Posts Tagged ‘Assisted living’

Sunday, October 3rd, 2010

The Brown family reunion has always been an event everyone looks forward to. Family visits, games, stories and everyone’s favorite foods are always on the agenda. On the top of the menu is Grandmas Lemon Coconut Cake. Grandma always makes the traditional cake from her old family recipe. This year, however, the cake tasted a little on the salty side, perhaps a half cup full of salty.

Though the family was disappointed over the cake, of more concern was Grandma’s confusion with the recipe and her similar confusion about the loved ones around her. Could something be wrong with grandma’s mental state?

One might say that for an elder person a little forgetfulness or confusion is normal, but when do you know if there is a serious problem, such as dementia?

An online article from FamilyDoctor.org outlines some common symptoms in recognizing dementia.

“Dementia causes many problems for the person who has it and for the person’s family. Many of the problems are caused by memory loss. Some common symptoms of dementia are listed below. Not everyone who has dementia will experience all of these symptoms.

  • Recent memory loss. All of us forget things for a while and then remember them later. People who have dementia often forget things, but they never remember them. They might ask you the same question over and over, each time forgetting that you’ve already given them the answer. They won’t even remember that they already asked the question.
  • Difficulty performing familiar tasks. People who have dementia might cook a meal but forget to serve it. They might even forget that they cooked it.
    Problems with language. People who have dementia may forget simple words or use the wrong words. This makes it hard to understand what they want.
  • Time and place disorientation. People who have dementia may get lost on their own street. They may forget how they got to a certain place and how to get back home.
    Poor judgment. Even a person who doesn’t have dementia might get distracted. But people who have dementia can forget simple things, like forgetting to put on a coat before going out in cold weather. 
  • Problems with abstract thinking. Anybody might have trouble balancing a checkbook, but people who have dementia may forget what the numbers are and what has to be done with them.
  • Misplacing things. People who have dementia may put things in the wrong places. They might put an iron in the freezer or a wristwatch in the sugar bowl. Then they can’t find these things later.
  • Changes in mood. Everyone is moody at times, but people who have dementia may have fast mood swings, going from calm to tears to anger in a few minutes.
    Personality changes. People who have dementia may have drastic changes in personality. They might become irritable, suspicious or fearful
  • Loss of initiative. People who have dementia may become passive. They might not want to go places or see other people.”

Dementia is caused by change or destruction of brain cells. Often this change is a result of small strokes or blockage of blood cells, severe hypothyroidism or Alzheimer’s disease. There is a continuous decline in ability to perform normal daily activities. Personal care including dressing, bathing, preparing meals and even eating a meal eventually becomes impossible.

What can family members do if they suspect dementia? An appointment with the doctor or geriatric clinic is the first step to take. Depending on the cause and severity of the problem there are some medications that may help slow the process.  In the beginning they may need only a little help with remembering to do daily activities or prepare meals. As dementia progresses, caregiving demands often progress to 24 hour care. Night and day become confused and normal routines of sleeping, eating and functioning become more difficult for the patient. The demented person feels frustrated and may lash out in anger or fear. It is not uncommon for a child or spouse giving the care to quickly become overwhelmed and discouraged.  

Because people with short term memory loss lose their sense of safety, much like a two year old, you should plan on 24 hour supervision.  It isn’t just the risk that they may wonder it’s that they forget to eat, how to set the proper temperature or even put metal in the microwave.  It is a big tasks for a spouse or child to take on without help.  You may need to utilize the assistance of a homecare agency, adult day care, assisted living or memory care unit in a nursing home.  

Family gatherings provide an excellent opportunity to discuss caregiving plans and whole family support. It is most helpful if everyone in the family is united in supporting a family caregiver in some meaningful way.  Having a plan will keep you from having to react from a crisis.  Allow Aging Avenues to assist you plan for future care needs and how to pay for it.

Long Term Care for Senior Veterans

Tuesday, August 31st, 2010

In the year 1919 President Woodrow Wilson proclaimed November 11 as Armistice Day to honor those Veterans who served during World War I. On November 11, 1954, Armistice Day was proclaimed a legal national holiday and the name was changed to “Veterans Day” to honor all veterans of all wars.

Every November 11, ceremonies are held throughout the United States honoring Veterans of wars. A National Ceremony is held at Arlington Cemetery at the Tomb of the Unknown Soldier, where the laying of the presidential wreath and military playing of “Taps” is presented.
Since its establishment in 1930, the Department of Veterans Affairs has evolved to supporting and aiding the nation’s veterans in numerous ways. One of these services for example, the Veterans Health Administration, is the largest single provider of medical care in the United States. Its 22 regions with 154 hospitals and their associated 875 outpatient clinics offer the following services.

Hospital, outpatient medical, dental, pharmacy and prosthetic services
Domiciliary, nursing home, and community-based residential care
Sexual trauma counseling
Specialized health care for women veterans
Health and rehabilitation programs for homeless veterans
Readjustment counseling
Alcohol and drug dependency treatment
Medical evaluation for disorders associated with military service in the Gulf War, or Treatment for exposure to Agent Orange, radiation, and other environmental hazards
HISA grants
Other special benefits

The Department of Veterans Affairs provides three types of long term care services for veterans.

The first are health care benefits provided to veterans who have service-connected disabilities, who are receiving VA Pension or who are considered low income. These services include free medical care, possible free prescription drugs, orthotics and prosthetics, home renovation grants for disabilities, home care, assisted living, domiciliary care, nursing home care, and a possible host of other services or benefits.

The second benefit is state veterans homes. The majority of these homes offer nursing care but some may offer assisted living or domiciliary care. The Department of Veterans Affairs in conjunction with the states helps build and support state veterans homes. Money is provided to help with construction and a federal subsidy of $72.71 a day is provided for each veteran using state veterans nursing home services. These homes are generally available for most veterans and sometimes their spouses and in some cases for so-called “Goldstar parents.” Veterans homes are run by the states, sometimes with the help of contract management. There may be waiting lists in some states.

The third benefit for veterans is disability income programs. The most familiar of these benefits is an income for service-connected disabled veterans called “Compensation.” The least known of these is a program officially called “Pension” but popularly known as the “aid and attendance benefit.”

  • All active-duty veterans who served at least 90 days during a period of war are eligible for Pension and the additional income from aid and attendance or housebound allowances. A single surviving spouse of such a veteran is also eligible.
  • All qualifying veteran applicants over the age of 65 are eligible for pension but must meet income and asset tests. Applicants under the age of 65 must in addition be totally disabled to qualify. Disability does not have to be service-connected.
  • A surviving spouse can be any age and there is no need for disability.

The aid and attendance benefit can pay additional income to provide for the costs associated with home care, assisted living, nursing homes, adult day care and other unreimbursed medical expenses. It can also pay for a family member other than a spouse to be the care giver. The amount of payment varies with the type of care, recipient income and the marital status of the recipient. Here are some examples of how this benefit can help veterans.

Example #1
The National Care Planning Council receives many calls from family members of veterans, asking if there is any help available to them. One such call came from a woman who had been juggling her job and caring for her father in her home for over five years. She had just lost her job and with no income, did not know how she would keep her home or give her father the care he needed. She read an article that had been written by the National Care Planning Council and published in her local newspaper and called their phone number. The article mentioned that a member of the family — not including a spouse — can be paid through VA to provide care for a loved one at home who is either a war veteran or the surviving spouse of a war veteran. Her father is a war veteran. When told that she could get an additional $1,644 a month through her father by providing her father’s care she was shocked. She was also extremely grateful and ended up sobbing into tears over the phone when she found out about the benefit and realized it would help her keep her home and her father may probably get a check for her retroactive previous care from VA worth tens of thousands of dollars.

Example #2
Another recent caller’s mother is 89 years old and has been in assisted living for four years. As a widow of a veteran she did not qualify for the Aid & Attendance Pension 4 years ago because her assets were too high. In the meantime she has been using up her assets along with her income to pay for the assisted living. The local veterans service office has not been helpful in getting this claim approved even though she had reached the allowable asset limit over two years ago. The family was considering putting her in a less desirable facility under Medicaid. The family knew this would be devastating for their mother. Her health was still good and she had many friends and comforts at the assisted living.

The National Care Planning Council directed the caller and his family to a more cooperative veterans service office that will submit the claim and likely get it approved retroactively so that this woman can get a check for roughly $40,000 worth of previous care costs for which she was not reimbursed. In addition, she will likely get the full benefit of $1,056 a month to help pay the cost of the assisted living where she is happy.

These types of claims require medical evidence in order to receive a rating for aid and attendance or housebound allowances. These ratings must be received or certain non-medical expenses associated with long term care are not deductible from income. Special rules also allow for deducting the annual anticipated cost of month-to-month long term care from household income in order to meet the income test. This special treatment requires special documentation and evidence. In addition, those households with substantial assets will be denied for a Pension income unless those assets are below a certain level determined for each case by VA. The personal residence, personal vehicles and personal property are exempted from this asset test. Finally, evidence must be supplied every year in January that the anticipated costs for the previous year were actually incurred or VA will likely demand for its money back.
The National Care Planning Council has compiled the necessary forms, rules and information about claims together in one book titled “How to Apply for the Veterans Aid & Attendance Pension Benefit.”

This book contains information about how a typical applicant receives a successful pension award. VA often tells callers to go ahead and fill out the application but generally provides no information on the special treatment of annualization of anticipated recurring medical costs. The claims form also contains no information on this important issue. One simply has to know how to do it. This crucial information can make the difference between a successful award and being declined. All necessary forms for filing a claim are in the book.

Veterans who have substantial assets may need to do some estate planning and realigning of assets to qualify. An expert in this area should be sought to help with the application in order to avoid lengthy delays in awarding a benefit or a possible denial of benefits. For a list of individuals or companies in your area who understand how to get this benefit go to http://www.longtermcarelink.net/ref_veterans_consultants.htm

To learn more about this benefit go to http://www.veteransaidbenefit.org/

Senior Safety – Top 4 Fall Prevention Tools For Seniors

Monday, May 31st, 2010

Fall prevention is one of the biggest senior safety concerns for the elderly, especially those that live alone. Slip and fall accidents are one of the leading causes for seniors having to go to the hospital. But there are a number of helpful living aides that will help prevent these accidents. Here are the top 5 senior safety fall prevention tools for the elderly.

Number one on the list for senior safety and fall prevention is a recliner lift chair. Lounging in a recliner can be very comfortable for seniors. But these big chairs are typically very difficult to get out of and even sit down into. If the senior has a lift recliner that can be very helpful and help ensure their safety.

A lift recliner has the ability to raise and tilt to a position where the senior can get in and out of the chair in a standing position. These chairs are electronically operated by a simple hand control. They come in different versions all with different degrees of recline.

Another helpful tool for seniors that will help prevent slip and fall accidents is a walker with wheels. This is also called a rollator.

As a person ages it is a cane that is the first tool to be used for stability when walking. Then as mobility and balance decline further there is a need for a walker. The traditional walker can be a little challenging to use as it must be lifted slightly with each step. A rollator has wheels. Some versions have wheels on all four legs, others have wheels on just one set of the legs.

Some versions of this helpful tool also have hand brakes for added safety. Many also come with a seat so if the user gets tired they can easily sit down for a quick rest.

A stair chair or stair lift can also be a very helpful item that will aid a senior with mobility challenges. Stairs can be especially difficult for an elderly person to manage and that can be a very dangerous place for a fall to occur. A stair lift is built like a chair and it is attached to a rail and transports the senior, in a sitting position, up and down the stairs.

The stair lift is easy to use and can be operated with a simple rocker switch on most versions. For added safety many also come with a seat belt so the user doesn’t have to worry about falling out of the chair.

Many slip and fall accidents occur in the bathroom and that can be a very hazardous place for the elderly. Most everyone knows that there should be railings put in place in showers baths and around toilet areas. But another important tool for seniors in this area of the home is a bath lift.

If the senior has trouble raising and lowering themselves into a bath that is exactly what a bath lift will do for them. Most bath lifts are plastic, though some are inflatable. They are powered by rechargeable battery systems and they are safe to use around the water.

These are all senior safety tools that can be a big help for seniors and keep them falling. If you would like to learn more about the very popular lift recliners you can go here to: Electric Lift Chair. Also, here is where you can go for a great selection in the very popular Recliner Lift Chairs.

Article Source: http://EzineArticles.com/?expert=Mark_S_Myers

Caring For a Senior Family Member at Home

Monday, May 31st, 2010

Taking care of a loved one at home after a major illness or surgery can be an overwhelming task both physically and mentally. The responsibilities are challenging for both the one being cared for and those taking the lead for the primary care. In some cases the recovering family member may have some reservations and an unwillingness to ask their son or daughter to give up a job to care for them. In these cases, having professional home care Chapel Hill, NC can help in easing the patients concerns and allow both family members and the one being cared for with more quality time together.

In almost all cases, there are going to be reasons that your loved one may not want to consider the option of in-home health care. Therefore, it is important before relying on home care Durham NC to provide part or full responsibilities for the patients care to listen to your loved one’s concerns. Take time to note what they may be worried about and go over these during interviews while searching for just the right care service.

One of the first arguments you may hear is that your loved one doesn’t believe they need help. So, in these cases while discussing senior care Chapel Hill NC that you let your loved one know having outside help is more for your peace of mind- which in almost all situations is the reason for seeking care. Taking care of our loved ones isn’t about physically being there 24/7 but knowing that when we can’t be there someone competent and committed to their wellbeing will be but without taking away their feelings of independence.

Home care not only provides in-home medical care but can also take on some of the errands outside of the home, if the recovering loved one is a bit apprehensive about a new person in the house. As the care worker becomes more familiar to the loved one, trust and friendship is gained and can facilitate a working relationship that benefits both the patient and the family.

While recovering at home, most physicians strongly suggest that the family employ outside assistance. Therefore, if there may be other reasons that the patient balks at this kind of service, the family can simply counter that argument with the physician’s release orders from the hospital. Usually this will end the resistance and facilitate the transition from hospital to home care, in Durham, Clayton, or Chapel Hill NC.

At one time or another, most families will face taking care of a loved one, whether that be during recovery or for end of life care. And there are no easy answers or ways to ease all the burdens placed on those family members. These people are trained in medical or physical care as well as dealing with the inevitable emotional strains. The one saving grace is that there are people trained and ready to take some of the responsibilities from the family and allow everyone to be more at ease with the situation. Today, with these advances in care, many families are able to care for loved ones at home, where both the patient and the family are most at ease.

Written by Jenny Heart. Quality home care Durham NC: Receive senior care Chapel Hill NC, alzheimer’s and elder care through home care Chapel Hill NC, Clayton, Raleigh, Cary, Wake Forest.

Article Source: http://EzineArticles.com/?expert=Jenny_Heart

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.

Caregivers and Seniors Get Tax Deductions

Thursday, February 11th, 2010

With tax season upon us I wanted to remind families that people who care for qualifying relatives can claim tax deductions and credits for out-of-pocket medical expenses. For you to qualify for caregiver tax deductions and credits, the person you are caring for must be a spouse, dependent, or qualifying relative, as well as a U.S. citizen or resident of the United States, Canada, or Mexico. A qualifying relative includes a parent, stepparent, father-in-law or mother-in-law, or any other person who lived with you all year as a member of your household.

Medical deductions can include dental treatments, the cost of transportation needed to get to a medical appointment, health insurance premiums and qualified long-term care services. For a full list of allowable medical expenses, see Publication 502 (2009) at the IRS web site . Some key rules to remember are -

  • You can only deduct medical expenses if they exceed 7.5% of your adjusted gross income.
  • To qualify for a dependency deduction, you must pay for more than 50% of your qualifying relative’s support costs. The relative only qualifies as a dependent if he or she meets the gross income and the joint return test. Dependency Deduction   If your relative doesn’t qualify as a dependent because of these tests, you cannot claim a dependency deduction, but you can still claim his or her medical expenses.
  • If a group of people are sharing costs for a qualifying relative, a multiple support declaration (IRS Form 2120) can be filed to grant one family member the exemption.
  • Long-term care medical expenses including diagnostic, preventive, therapeutic, curing, treating, mitigating, rehabilitative, and maintenance and personal care services are deductible if the services are required by a chronically ill individual and a licensed health care practitioner prescribes the care. An individual is chronically ill if unable to perform at least two of six activities of daily living, which are eating, toileting, transferring, bathing, dressing, and continence. An individual who is cognitively impaired and requires substantial supervision is also considered chronically ill.
  • Nursing services performed in a nursing home, an assisted-living facility, or similar care facilities are also deductible expenses if the person is principally receiving care for medical reasons. However, if a person is staying at a nursing home, an assisted-living facility, or similar care facility only for custodial reasons, only medical expenses are deductible; in this instance, room charges and meals are not deductible. Nursing services performed at home are deductible expenses. If the patient is chronically ill, certain maintenance and personal care services are also deductible.

Senior citizens and caregivers should be aware that premiums paid for qualified long-term care insurance contracts are also deductible medical expenses. According to the IRS, the contract must be guaranteed renewable; not provide a cash surrender value; not pay costs that are covered by Medicare; provide that refunds, other than refunds upon death, surrender, or cancellation of the contract, and dividends are used only to reduce future premiums or increase medical benefits.  For 2009, long-term care premiums are deductible up to the following dollar amounts: for individuals age 61 to 70 the limit is $3,180, for individuals 71 and older the limit is $3,980.

Many state governments also offer tax credits and deductions for caregivers on state income tax forms, so it pays to know your individual state’s rules.

By nature, tax rules are complex. It’s important to consult a tax attorney or accountant versed in eldercare tax issues about your specific situation before finalizing your taxes. The AARP also offers free assistance and tax tips for seniors through its Tax-Aide program; go to http://www.aarp.org/money/taxaide/.

The Value of Using a Senior Move Manager

Tuesday, February 2nd, 2010

What is a Senior Move Manager and why should I use one?

A Senior Move Manager is a professional who specializes in assisting older adults and their families with the emotional and physical aspects of relocation and/or “aging in place.” Though many senior move managers have backgrounds in gerontology, social work, health care, nursing and psychology, others come to this industry from the corporate world of project management, technology, accounting or marketing. What all senior move managers share, however, is a profound commitment to connecting with older adults and a desire to perform meaningful work.

Although specific services may, vary, most Senior Move Managers can help with some or all of the following:
• Developing an overall move or “age in place” plan
• Organizing, sorting and downsizing
• Customized floor plans
• Arranging for the profitable disposal of unwanted items through auction, estate sale, buy-out, consignment, donation, or a combination of the above
• Interviewing, scheduling and overseeing movers
• Arranging shipments and storage
• Professional packing
• Unpacking and setting up a new home
• Related services, like: cleaning, waste removal, shopping, senior escort, assistance with selection of a realtor and helping prepare the home to be sold.
One call to a senior move manager can connect you with services older adults and families need for a seamless, successful transition of all kinds.

What are the real benefits of senior move management services?
• Senior move managers have significant expertise in resources and approaches that save money, reduce the emotional and physical stress and produce quality results.
• Services are client-centered and personalized to meet the client’s needs and preferences. Families, particularly, should never doubt the power of an outside expert!
• NASMM (National Association of Senior Move Managers) members are reviewed for insurance and experience requirements prior to acceptance.
• Ongoing educational programs reflect the NASMM commitment to professionalism and to working with older adults.
• NASMM has developed a Code of Ethics and Standards of Practice for all members.

Rita Woll, Senior Move Manager, Yellow Tag Household Sales, http:// www.yellowtaghouseholdsale.com

Family Reunion – A Good Time for Future Planning

Tuesday, August 4th, 2009

Summertime brings a lot of family time. With family reunions, picnics, weddings and other events, long distant family members travel to gather together. It is also the perfect time to do some planning for the future. With parents aging and their health and lifestyles changing, children need to discuss some changes and decisions that will be needed in the near future. Parents should take the time to tell their children where important documents are kept and what their wishes are in the event of needing health care directives or experiencing long term care needs.

For those children who live away, the change they see in their parent’s health and mental capacity may be alarming — whereas siblings that have daily contact are working with these issues constantly. Here is the chance to compare notes and work together as a complete family in the long term care planning process.

For you parents who are well and active, this is a good time to hold a family meeting and share with your children your plan for long term care. Tell them where financial and legal documents are located or use our Legal and Financial Organizer. Review health care directives, living wills and long term care alternatives.

Experience has shown that even families that are close can quickly grow angry, jealous and hostile towards each other when an aging parent begins to need long term care. If a sibling moves into the parent’s home, others can easily be suspicious of ulterior motives and fear losing their inheritance. On the other hand, the child providing the elder care becomes bitter and feels there is no support or help from siblings. Developing a plan, before senior care becomes needed avoids these types of conflicts.

It can be helpful to have the meeting led by an impartial party, such as Aging Avenues who has experience with elder care issues. This helps put everyone on neutral ground. Aging Avenues can guide you through planning for the worst and how to try to prevent it, as well as what’s realistic in terms of care. Aging Avenues can offer you referrals to our network of Preferred Providers to assist you with everything from legal to choosing a facility. Having an impartial party is also ideal when family members don’t agree on the level of care needed.

Once you have agreed on a plan be sure to get everyone involved commitment to make it happen. This should help avoid someone forgetting what they agreed to do. Everyone has their specialty so if family members are out of town they can contribute by making necessary phone calls and the like There are many on-line sources that can keep distance family members involved. You can find them under Caregiver Support on our website www.agingavenues.com.

If you weren’t able to discuss what your loved one’s wishes were in advance but you need to react to a critical situation, Aging Avenues can help you make those choices quickly, without hours of searching and research. Our experience in the senior care industry gives you the valuable insight to make a sound decision and have peace of mind.

Alzheimer's Care Facilities Explained in Indianapolis, Indiana

Friday, July 10th, 2009

Here is a great article for anyone in need of Alzheimer’s care for an aging loved one.

When Is It Time to Discuss Additional Care

Monday, May 25th, 2009

The following are signs that it is time to discuss additional in-home care, assisted living or long term care for a senior:

Isolation/Depression

-Is your loved one isolated from social contact?
-Are his or her sleeping habits, eating habits or activity levels changing?

Daily Activites/Eating Habits

-Is your loved one having a difficult time walking, dressing or eating?

Bruises/Falls
-Has there been an increased susceptibility to falling and bruising?Cognitive Ability
-Is your loved one’s mental reasoning ability at a level where his or her personal safety and the safety of others is at risk?

Increasing Medical Needs

-Does your loved one need medical care that you or he or she cannot provide?
-Does your loved one’s medication need to be increased?
-Does he or she need more and more help taking medications?
-Does he or she use medical equipment like an oxygen tank or need daily or weekly treatments like dialysis?
-Is your loved one in need of rehabilitative care?

Caregiver Burnout

-Is a family caregiver exhausted due to the amount of care your loved one needs?

Medication Errors/Missed Doctor’s Appointments

-Is your loved one mixing up medications, taking them incorrectly or not taking them at all?
-Is your loved one keeping his or her doctor’s appointments?

Household Management

-Can your loved one still manage the components of running a household, such as keeping a checkbook or paying bills?
-Is there a dramatic change in how the house is kept?

American Healthcare Association

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