wisconsin counties to have networks available for enrollees. Coupled with reimbursement reductions for 2010, you will find that there are far fewer PFFS plans to pick from during this Annual Election period.

Finally, Special Needs Plans are designed for specific groups of individuals – such as people with debilitating chronic conditions or both Medicare and Medicaid – and their benefits are structured to provide better coverage for their special needs.

Do you want to pay a premium?

Many plans have low or even no additional premium (you will have to continue to pay your Part B premium). As a general “rule of thumb”, the more you pay in premium the lower your cost sharing will be if you access care. Do the math and see if paying a lot of premium is justified by the typical cost sharing you would experience with the plan. Pay $150 per month in premium or pay $20 a month when you go to the doctor’s office. Your choice.

Do you want a plan that includes the Part D prescription drug benefit?

Many companies offer plans both with and without prescription drugs and only PFFS plans let you pick a drug plan separate from your medical plan, In any case, make sure you have access to affordable medications. You might not take any medications today, but your needs can change very quickly and you don’t want to be left without coverage.

Does the plan have an overall outof-pocket maximum to provide finan-

cial protection?

Make sure the major cost sharing items – hospital, nursing home, outpatient surgery – count towards the annual out-of-pocket maximum. A good Medicare Advantage plan should protect you financially as well.

What kind of extra benefits do you get with the plan?

Many plans cover additional items like eyewear, hearing aids, fitness club memberships, disease management and clinical support services.

Are you looking for these benefits?

Will you use them? Are they worth any additional premium?

Always remember with Medicare Advantage plans: You are still in Medicare and have all the rights and protections as traditional Medicare members.

Like traditional Medicare, there is typically some cost sharing with most Medicare Advantage plans – you pay a portion of the medical costs though the structure may be different. Make sure you understand these amounts.

Because these plans are part of the Medicare program, there is no individual underwriting involved with these plans, no health questions, no exclusions or waiting periods.

Talk to your insurance agent, call the insurance company, or check out the company’s website or www.medicare.gov to get information. Though all Medicare-eligible individuals have an opportunity to select coverage during the Annual Enrollment Period, you may qualify to join earlier. Do your homework early and get the plan that’s right for you.

Submitted by Christopher M. Abbott, Executive Director of Secure Horizons.

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Caregivers Today 2009 CAREGIVERS GUIDE

M

illions of households across the United States have at least one person who is providing some level of unpaid care to a relative or other person over the age 50. And with more and more people living longer, these numbers are only going to continue to increase.

So, what does it mean to be a caregiver? A caregiver provides care, generally in the home environment, for an aging parent, spouse, other relative, or unrelated person, or for an ill or disabled person of any age, including a child. A caregiver can be a family member, friend, volunteer, or a paid professional.

Caregivers may help older adults with cooking, cleaning, laundry or driving to the store or other appointments. Caregivers may simply call to check on an older adult regularly. They may also assist in finding a person an appropriate place to live, provide personal cares or assist with financial or medical decisions.

This may include conversations about final wishes and helping with critical documents, such as wills, trusts and Powers of Attorney for Health Care. All of these things are forms of giving care.

While caring for an ill, aging or disabled person can be a rewarding experience, for those caregivers who have many demands in their lives or that care for someone with extensive needs, it can become an overwhelming responsibility. To keep from being too overwhelmed, caregivers need to remember there are numerous resources out there for them to reach out to and to use. That is the purpose of “The Caregiver’s Guide of Southeastern Wisconsin,” to bring caregivers and resources together to benefit all who are involved in the caregiving experience. We hope this guide will help make you the best caregiver you can possibly be by helping you be prepared and aware of your community resources.

This guide includes resources for adult day services, Alzheimer’s and memory loss, assisted living and other housing, health care, hearing, vision, transportation, nutrition and diet, support groups, websites, legal services and much more.

We hope that this resource guide will serve as a starting point for many of your caregiving needs, for both your loved one and yourself. After all, you can’t be your best without taking care of yourself as well—be sure to exercise, get plenty of rest and manage your stress.

For more guidance and support, contact the following: Family Caregiver Support Network.......................414-220-8600 Milwaukee County Department of Aging..............414-289-6874 Ozaukee County........................................................262-238-8120 Walworth County......................................................262-741-3200 Washington County...................................................877-306-3030 Waukesha County......................................................262-548-7848 Social Security............................................................800-772-1213 Medicare.....................................................................800-633-4227 Eldercare Locator......................................................800-677-1116 Or you can visit the following websites: www.caregiversupportnetwork.com (Family Caregiver Support Network) www.caregiving.org (Nation Alliance for Caregiving) www.caregiver.org (Family Caregiver Alliance)

CONTENTS Caregiver’s Guide Listings...........................................................7 Adult Day Services.................................................................7 Alcohol and Substance Abuse................................................7 Alzheimer’s and Memory Loss................................................7 Animals/Pet Care...................................................................7 Assisted Living.......................................................................7 Caregiver Education................................................................7 Consumer Protection..............................................................7 Dental...................................................................................9 Driving..................................................................................9 Employment Services..............................................................9 Faith/Spirituality......................................................................9 Financial Issues.......................................................................11 Funeral and Burials..................................................................11 Geriatric Assessment..............................................................11 Geriatric Care Management and Support..................................11 Grandparents and other relatives raising minors......................................................................11 Health Care-Clinics................................................................11 Hearing Resources..................................................................11 Home Maintenance / Handy People......................................13 Home Safety........................................................................13 Homemaking and Healthcare..................................................13 Housing...............................................................................13 Hospice...............................................................................13 Insurance- Medicare...............................................................13 Legal Matters........................................................................15 Lifelines- Medical Alarms.......................................................15 Medicaid/ T-19.....................................................................15 Medical Equipment................................................................15 Mental Health and Counseling...............................................15 Nursing Homes.....................................................................15 Nutrition-Dieticians, Home Delivered Meals............................. 17 Podiatry................................................................................17 Publications...........................................................................17 Relocation Services................................................................17 Respite Care.........................................................................17 Socialization..........................................................................17 Support Groups....................................................................19 Transportation........................................................................19 Veterans Benefits ..................................................................19 Visions Resources..................................................................19 Websites..............................................................................19

Published by

50 PLUS news magazine

in cooperation with For more information on this Caregiver’s Guide or 50 Plus News Magazine, please call 262-367-5303.

Information contained in this guide is intended for 50 Plus readers. Any reprinting or other publication is 128 Cottonwood Ave. prohibited without the express permission of 50 Plus P.O. Box 230 News Magazine.

Hartland, WI 53029

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It’s easy to learn more about Medicare. Call, come to a meeting or make an appointment.

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A sales person will be present with information and applications. For accommodation of persons with special needs at sales meetings, call 1-877-553-6926, TTY 711.

The family of AARP Medicare Plans includes Part D Prescription Drug Plans, Medicare Supplement Insurance Plans and Medicare Advantage Plans featuring the AARP ® brand name. Plans are insured or covered by UnitedHealthcare Insurance Company or an affiliate, a Medicare Advantage organization and a Prescription Drug Plan sponsor with a Medicare contract. AARP and its affiliate are not insurance agencies or carriers and do not employ or endorse insurance agents, brokers, representatives or advisors.

AARP does not recommend health related products, services, insurance or programs. You are strongly encouraged to evaluate your needs.

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Hospice Care: the Myths, the Reality Hosts Happy Hour for Caregivers One of the challenges hospice caregivers face is dispelling the fears about terminal illness and the dying process while reassuring patients and their families about what care near the end of life should be.

Myth: Hospice is a place.

Reality: Hospice isn’t a place. It’s the aggressive treatment of pain and symptoms near the end of life. Most of us would prefer to die at home, in familiar surroundings. Hospice is designed to respect that wish.

Myth: Hospice means giving up.

Reality: When medical treatments cannot cure a disease, the team of hospice professionals can do a great deal to control pain, reduce anxiety and provide medical, spiritual and emotional comfort to patients and their families.

Myth: Hospice care is expensive.

Reality: VITAS accepts all hospice-appropriate patients, regardless of their ability to pay. Most hospice patients qualify for Medicare, which covers 100 percent of the cost of hospice care. Medicaid and most private insurance plans also cover hospice care.

For more information, go to www.VITAS.com, or call 1.800.93.VITAS (1.800.938.4827).

The VITAS Team Approach to Hospice

Cedar Community’s Home Health is hosting Happy Hour for Caregivers on Thursday, Nov. 12 from 5 to 8 p.m. at Cedar Ridge Apartments, 113 Cedar Ridge Drive, West Bend. The event is free and open to caregivers from throughout the area. The event includes hors d’oeuvres, door prizes, free chair massages, informational booths and presentations including “Care for the Caregiver” and “Medicare D: Understanding the System.”

Information available includes long-distance caregiving, dementia care, relocating your loved one, advanced care directives, end-of-life decision-making, durable medical equipment, self-care and more. Area organizations will be on hand to answer your questions.

Bring your loved one and Cedar Community will provide care and a light meal, free of charge, while you enjoy the evening. Reservations are required for this service. For more information or to RSVP, call 262.306.2691.

Cedar Community Home Health includes Supportive Care for all ages and provides non-medical services including personal care; transportation for shopping and appointments; meal planning and preparation; laundry and light housekeeping. Supportive Care is available 24 hours per day, seven days a week.

For more details about Cedar Community’s Home Health services, call 262.306.2691 or visit cedarcommunity.org.

Cedar Community

ome and

Because every patient and family is unique, VITAS brings a team of hospice experts to listen, to act, to support.

Count on a physician, nurse, hospice aide, social worker, chaplain and volunteer, as needed, to provide quality of life near the end of life.

Serving the Milwaukee area since 1994 For information call 414.257.2600 Referrals: 1.800.93.VITAS VITAS.com

ospice

ealth

Happy Hour for Caregivers Let us take care of you.

Thursday, Nov. 12 5 - 8 p.m.

Cedar Ridge Apartments Grand Hall 113 Cedar Ridge Drive, West Bend  Hors d’oeuvres  Refreshments  Door prizes  Cash bar  Free massages from Cedar Valley Spa  Informational sessions - “Caring for the Caregiver” and “Medicare D: Understanding the System”  Information booths Cedar Community Home Health and Hospice Cedar Community Pathfinders Cedar Bay Assisted Living Cedar Community Independence Store Washington County Aging and Disability Resource Center Washington County Senior Center Cedar Community Supportive Care West Bend Fire Department Adult Day Care Response Link Bring your loved one - we’ll provide care and a light meal free of charge. Reservations required. Every preregistered guest in attendance will receive a gift.

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Expands Continuum of Care and Commitment to Brain Health A new program designed for those with a diagnosis of early memory loss or dementia is starting in November.

This four hour program will help those who want to enhance their memory and brain function and provide a respite opportunity for caregivers.

This program is the latest addition to the Clement Manor continuum of care. Clement Manor has been in the business of providing services that allow residents and people in the community to age in place, especially those with memory loss. From lifelong learning programs to Long-term Memory Care, all of the services someone needs to experience health aging can be found on the Clement Manor campus.

The Clement Manor Center for Enrichment and Life Long Learning is a place where older adults can gather to stay active healthy and continue to learn. This Center pro-

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vides opportunities for education, wellness and spiritual growth while encouraging social interaction – all components of maintaining a healthy lifestyle. Classes vary from water fitness and yoga to lectures and discussions about the Supreme Court, Comparative Religions, Art and Music.

What makes the Center for Enrichment so unique is its long history of collaborating with volunteer instructors. The Center’s roots run deep with this concept as it used to be the LaFarge Lifelong Learning program hosted by the School Sisters of St. Francis. When the program moved to Clement Manor, the format and quality of programming stayed the same. The Center is always looking for volunteer instructors who are willing to share their passion and/or expertise with older adults. This type of community volunteering provides a rewarding

exchange, indeed.

Take a tour of this faith-based facility and find out for yourself why the American Health Care Association recognizes them as an extraordinary example of quality. Contact them at (414) 321-1800 or visit their website at www.clementmanor.com.

Located in Greenfield at 92nd Street and Howard Avenue.

Services include: • Center for Enrichment and Life Long Learning • Child Day Care • Adult Day Services • Early Memory Loss Program • Short Term Rehabilitation • Assisted Living • Independent Living • Skilled Nursing/Long Term Care • Memory Care Specialty

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Adult Day Services Adult Day Centers are designed to service adults who are experiencing a decrease in physical, mental and social functioning and who may need the protective environment when their caregivers are at work or in need of respite. Full and half day services are usually available. Range of services may include recreational therapy, meals, social services, transportation, personal care, including bathing, hair and nail care, nursing services, rehabilitation therapy and medical services. Fees for Adult Day Services vary based on what services are included in the fee. Some centers may be able to offer low income persons a reduced fee based on ability to pay. Most centers offering the wide range of services are licensed by the State. Those that are more informal with more of a recreational model are not licensed.

Contact your local County resources. n

Alcohol and Substance Abuse Alcohol and Substance Abuse is at epidemic proportions among the elderly. It remains for the most part, unreported, undiagnosed, or ignored. Most drinkers who started late are affected by social isolation and physical health problems which may include grief or loss, housing, marital or mental health problems.

For a facility locater in Wisconsin go to: www.theagapecenter.com/treatmentcenters/wisconsin or refer to your local yellow pages under Alcoholism information and treatment centers. You may also choose to talk to local County resources. n

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■ Local Resources

for Family Caregivers Milwaukee County ......414-220-8600 Ozaukee County..........262-238-8120 ....................................262-284-8120 Walworth County ........262-741-3200 Washington County ....877-306-3030 Waukesha County ...... 262-548-7848 State Wide Toll Free .. 866-843-9810 Should you need community services and or respite, contact your local County resource. n

Animals/Pet Care Whether you are looking for listings of animal friendly landlords, information on the importance of spaying and neutering, available options when you are no longer able to care for your pet and nutrition programs to provide food for pets of individuals with low income, contact your local Humane Society.

Milwaukee . . . . . . . . . . .414-961-0310 Elmbrook . . . . . . . . . . . .262-782-9261 Waukesha . . . . . . . . . . . .262-542-8851 Washington . . . . . . . . . . .262-677-4388 Ozaukee . . . . . . . . . . . . .262-377-7580 Refer to your yellow pages for pet related services such as in home veterinary care, pet sitting, grooming and yard clean up. These services have often been the answer to a number of older adult pet owners needs.

Assisted Living

Problems with memory can have many causes that may range from normal age related memory declines to a diversity of past or present medical conditions, nutritional deficiencies or medication side effects. If you or your loved one is experiencing trouble with memory, discuss the problem with your physician.

Assisted living facilities are for people who need assistance with Activities of Daily Living (ADLs), but wishing to live as independently as possible. Assisted living exists to bridge the gap between independent living and nursing homes.

The services provided may include but are not limited to meals, assistance with bathing, dressing, laundry, housekeeping and assistance with medications or medication monitoring.

For 24/7 information and referral helpline- contact Alzheimer’s Association at . . . . . . . . . . . . . . . . . . . . .1-800-272-3900 or Alzheimer’s Association-SE WI . . . . . . . . . . . . . . . . . . . .414- 479-8800

Assisted Living options include: Residential Care Apartment Complex (RCAC) independent apartment units that can provide up to four hours of skilled and/or supportive care per day.

Alzheimer’s and Memory Loss

Community Based Residential Facility (CBRF) state licensed supportive living facilities where five or more adults reside.

They are staffed 24 hours per day and can provide three hours of skilled nursing care per week.

Adult Family Homes (AFH) a place where three or four adults reside and receive care, treatment or services that may include up to seven hours per week of nursing care.

Call Family Caregiver Support Network – Living Options service for more information, call 414-220-8600 or 800449-4481 or visit www.living-options.org or call your local County resource. n To file a complaint or ask about State regulations contact the Office of Quality Assurance . . . . . . . . . . . . . . .608-266-8481

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

Consumer Protection Consumer Protection works to eliminate unfair or deceptive marketplace practices.

To file a complaint against a business contact the Better Business Bureau at . . . . .1-800-273-1002 or 414-847-6000 To file a complaint against a nursing home or assisted living facility contact the Office of Quality Assurance at . . . . . . . . . . . . . . . . . . . .414-227-5000 Continued on page 9 2009 • CAREGIVER’S GUIDE | 7

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A Place of Caring and Independence St. Clare Terrace is an assisted living apartment community in the quite neighborhood across from Alverno College. Once a dormitory for religious Sisters, St. Clare Terrace has been transformed into a beautiful residence for adults in need of a safe, secure apartment, and a friendly staff to help with life’s day-to-day needs.

Residents at St. Clare Terrace have the freedom to enjoy a lifestyle that is most comfortable to them. A typical day might include joining friends for entertainment, discussing current events while enjoying a delicious meal, and spending a few moments of quiet time in the stunning chapel that is open to all faiths.

In addition to a spacious apartment that features all the necessary amenities including walk in showers, some of the other features that St. Clare Terrace offers include weekly housekeeping, an on-site beauty parlor and barber salon, 24 hour security, spa area, as well as counseling and spiritual care. And, you can rely on the professional care of an onsite nurse who can help you with your medical and health questions.

St. Clare Terrace is sponsored by the Franciscan Sisters of St. Clare and managed by Clement Manor. Conveniently

located at 3553 S. 41st Street, Milwaukee. Contact them at (414) 649-0730.

Our stunning chapel welcomes people of all faiths to grow in spirituality. Plus, carefully designed features, convenient amenities and recreational and educational programs create a fulfilling life. Embrace independence at St. Clare Terrace.

Another senior community by the Franciscan Sisters of St. Clare equal housing opportunity

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Continued from page 7 Concerns with inappropriate marketing and sales practices of Medicare Advantage plan agents contact:

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

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

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■ Local Resources

for Family Caregivers Milwaukee County ......414-220-8600 Ozaukee County..........262-238-8120 ....................................262-284-8120 Walworth County ........262-741-3200 Washington County ....877-306-3030 Waukesha County ...... 262-548-7848 State Wide Toll Free .. 866-843-9810 The Alzheimer’s Association has a variety of information and materials.

For 24/7 information and referral helpline- contact Alzheimer’s Association at . . . . . . . . . . . . . . . . . . .1-800-272-3900 or Alzheimer’s Association-SE WI . . . . . . . . . . . . . . . . . . . .414- 479-8800

Interfaith Older Adult Programs 600 W. Virginia, Suite 300 Milwaukee, WI 53204 414-291-7500, ext. 224 Ozaukee Workforce Development Center-Ozaukee County 5555 West Highland Road (P.O. Box 547) Mequon, WI 53092 Telephone: 262/238-2880 FAX: 262/238-2890 Walworth Walworth Job Center 10 E. Centralia Street Elkhorn, WI 53121 Telephone: . . . . . . . . . . .262/741-5180 FAX: . . . . . . . . . . . . . . . .262/741-5275

Milwaukee: Guadalupe Dental Clinic, Inc. . . . . . . . . . . . . . . . . . . . .414- 643-8787 Marquette University Dental Clinic . . . . . . . . . . . . . . . . . . . . 414-288-6500 MATC Dental Hygiene Clinic . . . . . . . . . . . . . . . . . . . .414-297-6573 Contact your local County resource for another clinic in your community. n For a list of Title 19 dentists in your area contact the Greater Milwaukee Dental Association at . . . . . . . . . . .414-276-9911 outside the Milwaukee area contact . . . . . . . . . . . . . . . . . . .1-888-338-6852 Mobile Dental Care . . . . . . . . . . . . . . . .262-786-4819 x222

Driving Driving is affected by a variety of health issues. If you have concerns about your loved one’s driving abilities contact: Driver Services Medical Division at . . . . . . . . . . . . . . . . . . .1-608-266-2327 For Driver Safety contact www.AARP.org For a Comprehensive Driver’s Readiness Evaluation contactAurora Rehabilitation Centers: West Allis Memorial Hospital . . . . . . . . . . . . . . . . . . . .414-328-6633 Sinai Medical Center . . . . . . . . . . . . . . . . . . .4141-219-5241

Employment Services Significant numbers of working caregivers often need to make adjustments to their work life, from reporting late to work, reducing hours or giving up work entirely.

For individuals 54 years of age and under contact: Milwaukee Milwaukee County Residents/caregivers of any age can get job search assistance at the following locations: Northeast Comprehensive Job Center YWCA Greater Milwaukee 1915 N. Martin Luther King Dr Milwaukee, WI 53212 (414)267-3291 Job Center Central 4030 N. 29th Street Milwaukee, WI 53216 414-486-5209 414-486-5200 Main phone Job Center Southeast 2701 S. Chase Avenue Milwaukee, WI 53207 414-389-6604 414-389-6637 Job Seekers age 55 and over can get assistance at the following locations: Mature Worker Resource Center Washington Park Senior Center 4420 W Vliet Street Milwaukee, WI 414-931-0253

Washington Workforce Development Center Washington County 2200 Green Tree Road West Bend, WI 53095 Telephone: 262/335-5300 FAX: 262/335-5321 Waukesha Workforce Development Center Waukesha County 892 Main Street Pewaukee, WI 53072 Telephone: 262/695-7800 FAX: 262/695-7890 For individuals 55 years of age and older call: Southeastern Area Agency on Aging, Inc. Attn: Older Worker Coordinator 125 N. Executive Drive, Suite 102 Brookfield, WI 53005 Phone: . . . . . . . . . . . . . . 262-821-4444 Southeastern Area Agency on Aging serves all four counties. They also have a caregiver support program that can supply additional information.

Contact your local County resource for Family Caregivers for employment or caregiver reimbursement options. n

Faith/Spirituality As a caregiver you may draw your strength each day from your church, synagogue, mosque and other faith based groups to help you manage your daily caregiving challenges.

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A Partner in Home Care for the Elderly With 80 percent of middle-aged couples having at least one living parent, many people are learning to adjust to the reversing roles of child and parent by confronting the demands of caring for those who once took care of them.

Adult daughters typically assume the major responsibilities for parent care giving. For most women, these duties are added to an already full roster, at home, at the office, or both.

“Elder care has become a top problem in our society today as it replaces child care as the number one issue for men and women in today’s work force” said John Hawkins, President of Senior Helpers - South Metro Milwaukee. “Already, people are spending more time caring for or providing for the care of their elderly parents than they did caring for their own children. The problem will only magnify with the aging of the population.”

Women frequently report that they sacrifice their personal time, privacy, peace of mind, freedom and personal plans to assist her and/or his elderly parents. Some people assume the responsibility because they feel able and willing. Others feel bound by duty.

It’s estimated that up to seven million women are unpaid caregivers to the elderly. They struggle to cope with the exhaustion, loneliness, mental and physical demands, and heartbreak of watching a loved one grow weaker.They need help desperately!

Senior Helpers provides an affordable solution for older individuals or couples capable of managing their physical

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needs, but who require non-medical assistance, light housework, meal preparation and/or companionship in order to remain independent at home.

According to Felicia and James Miller, owners of Senior Helpers – Milwaukee, services can be arranged for as little as a couple of hours, or for as many as 24 hours, a day. Short-term assistance or longer-term care is available seven days a week, including holidays.

When a potential client contacts the company, a Senior Helpers consultant will arrange a meeting with the client and his or her family to discuss what services are needed. Cost is on an hourly basis, so hours can be decreased or increased based on changing needs.

The company’s Caregiver employees are carefully selected individuals who are thoroughly screened, bonded and insured. Special attention is given to matching Caregivers with clients to achieve the utmost compatibility. At Senior Helpers, providing quality care is our main concern. For further information contact: Erin Noon John Hawkins Senior Helpers – Senior Helpers – Milwaukee South Metro Milwaukee 735 W.Wisconsin Avenue 1551 S. 108th Street Suite 600 Suite 114 Milwaukee,WI 53233 West Allis,WI 414-431-0500 414-258-9765 enoon@seniorhelpers.com jhawkins@seniorhelpers.com

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Continued from page 9 Contact your local County resource for Family Caregivers for Caregiver Retreat Information or to find out about respite options that would allow the caregiver to attend church. n

Financial Issues As seniors age, many struggle to keep up with their finances. Some pay their bills late or forget entirely. It is uncomfortable for children—no matter if they are 30, 40 or 50—to ask if their parents are struggling to pay their bills. Below is a list of tools and resources available that will assist the caregiver with financial issues.

For information on services that may be available through Medicare and Medicaid and information on all benefit programs in Milwaukee County, contact Senior Law Benefit Specialist of Legal Action at . . . . . . . . . . . . . . . . . . . .414-278-1222 Contact your local County resource for Family Caregivers or for Benefit Specialists in other counties. n Money management services are available through Aurora Family Services at . . . . . . . . . . . . . . . . . . . .414-344-3344

Funeral and Burial

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for Family Caregivers Milwaukee County ......414-220-8600 Ozaukee County..........262-238-8120 ....................................262-284-8120 Walworth County ........262-741-3200 Washington County ....877-306-3030 Waukesha County ...... 262-548-7848 State Wide Toll Free .. 866-843-9810

Geriatric Assessment Progressive memory loss, a decline in eating or isolation from family or friends is not a normal part of the aging process, and often family members are the first to notice that something is wrong. Early detection and intervention is crucial as many symptoms are reversible. A Geriatric Assessment offers a comprehensive approach to dealing with the problems, which includes a multidisciplinary team to diagnose and treat all types of memory and health issues. Below is a list of geriatric clinics or talk with your family physician about options available in your area.

Froedtert Memory Disorders Program . . . . . . . . . . . . . . . . . . . . . . .414-219-7300

Preplanning a funeral allows an individual to express their views in the selection of services that best fit their beliefs and desires. Preplanning can save a family 50% or more on funeral and burial arrangements.

Aurora Geriatric Institute at Sinai . . . . . . . . . . . . . . . . . . . .414-219-7300

For information on how to talk with your loved one about funeral arrangements Contact your local County resource for Family Caregivers. n

Geriatric Care Management and Support

Talk with your funeral home of choice about the burial assistance program offered through your county.

For more information contact your your local County resources. n In Milwaukee contact the Benefit Specialists of Legal Action for burial trust information . . . . . . . . . . . . .414-278-7722

Covenant Healthcare Clinic at Alexian Village . . . . . . . . . . . . . .414-357-6463

Geriatric Care managers can provide coordinated care management for caregivers who live near or far. They have extensive knowledge about quality, costs, and availability of services in your community and can connect you with the services that will be right for you or a loved one. Professional Geriatric Care Managers generally charge a fee and can be found throughout the country.

Contact your local County resource for a list of Care Managers in your area. n Consumers may locate geriatric care managers throughout the Untied States by visiting www.caremanager.org

Grandparents and Other Relatives Raising Minors Researchers tell us that grandparents and other relatives raising children 18 and under are one of the fastest growing types of families in America. The courts would prefer to remove a child from their biological parent(s) and place them with a family member if at all possible. This situation knows no racial or economic boundaries. It is estimated that 1 in 12 children are being raised by a ‘grandparent’. The National Family Caregiver Program has been asked to work with Grandparents 55+.

Contact your County Aging / Family Caregiver Program for possible respite options, support groups, workshops and other local resources. n Also in Milwaukee contact: Parenting Network Helpline . . . . . . . . . . . . . . . . . . . .414-671-5575 Kids Matter . . . . . . . . . . . . . . . . . . . .414-344-1220 Legal and social service information AARP www.aarp.org/families/grandparents

Health Care-Clinics Many times individuals earn just enough income to be ineligible for Medicaid coverage, yet do not receive health insurance through their employers and cannot afford to pay for “out of pocket” health insurance. Often, these individuals are forced to seek treatment at local emergency rooms and become saddled with medical bills that they are not able to afford. Free or reduced fee medical clinics fill the gap in healthcare access for the uninsured.

For a list of free or reduced fee clinics in your area contact your county aging services or 211. n Contact www.freemedicalcamps.com for a list of free medical clinics in your area.

Hearing Resources At least 25% of individuals over the age of 65 report problems with hearing.

Persistent failure to understand what is being said can lead to frustration, discouragement and embarrassment. Two of the most common consequences of hearing impairment in the elderly are depression and withdrawal.

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Affordable Technology Can Help Seniors Stay Independent At Home Call Senior Home Safety for a free consultation If a family member needs extra help, the burdens on caregivers can be overwhelming. Fortunately, new technologies can help families work better together to meet the needs of a loved one. Are these technologies right for you? You may want to consider them if any of the following situations sound familiar: <RXU PRP PDQDJHV MXVW Âż QH E\ KHUVHOI EXW KDV trouble remembering to take her medication on schedule. Medication Management systems can be loaded and set to remind her to take her medications whenever needed. If a dose is missed, she gets a friendly reminder call.

Uncle Bob has trouble with high blood pressure. If itâ&#x20AC;&#x2122;s not checked every day, it could give him serious problems. A simple system can let him check his blood pressure at home, and immediately alert you and/or his physician if anything is wrong. Tele-health systems can also monitor blood glucose, irregular heartbeats, body temperature or weight.

Youâ&#x20AC;&#x2122;re worried Grandpa is showing signs of dementia, and may leave the house at unsafe times.

A discreet door alert (exit monitoring) can alert you

via phone if he leaves, buying you precious time.

Your dad recently had surgery which hampers his mobility. A fall detection system can alert you if heâ&#x20AC;&#x2122;s unable to summon help on his own.

Your aunt lives alone, and is often uneasy about unexpected visitors or noises. Sheâ&#x20AC;&#x2122;s also concerned about a fall or other medical crises.

A discreet, waterproof, personal alarm pendant can help her call for assistance from anywhere in her home. The friendly, helpful attendants at The Care Center will get medical assistance, contact you, or just stay on the line with her if she has concerns.

New technologies are making it easier than ever to help seniors stay independent at home.

Products are discreet, easy-to-use and affordable.

To find out what solutions are right for your family, visit www.seniorhomesafety.net, or call for a personal evaluation: (262) 244-7409 local (888) 414-8177 toll-free

Helping Seniors Stay Independent Personal Alarm Pendants Contact a friendly, helpful person at

Exit Monitoring If your loved one is at risk for leaving the

the touch of a button. Not just for emergencies, we encourage you to call whether you need medial assistance, or just a friendly voice.

home at unsafe times, our exit monitoring can alert you or a family member quickly. Our systems are adapted to meet your individual needs.

Medication Management Our automatic medication systems will alert you when itâ&#x20AC;&#x2122;s time to take your medication, and, if you choose, alert a loved one if a dose is missed.

EXIT MONITORING - FALL DETECTION - PERSONAL ALARMS MEDICATION MANAGEMENT - TELE HEALTH

Tele-Health Systems Daily monitoring and trending of critical health information can help families and caregivers prevent or manage a major medical crisis.

Fall Detection Our fall detection systems can call for help in the event of a fall, even if your loved one is unable to ask for help their own.

(888) 414-8177 W1205 Industrial Drive, Ixonia

12 | 2009 â&#x20AC;˘ CAREGIVERâ&#x20AC;&#x2122;S GUIDE

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Contact the Center for the Deaf and Hard of Hearing for information on the wide variety of services offered . . . . . . . . . . . . . . . . . . . .414-604-7202

Home Maintenance / Handy People Although the average elderly individual would prefer to remain in their own home; frailty, chronic illness, and disability often prevent this dream from materializing.

Below is a list of programs available to help the elderly remain in their homes.

Milwaukee: Homeowners Options Program for the Elderly(HOPE) . . . . . . . . . .414-342-4560 Good Neighbor Project - Volunteers assist older adults that need help with seasonal outdoor chores; grass cutting, shoveling snow and leaf raking. . . . . . . . . . . . . . . . . . . . .414-220-8650 Neighborhood Outreach Program of Interfaith Older Adult Program for possible neighborhood services . . . . . . . . . . . . . . . . . . . 414- 291-7500 Independence First (main office) . . . . . . . . . . . . . . . . . . . .414-291-7520 A resource serving people with disabilities in Milwaukee, Ozaukee, Washington, Waukesha Counties: Your County resource may have other options available to you. n

Home Safety Each year older adults are injured in and around their homes. Many of these injuries result from hazards that are easy to overlook but easy to fix.

Contact your county resource for a list of agencies that will do home safety assessments and offer home safety check lists. n Contact the family caregiver support network website at www.caregiversupportnetwork.org for a home safety check list.

Homemaking and Healthcare

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for Family Caregivers Milwaukee County ......414-220-8600 Ozaukee County..........262-238-8120 ....................................262-284-8120 Walworth County ........262-741-3200 Washington County ....877-306-3030 Waukesha County ...... 262-548-7848 State Wide Toll Free .. 866-843-9810 comfortable.

Assistance with homemaking, personal needs and transportation can help an older adult maintain independence.

Contact your County resource to discuss options or for resources for homemaking and healthcare providers. n

Housing Southeastern Wisconsin has a wide variety of housing options. Contact your county resource to discuss the options available to you.

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

Hospice The hospice philosophy recognizes death as the final stage of life and seeks to enable patients to continue an alert, painfree life and to manage other symptoms so that their last days may be spent with dignity and quality, surrounded by their loved ones. Hospice care can be given in the patient’s home, a hospital, nursing home, or private hospice facility. Typically, an interdisciplinary health care team of doctors, nurses, social workers, home health aides, clergy, therapists and trained volunteers care for you.

See your local yellow pages under “Hospice” or talk with your County resource. n

Insurance- Medicare For information on different types of insurance options, see the list below: Medicare information, ordering Medicare booklets, and information about health plans, contact . . . . . . . . . . . . . . . . . . .1-800-633-4227 24 hours a day, 7 days a week www.medicare.gov Medigap / HMO Hotline / Spousal Impoverishment. . . . . . . .1-800-242-1060 Provides Information on Medicare Insurance, Long term Care Insurance Home Health Care Insurance and other health insurance that might be available prior to Medicare.

Community Insurance Information Center 700 West Michigan Street, Suite 350, 53233 . . . . . . . . . . . . . . .414-291-5360 Information on car, home (non Medicare) health and renters’ insurance.

Hours are Mon. 1:00 p.m-4:00 p.m.

Tues.- Thurs.8:00 a.m.-4:00 p.m.

Railroad Retirement Board 310 West Wisconsin Avenue Suite 1300 53203 . . . . . . . . . . . . . . . . . . . .877-772-5772 Retirement unemployment and sickness program Senior Care. . . . . . . . . . . . . . . . . . .1-800-657-2038 Prescription drug assistance program for Wisconsin residents 65+ who meet eligibility criteria.

Veteran’s Insurance Information . . . . . . . . . . . . . . . . . . .1-800-669-8477 Veteran's Affairs Regional Office 5000 W. National, Milwaukee 53295 . . . . . . . . . . . . . . . . . . 1-800-827-1000 Wisconsin Medicaid.

For assistance with Title 19 and SSI-E applications and financial assistance for individuals 60 and older contact the Benefit Specialist through your County resource. n

Today’s older adult wants to grow old at home, the place he/she feels most 2009 • CAREGIVER’S GUIDE | 13

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Washington County offers transportation As a Care Giver you might not have the means to fulfill all of the demands by those to whom you provide assistance. Transportation may be one such issue.

We all know that no one wants to lose their independence to get around within their community. With Washington County’s Shared-Ride Taxi Service those of us who are Care Givers can help our friends and loved ones travel within Washington County (including the northern part of Menomonee Falls) conveniently and inexpensively. In fact, they could even travel to downtown Milwaukee via a connection with the WCCE (Washington County Commuter Express) motor coach.

Now you or they can: • schedule and complete medical appointments, • go to social gatherings, • go to church functions, • take a trip to the grocery store, or • simply visit a friend.

Note, those who are traveling (are picked-up and dropped-off) within the City of West Bend or within the City of Hartford will need to contact the City Taxi Service in those areas.

$20 Discounted Punch Card Available ($25 Value) Children age 4 and under will ride free.

Children 12 and under must be accompanied by a responsible adult.

Commuter Express connection fare is $1.00 for one way. For people traveling within the City of West Bend and the City of Hartford...

Call your city taxi.

How does it work? It is quite simple. You call the Shared-Ride Taxi service at least 24 hours before you want to be picked-up to make your reservation. This is very important for Specialized Service. Same day rides will be accommodated based a availability.

Tell the dispatcher: • The date you will need your ride; • The time of day you would like to be picked-up (please advise the dispatcher if you have a time-sensitive appointment); • Your name and contact phone numbers (pick-up and drop-off); • From which exit of your “pick-up” address you will be leaving; • If you will need assistance; • To which entrance of your destination address you will be entering; • The number of passengers; and • If a wheelchair-accessible van is needed (you must provide your own wheelchair).

It’s that easy.

HOURS: Monday-Saturday 5am-10pm; Sunday 8am-4pm 14 | 2009 • CAREGIVER’S GUIDE

Even if you are a “Specialized Service” rider – one who is wheelchair bound – you can be driven to most anywhere within Washington County.

The Shared-Ride Taxi Service operates seven days per week, weather permitting. Their hours of operation are: Monday through Saturday – 5:00am to 10:00pm Sunday – 8:00am to 4:00pm Local Number: 1-262-338-2908 Toll Free Number: 1-888-285-8294 For more information, go to: RideWCCE.com

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Legal Matters There are a variety of personal legal matters regarding health and finances which need to be taken care of. This can best be done by an Elder Law Attorney.

Elder Law Attorneys specialize in age related legal matters and problems including qualifying for public benefit programs, long term care, estate planning, advance directives and guardianship issues. Your local County resource may have a list or call: Milwaukee Bar Association’s Referral Service . . . . . . . . . . . . . . . . 414-274-6768 . . . . .www.findmilwaukeelawyers.org May discuss legal matters and / or seek a referral to an attorney in Milwaukee and surrounding counties.

National Academy of Elder Law Attorneys . . . . . . . . . . . . . .520-881-4005 . . . . . . . . . . . . . . . . . .www.naela.com

Lifelines- Medical Alarms Telephone monitoring systems assist seniors in their home in case of a medical emergency. When a subscriber activates a monitoring pendant, the monitoring agency immediately contacts the subscriber as to inquire the type of assistance needed. Emergency Medical Technicians and personal emergency contacts are notified if the subscriber is unable to respond. Contact telephone monitoring agency for listing of other monitoring services offered as well.

Contact your County resource for more options. n

Medicaid/ T-19 For assistance with Title 19 and SSI-E applications and financial assistance for individuals 60 and older, contact the Benefit Specialist through your county aging services. For individuals under the age of 60, contact your county Health and Human Services Department.

You may apply for Medicaid by mail, telephone or in person. To obtain an application or apply in person, contact your county aging service number. n For information on the Medicaid program contact their website at http://dhfs.wisconsin.gov/medicaid/index. htm

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for Family Caregivers Milwaukee County ......414-220-8600 Ozaukee County..........262-238-8120 ....................................262-284-8120 Walworth County ........262-741-3200 Washington County ....877-306-3030 Waukesha County ...... 262-548-7848 State Wide Toll Free .. 866-843-9810 If you are unsure of where or how to obtain an application or need help in completing an application, call Recipient Services at .1-800-362-3002

Medical Equipment American Cancer Society . . . . . . . . . . . . . . . . . . . .262-523-5500 Program to provide durable medical equipment for patients diagnosed with cancer.

Independence First . . . . . . . . . . . . . . . . . . . .414-291-7520 Assistive Technology Loan Program Statewide low interest loan program that allows a Wisconsin resident with a disability to purchase assistive technology or make home modifications.

Contact your County resource for more options. n

Mental Health and Counseling For both the caregiver and or the care receiver.

Nearly 20% of those who are 55 years and older experience mental disorders that are not part of normal aging. Most common disorders are anxiety, severe cognitive impairment and mood disorders.

The rate of suicide is highest among older adults compared to any other age group.

Nearly one out of every four U.S. households provides care to a relative or friend aged 50 or older. Studies show that caregiver’s experience a sense of burden and estimated 46% are clinically depressed.

Alzheimer's Association of Southeastern Wisconsin . . . . . . . . . . . .414-479-8800 . . . . . . . . . . . . . . . . .or 1-800-922-2413

Center for Psychological Services . . . . . . . . . . . . . . . . . . . .414-288-3487 at Marquette University Mental Health Association in Milwaukee County . . . . . . . . . . . . . .414- 276-3122 Resources for prevention in mental health.

NAMI Wisconsin Inc. . . . . . . . . . . . . . . . . . . .1-800-236-2988 . . . . . . . . . . . . . . . . . . . .608-268-6000 Advocacy, Referral, Support Groups, was founded for people with mental Illness and their families. NAMI also has educational programs. Everything is free of charge.

Contact your local County resource for Family Caregivers for other counseling services within your community. n

Nursing Homes Nursing Homes and Health Care Centers are skilled nursing facilities designed to meet the needs of persons convalescing from illness or surgery, to providing long-term care which is not appropriate for a hospital or available through other alternatives. All persons entering a nursing home do so under physicians' orders. Their care is supervised by nurses and other professionals under the direction of a physician. Facilities may offer special programs in rehabilitation, mental health, developmental disabilities, Alzheimer's, hospice and subacute care.

Along with meeting long term care needs they may offer outpatient services for rehabilitation, respite care (1-28 days) and short term or recuperative care (1-90 days).

Family Caregiver Support Network: Living Options services . . . . . . . . . . . . . . . . . . . .414-220-8600 . . . . . . . . . . . . . . . . . . .1-800-449-4481 Assists when exploring options or needing to select a facility by providing Federal and State inspection report information, touring check lists and more specific information on facilities (size, rates, smoking, a religious affiliation) in southeastern Wisconsin.

Ombudsman Program – State of Wisconsin . . . . . . . . . . . . .1-800- 815-0015 “Ombudsman” means ‘advocate’.

Ombudsman acts as advocate in licensed facilities such as nursing homes on behalf of residents and/or their families. Leave a message including the facility name so that your call can be routed to an Ombudsman assigned to the facility you are referring to.

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Quality Home Health Care for You Mission Quality Home Health Care’s mission is to provide the highest standard of home care and services that are beneficial in returning our patient to optimal function and independence.

As employees, we promise to be compassionate, caring and efficient in the delivery of our services to our patients and their physicians.

Staff Each staff member undergoes an extensive background check and we are fully insured and bonded.This policy assures the quality of our staff, the safety of the patients and gives you added confidence in our agency. We encourage personal growth by providing training programs, specialty certifications and ongoing education. The excellent staff at Quality Home Health Care is our most important asset and the reason we continue to be successful.

Company Quality Home Health Care is locally owned and operated.

We have been treating patients and helping families for more than 4 years. We understand your patients' needs because we are part of your community.

16 | 2009 • CAREGIVER’S GUIDE

Commitment The people who work for Quality Home Health Care are what really sets us apart. All of our nurses and office staff are truly nice people. They all sincerely care about our patients.

That's why so many of the people we help come to think of us as family. When you refer your patients to us, you can depend on them being left in caring, qualified hands.

Quality Home Health Care is commited to providing its patients with the highest quality care. Quality Home Health Care promotes appropriate, adequate, effective and efficient health care to all its patients.

Patient Testimonials • Thank you for everything. If any of my friends or family need home health in the future, I would recommend you! YOU ALL ARE EXCELLENT!!!!!

• You have a great staff! Not just the people who visited me, but in the office, too!

• This is the second time we have used Quality Home Health Care. My husband is more demanding than some, but yet he stated that he would always use Qualtiy Home Health Care...that says a lot.

• There is nothing you could possibly improve about your services. Quality Home Health Care is the BEST!

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

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

Nutrition-Dieticians, Home Delivered Meals “MOWs”/Meals on Wheels A significant number of elderly fail to get the amounts and types of food necessary to meet essential energy and nutrient needs.There is evidence that good nutrition promotes vitality and independence whereas poor nutrition can prolong recovery from illness and lead to a lesser quality of life.

Contact your County resource or Milwaukee County 414-289-6874 for a list of meal sites and providers of home delivered meals. n Outside Milwaukee For aging and caregiver resources anywhere in the country contact the Eldercare Locater number at . . . . . . . . . . . . . . . . . . .1-800-677-1116

Podiatry Foot care is of utmost importance in older adults because of the need for ambulation and mobility. Circulation to the lower portions of the body tends to decrease with age. Decreased circulation, coupled with diminished sensation, can lead to skin breakdown and infections.

Older adults are less agile and may experience difficulty in maintaining good hygiene of the feet. Many times podiatry services are covered by insurance, depending upon your medical condition.

At home services are also available.

Contact your County resource for more information or talk with your primary care physician. n

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for Family Caregivers Milwaukee County ......414-220-8600 Ozaukee County..........262-238-8120 ....................................262-284-8120 Walworth County ........262-741-3200 Washington County ....877-306-3030 Waukesha County ...... 262-548-7848 State Wide Toll Free .. 866-843-9810

Publications AARP - American Association of Retired Persons Yearly membership & receive the monthly newsletter "Bulletin" and the "Modern Maturity" magazine, free brochures & discounts.

Membership Processing Center P. O. Box 199 Long Beach, CA 90801 50 Plus News Magazine P. O. Box 230 Hartland WI 53029 . . . . . . . . . . . . . . . . . . . .262-367-5303 Today’s Caregiver . . . . .800-829-2734 A bi-monthly publication providing information, support and guidance for family and professional caregivers.

Contact your local County resource for Family Caregivers to subscribe to a free caregiver newsletter within your community. n

Relocation Services Making the decision to relocate (move) can be a welcome decision or a traumatic one. Many procrastinate because the thought of all the work to move, even where to move, is overwhelming.There is a complete series of resources available to provide assistance all along the way.

County social workers and other professionals can help determine the best level of care. Placement services, most of which do not charge a fee, can assist in finding a new ‘home’. A number of realtors have chosen to be certified as a Senior Real Estate Specialist (SRES) and other companies are available to assist with packing, and all the details of moving.

Family Caregiver Support Network – Living Options Service . . . . . . . . . . . . . . . . . . . .414-220-8600 . . . . . . . . . . . . . . . . . .or 800- 449-4481

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

Contact your County resource for respite services and or a list of facilities that offer respite. n Facilities that offer respite, you do not need to live in Milwaukee County.

St. Ann Center . . . . . . . . .414-977-5024 Based on assessment, provides overnight services to people 18 years and older who have disabilities and special needs. Care is provided 24 hours a day, seven days a week for up to 20 days.

Reservations accepted.

Eastcastle Place ….. 414-963-6155 Based on assessment, provides respite care to those 62 and older seven days a week, 24 hours a day, up to 90 days.

Reservations accepted.

Socialization Exposure to social and physical activity improves cognitive performance and sleep quality in the elderly. Maintenance of social engagement and avoidance of social isolation are important factors in maintaining cognitive vitality in old age.

There are many opportunities for social interaction which include adult day programs, senior centers, friendly visitors, and telephone reassurance, to name a few.

Contact your County resource to discuss appropriate options or for a list of programs in your area. n

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A Treasure in the Neighborhood Villa St. Francis is a South-Side, community-based, retirement residence continuing the 150+ year tradition of the Felician Sisters’ commitment to care giving.Villa St. Francis is dedicated to providing quality, resident-focused living where dignity and self worth are valued, lives enriched and relationships celebrated.

The Villa St. Francis staff works with every resident to design a lifestyle that best suits his or her needs. Our goal is to help residents maintain maximum independence, with the knowledge that support services are available, if needed. The Villa is the resident’s home, and Villa staff makes the extra effort that transforms our senior community into a home. Whether it’s the schedule for housekeeping services, special meal and dietary needs or the choice of recreation and exercise, at Villa St. Francis the resident’s interests, tastes and preferences come first.

Sponsored by the Felician Sisters,Villa St. Francis offers independent living, assisted living and respite retreats.

Join us for a complimentary lunch and tour. Plus, plan to attend our Craft and Bake Sale on Saturday, November 14 from 9 a.m. to 3 p.m. Call 649-2888 for more information. It’s the people at Villa St. Francis that make it a home.

PLEASE JOIN

US FOR

OUR

ANNUAL CRAFT & BAKE SALE SATURDAY, NOVEMBER 14 9A - 3P DRAWING FOR PRIZES HELD AT 3PM

Please Join us for our Annual Holiday Craft & Bake Sale 18 | 2009 • CAREGIVER’S GUIDE

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Support Groups For both the caregiver and the care receiver, support groups can help with the well being of one’s physical and mental health. A support group is one way to share your troubles, exchange ideas and gain new information. It can offer an atmosphere of understanding and support.

Contact your local County resource for information on the many support groups in your area. n Alzheimer’s Support Groups Southeastern Wisconsin . . .414-479-8800

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

Contact your County resource for transportation options in your area. n

Veterans Benefits Eligibility for most VA benefits is based upon discharge from active military service under other than dishonorable conditions.

Active service means full-time service as a member of the Army, Navy, Air Force, Marine Corps, and Coast Guard. Generally, men and women veterans with similar service may be entitled to the same VA benefits. Benefits will also be based on conflict, time served and if a sustained injury had occurred.

Kenosha County Veteran’s Service Office 8600 Sheridan Rd., Suite 700 Kenosha, WI 53143-6516 . . . . . . . . . . . . . . . . . . .(262) 605-6690 Milwaukee County Veteran’s Service Office VA Hospital Grounds, Bldg. 6 5000 W. National Ave. Milwaukee, WI 53295-0002 . . . . . . . . . . . . . . . . . . .(414) 382-1727 Ozaukee County Veteran’s Service Office 121 W. Main St., PO Box 994

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■ Local Resources

for Family Caregivers Milwaukee County ......414-220-8600 Ozaukee County..........262-238-8120 ....................................262-284-8120 Walworth County ........262-741-3200 Washington County ....877-306-3030 Waukesha County ...... 262-548-7848 State Wide Toll Free .. 866-843-9810 Port Washington, WI 53074-0994 . . . . . . . . . . . . . . . . . . .(262) 238-8326 Racine County Veteran’s Service Office 1717 Taylor Ave. Racine, WI 53404-9996 . . . . . . . . . . . . . . . . . . .(262) 638-6702 Walworth County Veteran’s Service Office PO Box 1001, 100 W. Walworth Elkhorn, WI 53121 . . . . . . . . . . . . . . . . . . .(262) 741-4222 Washington County Veteran’s Service Office 432 E. Washington St. Rm 1047 West Bend, WI 53095 . . . . . . . . . . . . . . . . . . .(262) 335-4457 Waukesha County Veteran’s Service Office 500 Riverview Ave., Rm. G138 Waukesha, WI 53188-3680 . . . . . . . . . . . . . . . . . . .(262) 548-7732

Vision Resources As we age, the quality of our vision diminishes naturally.

Most changes typically are not severe, and a new prescription for glasses or a few adaptations, such as improved lighting, may be all that is needed. Eye care is important.

Only a doctor can detect certain vision changes when you cannot—before symptoms become noticeable.

Local outlet for equipment, offers advocacy and organizations for the blind.

Contact your County resource for services in your area. n

Websites Wisconsin Cargiver . . . . . . . .www.wisconsincaregiver.org Family Caregiver Support Network . . www.caregiversupportnetwork.org Living options . . . . . . . . . . . .www.living-options.org Elder Locator . . . . . . . . . . . . . . .www.eldercare.gov Social Security . . . . . . . .www.ssa.gov Medicare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .www.medicare.gov/caregivers AARP . . . . . . . . . . . . . .www.aarp.org National Alliance for Caregiving . . . . . . . . . . . . . . .www.caregiving.org National Caregiver Alliance . . . . . . . . . . . . . . . .www.caregiver.org Johnson & Johnson’s caregiving website . . . . . . . . . . .www.strengthforcaring.com CAREgivinghelp . . . . . . . . . .www.CAREgivinghelp.org County Aging Services: Milwaukee www.milwaukeecounty.org/Aging7705 .htm Ozaukee . . . . . .www.co.ozaukee.wi.us/Aging/ Walworth www.co.walworth.wi.us/Human%20Se rvices/Website/Adult%20Services/adult_ho me.htm Washington . . . . . . . . .www.co.washington.wi.us Waukesha www.waukeshacounty.gov/page.aspx?S etupMetaId=336&ID=94

Wisconsin Regional Library for the Blind and Physically Handicapped . . . . . . . . . . . . . . . . . . .1-800-242-8822 Sends books postage free, loans cassette players and much more at no charge.

Badger Association of the Blind . . . . . . . . . . . . . . . . . . . .414-258-9200 . . . . . . . . . . . . . . . . . . .1-877-258-9200

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special advertising section

Help is Here for Caregivers The Aging and Disability Resource Center of Washington County is here to help you, as a caregiver. You may not think of yourself as a caregiver, but you are a caregiver if you: • provide care for someone at your home • are responsible for someone living in a residential setting • provide direct care to someone, such as feeding, bathing, toileting, or any other type of assistance • provide supportive care such as delivering meals, providing transportation, balancing checkbook, calling or stopping in to check on someone • feel concern that someone you know isn’t taking care of him or herself The Washington County ADRC offers a Caregiver Support Program.

The program provides information on resources to assist family caregivers

with their concerns related to caregiving. The Family Caregiver Support Program gives caregivers access to the information and services that can help them in the often rewarding, sometimes challenging, role of caregiver and helps them find solutions to their caregiving dilemmas. These services include: • helping families understand their options for care • adult day service options • Respite care to help caregivers take a break from providing care • Information about and assistance in gaining access to available services • Individual counseling, support groups and training • Resources for individuals caring for someone with memory loss In addition, the Family Caregiver Support Program helps caregivers deal with burnout, recognizing it and dealing with it. You don’t always rec-

ognize when you are suffering from burnout. The following are symptoms we might notice in ourselves, or others might say they see in us: • Feelings of sadness • A sense of ongoing and constant fatigue • Decreasing interest in recreation all activities • Decrease in work production • Withdrawal from social contacts • Increase in use of stimulants and alcohol • Change in eating patterns • Feelings of helplessness • Neglecting your health and putting off your doctor appointments • Changes in sleeping patterns By acknowledging the reality that being a Caregiver can be stressful, caregivers can be better prepared by seeking out information and support in the community.The best way to be an effective Caregiver is to take care of Continued on page 21

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yourself.

To get help with your caregiving situation contact the ADRC of Washington County at 262-3354497 or toll free 1-877-306-3003 or attend one of the support groups listed below: A Caregivers for Family & Friends Support Group meets each third Tuesday of each month from 1:30 – 3:30 pm at the Public Agency Center 333 E Washington Street in West Bend. Care for your love ones can be provided by contacting the ADRC in advance.

If the daytime support group doesn’t work for you, there is an evening group that meets the fourth Monday of each month at 7:00PM. Contact the ADRC for more information on the support group.

A 6-week educational program entitled “Powerful Tools for Caregivers” is also offered periodically throughout the year. Contact the ADRC for more information.

For more information about any of the programs or services in this article, contact the Aging & Disability Resource Center of Washington County at 262-335-4497 or toll free 1-877-306-3003.

You may also find information at www.wisconsincaregiver.org

Comprehensive Care Connection is your link to health and wellness planning solutions. Our team of RNs, social workers, care managers, caregivers and other specialists help each client build a customized care plan that meets individual needs. Serving all age groups, our professional caregivers are thoroughly screened, bonded and insured.

We work to minimize the cost of care by maximizing all possible benefits available to our clients. Our goal is help you remain independent in your home.

• In-Home Personal Care: Meal preparation, homemaking assistance, personal care and much more • Care Management: Expert social service and health assessments, screening, arrangement and monitoring of services • Health and Medication Management: Assessment and coordination of medical and personal care services • Distance Care: Helping family members receive quality care when you can’t be there • Medical, Legal and Financial Assistance: Organization and referral to expert resources

Call 414-937-2030 for more information or to arrange a consultation.

I need to...

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

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End of Life Planning for You and Your Parents

BY BRIAN H. MAHANY, ESQ.

M

y father died in 1995 at the young age of 71. Just two weeks ago, my mother entered hospice care.

During these last several years, my siblings and I have learned plenty about end of life planning. The following is the list we made years ago to help us address and track all the decisions and financial matters we needed to concerning our mother as she entered her golden years. This list is designed to help adult children address the needs of their aging parents. It is also equally useful in helping you make your own plans for the future.

1. Do your parents have a will or trust document? If not, the state will dictate how their estate is divided, and these court decisions are often not what you or

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your parents want. Also, having a will streamlines and speeds up the probate process upon their passing.

Having a will or trust is not always enough, however. It is important that these documents be kept up-to-date. A will or trust warrants to be revisited any time there is a birth of a child or grandchild, a divorce, a marriage, a sale or a purchase of property or a sale of a business.

2. Do your parents have a living will? What about an advance directive for health care or a power of attorney? The time to discuss these things is when your parents are healthy and the emotions involved when having to make decisions about different treatment options are not high. Your lawyer can help with wills, powers of attorney and health care directives.

Many hospitals will also provide health care

directive forms at no cost.

3. In addition to a will, do your parents have a letter of instruction? Wills are formal documents and are often not updated for years, if at all.

A letter of instruction is a more informal document that lists burial instructions, hymn requests for memorial services and small items that your parents may wish to go to specific children. These documents do not have the same legal significance as a will, but they are often useful in giving an estate some guidance and avoiding family squabbles.

The letter of instruction should be kept with the will.

4. It is wise for the executor to keep a financial notebook. This should be used to keep track of the location

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of important documents, bank account numbers, life insurance policies, pensions, annuities and the like.

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to discuss Medicaid planning and "divestment strategies." Do so quickly or there may be nothing left in your parents’ estate upon their passage.

5. The financial notebook is also useful to keep track of major expenses in case your parents become unable to take care of bills.

Mortgage information, credit card accounts, sewer bills, lawn care contracts and similar recurring charges can be listed here. The notebook should also list contact points for your parents’ accountant, lawyer, banker, stockbroker, etc.

6. It is never too early to start planning for long-term care. If no long-term care insurance is in place, Medicaid will look to your parents’ assets before paying the bill for managed care.

Once upon a time, Mom and Dad could simply gift or spend their assets before going into a skilled care facility and have Medicaid pay. No more. The government can now look back several years and disallow gifts made to family members.

See a qualified lawyer or financial planner

7. Look into a Medicare Supplement policy. With the high cost of medical care and drugs, most older Americans have a Medicare Supplement

policy. If they do not, speak to an insurance agent.

8. Start a dialogue with your siblings and parents to insure collaboration and agreement on important issues. Nothing is worse than family fights and court battles after the death of a loved one. To avoid this, have a discussion now concerning things that may, or could, be issues later. For example, should the family camp be sold or kept.

A little planning now makes the process so much easier. Many of us believe that our parents will never die, or we simply do not want to discuss the possibility of their death.

But failing to address these issues now, can mean no inheritance, a lengthy and expensive probate process and bitter family disagreements.

About the author: Brian Mahany is a Wisconsin attorney practicing elder law, Medicaid planning, asset protection, nursing home neglect and elder fraud recovery.

Brian welcomes questions and comments; contact him at www.mahanyertl.com or 414704-6731.

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