Seeking Family Caregivers of Veterans for a New Study - (thanks for the update - The California Coalition of Caregivers)

The National Alliance for Caregiving is Seeking Family Caregivers of Veterans for a New Study

This study will provide an opportunity for caregivers of Veterans to be heard and improve services for caregivers and Veterans now and in the future. If you are a family caregiver of a Veteran or know of one, and wish to take part in this study, please sign up at: www.gwsurvey.com/caregiversofveterans.html

The National Alliance for Caregiving is seeking participants for a new study of family caregivers of Veterans. This study is intended to determine how caregivers of Veterans are coping and what community and VA services,
resources, and programs would support and assist them with their caregiving activities.

Caregivers are defined as those providing unpaid assistance, such as personal care, bathing, dressing, feeding, help with medications and other treatments, transportation to the doctors’ appointments, and arranging for
services. Caregivers of Veterans from World War II, the Korean War, the Vietnam War through the current conflicts in Iraq and Afghanistan will be included in the study. Caregivers include relatives and friends.

The study will use discussion groups, telephone interviews, and an Internet survey of caregivers of Veterans. The National Alliance for Caregiving is recruiting many family caregivers of Veterans from across the United States, and especially caregivers for the discussions groups living in or near: San Diego, San Antonio, and Washington, DC.

Cash incentives will be available for study participants and Veterans who refer them. Information obtained from the discussion groups, telephone interviews, and Internet survey will be confidential and will not be connected to the individual caregivers participating in the study.

Thank you for your consideration to participate in a study that could make a difference in the lives of caregivers of Veterans. Please contact Kathy Cameron at kathleen56@caregiving.org for more information.

This project is funded by a grant from the United Health Foundation.

Interview with Dr. Eric Shapira, author of “A New Wrinkle,” on March 25th at 9AM pacific on blogtalkradio.com/kindethics.

Interview with Dr. Eric Shapira, author of “A New Wrinkle,” on March 25th at 9AM pacific on blogtalkradio.com/kindethics. Listen live or download later.

Eric Shapira practiced Dentistry for over 30 years on the Half Moon Bay Coastside. He received his Masters degree in Clinical Gerontology from Notre Dame de Namur University. He is an educator and has taught courses in “Healthy Aging” and “Successful Aging,” as well as courses in “Geriatric Esthetic Dentistry and Special Patient Care.”

Dr. Shapira holds an MHA (Masters in Health Administration) from the University of Phoenix. He is a Board member of the American Association of Senior Peer Counselors, a Bilingual Senior Peer Counselor for the San Mateo County Department of Mental Health and a former commissioner on the San Mateo County Commission on Aging. He is a Certified Hypnotherapist, Author, Consultant and Lecturer. Dr. Shapira is a caring, involved clinician with extensive knowledge in the aging field. His personal motto is: “No one cares how much you know, until they know how much you care.”

In 2008, Dr. Shapira was awarded the title of Visiting Professor of Geriatric Medicine and Nursing by People’s Hospital #2 and the Government of China for his volunteer teaching efforts and work there this past summer.
Aging Mentor Services is Dr. Shapira’s consulting service. He helps seniors and their families with many of the complex issues about aging. ‘

His website is www.agingmentorservices.com.
His services include: Assessments (Physical, Mental, Home Safety Analysis, Care Giver analysis)
Counseling for individuals and families in transition
Memory training
Telephone counseling
Care Giver procurement and management
Care Giver training
Care Giver Evaluation
Certified hypnotherapy
Crisis Management
Strategic Elder Planning
Guided imagery
Patient advocate
Family mediation
Financial counseling
Transportation issues
Second opinions on dental treatment and treatment plans
Referral base for ancillary aging specialists: medical, dental, social and psychological
Education for family and care givers on the aging process, Dementia and Alzheimer’s disease.
Nutritional analysis
Exercise facilitation
Bilingual/Spanish

March is Brain Injury Month. For more information: www.biausa.org

Thanks to the Brain Injury Association website http://www.biausa.org for the following information: Check out their site for more information and resources.

March is Brain Injury Awareness Month

In recognition of March as Brain Injury Awareness Month and the Brain Injury Association’s ongoing commitment to sports and concussions, BIAA and its nationwide network of 44 Chartered State Affiliates is launching a year-long, nationwide education and advocacy campaign: “A concussion is a brain injury. Get the facts.” The campaign will launch in March with radio and print public service announcements, awareness proclamations and special events. A state advocacy effort to introduce legislation to train coaches and protect youth athletes will continue throughout the year along with ongoing nationwide education.
A concussion is a brain injury period. BIAA believes coaches of every school athletic team and every extracurricular athletic activity should be trained to recognize the signs and symptoms of brain injury, including concussions and second impact syndrome. BIAA also believes young athletes who appear t have sustained a concussion should have written authorization by a health care professional before returning to play.
A concussion is caused by a bump, blow or jolt to the head, or from a blow to the body that causes the head to move rapidly back and forth. Most concussions occur without a loss of consciousness and according to the CDC, a lack of proper diagnosis and management of concussion may result in a serious long-term consequences, or risk of coma or death. Signs and symptoms may be noticeable immediately, or it may take days or weeks before they are present.
According to the Centers for Disease Control and Prevention, an estimated 3.8 million sports- and recreation-related concussions occur in the United State each year. Of that estimate U.S. emergency departments treat approximately 135,000 sports- and recreation-related traumatic brain injuries (TBIs), including concussions, among children ages 5 to 18.
To support year-long education and awareness efforts, click on the downloadable materials below to distribute throughout your community today! BIAA encourages the use and distribution of these materials throughout 2010.
To learn more about these initiatives or to learn more about awareness and advocacy events taking place in your state during the month of March and throughout the year, or to learn how you can get involved, contact your Chartered State Affiliate today! For more information on media materials contact the Brain Injury Association of America at 703.761.0750, ext. 622.

According to the Centers for Disease Control and Prevention (CDC) an estimated 1.6-3.8 million sports and recreation related concussions occur in the U.S. each year. Concussions occur even if an athlete doesn’t lose consciousness and in fact, is the most common type of brain injury sustained in sports.
What is a traumatic brain injury?
A traumatic brain injury (TBI) is defined as a blow or jolt to the head or a penetrating head injury that disrupts the function of the brain. Not all blows or jolts to the head result in a TBI. The severity of such an injury may range from “mild,” i.e., a brief change in mental status or consciousness to “severe,” i.e., an extended period of unconsciousness or amnesia after the injury. A TBI can result in short or long-term problems with independent function.
How many people have TBI?
Of the 1.4 million who sustain a TBI each year in the United States:
• 50,000 die;
• 235,000 are hospitalized; and
• 1.1 million are treated and released from an emergency department.1
The number of people with TBI who are not seen in an emergency department or who receive no care is unknown.
What causes Traumatic Brain Injuries?
The leading causes of TBI are:
• Falls (28%);
• Motor vehicle-traffic crashes (20%);
• Struck by/against (19%); and
• Assaults (11%).1
Blasts are a leading cause of TBI for active duty military personnel in war zones.2
Who is at highest risk for TBI?
• Males are about 1.5 times as likely as females to sustain a TBI.1
• The two age groups at highest risk for TBI are 0 to 4 year olds and 15 to 19 year olds.1
• Certain military duties (e.g., paratrooper) increase the risk of sustaining a TBI.3
• African Americans have the highest death rate from TBI.1
What are the costs of TBI?
Direct medical costs and indirect costs such as lost productivity of TBI totaled an estimated $60 billion in the United States in 1995.4
What are the long-term consequences of TBI?
The Centers for Disease Control and Prevention estimates that at least 3.17 Million Americans currently have a long-term or lifelong need for help to perform activities of daily living as a result of a TBI.5

According to one study, about 40% of those hospitalized with a TBI had at least one unmet need for services one year after their injury. The most frequent unmet needs were:
• Improving memory and problem solving;
• Managing stress and emotional upsets;
• Controlling one’s temper; and
• Improving one’s job skills.6
TBI can cause a wide range of functional changes affecting thinking, language, learning, emotions, behavior, and/or sensation. It can also cause epilepsy and increase the risk for conditions such as Alzheimer’s disease, Parkinson’s disease, and other brain disorders that become more prevalent with age.7,8

For more resources:

Guide to selecting legal representation for brain injury cases
https://secure.biausa.org/OnlineDirectory/Pdf/SelectingLegalRepresentation.pdf

A Guide to Selecting and Monitoring Brain Injury Rehabilitation Services
https://secure.biausa.org/OnlineDirectory/Pdf/SelectingRehabServices.pdf

Have a kind and respectful day.

Interview with Ron Bruno, Executive Director of Morningside Retirement and Health Services, on Feb. 24th, 9AM pst.

On February 24th, 9AM pst, I will be interviewing the executive director of Morningside Retirement and Health Services, Inc. (MRHS) which serves elderly residents of Morningside Gardens, a 982 unit, multi-racial, middle income housing development in West Harlem. It consists of six high-rise buildings and approximately 1,700 residents. More than 50% of the households include a resident over the age of 60. Many of the older residents have lived in the Gardens since it opened for occupancy in 1957 and have “aged in place.” As a result, the complex has become what is known as a “NORC”–a Naturally Occurring Retirement Community–with a large population of elderly people with special needs. The mission of MRHS is twofold. We aim to: * HELP frail and at-risk elderly residents of Morningside Gardens remain in their own homes comfortably, safely, and with as much independence as possible for as long as they can. * PROVIDE programs which promote health and provide opportunities for education, socialization and recreation for all older residents of Morningside Gardens, with particular attention to the special needs of the infirm, homebound, and isolated.

The mission of MRHS is twofold. They aim to:
• HELP frail and at-risk elderly residents of Morningside Gardens remain in their own homes comfortably, safely, and with as much independence as possible for as long as they can.
• PROVIDE programs which promote health and provide opportunities for education, socialization and recreation for all older residents of Morningside Gardens, with particular attention to the special needs of the infirm, homebound, and isolated.

Services
MRHS now serves about 300 residents a year with an on-site staff consisting of three social workers, a full-time geriatric nurse, two part-time home health aides, a consulting psychiatrist, and approximately 150 volunteers, most of whom are elderly themselves. The professional staff provides an array of health care and social work services, which include case management, nursing care, psychiatric consultations, doctors ‘house calls’ for the homebound, entitlements counseling, home evaluations, home care and hospital discharge planning, liaison with families, lawyers, physicians, and financial planners.
MRHS’ Doctors Home Visiting Program is staffed by geriatric fellows who provide medical care to the homebound elderly under the supervision of the Division of Geriatric Medicine of St. Luke’s/Roosevelt Hospital Center. In collaboration with the health care team, MRHS’ consulting psychiatrist provides psychiatric evaluations, therapeutic counseling, and medication monitoring.
In addition, educational, recreational, and social activities are offered — almost all of them planned and led by elderly volunteers. Volunteers also provide direct, concrete assistance to their neighbors, such as shopping, escorting, visiting, bill-paying, and reading correspondence.

http://mrhsny.org
Phone:
(212) 666-4000

February 14th-21st is “Alzheimer’s and Dementia Staff Education Week”

February 14th-21st is ALZHEIMERS AND DEMENTIA STAFF EDUCATION WEEK

This week is designed to bring awareness to the importance of both staff educators and their direct care staff being trained and certified in dementia care. For more information and free Tool Kit (download), visit www.nccdp.org, National Council of Certified Dementia Practitioners.

I want to thank all those who take such good care of our loved ones and who strive to be educated and updated about the new research and best practices in dementia and Alzheimer’s care.

Take time this week to acknowledge those experts who are making a difference in your loved one’s lives.

Have a kind and respectful day.

Life’s Simple 7 from the American Heart Association - February is American Heart Month

February is American Heart Month.

The American Heart Association has a new feature and tool on their website called: Life’s Simple 7.

1. Get active
2. Eat better
3. Lose Weight
4. Stop smoking
5. Control cholesterol
6. Manage blood pressure
7. Reduce blood sugar

I would encourage you to take the 7 minute assessment to take control of your heart health.
http://mylifecheck.heart.org/PledgePage.aspx?NavID=5&CultureCode=en-US

Then take the pledge to embrace Life’s Simple 7 at “My Life Check” at
http://mylifecheck.heart.org/Default.aspx?NavID=1&CultureCode=en-US

Have a kind and respectful day.

Moira Fordyce’s recommends the resources on the American Geriatric’s Society website

I was speaking with Moira Fordyce from the California Coalition for Caregivers and she told me about the wonderful resources available at the American Geriatrics Society website. http://www.healthinaging.org/public_education/index.php The great thing about this website is that you know you can trust this information because it is coming from physicians who specialize in helping the aging patient and their loved ones.

You may also want to take a look at the California Coalition for Caregivers as they are an advocacy organization and are fighting to make sure that resources and protections are in place for our aging population. http://www.californiacrc.org If you live in California, they will send you alerts when it is time to contact your local representatives about an upcoming bill or iss

Lastly, you might want to download some of the legal handbooks for senior care from Bet Tzedek Legal Services at  http://www.bettzedek.org/publications.html#guides.

Below I have listed the topics from the American Geriatrics Society’s site. They have Tip Sheets, What to Ask Your Doctor, and General Aging Topics. It is like having a trusted friend to turn to for help. Have a kind and respectful day and enjoy the resources.

Latest Foundation Tip Sheets

Caregivers

Guide to Advance Directives

Tips For Avoiding Caregiver Burnout

Healthy Aging

Advice for Improving Your Memory

Cognitive Vitality

“Geriatric Syndromes”

Good Health in Later Life for Older Men

Good Health in Later Life for Older Women

Improving Communication with Your Healthcare Provider

Overcoming Challenges to Healthy Aging

Persistent Pain Tips

Holidays

Tips for Beating the Holiday Blues New!

Top 10 Healthy New Year’s Resolutions for Older Adults New!

Safety

2009 H1N1 Flu (”Swine Flu”) Tips

Emergency Preparedness Tips

Falls Prevention Tips

Home Safety Tips

Hot Weather Safety Tips

Safe Travel Tips

Safe Sex Tips

Safety Tips for Seniors Considering Visits to Retail Medical Clinics

Walking Tips

Winter Safety Tips

Spanish

Spanish Language Health Tip Sheet: “Manejo del “Dolor Persistente” en la Tercera Edad”/“Managing Persistent Pain In The Elderly”

Surgery

Hip and Knee Joint Replacement Tips

Vaccinations and Medications

Avoiding Overmedication and Harmful Drug Reactions

Vaccination Tips

What to Ask?

Questions for Your Healthcare Provider

How We Age
• Physical Activity
• Prevention
Health Care Decisions and Issues
• Health Assessment
• Health Care Settings
o Community-Based Care
o Hospitalization
o Nursing Home Care
• Complementary and Alternative Medicines
• Drug Treatment
• Elder Mistreatment
• Ethical and Legal Issues
• Pain Management
• Palliative Care and Hospice
• Rehabilitation
Elder Health at Your Fingertips
• Cancer
• Diabetes
• The Digestive System
o Disorders of the Digestive System
o Disorders of the Mouth
• The Heart, Lungs, and Blood and Circulation
o Anemia and Other Blood Disorders
o Breathing Problems
o Fainting (Syncope)
o Disorders of the Heart and Circulatory System
o High Blood Pressure
• Hormone Disorders
• Joints, Muscles, and Bones
o Back Pain
o Falls
o Foot Problems
o Osteoporosis
o Walking Problems
• Mental, Neurological, and Psychological Conditions
o Anxiety
o Delirium (Sudden Confusion)
o Dementia
o Depression
o Diseases of the Nervous System
o Dizziness
o Mental Retardation
o Personality Disorders
o Psychological and Social Issues
o Psychoses (Delusions and Hallucinations)
o Sleep Problems
o Substance Abuse
• Nutrition
• Sexuality and Sexual Concerns
o Gynecological (Female) Disorders
o Prostate Disease
o Sexual Problems
• The Senses
o Hearing Loss
o Vision Loss and Other Eye Diseases
• The Skin
o Pressure Ulcers (Bed Sores)
o Skin Diseases
• The Urinary System
o Kidney Problems
o Urinary Incontinence

Topics at a Glance

How We Age
• The Aging Process
• Trends in the Elderly Population
• Physical Activity
• Prevention
Health Care Decisions and Issues
• Talking to Your Healthcare Providers
• Health Assessment
• Health Care Settings
o Community-Based Care
o Hospitalization
o Nursing Home Care
• Complementary and Alternative Medicines
• Drug Treatment
• Elder Mistreatment
• Ethical and Legal Issues
• Insurance, Financing, and Costs of Health Care
• Pain Management
• Palliative Care and Hospice
• Rehabilitation
Elder Health at Your Fingertips
• Cancer
• Diabetes
• The Digestive System
o Disorders of the Digestive System
o Disorders of the Mouth
• The Heart, Lungs, and Blood and Circulation
o Anemia and Other Blood Disorders
o Breathing Problems
o Fainting (Syncope)
o Disorders of the Heart and Circulatory System
o High Blood Pressure
• Hormone Disorders
• Infectious Diseases
• Joints, Muscles, and Bones
o Back Pain
o Falls
o Foot Problems
o Osteoporosis
o Problems with Joints, Muscles and Bones
o Walking Problems
• Mental, Neurological, and Psychological Conditions
o Anxiety
o Delirium (Sudden Confusion)
o Dementia
o Depression
o Diseases of the Nervous System
o Dizziness
o Mental Retardation
o Personality Disorders
o Psychological and Social Issues
o Psychoses (Delusions and Hallucinations)
o Sleep Problems
o Substance Abuse
• Nutrition
• Sexuality and Sexual Concerns
o Gynecological (Female) Disorders
o Prostate Disease
o Sexual Problems
• The Senses
o Hearing Loss
o Vision Loss and Other Eye Diseases
• The Skin
o Pressure Ulcers (Bed Sores)
o Skin Diseases
• The Urinary System
o Kidney Problems
o Urinary Incontinence

Interview with Lauren Gershen, “Answering your questions about Long Term Care Insurance”, Feb. 5th, 9AM pacific

Call in to listen live at (347) 945-5152 or listen online at blogtalkradio.com/kindethics.

Lauren specializes in offering multiple solutions to Long Term Care Planning. She is certified and licensed in 10 different states, and introduces her clients only to those companies that are top rated, financially solid, and experienced in writing and underwriting long term care insurance. “It is important to maintain your quality of life and to have peace of mind knowing that you have a plan that will help you maintain your control and independence when you need it to in an affordable manner, and postpone or even avoid the need for institutionalization.”

Lauren resides in La Quinta, California and is a graduate of UCLA. She has first hand experience of the potentially significant impact that not having a plan can have on you, your family and loved ones, and your retirement portfolio. Her practice focuses specifically on the issue of long term care insurance, plan design & implementation, comparison and analysis, and finding the insurance product and company that is right for you. Her primary mission is to educate people on the value of having protection against the high costs of long term care while choices are still available. After working with Lauren, clients appreciate the value of being able to make “well-informed” YES or NO decisions about how to approach this critical life planning issue. In a caring and supportive way, she can assist you in customizing an appropriate and affordable plan to meet your individual or group needs.

Lauren works very closely with other professionals including elder law attorneys, financial planners and CPA’s to establish a plan that takes into consideration your circumstances and ability to pay. She also assists her clients with life insurance planning, and guides them in sifting through the maze of selecting the appropriate medicare supplement insurance plan.

Lauren actively supports the Alzheimers Association and volunteers her time to provide seminars and workshops to professionals and civic organizations. An astonishing statistic…..”One in six Baby Boomers who reach age 55 will develop some kind of dementia, including Alzheimer’s.”

Lauren actively represents the following top rated LTC insurance companies:

Authorized to offer AARP endorsed Long Term Care Insurance, Prudential, Genworth Life, MetLife, John Hancock, Mutual of Omaha and Allianz.

Lauren V. Gershen CLTC
Planning For Quality of Life

Long Term Care Planning & Insurance Specialist
LGershen@aol.com
(760) 777-9061 Office
(760) 777-9062 Fax

Have a kind and respectful day.

What Do I Do When Someone is Grieving?

A doctor stopped me in the hall the other day and asked what he could do to comfort his brother whose son had just died. He told me that the son was only 25 and had died in a car accident. The doctor said that when he talked to his brother, all his brother had done was to scream and yell at him.  He didn’t understand why his brother reacted that way when all he was trying to do was to help.

As I sat down, I could see this doctor’s grief and pain. He was suffering for both the death of his nephew and because he couldn’t find a way to be supportive of his brother. He didn’t understand that grief, especially the early stages of grief can show up in many different ways. His brother wasn’t angry at him, he was angry that his son was dead. But he was taking it out on those around him. That is normal.

Everyone is different in their grief. Some people cry. Others get silent. Some can’t eat while others can’t get out of bed. Any emotion is okay when someone is in grief. And the grief will change as time goes on. When my Dad died, at first I was very quiet and wanted to be left alone. Then I couldn’t stop crying and needed people’s support. And now, years later, it is still an ache deep in my heart.

So how can we help?

1. There are no magic words to make the person feel better. Just say, “I am sorry for your loss.” Now I know you want to make them feel better, but trying to find the perfect words won’t help, but listening does. Listening is very healing.

2. So your next step is to listen, truly listen. If they start talking about their grief, don’t jump in with your own story about the loss you suffered in the past. It is not about you. It is about being present with them and their suffering. I admit that listening is hard. But try to sit still, be quiet and give them this gift.

3. The other thing you can do is to “normalize” their grief. What does this mean? The grieving person would like to be reassured that what they are feeling is normal and to feel less alone with their sorrow. So if they say, “I am so angry at _______.” You can say, “It is normal to be angry. That is a part of the grief process.” Any emotion is normal. That is grief.

4. Don’t be surprised if they don’t want to talk about their loss. Sometimes people need a break from their grief and would just like to have a normal conversation with you. In some cultures and families, grief is a private matter so please respect this and continue to be a good friend.

5. Lastly, if you are a healthcare professional, is it okay to cry with your patient? Of course it is. Sharing a few tears with someone else is a sign of compassion and understanding. But do not cry so hard that the patient then has to comfort you.

Have a kind and respectful day.

Teaching your Patients How to be Good Patients

Time is limited and the patient keeps talking and talking. What can you do? I realize that patients aren’t taught how to be good patients. So it is up to us to teach them. I have three recommendations for you.

Recommendation #1 Have them write out what they want to talk about before their appointment. Now I am sure you have heard this before, but the part that most doctors miss is to get them to prioritize their questions. I tell them to circle the most important 2 questions they want to discuss with you. Otherwise you just get a long list of random questions without any sense of what they truly want you to focus on. Patients understand that you can’t answer all of their questions but they will be satisfied if you take care of the most urgent issues. I have a questionnaire form, Viki Kind’s Office Form that you can download to help you help the patient. I encourage you to give copies to your patients to keep at home so they can fill them out before their appointment. If they haven’t filled one out before they arrive, then have them work on it while they are in your waiting room. In the medical practice I used to manage, we had a clipboard and form all ready for the patient when they checked. This is an easy way to be more efficient and to increase patient satisfaction.

Now some of you might be thinking, “Good, I don’t have to spend time listening, I can just read their list.” Well, you can if you want but your patient will be angry and non-compliant. If your patient doesn’t trust you or trust that you care about them, they won’t heal as fast or follow your instructions.

Here is Recommendation #2. It is up to you to build a caring relationship with them and you do that through compassionate dialogue, not a monologue. The act of listening has its own healing properties.

Recommendation #3 The other thing you need to educate patients about is to stop asking you the, “Oh by the way…” question as you are about to walk out the door. You need to tell them up front to ask you the most important questions at the beginning of the appointment or else you won’t have to time to address their concerns. Of course, this is a hard habit to break for patients and you will have to give them time to learn to be more direct with you.

Bonus Information: Unfortunately, some of these techniques will not work with certain cultures as they use a form of indirect communication which dances around the topic and takes longer as the only way they know how to communicate. But for most of your patients, these techniques will help you manage your time while caring for your patients.

Have a kind and respectful day.

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