Archive for April, 2010

Six Steps to Organizing an Older Relatives Move – Part 1

Thursday, April 22nd, 2010




6 Steps to Organizing an Older Relative’s Move

A two-part series by Lisa Trottier, Caring.com contributing editor. Article provided by Caring.com. Copyright © 2010, Caring.com.

Preparing to move an older relative out of his home

Step 1: Get the whole family on board

Moving an older relative from his family home to a new — and usually smaller — residence is labor intensive for you and emotionally disruptive for him. Tempting though it may be, it’s not a good idea to "surprise" a family member by sorting through his stuff when he’s not around. If you try to make an executive decision about his belongings, chances are, you’re headed for a run-in with him or others in your family.

To help prevent emotional flare-ups and ensure a smooth process, schedule a meeting with the whole family, if possible, to discuss the plan of attack well ahead of the move-out date. (If you can’t get together, do it by phone.) Hash out some guidelines: Under what circumstances will you call each other on "keep or discard" decisions? When will you consult the person who’s moving? What key possessions would you and your other family members like to keep in the family?

Encourage the person who’s moving to actively participate in decisions. For example, adult children often want to throw away old furniture and buy newer, more attractive pieces for their parent’s new home. But the parent should be able to pick what comes with him, says Dollar. "Let them take their own furniture if they want to — they know what will make them most comfortable in their new home, and sentimental value often counts for more than aesthetics."

Step 2: Work slowly when packing up — think months, not days

Your relative’s home is more than just a roof over his head: It’s the place where he feels most comfortable, a museum of his memories and life stories.

Complicating matters, if he lived through the lean Depression years, chances are he’s spent a lifetime saving and collecting. Decades of squirreling away can add up to a house that’s packed floorboard to rafter with stuff. As you begin organizing for a move, keep in mind that seemingly worthless belongings may have huge sentimental value for him, and he’ll need time to sort through his things on his own terms. Try to resist the urge to execute the move as quickly as possible.

"It really needs to be a three- to four-month process. You need to give an older adult time to go through the love letters, the report cards, and the photographs from the Grand Canyon," says Jacqueline Dollar, a geriatric care manager in Des Moines, Iowa. "It’s a wonderful chance to go back and reaffirm the full, productive life that he’s had."

Step 3: Get real about the size of your older relative’s new place

"In almost every case I’ve been involved with, people take more stuff than will fit in their new space," says Gayle Grace, a moving coordinator in Oakland, California. "Many times I’ve been called back in to help do more weeding out after the move."

Avoid this situation by first getting a sense of how much square footage and storage your relative will have in his new home. What he can keep will depend on how much room you have to work with. Getting realistic about space constraints up front — even sitting down with him to sketch out what can go where — will help force some of the harder decisions about what to get rid of.

To find a senior move manager in Indianapolis who will handle make sorting, getting rid of and moving easier visit Aging Avenues.com.

Adult Day Care or Adult Day Services Can Fill the Gap for Caregivers

Thursday, April 22nd, 2010

This is a great article I found on AgingCare.com about Adult Day Services -

Which sounds better? Let’s go, Dad. We need to get you dressed for day care. Or Hey, Dad let’s get you ready. The guys at the club are waiting!

If your Alzheimer’s afflicted dad is dragging his feet about going to adult day services and you need to get to work, which do you think would be more effective? It’s pretty obvious that the more respectful, dignified question would get the best response.

Whether called adult day services, adult day care, the club or volunteer work,- whatever seems right for the sake of the specific elder – these services have been a well-kept secret for years. Far too many people don’t realize they have this care option.

Just for the record, I try to stay away from the day care term, because there is a certain stigma of childhood that goes with it. I am a proponent of treating elders with dignity – no matter how child like they may have become. So, I prefer the term adult day services. Variable terminology aside, adult day services can be extremely helpful. When an elder is in the earlier stages of Alzheimer’s, probably able to live at home with some care, but at risk for wandering or leaving a stove turned on if left alone for long periods, adult day services can be a life saver, literally.

Many people will try in-home care for awhile. They will hire an agency to bathe and dress the elder, but then what? What does the elder do all day? Day services can be a good option, at least a few days a week, as the elder gets out and is able to socialize with peers.

In cases where one spouse is healthy but can’t care for the other spouse day and night, or when the well spouse just needs time off, day services can be an option. It can also work well if the elder with Alzheimer’s disease lives with adult children. In most homes, both adults must work. Often there are children of varying ages involved, as well. When everyone must go to school or work, who looks after the elder? Day services can fill the gap.

Many adult services have a handicapped accessible bus that will pick up the elder. There should be someone on the bus trained to work with the elder and who can become a familiar face. Other times, you may have to drop the elder off, or maybe that just works better for your elder. Generally there are choices. Day services provide social stimulation for the elder, as well as activities and safety. Many have a nurse on call or on the premises, to administer medications.

By Carol Bradley Bursack

To learn more about Adult Day Services in Indianapolis and to locate the best providers for your loved one visit Aging Avenues.com or call 317-731-3315.

Nursing Home Abuse

Monday, April 5th, 2010

By: Patricia Woloch

 

If your elderly loved one needs special care and attention, you may consider a nursing home. Unfortunately, it’s a shocking reality that nursing home abuse and neglect has become commonplace.

Assessing Nursing Home Safety

A thorough investigation of the facility you are considering is crucial. Asking the right questions and closely observing the facility you are considering can go a long way in preventing nursing home abuse. Ask these questions as you tour the facility:

· Are the nursing home and its current administrator licensed?

· Does the nursing home conduct background checks on all staff?

· How thorough are the background checks?

· Does the nursing home provide special services units for residents with special needs?

· Does the nursing home require abuse prevention training for its employees?

How Common is Nursing Home Abuse?

For the most part, nursing homes and other facilities that care for our elderly do an excellent job in meeting standards of compassionate care in a safe, efficient and sanitary environment. Rather than punishing the entire industry with additional laws that will increase costs, tougher standards imposed on those facilities that blatantly violate the law are needed. However, the facts remain that nursing home abuse continues to rise, with incidents in the thousands.

Congress found that that over 30 % of U.S. nursing homes were cited for abuse violations between January 1999 and January 2001. Over 2,500 of those violations were severe enough to cause serious injury or death. Since the time of that study, the nursing home industry has attempted to reform its policies and procedures to accommodate more thorough background checks of its employees, but is continually hampered by low budgets and high operating costs.

Signs of Nursing Home Abuse

Nursing home abuse and neglect can come in many forms, including:

· Bedsores

· Malnutrition

· Failure to thrive

· Physical abuse

· Mental abuse

· Sexual abuse

· Loss of personal hygiene

· Unusual depression

· Unexplained bruises, cuts or broken bones

Taking Every Report Seriously

Sometimes, because of the frail mental condition of the elderly individual, staff and family members disregard their reports of abuse. Investigators believe most cases are never reported. It is our job to protect the victims of abuse and bring the abusers to justice. If your loved one reports nursing home abuse, take the time to listen and investigate.

About the Author

Consult with a qualified nursing home abuse attorney, like Craig Goldenfarb in West Palm Beach, Florida, to understand your rights and your loved one’s rights and to pursue your case according to the law.

(ArticlesBase SC #564515)

Article Source: http://www.articlesbase.com/Nursing Home Abuse

Discover How Brain Fitness Exercizes Work

Monday, April 5th, 2010

By: Michael Logan

It turns out that brain fitness exercises work in at least three ways, depending on the kind of exercise we are doing, a thinking exercise or a physical exercise, or a computerized training.

Exercize could mean running or lifting weights or practicing one of the new brain exercise programs or monitoring and changing cognitions, which is what Dr. Judith Beck has shown to be effective in her diet solution plan.

The physical exercise of running or lifting weights encourages neurogenesis, or the growth of new brain cells.

The cognitive behavioral exerises that Dr. Beck used have been shown to reduce activation in the fear center of the brain, called the amydala.

Her work was done using fMRI or functional magetic resonance imaging to observe differing levels of activation in folks suffering from a spider phobia.

The activation in the amygdala after a regimen of Cognitive Behavioral Therapy or CBT was much reduced.

In other words, folks did not experience as intense a fear response to spiders as they had prior to the CBT training

The computerized brain fitness programs have been shown, depending on which research you are looking at,to improve memory and processing speed in Senior Citizens (IMPACT study) and IQ in folks using a different program.

Another program has been endorsed by educators, and another adopted by a major university basketball team, with their team in the NCAA final four last year.

The work of Buschkall and Jaegge using the dual n back task has indicated that IQ can be improved, and that there may be no upper limit to what can be done in that regard. More training increases your scores.

Of course, high IQ does not translate into fame and fortune, or even successful relationships. Just a cautionary note for the needy.

Physical exercise has an excellent positive impact on the brain.

Since the brain is the organ which needs the most food and blood, any exercise which increases blood flow will have a positive impact on the brain.

Recently I read that exercise is the best antidote that exists to the issue of insulin resistance, a precursor of diabetes.

That is just one of a plethora of benefits that lifting weights or running or walking will have on your brain.

Just to remind everyone that the current recommendations state that you either engage in: a) 30 minutes/day of moderate intensity 5 or more days of the week; or b) 30 minutes per day of high intensity interval training for at least three days of the week.

A general guideling that people can adhere to is that moderate exercise can get you breathing heavy enough that you can still talk but not sing. High intensity would make a conversation a little difficult.

I have been trying out some HIIT workouts at home, using home made tools, except for an exercise ball, and they do make you breathless, but are not complicated. If you can walk up and down stairs, do push-ups, and or crunches, or walk in your neighborhood, you will be able to take advantage of the benefits of physical exercise, including increased neurogenesis, or the growth of new brain cells.

Hopefully you are encouraged to work at whatever level you are comfortable with in order to benefit your brain with physical exercise or cognitive exercise or computerized brain fitness exercises.

About the Author

Michael S. Logan is a brain fitness expert, a counselor, a student of Chi Gong, and licensed one on one HeartMath provider. I enjoy the spiritual, the mythological, and psychological, and I am a late life father to Shane, 10, and Hannah Marie, 4, whose brains are so amazing. http://www.askmikethecounselor2.com

(ArticlesBase SC #833750)

Article Source: http://www.articlesbase.com/Discover How Brain Fitness Exercizes Work

Types of AMD

Monday, April 5th, 2010

By: Dan Brown

The two important types of age related macular degeneration are wet AMD and dry AMD. The forms can attack any one or both of the eyes. A patient diagnosed for dry AMD can later develop wet AMD.

Wet AMD: This type of age-related macular degeneration is caused by the abnormal growth of blood vessels behind the retina. This happens when the membrane underlying the retina breaks and disrupts the oxygen supply to the macula. The new blood vessels, which are very delicate, grow under the macula and often rupture easily leaking fluids and blood. This leaking alters the position of macula and causes scarring. Wet AMD occurs suddenly resulting in the loss of central vision.

Distorted vision and straight line appearing wavy are the initial symptoms of wet AMD. This is the most severe form of AMD and immediate professional advice should be taken.

Of all age-related macular degeneration cases, only 10% is due to wet AMD but it causes the maximum damage and can lead to blindness. If detected early, laser treatment can be effective in stopping the leak of the blood vessels causing wet AMD.

Dry AMD: Macula is made of light-sensitive cells and the breaking down of these cells leads to dry AMD. This type of age-related macular degeneration appears slowly and leads to the blurring of central vision. Of the two types, dry AMD occurs most commonly and is also known as atrophic AMD as it is caused by the death of the cells in macula.

Symptoms include slightly blurred vision, unable to recognize faces, unable to do simple tasks such as reading in normal light and require more light. An early sign of dry AMD is the yellow deposits, known as drusen, under the retina which can only be recognized by an ophthalmologist during an eye exam. Increase in size and number of drusen worsens dry AMD. Thinning of the macula is another symptom.

In the initial stages, dry AMD will go unrecognized as it can only be found by a detailed examination. Most people realize dry AMD during a later stage, when they need more light to do simple day-to-day activities like reading. A blurred spot in the center of vision is also seen by some people. It is wise to take professional advice during this stage.

In the advanced stage their will be a total breakup in vision with only peripheral vision seen clearly. This is mainly due to the increase in the size and number of drusen. Patients also lose color perception and recognizing faces becomes difficult in this stage. One of the major problems with dry AMD is that it impairs a single eye and since the other eye functions smoothly the problem goes unnoticed. Most people recognize the problem only when both of the eyes are affected.

Taking an active role in eye protection is very much necessary. While having an appointment with an ophthalmologist, clear all your doubts. The amount of literature available on eye diseases is huge and most of them can be downloaded from the Internet. Talk to your friends and relatives about your condition, they might offer helpful tips.

About the Author

Dan recommends visiting an easy to use search directory for Contact Lenses. Free expert vision information and advice is available.

(ArticlesBase SC #32955)

Article Source: http://www.articlesbase.com/Types of AMD

Estate Planning Basics and the Law

Monday, April 5th, 2010

By: Eric Gehler

Estate Planning Basics And The Law

Having a plan that determines how your assets are used during your life and after your death is a critical process that requires expert legal advice. Estate planning can help you decide how your assets are distributed. You may need to set aside resources for your long-term care. Plus, you might need to appoint someone to manage your estate in the event that you lose your own ability to do so. You may decide that a portion of your estate should be given to certain charitable organizations. Each of these circumstances can be included in an estate plan with the help of a lawyer.

Benefits Of Planning Your Estate

Without an estate plan, your assets can be distributed in a way that’s contrary to your wishes. When you die, a number of important legal issues regarding your assets emerge. The manner in which your estate is divided amongst your heirs, how taxes are handled, donations to charities and transfers of property are only a few of the many concerns an estate plan can address.

With the help of an experienced estate planning lawyer, you can ensure that your assets will be used according to your wishes. Your plan can distribute assets from your estate to your beneficiaries quickly and seamlessly. Your lawyer can help you determine an executor of your estate in the event of your death. An estate plan can minimize the taxes owed by your estate by giving the allowable maximum to various beneficiaries. If you’re a business owner, you can make sure your business operates uninterrupted by detailing plans of succession and distribution of income.

Potential Pitfalls Of Poor Planning

Millions of people fail to plan how their assets are divided when they die. As a result, their estate often ends up in probate. This is a process that’s best avoided whenever possible. In probate, a court examines a will (if one exists) and divides a person’s assets accordingly. When a will doesn’t exist, the court decides how best to allocate the assets from an estate. The entire process is time-intensive and expensive. You can avoid having your assets end up in probate by hiring an estate planning lawyer to set up trusts and other arrangements.

Using The Law To Protect Your Assets

The law stipulates how your assets can be divided after you die. With the help of an experienced attorney, you can leverage the law to protect your assets. A lawyer can help you ensure your estate isn’t vulnerable to a long and costly probate process. He can help you minimize the tax liability your estate will suffer upon your death. The sale and distribution of tangible assets can be detailed according to your preferences. By planning your estate with the advice of a qualified attorney, you can be confident that your affairs will be in order when you die. Not planning your estate well in advance can lead to an excessive and time costing adventure for your loved ones.

About the Author

Seeking Legal Advice in Virginia, consult with the Virginia Lawyers at http://www.carlsoncollier.com

(ArticlesBase SC #459110)

Article Source: http://www.articlesbase.com/Estate Planning Basics and the Law