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October 2011
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Caregiver eLetter | | Caregiver eLetter Because We Choose The gauntlet was passed to us and we accepted it. Therefore we will cope, and in so doing, set an example for our children, and the generations to follow. | October 2011 | Volume 14, Number 9 | In This Issue: · Rent-a-Buddy · Book: A Long Bright Future · Dementia scam · Medicare enrollment · Alzheimer's Caregiver Conference · "Finishing Well" · October Calendar · Mental Aerobics Contact Kay kay@kaypaggi.com 972.839.0065 Fax: 972.907.3799 Visit www.kaypaggi.com for practical, useful information about ElderCare. Kay Paggi is a Licensed Professional Counselor (LPC), National Certified Gerontological Counselor (NCGC), Care Manager Certified (CMC), and a Certified ElderCare Mediator. The Caregiver eLetter is edited and published by Kay Paggi, a Professional Geriatric Care Manager in private practice since 1996 in the DFW area. Follow Kay at Kay Paggi's answers at Caring.com This will send you to Kay’s answers to questions sent in by readers like you. Kay’s Blog http://kaypaggi.wordpress.com Directions to the Richardson Group The group meets at 421 Custer in Richardson, the Episcopal Church of the Epiphany. This is on the west of Central. Take the Arapaho exit; turn left at the first light (Custer). Stay on Custer, go past condos on both sides, pass 1st Methodist on the left, and turn right into the parking lot at Epiphany. There are 2 main buildings. We do not meet in the sanctuary; we meet in the other one. Come in the double doors, not the glass door off the patio (the note on the door that says otherwise is for daytime visitors when the secretary is there) We are usually the only meeting in the building. Look for the large room with a circular sofa and fireplace. See you at 7PM. Directions to the Dallas Group Signature Pointe faces Preston Road just south of the intersection with Belt Line. It has a small lake in front. The parking is fairly limited. There are spaces toward the back of the building and some on the street. Come in the main entrance, where there is a reception desk, then turn left, and cross the living room. Come down the hall, past the water fountain, to the small meeting room. Signature is providing refreshments that help boost our spirits. MENTAL AEROBICS
THE TEN MEN ------ MEET This is a correct addition problem in which letters have been substituted for numbers. The letters represent the same number throughout the puzzle, i.e., E always represents the same number. Note that M must be 1. Since T+T+M=M, there is no possible way M can be more than 1. [if T = 9, then T+T = 18, so M=1 and E = 8.] The unknowns are T, H, E, N, and M (1). I recommend 'guess-and-check' as the best way to arrive at the correct answer. Try substituting a number for E and another for N, and see what happens. Solution is at the bottom of the eLetter. www.FarfallaBags.com Janie Block's passion is designing/creating carry-all pocket bags for walkers, wheelchairs, rollaters & power scooters. My mother utilized a wheelchair after her stroke and frankly, there was nothing on the market that showcased her style and personality. This led me to create Farfalla Bags. I would greatly appreciate if you would keep me in mind for anyone that you meet that would love a beautiful and functional carry-all pocket bag! I accept custom orders and requests to make sure they receive their favorite color, sports/military theme, etc. I can add a personal photo onto the fabric/front pocket for the ultimate in personalization. Tell Janie that Kay sent you. Mental Aerobics HINT E=0 ELDERCARE LOCATOR Eldercare Locator, a free service under the U.S. Administration on Aging, has been around for 20 years. Previously, Eldercare Locator maintained a toll-free hotline for older adults and caregivers looking for information about resources with regards to aging. But to keep up with aging baby boomers, Eldercare Locator has upgraded its services. The new call center allows callers to speak with an Information Specialist who can connect them to a local agency that can answer questions about long-term care alternatives, transportation options, caregiver issues and government benefits eligibility. Upgrades also include a redesigned website. http://www.eldercare.gov ELDERHUMOR THE CLASS REUNION Every five years, as summertime nears, An announcement arrives in the mail, A reunion is planned; it'll be really grand; Make plans to attend without fail. I'll never forget the first time we met; We tried so hard to impress. We drove fancy cars, smoked big cigars, And wore our most elegant dress. The homecoming queen, who once had been lean, Now weighed in at one-ninety-six. The jocks who were there had all lost their hair, And the cheerleaders could no longer do kicks. At our next get-together, no one cared whether They impressed their classmates or not. The mood was informal, a whole lot more normal; By this time we'd all gone to pot. By the fiftieth year, it was abundantly clear, We were definitely over the hill. Those who weren't dead had to crawl out of bed, And be home in time for their pill. And now I can't wait; they've set the date; Our sixtieth is coming, I'm told. It should be a ball, they've rented a hall At the Shady Rest Home for the old. Repairs have been made on my hearing aid; My pacemaker's been turned up on high. My wheelchair is oiled, and my teeth have been boiled; And I've bought a new wig and glass eye. I'm feeling quite hearty, and I'm ready to party I'm gonna dance 'til dawn's early light. It'll be lots of fun; But I just hope that there's one Other person who can make it that night. Solution to Mental Aerobics 490 407 107 ____ 1004 | Next Richardson Support Group Meeting is Monday, November 14 This group meets on the 2nd Monday of every month 7- 8:30 PM, 421 Custer, Richardson The Episcopal Church of the Epiphany Next Dallas Support Group is Thursday, October 20 7-8:30 PM, Signature Point on the Lake, 14655 Preston, Dallas Signature Pointe Caregiver meetings have been changed to the third Thursday of October, November, and December to avoid holiday conflicts. Please let me know if you would prefer to leave the meeting on the 3rd Thursday next year. If you are providing care for a frail or aging loved one, attend a support group. Being in the room with people who understand your current reality will help you be a better caregiver. CAREGIVER SEMINAR I will offer the Caring for the Aging Seminar this fall at Collin County Community College on the Courtyard campus in Plano. This campus is just off Preston south of Park Lane. · Caring for the Aging, Course # 70370, Tues/Thurs, November 8 - 10, 6pm - 10pm. Fee is $69. This course is designed to save you hundreds of health care dollars! ElderCare is becoming more common, both among later life spouses and mid lifers caring for aging parents. ElderCare is complex, emotionally trying, and can be incredibly costly. This course will help you understand the issues whether or not you are already a caregiver. After taking this class, you will know the questions to ask and where to find the information you need. To register call 972-985-3711, or go to http://www.collin.edu/ce/courses_ahealth.html Medicare Open Enrollment October 15 – December 7 This is your annual opportunity to get away from a Medicare advantage plan or HMO and take advantage of Medicare. In general Advantage plans pay for relatively inexpensive pre-illness perks, and much less than Medicare after a crisis. Physicians at UTSW will not accept non-Medicare plans, and many other physicians, rehab facilities, and home care agencies will not accept Advantage plans. Yes, you will need a supplemental policy and Medicare D along with your Medicare plan. However, if you suffer a broken hip, a stroke, a heart attack, or other major health crisis, it will be worth it. HMO plans pay more for the up-front costs of staying healthy; Medicare pays for the post-crisis treatment and recovery costs. Medicare is the best insurance you can purchase. From a Geriatric Care Manager colleague in Washington, D.C: Medicare Open Enrollment begins Saturday -- seniors have more benefits, better choices, & lower costs. The Centers for Medicare & Medicaid Services (CMS) is encouraging people with Medicare and their families to begin reviewing drug and health plan coverage options for 2012. The 7-week Open Enrollment Period will give seniors and people with disabilities more time to compare and find the best plan that meets their unique needs. Thanks to the Affordable Care Act, people with Medicare can get certain preventive services for free and can get more affordable prescription drugs. Open enrollment is seniors' chance to review their Medicare choices and pick the plan that works for them, or keep the plan they have today. Beginning today, people with Medicare can begin reviewing the 2012 quality ratings for Medicare Advantage health plans (Part C) and prescription drug plans (Part D) for the upcoming year. This year CMS is highlighting plans that have achieved an overall quality rating of 5 stars with a gold star icon so people can easily find high quality plans. People with Medicare can switch to an available 5-star plan at any time during the year. Using Medicare's Plan Finder available at www.medicare.gov/find-a-plan people will see the enhanced star ratings for 2012. In addition to the enhanced star ratings for 2012 and new gold star icon, Plan Finder users will see an icon showing which plans received a low overall quality rating for the past three years. In 2012, thanks to the Affordable Care Act, additional benefits to people with Medicare include lower prescription drug costs through a 50 percent discount on covered brand name drugs in the coverage gap (also referred to as the donut hole), wellness checkups, and access to certain preventive care with no copayments, a benefit that all Medicare Advantage plans will offer starting in 2012. People with Medicare can review and compare current plan coverage with new plan offerings by visiting www.medicare.gov, where they can get a personalized comparison of costs and coverage of the plans available in their area. The popular Medicare Plan Finder tool has been enhanced for an efficient review of plan choices. You can call 1-800-MEDICARE (1-800-633-4227) for around-the-clock assistance to find out more about coverage options. The 2012 Medicare & You handbook is also accessible online at: http://www.medicare.gov/publications/pubs/pdf/10050.pdf. One-on-one counseling assistance is available from the local State Health Insurance Assistance Program (SHIP). Local SHIP contact information can be found at http://www.medicare.gov/contacts/organization-search-criteria.aspx or on the back of the 2011 Medicare & You handbook, or by calling Medicare. A listing of national stand-alone prescription drug plans and State specific fact sheets can be found at http://www.cms.hhs.gov/center/openenrollment.asp. People with Medicare who have limited incomes and resources may qualify for Extra Help paying for their prescription drug costs. There is no cost to apply for Extra Help, also called the low-income subsidy. Medicare beneficiaries can apply online at www.socialsecurity.gov/prescriptionhelp or call Social Security at 1-800-772-1213. Elder Companionship Transportation After years of hearing me complain about the lack of transportation and a minimum number of hours per companion visit, my husband has finally become part of the solution. Chuck is an MBA who was a regional marketing VP for several national computer companies. He considered becoming a pro golfer in his youth and remains an avid sports enthusiast. Chuck will take your care receiver wherever they need to be and wait there for them, he’ll go out for a round of golf or take them to any game. He plays bridge, will run errands, drop by for a friendly visit, or clean the house. His starting price is $20/hr but he will deal. Call Chuck at 214-762-3724 or email him at cpaggi@sbcglobal.net, and tell him Kay sent you. DEMENTIA SCAM http://www.brainandbodywellnesscenter.com Most people are terrified of dementia and will grasp at any possibility of a treatment or cure or preventative. Currently there are NO scientific clinical trials of any treatments that involve curing minds from the effects of dementia. Ross Stewart in Dallas has developed a website and speaks on 'Brain and Body Wellness'. He claims to have a "remedy" for Parkinson's disease, ADHD, Alzheimer's, Depression, and Cognitive decline. He sells “Neurotransmitter Therapy” along with “Whole Food” supplementation; $2400 for the initial treatment and $600 a month for additional treatments. This program was developed by a physician who has lost his medical license, and there is NO scientifically verifiable evidence that this program makes any improvement in mental or physical functioning. Be careful. Laura Carstensen is the director at the Stanford Center of Longevity and an expert on the subject of aging. She has written a book, A Long Bright Future, available on Amazon for $10.99 in paperback. She writes that we, as a culture, do not yet know what to do with the added years of life that modern science has given us. We think of them as being added at the end of life, when we are already old (read: useless, feeble, retired). If we think instead of these years being added to mid life, we might imagine having more years to be independent, working longer, with more leisure and family time. Our culture needs to find ways to make these bonus years more fulfilling. Dr. Carstensen says that the best part of getting older is the psychological aspect. Older adults are slower to anger, more tolerant, have more sense of humor, and see more creative solutions to problems. I've added her book to my reading list. Let me know if you read it, and let's do a book review together. OCTOBER CALENDAR Wednesday, Oct 19, 9:30-4:00, Terry Warner presents 'Making the Most of Your Retirement'. FREE Sessions include Introduction to Medicare, Social Security and Deficit Debate, Prescription Interactions, Alzheimer's, VA options, Cong Term Care Financing, Getting More than CD rates, Medicare 2012, Don't Outlive Your Money. Register by calling 972-437-0598 or contact jennifershuler@tx.rr.com Richardson Civic Center 411 W. Arapaho Rd, Richardson 75080 Thursday, Oct. 20, Dallas Area Gerontological Society's annual Fall Forum Thursday, Oct. 20, 7-8:30 pm, Caregiver Discussion group meets at Signature Pointe in Dallas. Bring your current concerns and small (or large) victories. I’ll bring chocolate. Signature also provides snacks. Looking ahead: Wednesday, Nov 2, 8:15-3:00, Alzheimer's Caregiver Conference, FREE for caregivers. Keynote speaker is Dr. Denise Park, Co-director of the Center for Vital Longevity, UTD. Sessions on Alzheimer's Poetry Project with Gary Glazner; Guardianship, Caregiver Stress, Challenging Behaviors, Continuum of Care, Virtual Dementia Tour. Register online at www.AlzDallas.org/RJPCaregiverConference 1st United Methodist Church 503 N. Central Expressway Richardson, TX 75080 Tuesday, Nov. 8, 8:00 am - 4:00 pm, Faith Hospice presents "Finishing Well: Tools for Working with End of Life Issues" by Barbara Karnes. Topics to be covered include our cultural fears about death, deathbed protocol, balancing purpose, relationships and fun in life, exploration of personal beliefs about death, tools for working with patients and families,, and reaching for the Joy of being alive. The full conference schedule is online at www.prescs.org/events, registration may be done at this site also. Lunch is included in the fee. Call 972-239-5300 for more information. Presbyterian Village North 8600 Skyline Drive, Dallas 75243 Monday, Nov. 14, 7:00 pm - Caregiver Support Meeting in Richardson | | If you wish to be added or subtracted from the mailing list for this eLetter, please contact kay@kaypaggi.com. Your name, email address and any other personal information will NEVER be given to anyone without your written permission. |
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September 2011 eLetter
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Caregiver eLetter
Because We Choose
The gauntlet was passed to us and we accepted it. Therefore we will cope, and in so doing, set an example for our children, and the generations to follow.
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September 2011
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Volume 14, Number 4
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In This Issue:
· Rent-a-Buddy
· Book: Turn of Mind
· VA Aid & Attendance
· State of Health Care in Texas
· Plus 50 Program at Richland College
· Caring for Aging Seminar for caregivers at Collin College, Plano
· September Calendar
· Mental Aerobics
Contact Kay
kay@kaypaggi.com
972.839.0065
Fax: 972.907.3799
Visit www.kaypaggi.com for practical, useful information about ElderCare. Kay Paggi is a Licensed Professional Counselor (LPC), National Certified Gerontological Counselor (NCGC), Care Manager Certified (CMC), and a Certified ElderCare Mediator.
The Caregiver eLetter is edited and published by Kay Paggi, a Professional Geriatric Care Manager in private practice since 1996 in the DFW area.
Follow Kay at Kay Paggi's answers at Caring.com
This will send you to Kay’s answers to questions sent in by readers like you.
Kay’s Blog
http://kaypaggi.wordpress.com
Directions to the Richardson Group
The group meets at 421 Custer in Richardson, the Episcopal Church of the Epiphany. This is on the west of Central. Take the Arapaho exit; turn left at the first light (Custer). Stay on Custer, go past condos on both sides, pass 1st Methodist on the left, and turn right into the parking lot at Epiphany. There are 2 main buildings. We do not meet in the sanctuary; we meet in the other one. Come in the double doors, not the glass door off the patio (the note on the door that says otherwise is for daytime visitors when the secretary is there) We are usually the only meeting in the building. Look for the large room with a circular sofa and fireplace. See you at 7PM.
Directions to the Dallas Group
Signature Pointe faces Preston Road just south of the intersection with Belt Line. It has a small lake in front. The parking is fairly limited. There are spaces toward the back of the building and some on the street. Come in the main entrance, where there is a reception desk, then turn left, and cross the living room. Come down the hall, past the water fountain, to the small meeting room. Signature is providing refreshments that help boost our spirits.
Dallas Museum of Arts
Meaningful Moments
Designed specifically for individuals with early stage dementia and their family members or caregivers, Meaningful Moments is a monthly program that includes a gallery discussion, an interactive component, and an art-making activity in the Art Studio. Participants will have the chance to relax and connect with art in the galleries, share stories, and gain inspiration.
The program is free, but reservations are required and spaces are limited. For more information or to register, call 214-922-1251 or e-mail Access@DallasMuseumofArt.org.
Meaningful Moments is also available for groups from assisted-living facilities and community organizations. Please call to check date availability and to schedule a visit. Every third Tuesday with some exceptions, 10:00 a.m.–11:30 a.m.
Meadows Museum at SMU
Connections
This three-day program for individuals with early stage dementia and their caregivers will involve a variety of creative activities in a relaxed setting. Participants will explore the galleries through interactive exercises and puzzles, experiment with different materials to create individual and group projects, and discover works of art through music, dance, literature, storytelling and role play. Light refreshments will be served.
Space is limited and advanced registration is required. For more information and to register, call 214.768.4677. Meadows Museum Galleries
Three consecutive Fridays - 10:30 a.m.–12:30 p.m, November 4, 11 & 18
(Registration begins October 3)
MENTAL AEROBICS
Read aloud:
1. The bandage was wound around the wound.
2. The farm was used to produce produce.
3. The dump was so full it had to refuse more refuse.
4. We must polish the Polish furniture.
5. He could lead if he would get the lead out.
6. The soldier decided to desert his dessert in the desert.
7. Since there was no time like the present, he thought it was time to present the present.
8. A bass was painted on the head of the bass drum.
9. When shot at, the dove dove into the bushes.
10. I did not object to the object.
11. The insurance was invalid for the invalid.
12. There was a row among the oarsmen on how to row.
13. They were too close to the door to close it.
14. The buck does funny things when does are present.
15. A seamstress and a sewer fell down into a sewer line.
16. To help with planting, the farmer taught his sow to sow.
17. The wind was too strong to wind the sail.
18. After a number of injections my jaw got number.
19. Upon seeing the tear in the painting I shed a tear.
20. I had to subject the subject to a series of tests.
21. How can I intimate this to my most intimate friend?
These wonderful words are called Heteronyms, words that are spelled the same but pronounced differently with very different meanings. When you see them you may never notice them, because you read them in context of the sentence. Only when you read them in this way, both in the same sentence, can you really appreciate the beauty of English.
ELDERHUMOR
Some Senior personal ads seen in the Florida newspapers: (Who says older adults don't have a sense of humor?)
FOXY LADY:
Sexy, fashion-conscious blue-haired beauty, 80's, slim, 5'4' (used to be 5'6'),
searching for sharp-looking, sharp-dressing companion. Matching white shoes and belt a plus.
LONG-TERM COMMITMENT:
Recent widow who has just buried fourth husband, looking for someone to round out a six-unit plot. Dizziness, fainting, shortness of breath not a problem.
SERENITY NOW:
I am into solitude, long walks, sunrises, the ocean, yoga and meditation.
If you are the silent type, let's get together, take our hearing aids out and enjoy quiet times.
WINNING SMILE:
Active grandmother with original teeth seeking a dedicated flosser to share rare steaks, corn on the cob and caramel candy.
BEATLES OR STONES?
I still like to rock,
still like to cruise in my Camaro on Saturday nights and still like to play the guitar.
If you were a groovy chick, or are now a groovy hen, let's get together and listen to my eight-track tapes.
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Next Richardson Support Group Meeting is Monday, September 12
This group meets on the 2nd Monday of every month
7- 8:30 PM, 421 Custer, Richardson
The Episcopal Church of the Epiphany
Next Dallas Support Group is Thursday, September 22
7-8:30 PM, Signature Point on the Lake, 14655 Preston, Dallas
If you are providing care for a frail or aging loved one, attend a support group.
Being in the room with people who understand your current reality will help you be a better caregiver.
CAREGIVER SEMINAR
I will offer the Caring for the Aging Seminar this fall at Collin County Community College on the Courtyard campus in Plano. This campus is just off Preston south of Park Lane.
· Caring for the Aging, Course # 70370, Tues/Thurs, November 8 - 10, 6pm - 10pm. Fee is $69.
This is the course description in more detail
I. Basic Eldercare
Glossary and definitions of ElderSpeak
Basic assessment
Guilt and Stressors – caring for the caregiver
Communicate with your care receiver
Boundaries
Family meeting – who makes the decisions?
How your support system changes over the lifespan
II. Housing Options
Spectrum from independent living through nursing home
Facility assessment ratings
The cost of staying at home; Home modifications
Transportation
How to pay for care
LTC insurance
Medicaid criteria
III. Medical Issues
Normal aging
Cognition and aging
Common medications
Dangers of herbals
Questions to ask the doctor
Chronic conditions
Incontinence
Finding a physician - geriatrician
Changing treatment goals with geriatrics
Medicare/. Medicaid/ HMO’s/ Medicare D
IV. Legal & Financial Options/ Death & Dying
Identify Assets
HIPAA
Elderlaw
Directives and other legalities
Glossary of death terms
Saying goodbye
DNR, OOHDNR, Directive, 5 Wishes
Life review/ Reminisce
To register call 972-985-3711, or go to http://www.collin.edu/ce/courses_ahealth.html
STATE OF HEALTHCARE IN TEXAS
Tarrant Area Gerontological Society Conference July 2011
Time Graves, President and CEO of Texas Health Care Association
Lobbyist group representing nursing homes
www.txhca.org
There has been a 24% increase in TX residents over age 65 since 1998; 10% of TX residents are now over age 65. 56% of state revenue comes from sales taxes. Currently people and business are spending less, so there is less money in the state coffers. 56% goes to education; 23% goes to health & human services. The lack of personal income tax and low business taxes attracts people to Texas, but many of the workers moving here are uninsured. Currently about 34% of Texas residents have no medical insurance.
In 2006, Texas expenditures per person in a Medicaid facility averaged $19, 471; the National average was $26,096. Texas is the 49th of 50 states in amount spent per person in a nursing home.
Texas nursing Homes
1,100+ Nursing Homes
•Average size -108 beds
•Average census –70-80%
•Average age -north of 35 years
•Average # of Staff = 114
•64% Multi-Facility Ownership
•36% Independent Ownership
•86% For-Profit
•11% Not-for Profit
3% government
91% of these accept both Medicare and Medicaid; 4% are Medicare only. Nursing home revenues come from Medicaid (52%), Medicare (31%), and private pay or VA (17%).
Issues for future concern
· Electronic Patient Records Implementation - better sharing of patient information among providers
· Improved preventive care
· Improve patient transition from hospital to rehab to nursing home or back home to reduce avoidable re-hospitalizations
· Medicaid is chronically underfunded
· There should be some sort of program to monitor the health of elderly living alone in the community
Elder Companionship Transportation
After years of hearing me complain about the lack of transportation and a minimum number of hours per companion visit, my husband has finally become part of the solution. Chuck is an MBA who was a regional marketing VP for several national computer companies. He considered becoming a pro golfer in his youth and remains an avid sports enthusiast.
Chuck will take your care receiver wherever they need to be and wait there for them, he’ll go out for a round of golf or take them to any game. He plays bridge, will run errands, drop by for a friendly visit, or clean the house. His starting price is $20/hr but he will deal.
Call Chuck at 214-762-3724 or email him at cpaggi@sbcglobal.net, and tell him Kay sent you.
THE TRUTH ABOUT VA AID & ATTENDANCE
Stephen Livens, CPA, MBA and Attorney
There is so much confusion about this program for veterans, and so much misinformation, so I was pleased to attend a presentation by Stephen Livens, an attorney who specializes in it. Many of my clients have reported meetings with VA planners, usually attorneys, who have told them that they must set up an irrevocable trust in order to quality for Aid & Attendance. These planners cannot charge for helping prepare the paperwork and application but they charge a hefty fee for setting up the trust.
I have suggested that veterans only use people who work for the VA. The problem with these is that they are often so busy that they don’t return phone calls, and there is a long wait time for an appointment.
Not only is Stephen, and his staff, available, but they are very knowledgeable about how to plan so the application so it will be accepted. Their approval rate is 100%. Here are some of his tips:
· Requirements for extra money from VA are:
· wartime service (or widow of vet who served during wartime)
· must have served at least 90 days of active duty
· Vet must be over age 65
· Medical expenses
· Must need assistance in 2 or more of ADL's (feeding, getting dressed, bathing, toileting, walking, or medications)
· Based on household income and assets
Start with the gross household income and subtract out-of-pocket medical and ‘healthcare’ expenses; this includes assistance with ADL's and medications. The applicant can even pay an adult child for assistance, and this is deductible. The vet can also deduct from gross income the amount of a long term care policy. The total cost of assisted living can be deducted and sometimes even the cost of independent living. A physician must complete a VA letter of medical necessity.
The vet can have no more than $80,000 in cash assets; if the vet applies with $79,000, his application will probably be denied. Stephen recommends reducing cash assets to $40,000. There is no penalty for giving it away (as there is for Medicaid). There is NO requirement to set up an irrevocable trust or buy an Annuity. There is no requirement that the money from Aid & Attendance must be spent on medical or assisted living services.
It is illegal for anyone to charge a vet for assisting with completing the application for Aid & Attendance. Livens Law Firm does charge for a consultation about eligibility. It usually takes 4-6 months to process but when approved, the vet receives money from the time the application was sent. The Livens firm has a 100% approval rate!
Check the VA website. There are only 7 (non attorney) agents in Texas who are approved to do this
http://www4.va.gov/ogc/apps/accreditation/index.asp
www.stephenlivens.com, 800-569-2663
Turn of Mind, by Alice LaPlante
A stunning first novel, both literary and thriller, about a retired orthopedic surgeon with dementia, Turn of Mind has already received worldwide attention. With unmatched patience and a pulsating intensity, Alice LaPlante brings us deep into a brilliant woman’s deteriorating mind, where the impossibility of recognizing reality can be both a blessing and a curse.
As the book opens, Dr. Jennifer White’s best friend, Amanda, who lived down the block, has been killed, and four fingers surgically removed from her hand. Dr. White is the prime suspect and she herself doesn’t know whether she did it. Told in White’s own voice, fractured and eloquent, a picture emerges of the surprisingly intimate, complex alliance between these life-long friends—two proud, forceful women who were at times each other’s most formidable adversaries. As the investigation into the murder deepens and White’s relationships with her live-in caretaker and two grown children intensify, a chilling question lingers: is White’s shattered memory preventing her from revealing the truth or helping her to hide it?
A startling portrait of a disintegrating mind clinging to bits of reality through anger, frustration, shame, and unspeakable loss, Turn of Mind is a remarkable debut that examines the deception and frailty of memory and how it defines our very existence.
SEPTEMBER CALENDAR
Monday, Sept 12, 7-8:30pm, Caregiver Discussion Group meets in Richardson.
Tuesday, Sept 13, 10-12am, Terry Warner presents Medicare & More, and Tommy Davis, a Richardson police officer coming to educate us about Identity Theft and Scams- some targeted at seniors. Tommy will have good tips for general safety and share some real life stories to help us be safe and "street smart".
Place: Richardson Community Room at First Community Bank
429 Belle Grove Dr., Richardson, TX 75080
First Community Bank is adjacent to the post office and immediately south of Richardson Civic Center.
Thursday, Sept. 22, 7-8:30 pm, Caregiver Discussion group meets at Signature Pointe in Dallas. Bring your current concerns and small (or large) victories. I’ll bring chocolate. Signature also provides snacks.
Looking ahead:
Wednesday, October 19, All Day Seminar sponsored by Terry Warner at the Richardso Civic Center. Speakers on Medicare in 2012, Financial: How to not outlive your money, and how to get better than a CD return, VA benefits, Senior Resources, Pharmacist – talking about mixing meds, etc, Alzheimers 101 and 10 Signs of Alz/Dementia
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If you wish to be added or subtracted from the mailing list for this eLetter, please contact kay@kaypaggi.com. Your name, email address and any other personal information will NEVER be given to anyone without your written permission.
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August Caregiver eLetter
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Caregiver eLetter
Because We Choose
The gauntlet was passed to us and we accepted it. Therefore we will cope, and in so doing, set an example for our children, and the generations to follow.
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August 2011
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Volume 14, Number 7
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In This Issue:
· Rent-a-Buddy
· Book: Once a Spy
· Encore Adult Day
· Plus 50 Program at Richland College
· Caring for Aging Seminar for caregivers at Collin College, Plano
· August Calendar
· Mental Aerobics
Contact Kay
kay@kaypaggi.com
972.839.0065
Fax: 972.907.3799
Visit www.kaypaggi.com for practical, useful information about ElderCare. Kay Paggi is a Licensed Professional Counselor (LPC), National Certified Gerontological Counselor (NCGC), Care Manager Certified (CMC), and a Certified ElderCare Mediator.
The Caregiver eLetter is edited and published by Kay Paggi, a Professional Geriatric Care Manager in private practice since 1996 in the DFW area.
Follow Kay at Kay Paggi's answers at Caring.com
This will send you to Kay’s answers to questions sent in by readers like you.
Kay’s Blog
http://kaypaggi.wordpress.com
I hope to do daily blogs. If you post a comment, that will encourage me. Thanks!
Directions to the Richardson Group
The group meets at 421 Custer in Richardson, the Episcopal Church of the Epiphany. This is on the west of Central. Take the Arapaho exit; turn left at the first light (Custer). Stay on Custer, go past condos on both sides, pass 1st Methodist on the left, and turn right into the parking lot at Epiphany. There are 2 main buildings. We do not meet in the sanctuary; we meet in the other one. Come in the double doors, not the glass door off the patio (the note on the door that says otherwise is for daytime visitors when the secretary is there) We are usually the only meeting in the building. Look for the large room with a circular sofa and fireplace. See you at 7PM.
Directions to the Dallas Group
Signature Pointe faces Preston Road just south of the intersection with Belt Line. It has a small lake in front. The parking is fairly limited. There are spaces toward the back of the building and some on the street. Come in the main entrance, where there is a reception desk, then turn left, and cross the living room. Come down the hall, past the water fountain, to the small meeting room. Signature is providing refreshments that help boost our spirits.
MENTAL AEROBICS
FIRE!!
How many words can you find that have 'fire' in them? We found 40.
(Answers at the bottom)
ELDERHUMOR
Retirement is different for everyone
One day, while going to the shop, I passed by a retirement village. On the front lawn were six old ladies, lying naked on the grass. I thought this was a bit unusual, but continued on my way.
On my return trip, I passed the same retirement village with the same six old ladies lying naked on the lawn.
This time my curiosity got the better of me and I went inside to talk to the retirement village Administrator. I asked her "Do you know there are six ladies lying naked on your front lawn?"
"Yes," she said, "aren't they darlings? They're retired prostitutes - they're having a yard sale!"
Answers to Mental Aerobics:
Alarm, Ant, Arm, Back, Bird, Bomb, Brand, Chief, Cracker, Dept., Fighter, Fly, Hose, House, Hydrant, Light, Log, Man, Place, Power, Proof, Side, Stone, Tower, Trap, Truck, Wall, Water, Wood.
Break, Fox, Gun, Bon, Brush, Camp, Cease, Cross, Mis, Spit, Sure, Wild.
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Next Richardson Support Group Meeting is Monday, Sept. 12
This group meets on the 2nd Monday of every month
7- 8:30 PM, 421 Custer, Richardson
The Episcopal Church of the Epiphany
Next Dallas Support Group is Thursday, August 25
7-8:30 PM, Signature Point on the Lake, 14655 Preston, Dallas
If you are providing care for a frail or aging loved one, attend a support group.
Being in the room with people who understand your current reality will help you be a better caregiver.
CAREGIVER SEMINAR
Beginning on Saturday, Aug. 20 and concluding on Saturday, August 27, I will teach a class for caregivers. I’ve been facilitating basically the same class since 1989. I’ve offered it twice a year at Richland College, in churches, and through the Richardson Senior Center. Most classes DO NOT have enough students enrolled for the class to be held.
This failure to attract participants is curious. When I was caring for my aging parents in my early 40’s, no one offered advice on how to cope with eldercare issues. After my parents died and I had a Master’s in Counseling, I started teaching the class, giving the information that I would have found helpful.
In the following 20+ years, I have altered the course to include updated information, but the basic content is still the same: How do you find resources, how do you say NO and preserve your sanity, how to you deal with guilt, how can you rearrange your life so you maintain a job, raise your kids, find time with your spouse, keep your friends, live up to previous commitments, and still be a good caregiver for your parents???
Last month I read an article in Time magazine by Dr. Oz about turning 40 and having a 1st colonoscopy. He was surprised to find himself procrastinating , avoiding scheduling it, and then postponing a re-scan, even after the 1st procedure found a suspicious spot. Why did he do that, he wondered? He is a doctor, he understands the importance of getting tested, and scheduling the re-test quickly, and yet he did not.
He concluded that it is easier to keep life-changing events out there in the future, unscheduled, than on your calendar, staring you in the face.
It seems to be the same with caregiving. If you have parents that are 75 or older, you need to take this course and find out how to become a caregiver. If you already are providing care, I can teach you how to prepare for the next phase. You need to prepare for the crisis that surely will come. It is easier to ignore reality, to ignore that some sort of crisis will occur, that your parents will age and need your help.
And so, my classes do not have enough participants as the adult children of aging parents pretend that everything is fine, and all will continue as it has in the past. Or, maybe this class will be taken by a few realists who want to be ready when needed.
This summer’s class will be held at Collin College, on the Plano campus, Courtyard Center. Course # 77034, $69. To register call 972-985-3711.
Tell your friends.
RENT-A-BUDDY
Elder Companionship Transportation
After years of hearing me complain about the lack of transportation and a minimum number of hours per companion visit, my husband has finally become part of the solution. Chuck is an MBA who was a regional marketing VP for several computer companies. He considered becoming a pro golfer in his youth and remains an avid sports enthusiast.
Chuck will take your care receiver wherever they need to be and wait there for them, he’ll go out for a round of golf or take them to any game. He plays bridge, will run errands, drop by for a friendly visit, or clean the house. His starting price is $20/hr but he will deal.
Call Chuck at 214-762-3724 or email him at cpaggi@sbcglobal.net, and tell him Kay sent you.
Adult Daily Enrichment Center
Encore is a new adult day center in west Plano. The Dallas area does not have enough places for people with memory loss to stay safely during the daytime; Encore is a much needed addition. Encore is in partnership with the people who own the Autumn Leaves communities for dementia care. Laura Lester and her husband, the owners of Encore, and their staff have gotten hours of education and experience from Autumn Leaves.
The first thing you see about the facility is an outdoor seating area with a grill and tall iron fence; the main door opens into a large indoor area. The ‘guests’ and their families enter the facility with a plastic card so they need not ring a bell or knock. The interior space is divided into several rooms, one with recliners in front of a large TV, another with tables for games and dining, a room with a piano and space for dancing, a library with internet connections, and a room with a hydrotherapy tub. The furnishings have obviously been chosen by someone who knows older people: the tables have round edges, the chair have arms and no wheels, and there are other touches that clearly say, ‘We know you, and you are welcome and safe here.’
There is a nutritionist on staff, a beauty parlor in the building, and there is a nurse on duty. The facility has 4800 sq ft, built in a circle around the kitchen; the walls actually curve. It is wheelchair accessible.
Encore is at the corner of Plano Parkway and Midway Rd, on the end of a shopping center. 6505 W. Park Blvd, Plano 75093
www.encoredaystay.com, (877) 359-3147
RICHLAND COLLEGE EMERITUS PLUS 50 PROGRAMS
Bus Trip with Rose-Mary Rumbley
Saturday, September 24, 9:00 a.m. – 4:30 p.m.
Trip includes a "drive by" the Winstar World Casino, currently the third largest casino in the world then back to Gainesville. A Chamber of Commerce member will join us on the bus and share history and notable points of interest about the picturesque, booming town where the crowds keep coming. Also, we will dine at the square and on our return trip we will stop at Lavender Ridge Farms (cut flowers and fresh herbs and products made with them). Fee includes transportation only. Call 972-238-6147 to register
Fee $24.00 per person • Course# 726585
Other course offerings in Fall include classes in Art & Music, Bridge, Cinematic Arts, Computer Instruction, Enrichment Series, Health & Fitness, History & Current Events, Horticulture, Humanities, Religion, Special Events & Trips.
http://www.richlandcollege.edu/emeritus/
Once a Spy, by Keith Thomson
Just when you need a break from the summer heat, here it is! This book is a 'beach' read, an entertaining romp through the world of spies and agents with a retired spy who now has dementia. His behavior is only mildly similar to one with real dementia; his ability to outshoot and out-think his unknown pursuers is unreliable at best. A n amusing break from the world of caregiving. Enjoy.
AUGUST CALENDAR
Thursday, August 18, 3:00-4:30, DAGS presents Sydney Farrier, LCSW, with DFW Aging Solutions will discuss: "Dementia-A Special Kind Of Loss". Hosted this month by Lakeview At Josey Ranch, (972) 466-4433, 2105 N. Josey Lane Carrollton, TX http://www.lakeviewatjoseyranch.com/
Sydney is a wonderful speaker; she used to coordinate the early Alzheimer's support groups, so she is knowledgeable about the disease and its effects on the person and the family. If you can leave the office a little early, this is one to attend.
*Saturday, Aug 20 & 27, 8:30 am -12:30 pm, ‘Caring for Aging’, at Collin College, Courtyard Center meets on 2 consecutive Saturdays. Course # 77034, $69.
Thursday, August 25, 7-8:30 pm, Caregiver Discussion group meets at Signature Pointe in Dallas. Bring your current concerns and small (or large) victories. I’ll bring chocolate. Signature also provides snacks.
Monday, Sept 12, 7-8:30pm, Caregiver Discussion Group meets in Richardson.
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If you wish to be added or subtracted from the mailing list for this eLetter, please contact kay@kaypaggi.com. Your name, email address and any other personal information will NEVER be given to anyone without your written permission.
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JULY 2011 Caregiver eLetter
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Caregiver eLetter
Because We Choose
The gauntlet was passed to us and we accepted it. Therefore we will cope, and in so doing, set an example for our children, and the generations to follow.
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June 2011
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Volume 14, Number 6
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In This Issue:
· Books:
A Bittersweet Season
The Daughter Trap
· The Plus 50 Program at Richland College
· Caring for Aging Seminars for caregivers at Collin College, Plano
· June & July Calendar
· Mental Aerobics
Contact Kay
kay@kaypaggi.com
972.839.0065
Fax: 972.907.3799
Visit www.kaypaggi.com for practical, useful information about ElderCare. Kay Paggi is a Licensed Professional Counselor (LPC), National Certified Gerontological Counselor (NCGC), Care Manager Certified (CMC), and a Certified ElderCare Mediator.
The Caregiver eLetter is edited and published by Kay Paggi, a Professional Geriatric Care Manager in private practice since 1996 in the DFW area.
Follow Kay at Kay Paggi's answers at Caring.com
This will send you to Kay’s answers to questions sent in by readers like you.
Kay’s Blog
http://kaypaggi.wordpress.com
I hope to do daily blogs. If you post a comment, that will encourage me. Thanks!
Directions to the Richardson Group
The group meets at 421 Custer in Richardson, the Episcopal Church of the Epiphany. This is on the west of Central. Take the Arapaho exit; turn left at the first light (Custer). Stay on Custer, go past condos on both sides, pass 1st Methodist on the left, and turn right into the parking lot at Epiphany. There are 2 main buildings. We do not meet in the sanctuary; we meet in the other one. Come in the double doors, not the glass door off the patio (the note on the door that says otherwise is for daytime visitors when the secretary is there) We are usually the only meeting in the building. Look for the large room with a circular sofa and fireplace. See you at 7PM.
Directions to the Dallas Group
Signature Pointe faces Preston Road just south of the intersection with Belt Line. It has a small lake in front. The parking is fairly limited. There are spaces toward the back of the building and some on the street. Come in the main entrance, where there is a reception desk, then turn left, and cross the living room. Come down the hall, past the water fountain, to the small meeting room. Signature is providing refreshments that help boost our spirits.
MENTAL AEROBICS
Take your time and see if you can
read each line aloud without a mistake.
The average person over 40 years of age cannot do it!
1. This is this cat.
2. This is is cat.
3. This is how cat.
4. This is to cat.
5. This is keep cat.
6. This is an cat.
7. This is old cat.
8. This is coot cat.
9. This is busy cat.
10. This is for cat.
11. This is forty cat.
12. This is seconds cat.
Now go back and read the third word in each line from the top down
ELDERHUMOR
The local news station was interviewing an 80-year-old lady because she had just gotten married for the fourth time. The interviewer asked her questions about her life, about what it felt like to be marrying again at 80, and then about her new husband's occupation. "He's a funeral
director," she answered.
"Interesting," the newsman thought.
He then asked her if she wouldn't mind telling him a little about her first three husbands and what they did for a living. She paused for a few moments, needing time to reflect on all those years.
After a short time, a smile came to her face and she answered proudly, explaining that she had first married a banker when she was in her early 20's, then a circus ringmaster when in her 40's, and a preacher when in her 60's, and now in her 80's, a funeral director.
The interviewer looked at her, quite astonished, and asked why she had
married four men with such diverse careers.
She smiled and explained, "I married one for the money, two for the show, three to get ready, and four to go."
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MEDICAID IN TEXAS
On Monday, May 30, the Dallas News ran a story by Melissa Repko about Medicaid reimbursement for nursing homes.
http://www.dallasnews.com/incoming/20110529-local-nursing-homes-face-tight-budgets-tough-decisions.ece
For years I have been telling people that Texas is 49th in Medicaid reimbursement but I did not have a site to point to for confirmation. Thanks for Melissa’s diligence, I now have a starting point:
http://www.ahcancal.org/research_data/funding/Documents/2010%20Medicaid%20Shortfall%20Report.pdf
This is the PDF form of “A Report on Shortfalls in Medicaid Funding for Nursing Home Care” by ELJAY, LLC for the American Health Care Association, written in December 2010. Page 7 has a state-by-state comparison of rates and costs, showing that Texas ranks at the bottom, but this chart only shows 40 of the 50 states.
This lack of reimbursement for Medicaid nursing homes is frightening for ALL of us. Because facilities lose money with their Medicaid residents, they charge more for their private pay residents. They may also be forced to reduce the food quality for all their residents, and reduce the number of aides or cut back on their meager pay. Many facilities are no longer accepting new Medicaid residents. This means, for you and me, that if/when we run out of our own money for nursing home care, we might have no place to go.
Jane Gross is one my favorite writers. She contributes to a blog called The New Old Age, before that she wrote articles about aging and Eldercare. She has recently written a book about the caregiving for her mother, A Bittersweet Season: Caring for Our Aging Parents — and Ourselves, Jane Gross, 350 pp. Alfred A. Knopf. $26.95.
http://www.nytimes.com/2011/05/29/books/review/book-review-a-bittersweet-season-caring-for-our-aging-parents-and-ourselves-by-jane-gross.html?_r=1&emc=eta1
This book review is not complimentary, but my respect for Jane Gross’s writing and reporting abilities leads to me recommend the book to you. AT the very least, sign up to receive her blogs. Your caregiving experience will be enriched.
THE DAUGHTER TRAP: Taking Care of Mom and Dad…& You
By Laurel Kennedy
This excellent book is mis-named; it is not really about daughters, it is about caregiving by both daughters and sons and friends and relatives. The book is based on hundreds of interviews with caregivers, who the author describes as underappreciated, overstressed, and caught between competing demands of parents, children, jobs, and spouses.
Kennedy’s research showed that older adults do not look for care options that would minimize demands on their family; they are often unwilling to discuss “those places”, meaning nursing homes. They fail to investigate the many care options that now exist between living independently in their own home – to a nursing home. This neglect places an enormous burden on the family to either accept what the parents want (continuing care in their home) and what is best for the extended family.
[Those of you who know me understand that I believe what older adults really want is to become their former selves, healthy, active, and able to manage their own affairs. This is something that even the best caregivers cannot give them.]
Kennedy writes, “Our living accommodations must evolve to compensate for the physical and mental changes associated with aging……Denial is a powerful nostrum for coping. Not an effective one but an extremely popular one.” BRAVO!
Kennedy researched why the adult children accept this burden, since it is basically unreasonable. She offers 5 reasons. The social exchange theory holds that adult children are ‘paying back’ their parents for parenting. Attachment theory views eldercare as an extension of the filial bond. Socialization theory purports that women are socialized to become caregivers of children, the ill and aged, and they accept this without question. Moral imperative theory says that there is an inherited obligation to provide care, part of the Judeo-Christian ethic. Finally, the filial maturity theory assets that providing care is a midlife marker, a developmental task along the path to maturity.
“Guilt is a great control mechanism.” Most older adults prefer to stay in their homes and die there. Given the current realities, this is usually not affordable or possible. Adult children are “living life insurance” that make the impossible possible for frail parents. Advance planning for where and how to age is more rare than planning what new car to purchase. This concept probably dates back to the farming tradition, when big families were common, women stayed at home, and very few people survived into later life.
The solution is to set Boundaries, say No to unreasonable expectations. Firmly but gently explain that staying at home is not feasible, and that much research needs to be done in order to make late life pleasant for all involved. Do not explain more than once, don’t rationalize, don’t argue; instead present alternatives and begin discussions with them about which one is best.
The book is full of research, advice, options, financial planning. This is a GREAT dead, very helpful to caregivers of either sex. I highly recommend it.
Amazon.com $18.97
CareCalls: Reassurance Calls For Seniors
CareCalls are daily reassurance calls for seniors and disabled adults. CareCalls can be used for medication reminders, meal and activity reminders, or just to "check-in" and provide some friendly conversation. Calls are made by live representatives (not an automated system). We can even keep family members updated with a daily email status report.
CareCalls are an affordable alternative to in-home services (for seniors who are living independently) or can be used to fill in the gaps between visits from family and home care aides. We offer a variety of customizable plans to fit any need and budget. CareCalls start at only $30 per month for one-call-per-day.
Kay’s note: I can’t recommend this company because I’ve had no feedback from clients who use the service. However, I think it’s a wonderful idea. If any of you enroll in the service, please let me know whether to recommend it in the future. Thanks, Kay
EMERITUS PLUS 50 PROGRAMS
The Emeritus program at Richland College is an award-winning, nationally recognized program for adults age 50 and over. The mission of the Emeritus Plus 50 Program is to provide plus 50 ageless learners opportunities to expand career skills, participate in volunteer service, and to stay intellectually enriched, physically fit and socially connected. Emeritus Office/ General Information, 972-238-6972, http://www.richlandcollege.edu/emeritus Located at the intersection of Walnut & Abrams, Dallas.
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If you wish to be added or subtracted from the mailing list for this eLetter, please contact kay@kaypaggi.com. Your name, email address and any other personal information will NEVER be given to anyone without your written permission.
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Caregiver eLetter
Because We Choose
The gauntlet was passed to us and we accepted it. Therefore we will cope, and in so doing, set an example for our children, and the generations to follow.
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August 2011
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Volume 14, Number 7
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In This Issue:
· Rent-a-Buddy
· Book: Once a Spy
· Encore Adult Day
· Plus 50 Program at Richland College
· Caring for Aging Seminar for caregivers at Collin College, Plano
· August Calendar
· Mental Aerobics
Contact Kay
kay@kaypaggi.com
972.839.0065
Fax: 972.907.3799
Visit www.kaypaggi.com for practical, useful information about ElderCare. Kay Paggi is a Licensed Professional Counselor (LPC), National Certified Gerontological Counselor (NCGC), Care Manager Certified (CMC), and a Certified ElderCare Mediator.
The Caregiver eLetter is edited and published by Kay Paggi, a Professional Geriatric Care Manager in private practice since 1996 in the DFW area.
Follow Kay at Kay Paggi's answers at Caring.com
This will send you to Kay’s answers to questions sent in by readers like you.
Kay’s Blog
http://kaypaggi.wordpress.com
I hope to do daily blogs. If you post a comment, that will encourage me. Thanks!
Directions to the Richardson Group
The group meets at 421 Custer in Richardson, the Episcopal Church of the Epiphany. This is on the west of Central. Take the Arapaho exit; turn left at the first light (Custer). Stay on Custer, go past condos on both sides, pass 1st Methodist on the left, and turn right into the parking lot at Epiphany. There are 2 main buildings. We do not meet in the sanctuary; we meet in the other one. Come in the double doors, not the glass door off the patio (the note on the door that says otherwise is for daytime visitors when the secretary is there) We are usually the only meeting in the building. Look for the large room with a circular sofa and fireplace. See you at 7PM.
Directions to the Dallas Group
Signature Pointe faces Preston Road just south of the intersection with Belt Line. It has a small lake in front. The parking is fairly limited. There are spaces toward the back of the building and some on the street. Come in the main entrance, where there is a reception desk, then turn left, and cross the living room. Come down the hall, past the water fountain, to the small meeting room. Signature is providing refreshments that help boost our spirits.
MENTAL AEROBICS
FIRE!!
How many words can you find that have 'fire' in them? We found 40.
(Answers at the bottom)
ELDERHUMOR
Retirement is different for everyone
One day, while going to the shop, I passed by a retirement village. On the front lawn were six old ladies, lying naked on the grass. I thought this was a bit unusual, but continued on my way.
On my return trip, I passed the same retirement village with the same six old ladies lying naked on the lawn.
This time my curiosity got the better of me and I went inside to talk to the retirement village Administrator. I asked her "Do you know there are six ladies lying naked on your front lawn?"
"Yes," she said, "aren't they darlings? They're retired prostitutes - they're having a yard sale!"
Answers to Mental Aerobics:
Alarm, Ant, Arm, Back, Bird, Bomb, Brand, Chief, Cracker, Dept., Fighter, Fly, Hose, House, Hydrant, Light, Log, Man, Place, Power, Proof, Side, Stone, Tower, Trap, Truck, Wall, Water, Wood.
Break, Fox, Gun, Bon, Brush, Camp, Cease, Cross, Mis, Spit, Sure, Wild.
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Next Richardson Support Group Meeting is Monday, Sept. 12
This group meets on the 2nd Monday of every month
7- 8:30 PM, 421 Custer, Richardson
The Episcopal Church of the Epiphany
Next Dallas Support Group is Thursday, June 23
7-8:30 PM, Signature Point on the Lake, 14655 Preston, Dallas
If you are providing care for a frail or aging loved one, attend a support group.
Being in the room with people who understand your current reality will help you be a better caregiver.
CAREGIVER SEMINAR
Beginning on Saturday, Aug. 20 and concluding on Saturday, August 27, I will teach a class for caregivers. I’ve been facilitating basically the same class since 1989. I’ve offered it twice a year at Richland College, in churches, and through the Richardson Senior Center. Most classes DO NOT have enough students enrolled for the class to be held.
This failure to attract participants is curious. When I was caring for my aging parents in my early 40’s, no one offered advice on how to cope with eldercare issues. After my parents died and I had a Master’s in Counseling, I started teaching the class, giving the information that I would have found helpful.
In the following 20+ years, I have altered the course to include updated information, but the basic content is still the same: How do you find resources, how do you say NO and preserve your sanity, how to you deal with guilt, how can you rearrange your life so you maintain a job, raise your kids, find time with your spouse, keep your friends, live up to previous commitments, and still be a good caregiver for your parents???
Last month I read an article in Time magazine by Dr. Oz about turning 40 and having a 1st colonoscopy. He was surprised to find himself procrastinating , avoiding scheduling it, and then postponing a re-scan, even after the 1st procedure found a suspicious spot. Why did he do that, he wondered? He is a doctor, he understands the importance of getting tested, and scheduling the re-test quickly, and yet he did not.
He concluded that it is easier to keep life-changing events out there in the future, unscheduled, than on your calendar, staring you in the face.
It seems to be the same with caregiving. If you have parents that are 75 or older, you need to take this course and find out how to become a caregiver. If you already are providing care, I can teach you how to prepare for the next phase. You need to prepare for the crisis that surely will come. It is easier to ignore reality, to ignore that some sort of crisis will occur, that your parents will age and need your help.
And so, my classes do not have enough participants as the adult children of aging parents pretend that everything is fine, and all will continue as it has in the past. Or, maybe this class will be taken by a few realists who want to be ready when needed.
This summer’s class will be held at Collin College, on the Plano campus, Courtyard Center. Course # 77034, $69. To register call 972-985-3711.
Tell your friends.
RENT-A-BUDDY
Elder Companionship Transportation
After years of hearing me complain about the lack of transportation and a minimum number of hours per companion visit, my husband has finally become part of the solution. Chuck is an MBA who was a regional marketing VP for several computer companies. He considered becoming a pro golfer in his youth and remains an avid sports enthusiast.
Chuck will take your care receiver wherever they need to be and wait there for them, he’ll go out for a round of golf or take them to any game. He plays bridge, will run errands, drop by for a friendly visit, or clean the house. His starting price is $20/hr but he will deal.
Call Chuck at 214-762-3724 or email him at cpaggi@sbcglobal.net, and tell him Kay sent you.
Adult Daily Enrichment Center
Encore is a new adult day center in west Plano. The Dallas area does not have enough places for people with memory loss to stay safely during the daytime; Encore is a much needed addition. Encore is in partnership with the people who own the Autumn Leaves communities for dementia care. Laura Lester and her husband, the owners of Encore, and their staff have gotten hours of education and experience from Autumn Leaves.
The first thing you see about the facility is an outdoor seating area with a grill and tall iron fence; the main door opens into a large indoor area. The ‘guests’ and their families enter the facility with a plastic card so they need not ring a bell or knock. The interior space is divided into several rooms, one with recliners in front of a large TV, another with tables for games and dining, a room with a piano and space for dancing, a library with internet connections, and a room with a hydrotherapy tub. The furnishings have obviously been chosen by someone who knows older people: the tables have round edges, the chair have arms and no wheels, and there are other touches that clearly say, ‘We know you, and you are welcome and safe here.’
There is a nutritionist on staff, a beauty parlor in the building, and there is a nurse on duty. The facility has 4800 sq ft, built in a circle around the kitchen; the walls actually curve. It is wheelchair accessible.
Encore is at the corner of Plano Parkway and Midway Rd, on the end of a shopping center. 6505 W. Park Blvd, Plano 75093
www.encoredaystay.com, (877) 359-3147
RICHLAND COLLEGE EMERITUS PLUS 50 PROGRAMS
Bus Trip with Rose-Mary Rumbley
Saturday, September 24, 9:00 a.m. – 4:30 p.m.
Trip includes a "drive by" the Winstar World Casino, currently the third largest casino in the world then back to Gainesville. A Chamber of Commerce member will join us on the bus and share history and notable points of interest about the picturesque, booming town where the crowds keep coming. Also, we will dine at the square and on our return trip we will stop at Lavender Ridge Farms (cut flowers and fresh herbs and products made with them). Fee includes transportation only. Call 972-238-6147 to register
Fee $24.00 per person • Course# 726585
Other course offerings in Fall include classes in Art & Music, Bridge, Cinematic Arts, Computer Instruction, Enrichment Series, Health & Fitness, History & Current Events, Horticulture, Humanities, Religion, Special Events & Trips.
http://www.richlandcollege.edu/emeritus/
Once a Spy, by Keith Thomson
Just when you need a break from the summer heat, here it is! This book is a 'beach' read, an entertaining romp through the world of spies and agents with a retired spy who now has dementia. His behavior is only mildly similar to one with real dementia; his ability to outshoot and out-think his unknown pursuers is unreliable at best. A n amusing break from the world of caregiving. Enjoy.
AUGUST CALENDAR
Thursday, August 18, 3:00-4:30, DAGS presents Sydney Farrier, LCSW, with DFW Aging Solutions will discuss: "Dementia-A Special Kind Of Loss". Hosted this month by Lakeview At Josey Ranch, (972) 466-4433, 2105 N. Josey Lane Carrollton, TX http://www.lakeviewatjoseyranch.com/
Sydney is a wonderful speaker; she used to coordinate the early Alzheimer's support groups, so she is knowledgeable about the disease and its effects on the person and the family. If you can leave the office a little early, this is one to attend.
*Saturday, Aug 20 & 27, 8:30 am -12:30 pm, ‘Caring for Aging’, at Collin College, Courtyard Center meets on 2 consecutive Saturdays. Course # 77034, $69.
Thursday, August 25, 7-8:30 pm, Caregiver Discussion group meets at Signature Pointe in Dallas. Bring your current concerns and small (or large) victories. I’ll bring chocolate. Signature also provides snacks.
Monday, Sept 12, 7-8:30pm, Caregiver Discussion Group meets in Richardson.
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If you wish to be added or subtracted from the mailing list for this eLetter, please contact kay@kaypaggi.com. Your name, email address and any other personal information will NEVER be given to anyone without your written permission.
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May Caregiver eLetter
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Caregiver eLetter
Because We Choose
The gauntlet was passed to us and we accepted it. Therefore we will cope, and in so doing, set an example for our children, and the generations to follow.
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May 2011
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Volume 14, Number 5
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In This Issue:
· Diabetes
· Benefits Counseling
· Openings at Plano Community Homes
· April/May calendar
· Mental Aerobics
Contact Kay
kay@kaypaggi.com
972.839.0065
Fax: 972.907.3799
Visit www.kaypaggi.com for practical, useful information about ElderCare. Kay Paggi is a Licensed Professional Counselor (LPC), National Certified Gerontological Counselor (NCGC), Care Manager Certified (CMC), and a Certified ElderCare Mediator.
The Caregiver eLetter is edited and published by Kay Paggi, a Professional Geriatric Care Manager in private practice since 1996 in the DFW area.
Follow Kay at Kay Paggi's answers at Caring.com
This will send you to Kay’s answers to questions sent in by readers like you.
Kay’s Blog
http://kaypaggi.wordpress.com
I hope to do daily blogs. If you post a comment, that will encourage me. Thanks!
Directions to the Richardson Group
The group meets at 421 Custer in Richardson, the Episcopal Church of the Epiphany. This is on the west of Central. Take the Arapaho exit; turn left at the first light (Custer). Stay on Custer, go past condos on both sides, pass 1st Methodist on the left, and turn right into the parking lot at Epiphany. There are 2 main buildings. We do not meet in the sanctuary; we meet in the other one. Come in the double doors, not the glass door off the patio (the note on the door that says otherwise is for daytime visitors when the secretary is there) We are usually the only meeting in the building. Look for the large room with a circular sofa and fireplace. See you at 7PM.
Directions to the Dallas Group
Signature Pointe faces Preston Road just south of the intersection with Belt Line. It has a small lake in front. The parking is fairly limited. There are spaces toward the back of the building and some on the street. Come in the main entrance, where there is a reception desk, then turn left, and cross the living room. Come down the hall, past the water fountain, to the small meeting room. Signature is providing refreshments that help boost our spirits.
MENTAL AEROBICS
THE FLOWER GAME
Fill in the blank with the name of a flower.
1. Part of an eye_____
2. Footwear_________
3. One way to get rich quick_____
4. A vegetable that does not need sugar_
5. A dressed-up ferocious animal____
6. A flower between hills___________
7. A pretty girl who has been jilted____
8. A man’s name and what he writes with___
9. What shepherds watch_______
10. What Billy did when he sat on a tack__
11. Results from Cupid’s arrow_______
12. A bird and a riding accessory_____
13. A sweetheart’s farewell_________
14. The rising sun_______________
15. A country with a lot of motor transportation__
16. A dairy product and a dish________
17. What unmarried men often lose____
18. What he did when he proposed______
19. An amiable man_________________
20. Neat ranks_____________________
(Answer below)
www.caring.com
I am beginning to post reviews of assisted living communities in the Dallas area on this site. I would appreciate any feedback about those already posted, and any suggestions about facilities that are not yet online. Please send comments to Kay at kay@kaypaggi.com. Thanks.
ELDERHUMOR
Sally was driving home from one of her business trips in Northern Arizona when she saw an elderly Navajo woman walking on the side of the road.
As the trip was a long and quiet one, she stopped the car and asked the Navajo woman if she would like a ride.
With a silent nod of thanks, the woman got into the car.
Sally tried in vain to make a bit of small talk with the Navajo woman. The old woman just sat silently, looking intently at everything she saw, studying every little detail, until she noticed a brown bag on the seat next to Sally.
'What in bag?' asked the old woman.
Sally looked down at the brown bag and said, 'It's a bottle of wine. I got it for my husband.'
The Navajo woman was silent for another moment or two. Then speaking with the quiet wisdom of an elder, she said:
'Good trade....
Answers to Mental Aerobics:
- Iris
- Lady's slipper
- Marigold
- Sweetpea
- Dandelion or Tiger lily
- Lily of the Valley
- Blue belle
- Jonquil
- Phlox
10. ?? Johnny Jump Up??
11. Bleeding heart or bridal wreath
12. Larkspur
13. Tulips or Forget-me-not
14. Morning glory
15. Carnation
16. Buttercup
17. ?? Bachelor's button? Baby's breath?
18. Aster
19. Sweet William
20. Rose
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If you are providing care for a frail or aging loved one, attend a support group. Being in the room with people who understand your current reality will help you be a better caregiver.
IMPORTANT INFORMATION ABOUT DIABETES
I attended a talk given by Diane Newman, MSN, RN, a diabetic educator for the DISD. Here are my notes from her very informative discussion.
Type one diabetes, also known as juvenile diabetes because it onsets in childhood, the pancreas stops producing insulin. Type one diabetes is an auto immune disorder because the body turns on itself and attacks the pancreas. Diabetes type two, called late onset diabetes, usually begins after age 50. In this type, the pancreas continues to produce insulin, but not enough. Type 2 diabetes is becoming more common due to increasing obesity and failure to exercise. One quarter of U.S. population is obese.
Insulin is a hormone produced by the pancreas to control blood sugar. Food is made into glucose in the liver and sent into the bloodstream. The role of insulin is to move glucose from the bloodstream into muscle, fat, and liver cells, where it can be used as energy.
In Type 2 diabetes the pancreas does not make enough insulin to keep blood glucose levels normal. Many people with type 2 diabetes do not know they have it, although it is a serious condition. People with untreated diabetes are fatigued all time. In the past diabetes was known as the ‘wasting disease’; people literally starved to death even though they were eating. The body is forced into breaking down body fat for energy.
Type 2 diabetes leads to a buildup of sugar in blood, because it is not effectively absorbed by the organs that need it. This extra blood sugar causes thirst, frequent need to toilet, poor vision from too much sugar in eyes, and nausea. It also causes the blood to thicken, so heart attacks are common killers of people with uncontrolled diabetes.
People with low blood sugar are at higher risk to develop diabetes, as are those with extra tummy weight (weight on the thighs and hips is not as bad). Diabetes is inflammatory disease. In uncontrolled diabetes the kidneys will eventually shut down. It also increases the risk of developing Alzheimer's disease.
Elders need an advocate to remind them to take care of themselves, take medications, watch diet, and exercise. Even moderate exercise can be helpful, such as standing up during TV commercials or carrying a can of green beans around.
In the elderly the pancreas may get tired and quit functioning altogether. This means that the oral medications most commonly prescribed for diabetes type 2 no longer are effective. Most people dread going onto insulin because it must be injected. The oral medications used to treat late onset diabetes are not insulin. When in hospital for any reason, most type 2 diabetes are put on insulin injections. They can usually return to pills again after they leave the hospital.
Losing ten percent of body weight lowers the risk of diabetes risk, and lowers the risk of complications from diabetes. Changing life style also helps. Exercise is like insulin, it breaks sugar down, pushes it into cells. Water aerobics is especially good. Older people are often less active, which leads to a higher risk for diabetes or complications.
Stress is very bad for people with diabetes because it releases cortisone, which goes to liver, and stimulates it to produces more sugar. An important word is CONTROL. People may live a long time with diabetes, longer after they learn to control their stress level. Stress is problem they can control
Learning to count Carbohydrates is hard but necessary. A total of 45grms of carbs daily is recommended to control blood sugar. Elders also have other diseases as well as diabetes, making diabetes harder to manage. A book called 50 Secrets of the Longest Living People with Diabetes by Sheri Colberg & Steven Edelmanmay be helpful in learning to live with the disease. It is available on Amazon.com for $11.51.
ELDER SUICIDE
One of the dark truths about suicide: It knows no age limits | Steve Blow Columns - News for Dallas, Texas - The Dallas Morning News*
http://www.dallasnews.com/news/columnists/steve-blow/20110514-fear-of-nursing-home-led-to-couples-joint-suicide.ece
The above should be links to 2 articles about suicide among older adults, both written by Steve Blow at the Dallas Morning News. If these links do not work, search dallasnews.com for the articles. The statistics are disturbing. The elderly are the most likely to suicide; their suicide rate is higher than teenagers. I think it speaks volumes about our society, and the quality of life for the aged.
YOUR TEXAS BENEFITS WEBSITE
You don’t need to login before you apply; begin by completing a form to see if there are benefits for which you are eligible. If so, then login and apply online for Health care benefits (Medicaid), Medicare savings programs, Long-term care. You can save your online form and work on it at different times
http://www.hhsc.state.tx.us/QuickAnswers/MedCard-FAQs.shtml
BOOK SUGGESTION AND BOOK SIGNING
Author Event at Barnes & Noble
Thursday July 07, 2011 7:00 PM
Plano/Creekwalk Village, 801 West 15th St Suite E, Plano, TX 75075, 972-422-3372
The Story of Forgetting is his first novel. "Blending myth, science, and dazzling storytelling, Stefan Merrill Block’s extraordinary first novel illuminates the hard-learned truth that only through the loss of what we consider precious can we understand the value of what remains"
http://www.stefanmerrillblock.com/main.html Visit the website for more information about the author's first novel; it sounds like he is familiar with dementia and its difficulties.
MOBILE NOTARY
I know from personal experience that getting important documents notarized can be so difficult when the person who needs to sign is bedbound or housebound. Rose Cole from the Plano Chamber has been recommended by a former caregiver, Pat Cole (no relation), who many of you remember from her years in the support group.
Rose G. Cole
Go-Fer You Mobile Notary Services
Certified Notary Signing Agent
214-507-7673 Cell
GoFerYouNotary@aol.com
I suggest that you jot down Rose's contact information, just in case you need her service in the future.
Plano Community Homes Have Vacancies!
These low cost apartments are among the best in the north Dallas area. There is rarely a vacancy, and usually a very long waiting list. If your care receiver is looking for a good place in a kind community in a nice neighborhood at a discount rate, these may be the answer.
Plano Community Home Sponsored Properties (PCHSP) has vacant apartments currently available for qualified applicants at our newly opened building, Pioneer Place Senior Housing Phase II (PP) located at 1932 Ave K in Plano. Each PP Phase II apartment was built with a walk in shower designed for easy accessibility.
Applicants for Pioneer Place Senior Housing must be:
1. At least 62 years of age or older at the time of application,
2. Living on a limited income of not more than $23,950 for a single individual or $27,350 for a two person household.
The waiting list for efficiency apartments at Plano Community Homes East Campus, located at 1612 Ave. L, Plano, TX 75074, is extremely short at this time. Plano Community Homes East Campus provides HUD subsidized apartments designed to serve:
1) persons 62 years of age or older and
2) persons 18 years of age or older who have a mobility impairment and who require the features of our accessible units which are wheel chair accessible and have roll-in showers.
3) Living on a limited income of not more than $23,950 for a single individual or $27,350 for a two person household.
Tenant rents are based on 30% of the applicant’s adjusted gross income. Pioneer Place Senior Housing Phase II and East Campus will house eligible and qualified persons, who are able to live in these units with or without assistance, and meet the terms of tenancy.
Applications for occupancy are available:
1) For download from our website at www.planocommunityhome.org,
2) May be picked up from the East Campus business office located at 1612 Ave L., Plano, TX 75074 Monday through Sunday 9:00 a.m. – 4 p.m. Please note our evening and weekend staff is not able to answer admission or waiting list questions, nor process applications.
3) Application(s) may be mailed to you by calling (972) 423-6058 and requesting to listen to the admission script. After the recorded information you will be prompted to leave a voicemail at the end of the admissions script requesting an application be mailed to you.
AGING BENEFITS COUNSELING PROGRAM
The Dallas Area Agency on Aging Benefits Counseling Program helps people 60+ and anyone on Medicare regardless of age with information on Medicare, Medicaid, Social Security, Veterans Benefits. We have locations throughout Dallas county where people can go to get help with these issues. We also take appointments twice a month for people to come to our office to get assistance.
For more information , contact Carolyn Toliver, Benefits Counseling Coordinator, Dallas Area Agency on Aging, 214-954-4204
EPIPHANY YOGA
Last month I included a schedule of free Yoga classes for people with chronic pain. These classes are held at the Episcopal Church of the Epiphany, the same location as the Monday night support group. This month I am adding a link to the schedule:
http://www.epiphany-richardson.org/ministries/home.asp?id=506
The instructor, Janet Hennard, co-authored an article on using yoga to help with getting out of bed safely that has been published in Today's Caregiver magazine. You can view the digital version at http://www.caregiver.com/magazine/index.htm. The article is called Rise & Shine with Yoga, found on page 20. The article has some wonderful ideas for getting out of bed, and getting through the day safely and with confidence. Janet's website is www.brightpathyoga.com.
register or go to https://cereg.collin.edu:4443/flexibleregistration/index.jsp?frc=CE&q=subj=xced
*'Caring for Aging' at Collin College meets on 2 consecutive Saturdays beginning August 20 - 27th. Fee for either course is $69.
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If you wish to be added or subtracted from the mailing list for this eLetter, please contact kay@kaypaggi.com. Your name, email address and any other personal information will NEVER be given to anyone without your written permission.
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April Caregiver eLetter
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Caregiver eLetter
Because We Choose
The gauntlet was passed to us and we accepted it. Therefore we will cope, and in so doing, set an example for our children, and the generations to follow.
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April 2011
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Volume 14, Number 4
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In This Issue:
· Alzheimer's Research
· Aging in China
· Stress
· April/May calendar
· Mental Aerobics
Contact Kay
kay@kaypaggi.com
972.839.0065
Fax: 972.907.3799
Visit www.kaypaggi.com for practical, useful information about ElderCare. Kay Paggi is a Licensed Professional Counselor (LPC), National Certified Gerontological Counselor (NCGC), Care Manager Certified (CMC), and a Certified ElderCare Mediator.
The Caregiver eLetter is edited and published by Kay Paggi, a Professional Geriatric Care Manager in private practice since 1996 in the DFW area.
Follow Kay at Kay Paggi's answers at Caring.com
This will send you to Kay’s answers to questions sent in by readers like you.
Kay’s Blog
http://kaypaggi.wordpress.com
I hope to do daily blogs. If you post a comment, that will encourage me. Thanks!
Directions to the Richardson Group
The group meets at 421 Custer in Richardson, the Episcopal Church of the Epiphany. This is on the west of Central. Take the Arapaho exit; turn left at the first light (Custer). Stay on Custer, go past condos on both sides, pass 1st Methodist on the left, and turn right into the parking lot at Epiphany. There are 2 main buildings. We do not meet in the sanctuary; we meet in the other one. Come in the double doors, not the glass door off the patio (the note on the door that says otherwise is for daytime visitors when the secretary is there) We are usually the only meeting in the building. Look for the large room with a circular sofa and fireplace. See you at 7PM.
Directions to the Dallas Group
Signature Pointe faces Preston Road just south of the intersection with Belt Line. It has a small lake in front. The parking is fairly limited. There are spaces toward the back of the building and some on the street. Come in the main entrance, where there is a reception desk, then turn left, and cross the living room. Come down the hall, past the water fountain, to the small meeting room. Signature is providing refreshments that help boost our spirits.
MENTAL AEROBICS
Ciphering
Letters have been substituted for numbers
AB 12
+CD +34
____ ___
DF 46
In this example, the numbers 1,2,3,4,6, have been substituted for letter a,b,c,d, f.
A=1, B=2, C=3, D=4, F=6
Now solve these ciphers; any substitution remains the same throughout the problem.
1. A x B = B (What is A, what is B?)
2. C x B = F
3. A more difficult problem is
TEN
+MEN
MEET
What numbers have been substituted for M, T, E, N?
(Answer below)
ELDERHUMOR
A mature (over 40) lady gets pulled over for speeding...
Older Woman: Is there a problem, Officer?
Officer: Ma'am, you were speeding.
Older Woman: Oh, I see.
Officer: Can I see your license please?
Older Woman: I'd give it to you but I don't have one.
Officer: Don't have one?
Older Woman: Lost it, 4 years ago for drunk driving.
Officer: I see...Can I see your vehicle registration papers please.
Older Woman: I can't do that.
Officer: Why not?
Older Woman: I stole this car.
Officer: Stole it?
Older Woman: Yes, and I killed and hacked up the owner.
Officer: You what?
Older Woman: His body parts are in plastic bags in the trunk if you want to see
The Officer looks at the woman and slowly backs away to his car and calls for back up. Within minutes 5 police cars circle the car. A senior officer slowly approaches the car, clasping his half drawn gun.
Officer 2: Ma'am, could you step out of your vehicle please! The woman steps out of her vehicle. Older woman: Is there a problem sir?
Officer 2: One of my officers told me that you have stolen this car and murdered the owner.
Older Woman: Murdered the owner?
Officer 2: Yes, could you please open the trunk of your car, please. The woman opens the trunk, revealing nothing but an empty trunk.
Officer 2: Is this your car, ma'am?
Older Woman: Yes, here are the registration papers.
The officer is quite stunned.
Officer 2: One of my officers claims that you do not have a driving license.
The woman digs into her handbag and pulls out a clutch purse and hands it to the officer.
The officer examines the license. He looks quite puzzled.
Officer 2: Thank you ma'am, one of my officers told me you didn't have a license, that you stole this car, and that you murdered and hacked up the owner.
Older Woman: Bet the liar told you I was speeding, too.
Don't Mess With Mature Ladies!
Thanks to Carolyn Musket
This year we will experience 4 unusual dates....
1/1/11,
1/11/11,
11/1/11, &
11/11/11.
NOW go figure this out....
Take the last 2 digits of the year you were born plus the age you will turn THIS year and it WILL EQUAL 111.
Answers to Mental Aerobics:
1. A = 1, B = 2
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If you are providing care for a frail or aging loved one, attend a support group. Being in the room with people who understand your current reality will help you be a better caregiver.
MEMORY DISORDERS RESEARCH
This article is a summary of two recent talks given by Barbara Davis from the Alzheimer's Disease Research Center at UTSW. It's interesting to see how many areas of research there are.
The Brain governs behavior. Unfortunately, the frontal cortex of the Brain starts to shrink in our 20's; the frontal cortex is the processing power of the brain. Young people use only one side of their brains to solve problems. Older adults use both sides. The sensory processing areas of the brain are somewhat protected, and do not shrink as much. During our 20's we also begin to lose neuronal connections; certain areas of the brain are more susceptible to damage than others. As this occurs, we need to consciously start 'laying down' memories; we have to pay attention in order to memorize new material.
Researchers now believe that Alzheimer's begins in mid-life and has perhaps a 40-year span. The hope is that some treatments can be started at midlife that would delay the onset of dementia symptoms.
A high percentage of depression is undiagnosed and untreated. Depressed people are at higher risk to be diagnosed with dementia, often in error because depression has symptoms that look the same as symptoms of dementia. At the Alzheimer's clinic, depression is treated first, and then the patient is re-tested for dementia.
The stress hormone Cortisol damages neurons, and can contribute to the development of dementia. [This affects caregivers, making them at higher risk for dementia.] Benadryl, an ingredient in Tylenol PM, and in some overactive bladder medications, and a common cough remedy, is an anticholinergic known to contribute to cognitive decline in older adults.
Sleep apnea is under diagnosed. It is associated with stroke and heart attacks, and causes measurable tissue damage. Again, the recommendation is to treat the apnea, then retest for dementia.
Families of older adults who have had surgery under general anesthesia have for years reported cognitive decline following the procedure. Anesthesiologists have denied a connection until quite recently. It is still controversial but it appears that general anesthesia may have a correlation with long term cognitive damage.
Barbara suggested some strategies for enhancing memory: get organized, focus attention on the task at hand, limit distractions (especially while driving!), keep a notepad handy to jot notes of things that need to be remembered.
Folic acid is 'brain food'; it is added to cereal and bread. There is new research on Vitamin D; however, Omega3 seems to have no significant effect.
Exercise is "neuro-protective." It may help generate new connections between neurons (remember we start losing them in our 20's.) Friends are "neuroprotectors." Meeting people, fostering friendships is cognitively demanding. Remaining socially active helps protect the brain. Social stimulation and interaction may be equally as important as cognitive stimulation. Work is also neuroprotective.
MCI, Mild Cognitive Impairment, is a transitional state between 'normal and Alzheimer's. About 50% of people diagnosed with MCI will develop Alzheimer's within 5 years. Interestingly, only about 40% of identical twins both develop Alzheimer's, meaning that there may be a genetic component but that is not the whole answer.
The current medications treat only the symptoms of dementia; there is no cure.
Current Research Projects
It takes 10-20 years for the symptoms of Alzheimer's to show. Researchers would like to find a drug that can be given early in the process, before symptoms appear. They are studying the PET scans of younger people with MCI, and have found evidence of brain damage years before the initial symptoms of memory loss. There is a current trial among people with MCI to see if exercise impacts the brain or modifies the development of dementia. This is a 1-year study. To enroll call Kristin Martin-Cook, 214-648-9368 or Estee Brunk, 214-345-4665.
There is another study on Gamma Secretase Inhibitor, again on people diagnosed with MCI, to see if this drug inhibits the development of plaque in the brain.
Tx Alzheimer's Research Consortium is following 500 normal people. Study participants come in annually for tests.
From these are other studies, researchers know that there are dozens of different types of Alzheimer's.
Researchers at the University of Texas at Dallas are studying people from ages 20-90. They compare brain studies with behavior and function. So far research has not proven the relationship between amyloid plaque to Alzheimer's. Plaque may develop as a result of the disease, rather than being the cause.
The Alzheimer's Disease Center News is a booklet that is published by the University of Texas Southwestern Medical Center. Each edition includes a list of current research studies and how to enroll in clinical trials. Write to Robin Loveman at robin.loveman@utsouthwestern.edu or call 214-648-3404. Read online at www.utsouthwestern.edu/adc
Reach Barb Davis at 214-648-9367
AGING PARENTS IN CHINA
After hearing clients talk about how respect for aging is customary in China, and how awful our culture is for not having that same high level of respect, it was interesting to read a recent article in the Dallas News, "Proposal aims to make ignoring parents illegal in China", (Jan.30, 2011)
Under this proposal adult children would be required to visit their elderly parents regularly. If they do not, the parents can sue them. The new law was to be considered in the March legislative session but was considered unlikely to pass. Concerns about how to provide care for China's aging population is growing as the country becomes more urbanized.
A young lady confidently walked around the room while leading and explaining stress management to an audience; with a raised glass of water, and everyone knew she was going to ask the ultimate question, 'half empty or half full?'..... she fooled them all... "How heavy is this glass of water?", she inquired with a smile.
Answers called out ranged from 8 oz. to 20 oz.
She replied, "The absolute weight doesn't matter. It depends on how long I hold it. If I hold it for a minute, that's not a problem. If I hold it for an hour, I'll have an ache in my right arm. If I hold it for a day, you'll have to call an ambulance. In each case it's the same weight, but the longer I hold it, the heavier it becomes." She continued, "and that's the way it is with stress. If we carry our burdens all the time, sooner or later, as the burden becomes increasingly heavy, we won't be able to carry on."
"As with the glass of water, you have to put it down for a while and rest before holding it again. When we're refreshed, we can carry on with the burden - holding stress longer and better each time practiced. So, as early in the evening as you can, put all your burdens down. Don't carry them through the evening and into the night... pick them up tomorrow.
Whatever burdens you're carrying now, let them down for a moment. Relax, pick them up later after you've rested. Life is short. Enjoy it and the now 'supposed' stress that you've conquered!"
(Thanks to Linda Medlen for sending this)
AGING BENEFITS COUNSELING PROGRAM
The Dallas Area Agency on Aging Benefits Counseling Program helps people 60+ and anyone on Medicare regardless of age with information on Medicare, Medicaid, Social Security, Veterans Benefits. We have locations throughout Dallas county where people can go to get help with these issues. We also take appointments twice a month for people to come to our office to get assistance.
For more information , contact Carolyn Toliver, Benefits Counseling Coordinator
Dallas Area Agency on Aging, 214-954-4204
The 2nd Monday support group meets in the Church of the Epiphany. Over the past year or so, Janet Hennard has begun a series of free classes there (donations are appreciated but not requested). Everyone is welcome to attend. Caregivers in particular may find Yoga helpful. Yoga is a non-competitive, non-religious practice that will increase your awareness of your body and its connection to mind and spirit. Its many benefits include optimal balance, flexibility, fitness and longevity. Yoga accommodates all fitness levels and physical limitations. Bring a yoga mat, exercise mat or blanket, and wear comfortable, stretchy clothing.
Monday 5:45-7:00 pm: Yoga for Fibromyalgia. Location: Narthex (entry to church)
Tuesday 10:30-11:45 am: Yoga for Seniors and Those with Physical Limitations. Location: Narthex (entry to church)
Tuesday 5:45-7:00 pm: Bright Path Yoga (mixed styles). Location: Dr. Susan Aten's Office, 500 N. Coit Rd, Ste 2094, Richardson
Thursday 6:15-7:30 pm: Epiphany Yoga (mixed styles). Location: Narthex (entry to church)
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2. C = 3, B = 2, F = 6
3. 407
+107
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1004
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If you wish to be added or subtracted from the mailing list for this eLetter, please contact kay@kaypaggi.com. Your name, email address and any other personal information will NEVER be given to anyone without your written permission.
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Caregiver eLetter
Because We Choose
The gauntlet was passed to us and we accepted it. Therefore we will cope, and in so doing, set an example for our children, and the generations to follow.
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February 2011
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Volume 14, Number 2
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In This Issue:
· Caring for Aging Seminars
· Changing Family Dynamics
Shingles Vaccination
· February calendar plus upcoming events
· Mental Aerobics
Contact Kay
kay@kaypaggi.com
972.839.0065
Fax: 972.907.3799
Visit www.kaypaggi.com for practical, useful information about ElderCare. Kay Paggi is a Licensed Professional Counselor (LPC), National Certified Gerontological Counselor (NCGC), Care Manager Certified (CMC), and a Certified ElderCare Mediator.
The Caregiver eLetter is edited and published by Kay Paggi, a Professional Geriatric Care Manager in private practice since 1996 in the DFW area.
Follow Kay at Kay Paggi's answers at Caring.com
This will send you to Kay’s answers to questions sent in by readers like you.
Kay’s Blog
http://kaypaggi.wordpress.com
I hope to do daily blogs. If you post a comment, that will encourage me. Thanks!
Directions to the Richardson Group
The group meets at 421 Custer in Richardson, the Episcopal Church of the Epiphany. This is on the west of Central. Take the Arapaho exit; turn left at the first light (Custer). Stay on Custer, go past condos on both sides, pass 1st Methodist on the left, and turn right into the parking lot at Epiphany. There are 2 main buildings. We do not meet in the sanctuary; we meet in the other one. Come in the double doors, not the glass door off the patio (the note on the note that says otherwise is for daytime visitors when the secretary is there) We are usually the only meeting in the building. Look for the large room with a circular sofa and fireplace. See you at 7PM.
Directions to the Dallas Group
Signature Pointe faces Preston Road just south of the intersection with Belt Line. It has a small lake in front. The parking is fairly limited. There are spaces toward the back of the building and some on the street. Come in the main entrance, where there is a reception desk, then turn left, and cross the living room. Come down the hall, past the water fountain, to the small meeting room. Signature is providing refreshments that help boost our spirits.
MENTAL AEROBICS
Name the candy that matches the clues.
1. Jazz musician’s break
2. Swashbuckling trio
3. Earth’s galaxy
4. New York City thoroughfare
5. Sweet infants
6. Tiny bites
7. Thickset
8. Tall tales
9. Classical orchestra work
10. Geeks
11. Artworks by Ms. Witherspoon
12. Number before one
13. Morsel for a bee
14. Slightly stifled laughs
15. Rice Krispies middle man
16. Person who’s always dropping things
17. Smooch in Pennsylvania town
18. Ring-shaped preserver
19. Thingamabob
20. Working person’s reward
(Answers below)
ELDERHUMOR
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Should I Really Join Facebook?
When I bought my Blackberry, I thought about the 30-year business I ran with 1800 employees, all without a cell phone that plays music, takes videos, pictures and communicates with Facebook and Twitter. I signed up under duress for Twitter and Facebook, so my seven kids, their spouses, 13 grandkids and 2 great grand kids could communicate with me in the modern way. I figured I could handle something as simple as Twitter with only 140 characters of space.
That was before one of my grandkids hooked me up for Tweeter, Tweetree, Twhirl, Twitterfon, Tweetie and Twittererific Tweetdeck, Twitpix and something that sends every message to my cell phone and every other program within the texting world.
My phone was beeping every three minutes with the details of everything except the bowel movements of the entire next generation. I am not ready to live like this. I keep my cell phone in the garage in my golf bag.
The kids bought me a GPS for my last birthday because they say I get lost every now and then going over to the grocery store or library. I keep that in a box under my tool bench with the Blue tooth [it's red] phone I am supposed to use when I drive. I wore it once and was standing in line at Barnes and Noble talking to my wife and everyone in the nearest 50 yards was glaring at me. I had to take my hearing aid out to use it, and I got a little loud.
I mean the GPS looked pretty smart on my dash board, but the lady inside that gadget was the most annoying, rudest person I had run into in a long time. Every 10 minutes, she would sarcastically say, "Re-calc-U-lating." You would think that she could be nicer. It was like she could barely tolerate me. She would let go with a deep sigh and then tell me to make a U-turn at the next light. Then if I made a right turn instead. Well, it was not a good relationship.
When I get really lost now, I call my wife and tell her the name of the cross streets and while she is starting to develop the same tone as Gypsy, the GPS lady, at least she loves me.
To be perfectly frank, I am still trying to learn how to use the cordless phones in our house. We have had them for 4 years, but I still haven't figured out how I can lose three phones all at once and have to run around digging under chair cushions and checking bathrooms and the dirty laundry baskets when the phone rings.
The world is just getting too complex for me. They even mess me up every time I go to the grocery store. You would think they could settle on something themselves but this sudden "Paper or Plastic?" every time I check out just knocks me for a loop. I bought some of those cloth reusable bags to avoid looking confused, but I never remember to take them in with me.
Now I toss it back to them. When they ask me, "Paper or Plastic?" I just say, "Doesn't matter to me. I am bi-sacksual." Then it's their turn to stare at me with a blank look. I was recently asked if I tweet. I answered, No, but I do toot a lot."
Us senior citizens don't need anymore gadgets. The TV remote and the garage door remote are about all we can handle.
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Answers to Mental Aerobics:
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Next Richardson Support Group Meeting is Monday, February 14
This group meets on the 2nd Monday of every month
7- 8:30 PM
421 Custer, Richardson
The Episcopal Church of the Epiphany
Next Dallas Support Group is Thursday, February 24
7-8:30 PM
Signature Point on the Lake, 14655 Preston, Dallas
CAREGIVING SEMINARS
· Richland College will have ‘Caring for Aging Parents’ beginning Wednesday, Feb.16, 7-9 p.m. This is the first of a 4-week course designed to answer questions about aging and help you be a better caregiver. Course # 671346 meets in Room C102 at Richland College, fee is $40. To register call 972-238-6146.
· Collin College will offer Caring for Aging on two Saturdays, April 2 and 9th from 9am to 1pm. The course # is 75096; fee is $69. To enroll, call 972-985-3711 or go to this website: http://www.collin.edu/ce/courselistings/healthfitness.html#caring
I hope many of my readers will enroll in one of these courses. I’ve been teaching, and modifying, this course since 1989. I receive many comments from people who took one of my seminars years ago, who tell me how much benefit they received from the information.
I was fortunate to attend a presentation by Jane Hunley, a marvelous, caring and experienced social worker in the Department of Geriatrics at Parkland. Here are some of my notes, and some quotes taken from Jane’s slides. I hope you gain as much from them as I did.
In the recent past, most people were raised in a nuclear family to become independent, begin their own family, launch offspring into independence, and participate in the care of older dependent family members. Family members had defined roles and boundaries.
More recently, family complexity has increased. The divorce and remarriage rate has altered caregiving patterns. Family demographics have changed so there are smaller families now, with most women working outside the home, adult children living far away from home, and fewer children per family. “Smaller families will also make a difference,” says William Frey of the Brookings Institution. "Not only are these children going to have older parents sooner, they'll have fewer brothers and sisters to help them with that task," Jane said, “Long distance caregiving increases stress and anxiety because you can't see firsthand how they are doing - and guilt - not being there when your parents need you.”
The important goals for caregiving families have not changed. Families want to protect their older adults and increase or maintain the attachment bond.
There are many ‘modern’ aging issues that can contribute to a family crisis. Among these are retirement, bereavement, ageism, mental and physical illness or disability, economic strain, and transitions in living situations or placement into a care community. Caregivers are torn between conflicting roles, and experience ambivalence, anger, resentment, and fatigue.
Family conflicts are typically more intense than conflict in other groups. This intensity means that managing conflicts may be more difficult, and that the consequences can be more damaging. Positive emotional bonds help outweigh the pain involved with the conflicts. There is always ambivalence in family relationships: the person is loved, but they do things that produce hate as well.
Caring for elderly parents also can threaten the emotional health of caregivers Caregiving for a frail elder can unlock your family's hidden dysfunctions — "You were always Mom's favorite!" — and reopen old sibling rivalries and conflicts. Every rivalry you had with your brothers and sisters, every argument you had with your parents, every effort you ever made to become independent, can be put to the test once your parents become old and sick.
You find yourself arguing with your siblings, arguing with your spouse, arguing with your parents, arguing with yourself.
"No matter how much you love your parents, it's going to disrupt your life," says Roberta Satow, a sociology professor at Brooklyn College. “There's a lot of depression and sadness watching a parent who was competent and capable become frail and needy," says Donna Schempp of the San Francisco-based Family Caregiver Alliance, a non-profit group for caregivers. "It's very hard."
Jane suggests that Filial Maturity implies relating to and supporting aging parents in an adult way. Filial maturity is the adult child’s ability to accept their parents as individuals, to recognize that their parent’s goals may differ from their own, and to accept imperfections as well as their positive qualities. To achieve filial maturity requires understanding, patience and self-acceptance.
Aging parents who are not also achieving reciprocal parental maturity limit the level of filial maturity adult children can attain. Parental maturity means parents also accept their adult children as adults, forego condescending attitudes and willingly accept help from the younger generation.
Adult children can be most effective in relating to and helping parents if they understand the changes taking place in the parent’s life, how they feel about these changes, and the implication of these changes. One of the most significant characteristics of increasing age is loss—loss of roles, health, financial security, spouse and friends. Losses may be multiple or occur in such rapid succession that the person is not able to adjust to one loss before being confronted with another; this is known as a “cascade” of losses, and it may take a long time for the elder to recover their emotional balance.
Jane offers some excellent suggestions to improve your experience as caregiver. One of the best solutions is Rest and a break from the stress. This is called “Respite.” This is time for caregivers to let someone else do it, and it is a very necessary part of being a competent caregiver. Ask yourself, “What can my parent Reasonably expect from me?” And then ask, “What can I reasonably expect from your parent?”
Encourage without giving advice. Advice from adult sons and daughters is a tricky proposition and best avoided unless you are sure it has been asked for. It is generally better to let an outside person be the advisor.
Accept differences of opinions, values, habits, likes and dislikes between you and your parents. There is often a "generation gap" between parents and children, regardless of how old they are. Respect these differences.
Keep humor and fun alive in the family. A shared laugh can do wonders to ease tension, build closeness, and even improve health.
Recognize that grandchildren and grandparents may have a special relationship. If neither has the burden of responsibility for the other, they are free to enjoy each other's company and share ideas and experiences.
Thank you, Jane, for allowing me to share your wisdom with my readers. Jane is a Licensed Master Social Worker at the Department of Geriatrics, Community Medicine, Parkland Health & Hospital System.
VALENTINE’S DAY SUGGESTION
Only about 10 percent of people over-60 have had a shingles vaccination. Neither doctors nor the manufacturer nor public health agencies have done a particularly effective job of alerting the vulnerable population that this shot is available and effective. That’s largely because the manufacturer, Merck, has been unable to provide a reliable supply of the vaccine (brand name Zostavax), first introduced in 2006, for long stretches of time. Another problem is that the vaccine has to be kept frozen. Internists and other doctors often do not have a freezer in their office. And more bad news: Merck now says that its supply is “dynamic” and that back-ordering will still occur.
The nasty varicella zoster virus causes chickenpox and then lies dormant in the nervous system until it reactivates in late adulthood. Scientists do not understand why this happens, or why some people never get shingles and others get it repeatedly. But they do know that each of us has a one-in-three chance, on average, of getting shingles in our lifetimes.
Unfortunately the herpes zoster vaccine reduces your odds of getting shingles by 55 percent, so you still have a risk of getting shingles But if you do, the cases tend to be much milder than they would have been without it.
The vaccine is also about 66 percent effective at preventing the worst complication of the disease, postherpetic neuralgia — pain that can linger for months or even years after the characteristic rash has cleared. The vaccine also reduces the incidence of ophthalmic herpes zoster, which can damage your eyes.
There are antiviral drugs used to treat shingles outbreaks, which are generally given within the first 72 hours, while the rash is still evolving. The drugs do reduce pain and shorten the outbreak’s duration, but it’s less clear whether they can prevent postherpetic neuralgia. And there’s no evidence that they prevent future outbreaks.
The bad news, once again: At about $200, the shingles vaccine is the most expensive adult vaccine. Medicare will pay for it through Part D, the drug benefit, but that often means that people trying to get it in doctors’ offices have to pay out of pocket, then file for reimbursement. To some seniors, $200 out of pocket is an insurmountable obstacle. Others could afford it but don’t want to spend it.
Yet the disease and its aftermath are so much harder on old bodies than younger ones. A suggestion for a Valentine’s Day gift for your parents is a ride to a doctor’s office and a check to cover the cost of this shot.
Monday, Feb. 14, 7-8:30, Caring for Aging Caregiver Discussion group meets at the Church of the Epiphany
Thursday, Feb. 17, 3:00pm, Dallas Area Gerontological Society meets this month at the VNA. The topic will be Parkinson’s Disease, presented by social worker Patty Crow. This promises to be an informative meeting for those of you who have relatives with this nasty disease. VNA, 1440 W. Mockingbird Dallas, TX 75247. FREE
Thursday, Feb. 24, 7-8:30 p.m, Caregiver Discussion group meets at Signature Pointe in Dallas. Bring your current concerns and small victories. I’ll bring chocolate.
Looking Ahead
Wednesday, Feb. 16, 7-9 p.m., Caring for Aging Parents Seminar begins at Richland College. This is the first of a 4-week course designed to answer questions about aging and help you be a better caregiver. Course # 671346, meets in Room C102 at Richland College, fee is $40.
Thursday, Feb. 24, 7-8:30 p.m, Caregiver Discussion group meets at Signature Pointe in Dallas. Bring your current concerns and small victories. I’ll bring chocolate.
October 13-15 – The Southwest Chapter of the National Association of Professional Geriatric Care Managers will have their annual conference in Grapevine. If your organization is interested in sponsoring, or if you would like to have a booth, please contact Kay Paggi at kay@kaypaggi.com or 972-839-0065.
Answers to Mental Aerobics
1. Take 5
2. 3 musketeers
3. Milky Way
4. Fifth Avenue
5. Sugar Babies
6. Nips
7. Chunky
8. Whoppers
9. Symphony
10. Nerds
11. Reese’s pieces
12. Zero
13. Bit-o-Honey
14. Snickers
15. Krackel
16. Butterfinger
17. Hersey’s kiss
18. Lifesaver
19. Whatchamacallit
20. Payday
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If you wish to be added or subtracted from the mailing list for this eLetter, please contact kay@kaypaggi.com. Your name, email address and any other personal information will NEVER be given to anyone without your written permission.
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Caregiver eLetter
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Caregiver eLetter
Because We Choose
The gauntlet was passed to us and we
accepted it. Therefore we will cope, and in so doing, set an example for our
children, and the generations to follow.
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December 2010
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Volume 13, Number 10
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In This Issue:
· Interested in additional support group on a
different night?
·
Update on Health Care Reform
(ACA)
·
December Calendar
·
Mental Aerobics
There are only 25 letters in the
alphabet during December. Do you know why?
Contact Kay
kay@kaypaggi.com
972.839.0065
Fax: 972.907.3799
Visit
www.kaypaggi.com for practical, useful information about ElderCare.
Kay Paggi is a Licensed Professional Counselor (LPC),
National Certified Gerontological Counselor (NCGC), Care Manager Certified
(CMC), and a Certified ElderCare Mediator.
The
Caregiver eLetter is edited and published by Kay Paggi, a Professional
Geriatric Care Manager in private practice since 1996 in the DFW area.
Follow Kay at www.caring.com/experts?page=5
This
will send you to Kay’s answers to questions sent in by readers like
you.
Kay’s
Blog
http://kaypaggi.wordpress.com
I
hope to do daily blogs. If you post a comment, that will encourage me.
Thanks!
Directions
to the Support Group
The group meets at 421 Custer in Richardson, the Episcopal Church of the
Epiphany. This is on the west of Central. Take the Arapaho exit; turn left at
the first light (Custer). Stay on Custer, go past condos on both sides, pass
1st Methodist on the left, and turn right into the parking lot at Epiphany.
There are 2 main buildings. We do not meet in the sanctuary; we meet in the
other one. Come in the double doors, not the glass door off the patio (the
note on the note that says otherwise is for daytime visitors when the
secretary is there) We are usually the only meeting in the building. Look for
the large room with a circular sofa and fireplace. See you at 7PM.
Holiday MENTAL AEROBICS
1.
The first instrument on which the carol Silent Night was played was:
A. harp
B. pipe organ
C. guitar
D. kazoo
2.
The poinsettia, a traditional Christmas flower, originally grew in which
country?
A. Canada
B. China
C. Mexico
D. Spain
3.
The real St. Nicolas lived:
A. at the North Pole
B. on the island of Malta
C. in Turkey
D. in Holland
4.
A boar’s head is a traditional Christmas dish. According to a popular
story, the unlucky boar whose head began the custom during the Middle Ages
was killed by:
A. Choking to death on a book of Greek philosophy
B. King Wenceslas, who speared it from horseback
C. A falling fir tree
D. Remorse, after goring St. Nickolas
5.
Which popular Christmas song was actually written for Thanksgiving?
A. The Holly and the Ivy
B. Frosty the Snowman
C. Jingle Bells
D. Over the River and through the woods
6.
In 1647 the English Parliament passed a law that:
A. Made Christmas illegal
B. Recognized Christmas as an official holiday
C. Let prisoners spend Christmas Day at home
D. Gave Santa immunity from breaking-and-entering
laws
(Answers below)
ELDERHUMOR
Yesterday I was at my local COSTCO
buying a large bag of Purina dog
chow
for my loyal pet, Molson, the Wonder Dog and was in the checkout line when a
woman behind me asked if I had a dog.
What did she think I had, an elephant? So since I'm retired and have
little to do, on impulse I told her that no, I didn't have a dog, I was starting the Purina Diet again... I
added that I probably shouldn't, because I ended up in the hospital last
time, but that I'd lost 50 pounds before I awakened in an intensive care ward
with tubes coming out of most of my orifices and IV’s in both arms.
I told her that it was essentially a perfect diet
and that the way that it works is to load your pants pockets with Purina
nuggets and simply eat one or two every time you feel hungry. The food is
nutritionally complete so it works well and I was going to try it again.!
(I have to mention here that practically everyone
in line was now enthralled with
my story) Horrified, she asked if I ended up in intensive care because the dog food poisoned me. I told her no, I stepped off
a curb to sniff an Irish Setter's rear-end and a car hit us both.
I thought the guy behind her was going to have a
heart attack he was laughing so hard.
Costco won't let me shop there anymore.
Answers to Mental Aerobics:
1. C – guitar. This
carol was first sung at a church service in Austria. The story goes that the
guitar was used because the church organ bellows had been damaged by mice.
2. C – Mexico.
Joel Poinsett was the first United States Ambassador to Mexico
being appointed by President John Quincy Adams in the 1820's. During his stay
in Mexico
he wandered the countryside looking for new plant species. In 1828 he found a
beautiful shrub with large red flowers growing next to a road. He took
cuttings from the plant and brought them back to his greenhouse in South Carolina. Even
though Poinsett had an outstanding career as a United States Congressman and
as an ambassador he will always be remembered for introducing the poinsettia
into the United States.
3. C – Turkey.
St. Nicolas was the bishop of the Turkish town of Myra in the early 4th century.
The Dutch made him into a Christmas gift-giver, and Dutch settlers brought
him to American where his name eventually become Santa Claus.
4. A –
Choking. According to the story, a university student saved himself from a
charging boar by ramming a book of Aristotle’s writings down its
throat. He then cut off the boar’s head and brought it back to his
college, presumably for dinner.
5. C –
Jingle Bells. Composed in 1857 by James Pierpont, and originally called One
Horse Open Sleigh.
6. A – Made
Christmas illegal! Christmas festivities were banned by the Puritan leader
Oliver Cromwell, who considered feasting and revelry on what was supposed to
be a holy day to be immoral. The ban was lifted only when the Puritans lost
power in 1660.
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Next Support
Group Meeting is Monday, December 13
7-
8:30 PM
421
Custer, Richardson
The Episcopal Church of the Epiphany
In January the Support Group
will meet on Monday, January 10, 2011.
Older Adults and Holiday
Driving
Many of you will be visiting older relatives
during the holidays. This makes it a possible time to check their driving skills;
definitely plan to have a conversation with them about driving in the future.
Elders often must make the choice between staying home or getting their
errands done. MOST people outlive their ability to drive safely. Statistics
say men will outlive their ability to drive safely by about 6 years, and
women by 10 years. This means that there will be a gap for several years that
older adults will need alternatives to driving themselves.
Most older people, even healthy ones, have
age-related conditions that impair their ability to drive safely. A 40-year
old needs 20 times more light to see well at night than a 20-year old, according
to Joseph Coughlin at the MIT AgeLab. Older drivers need more time to judge
speed and distance, and reflexes are slower. Their muscles are less flexible,
making it more difficult to turn their head and look behind them. Fatal
crashes increase at age 75, and drivers over age 85 have a worse fatality
rate than teens.
Before you sit down to discuss the driving
issue, do some research so you will be able to discuss realistic alternatives.
What alternatives does your favorite older adult have locally? In Dallas there is DART.
In Richardson and Plano there are city-wide buses at very low
cost. Relocating to a retirement facility usually includes transportation.
I recommend that you calculate how much the
elder spent last year on car payments, taxes, insurance, repairs, gas, and
other fees, and divide that number by 12. This is the amount already being
spent on driving. Most of the time, the drivers are surprised by how much it
actually costs them to stay behind the wheel. They could use that sum to pay
for taxi’s.
Another alternative is a companion agency.
Usually these agencies have a minimum number of hours and an hourly fee,
ranging from $15-25. By calling around you can find agencies that will
provide a companion to drive the elder on errands or to the grocery or
pharmacy. By scheduling errands on the days they have a paid driver, they
might need only 1 4-hour shift a week.
Be creative. Living longer should not be
punishment; neither is it an excuse to drive unsafely and endanger others on
the road.
Update on Health
Care Reform
I attended a brief
presentation by Marjorie Petty, J.D., M.S., Regional Director of the U.S.
Dept of Health and Human Services. Petty oversees a 5-state region, one of 10
national regions. She stated that one in four Texans has NO medical
insurance.
Over the past month of
debate over health care reform, many people are very upset about implementing
a federal health insurance program. These people apparently do not realize
that Medicare IS a federal health insurance program.
ACA refers to the
Affordable Care Act. The program will be state run because Congress realized
that each state has different needs. How the program will be implemented will
be determined by each state’s legislature.
ACA strengths include
completely closing the Medicare D donut hole by 2020; holding insurance
companies accountable; improved chronic care coordination; and free
preventative care. The new law prevents insurance companies from denying
coverage due to pre-existing conditions or from cancelling coverage once an
insured is ill. In 2011 the cost of prescription drugs will decrease by 50%.
As of 2010 there are no
lifetime limits on coverage; no annual limit on spending for coverage; and
appeals process must be made accessible to the consumer. The law is supposed
to partially pay for itself by broadening the pool of people covered; the
cost of insured an ill consumer is defrayed by the large number of people in
the pool of covered.
This remains as clear as
mud to me. For more information, go to www.HealthCare.gov.
This site will help you compare insurance companies, get financial
information, and help you understand what questions to ask your doctor. It
also has a page on understanding the new law, and the cost of various
insurance plans.
www.Medicare.gov
has a wonderful hospital compare page that reviews outcomes of specific
diseases or interventions so you can choose the hospital that has the best
outcome for your procedure.
There has been some
discussion in the news media about Medical Loss Ratio. This is basically the
cost of administration in insurance companies. It can run from 35-50% in some
companies. The new law mandates that administrative costs cannot exceed 20%.
The insurance companies oppose this law because it reduces the CEO’s salary
and limits profits. Under the new law, anything over 20% must be spend on
services for insured.
In 2011 there will be a
mandated increase in home-based services, so those will chronic illnesses
will be able to remain in their homes for treatment, rather than going into
nursing facilities.
Another helpful site is https://mymedicare.gov. This site will
send you ticklers, reminders when it is time to see your doctor for follow
ups or routine tests. Visit www.hhs.gov
for call 1-800-medicare for more information.
Another hot issue lately is
reimbursement for Medicare physicians. It was supposed to be decreased by 23%
as of Dec.1; Congress passed a 1-month waiver. Physician reimbursement was
NOT part of ACA – it is a separate issue. Contact your congressman and
ask that a permanent fix be enacted to give doctors some job security. When I first went into practice in the early
90’s, there was only one physician in Plano accepting new Medicare patients.
For more help on insurance,
contact Mike Geeslin, the Texas Insurance Commissioner in Austin. For assistance in finding the right
Medicare D or supplemental policy, contact Terry Warner, (972) 437-0598, or
if you live in Dallas,
contact the Senior Source, 214-823-5700.
Interested in an Additional Support Group?
We have been invited to
have an additional support group meeting at Signature Pointe on the Lake on either a Wednesday or Thursday, once a month.
Signature Pointe will provide refreshments for each meeting.
Signature Pointe is a
Continuing Care Retirement Community that leases apartments on a
month-to-month basis. It is owned by Telesis Corp, a local company. I refer
to Signature Pointe and other communities owned by Telesis frequently because
of the high quality of care it provides for its residents. It is a high
compliment that Signature and Telesis have offered to host an additional support group meeting.
The address is 14655 Preston Rd, Dallas. This is just south of the
intersection at Belt Line.
The Caregiver Support Group
currently meets on the 2nd Monday of every month. IF you are
interested in coming to a meeting on some other night, it is up to you to let me know! Send an email to
kay@kaypaggi.com or call me at 972-839-0065.
Everything else will remain the same:
the current group will continue, the fee will be $10, and I’ll bring
chocolate.
ACTIVE MINDS MAY DELAY DEMENTIA
Those with a
mentally stimulating lifestyle may postpone the symptoms of dementia longer.
This may be due to other parts of the brain compensating for neurons lost, or
new pathways between active neurons being created to make up for losses. Once
the disease presents, these people may seem to decline faster but in reality
they are showing the disease that has been hidden.
This is the ‘cognitive reserve’ theory,
that people with active minds have a reserve of brain power that delays the
onset of symptoms (not the disease). The theory is that in the active mind,
the brain creates new neural pathways when damage occurs to circumvent the
problems.
Tuesday. Dec. 7,
8:30-11:30a.m., “Pearl Harbor Plus 59 Days” presented by Richland College Emeritus Dept. Dr.
Arnold Paddock, Richland College Physics Instructor, will speak on how to
teach today’s students about WWII. “We will discover some aspects
of The War you may never have know. You’ll enjoy coffee, muffins and
laugher without bringing any of your Ration Coupons!”
This
is FREE!!! Call to make a reservation, 972-238-6972.
Monday,
Dec. 13, 7-9 p.m, Caregiver
Discussion group meets at 421 Custer in Richardson (the Episcopal Church of
the Epiphany). Bring your current concerns and small victories. I’ll
bring chocolate.
Tuesday,
Dec. 14, 10:00 a.m., Terry
Warner presentation on Medicare insurance and Health care in the Richardson
Community Room at First Community Bank. This is FREE. 429 Belle Grove Dr., Richardson,
TX
11:00
in the same place, Debbie Reinhardt-Young will speak. We know the holidays
can sometimes revolve around more stress than joy. With that
in mind, we are happy to have Debbie Reinhardt-Young, who will encourage us
to not get "wrung out" while ringing in the Holidays.
Debbie is currently the Director of Senior Adult Ministries at
First Presbyterian Church in downtown Dallas.
Looking Ahead
Wednesday,
Feb. 16, 7-9p.m., Caring for Aging
Parents Seminar begins at Richland
College. This is the
first of a 4-week course designed to answer questions about aging and help
you be a better caregiver. Stay tuned for how to sign up for the course.
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