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	<title>Mary Doepke's Elder Care Blog</title>
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		<title>Mary Doepke's Elder Care Blog</title>
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		<title>Help for Alzheimer&#8217;s Disease in LaGrange, Illinois</title>
		<link>http://homehelperslagrangeil.wordpress.com/2009/08/14/help-for-alzheimers-disease-in-lagrange-illinois/</link>
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		<pubDate>Fri, 14 Aug 2009 21:42:36 +0000</pubDate>
		<dc:creator>mdoepke</dc:creator>
				<category><![CDATA[Home Care]]></category>
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		<guid isPermaLink="false">http://homehelperslagrangeil.wordpress.com/?p=93</guid>
		<description><![CDATA[The term dementia refers to a brain disorder that demonstrates itself in several ways. A person may easily become confused even in known settings, may ask questions repeatedly, or may neglect such basic things as their own hygiene or basic safety issues. Alzheimer's disease is the most common form of dementia linked with old age. <a href="http://homehelperslagrangeil.wordpress.com/2009/08/14/help-for-alzheimers-disease-in-lagrange-illinois/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=homehelperslagrangeil.wordpress.com&amp;blog=6597536&amp;post=93&amp;subd=homehelperslagrangeil&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>This is a great article for anyone who is affected, or newly affected by Alzheimer’s Disease, and is trying to understand it’s effects on their loved ones.  If you need help with an aging loved one in the area LaGrange IL, visit <a href="http://www.maryandmikecare.com">www.maryandmikecare.com</a>.</p>
<p><strong> </strong></p>
<p><strong>Stay Alert on Alzheimer&#8217;s Disease</strong></p>
<p>By: Barbara Rockwell</p>
<p>The term dementia refers to a brain disorder that demonstrates itself in several ways. A person may easily become confused even in known settings, may ask questions repeatedly, or may neglect such basic things as their own hygiene or basic safety issues. Alzheimer&#8217;s disease is the most common form of dementia linked with old age.</p>
<p>The disease is named after German Doctor Alois Alzheimer. In 1906, Dr. Alzheimer noticed variations in the brain tissue of a patient of his that died with unusual mental illnesses and dementia. His study guided him to discover anomalous clumps and tangles of fiber in the brains of those patients who were suffering from this same disease.</p>
<p><span id="more-93"></span>Thus, whilst it was common for persons who were older and losing their mental faculties to be dismissed as &#8220;senile,&#8221; Dr. Alzheimer was able to pinpoint the actual breakdown in the brain that led to the loss of their mental faculties.</p>
<p>According to the National Institute on Aging varied test conclusions, there are actual brain changes in persons with Alzheimer&#8217;s disease. They can find out how nerve cells die in areas of the brain that affect memory and basic abilities. It may seem strange, but everything that we do on a daily basis is because of memory.</p>
<p>We remember that we need to take a shower on a regular basis that we need to shut the door behind us when we leave the house. We don&#8217;t realize that we&#8217;re doing these things because of memory, and assume that they just happen naturally. But when those memories break down because of Alzheimer&#8217;s or any other mental disorder, even the most basic everyday functions begin to be confusing or neglected.</p>
<p>In fact, the brain works by a series of connections between nerve endings, all of which are related. For example, the part of the brain that controls speech sends signals to the nerves that spark the muscles and parts of the mouth when we wish to talk. Of course, all of our mental and physical functions work this way.</p>
<p>With Alzheimer&#8217;s disease, these nerve signals are disrupted or broken. If the brain cannot continue to make connections in the nerve cells that control memory, all the basic functions are disrupted. The brain can&#8217;t memorize that it just asked a question, so a person repeats it. They can&#8217;t remember their own children, so they are now strangers. Alzheimer&#8217;s can be a very frightening and debilitating disease for the patients and the families as well.</p>
<p><a href="http://myeldercarearticles.com">Article Source</a>: http://myeldercarearticles.com</p>
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			<media:title type="html">mdoepke</media:title>
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		<title>15 Tips for Caregivers in La Grange, Illinois</title>
		<link>http://homehelperslagrangeil.wordpress.com/2009/08/08/15-tips-for-caregivers-in-la-grange-illinois/</link>
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		<pubDate>Sat, 08 Aug 2009 21:40:58 +0000</pubDate>
		<dc:creator>mdoepke</dc:creator>
				<category><![CDATA[Home Care]]></category>
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		<guid isPermaLink="false">http://homehelperslagrangeil.wordpress.com/?p=91</guid>
		<description><![CDATA[This is a very informative article for anyone who has a loved one recovering from a stroke.  If you need help for an aging loved one in the area, visit www.maryandmikecare.com.  <a href="http://homehelperslagrangeil.wordpress.com/2009/08/08/15-tips-for-caregivers-in-la-grange-illinois/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=homehelperslagrangeil.wordpress.com&amp;blog=6597536&amp;post=91&amp;subd=homehelperslagrangeil&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>This is a very informative article for anyone who has a loved one recovering from a stroke.  If you need help for an aging loved one in the area, visit <a href="http://www.maryandmikecare.com">www.maryandmikecare.com</a>.</p>
<p>15 Tips Caregivers Should Know After A Loved One Has Had A Stroke</p>
<p>The following is being issued by American Stroke Association:</p>
<ol>
<li>It&#8217;s better to find out than miss out. Be aware of the medications that have been prescribed to your loved one and their side effects. Ask if your home should be modified to meet the specific needs of the stroke survivor. Ask a doctor, nurse or therapist to clarify any unanswered questions or to provide written information that explains what occurs after the stroke and during recovery or rehabilitation.</li>
</ol>
<p>Continue reading this very important article <a href="http://www.medicalnewstoday.com/articles/147785.php">here</a>.</p>
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		<title>The Hidden Secret of Elder Abuse in La Grange, Illinois</title>
		<link>http://homehelperslagrangeil.wordpress.com/2009/08/02/the-hidden-secret-of-elder-abuse-in-la-grange-illinois/</link>
		<comments>http://homehelperslagrangeil.wordpress.com/2009/08/02/the-hidden-secret-of-elder-abuse-in-la-grange-illinois/#comments</comments>
		<pubDate>Sun, 02 Aug 2009 02:08:08 +0000</pubDate>
		<dc:creator>mdoepke</dc:creator>
				<category><![CDATA[Home Care]]></category>
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		<guid isPermaLink="false">http://homehelperslagrangeil.wordpress.com/?p=89</guid>
		<description><![CDATA[Many elderly people rely entirely on family or other trusted individuals to help them. Whether it is for physical needs or emotional needs, as people grow older they tend to need more and more help from others. This dependence on caregivers or family members makes an older person more vulnerable for abuse. <a href="http://homehelperslagrangeil.wordpress.com/2009/08/02/the-hidden-secret-of-elder-abuse-in-la-grange-illinois/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=homehelperslagrangeil.wordpress.com&amp;blog=6597536&amp;post=89&amp;subd=homehelperslagrangeil&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>Many elderly people rely entirely on family or other trusted individuals to help them. Whether it is for physical needs or emotional needs, as people grow older they tend to need more and more help from others. This dependence on caregivers or family members makes an older person more vulnerable for abuse.</p>
<p>For example, an older person relying on her children to provide meals and transportation and help her with financial decisions finds it difficult to complain when one of her children takes advantage of her. If, for instance, the child takes her money, hits her or neglects her care, the parent may be threatened with loss of support from the child if the parent complains. The child may also use threats of violence to keep the parent in line.</p>
<p>It is estimated that 5% to 10% of elderly Americans are suffering abuse. According to the National Committee for the Prevention of Elder Abuse,</p>
<p>“Spiraling rates of elder mistreatment are reported by both practitioners and researchers. In a recent national study of Adult Protective Services (APS), typically the agency of first report concerning elder abuse, there were 253,421 reports of abuse of adults age 60+ or 832.6 reports for every 100,000 people over the age of 60 (Teaster, Dugar, Otto, Mendiondo, Abner, &amp; Cecil, 2006). The National Elder Abuse Incidence Study (National Center on Elder Abuse, 1998) found that more than 500,000 persons aged 60+ were victims of domestic abuse and that an estimated 84% of incidents are not reported to authorities, denying victims the protection and support they need.”</p>
<p><span id="more-89"></span>Much attention has been focused on abuse in nursing homes but most of the elder abuse in this country is at the hands of family members or other caregivers in the home.</p>
<p>In 2004, Utah Adult Protective Services workers investigated approximately 2,400 allegations of abuse, neglect or exploitation of vulnerable adults. In Utah, a vulnerable adult is defined as an elder adult (65 years of age or older) or an adult (18 years of age or older) who has a mental or physical impairment, which substantially affects that person&#8217;s ability to protect or provide for themselves. The majority of the victims were females between the ages of 60-89 and 60% of the perpetrators were family members/relatives, while 24% were non-related paid caregivers.</p>
<p>The protective needs identified were as follows:</p>
<ul>
<li>self-neglect 31%</li>
<li>physical abuse 16%</li>
<li>exploitation 19%</li>
<li>caretaker neglect 12%</li>
<li>emotional abuse 19%</li>
<li>sexual abuse 3%</li>
</ul>
<p>In conducting the investigations, it was not uncommon to find that adults who were self-neglecting were also being exploited or abused. As stated previously, these statistics are based on approximately 2,400 cases, thus, if only one in ten cases are ever reported, it is possible that there were actually 24,000 or more cases in Utah that year. We suspect 9 out of 10 is close to the actual ratio of unreported versus reported cases in Utah.</p>
<p>We also believe that Utah&#8217;s lack of reporting elder abuse is not unlike other states in the country. We suspect all the states are experiencing close to the same ratios of underreporting as in Utah.</p>
<p>There are a number of reasons why incidents of abuse, neglect, or exploitation are not reported to Adult Protective Services or other authorities. One of the most common reasons is the victim&#8217;s fear of losing support. Many of the perpetrators are family members and the victim fears that reporting the crime will result in removal of the caregiver, as the perpetrator may face incarceration or may discontinue relations with the victim once accused, charged, or convicted. Many of these victims fear that by reporting abuse they will be left alone and expected to care for themselves or they will be forced to live in a nursing home.</p>
<p>Many states have implemented mandatory reporting laws to assist in the prevention of abuse, neglect or exploitation of vulnerable adults. Utah is one of the many states to have a mandatory reporting law (U.C.A. § 76-5-111). Utah law states that any person who has reason to believe that a vulnerable adult has been the subject of abuse, neglect, or exploitation shall immediately notify Adult Protective Services or the nearest law enforcement agency. Anyone who makes the report in good faith is immune from civil liability in connection with the report; however, any person who willfully fails to report is guilty of a class B misdemeanor.</p>
<p>It is important to note that the anonymity of the person or persons making the initial report and any other persons involved in the subsequent investigation shall be preserved and may only be released in accordance with the rules of the division (U.C.A. § 62A-3-311). In addition, all investigation information is confidential.</p>
<p>The following is a list of indicators of abuse, neglect or exploitation. It is important to note that the following lists are merely indicators and may not always be violations.</p>
<p><strong>Signs of Abuse:</strong></p>
<ul>
<li>Unexplained bruises, welts,      fractures, abrasions or lacerations</li>
<li>Multiple bruises in various stages      of healing</li>
<li>Multiple/repeat injuries</li>
<li>Low self-esteem or loss of self      determination</li>
<li>Withdrawn, passive</li>
<li>Fearful</li>
<li>Depressed, hopeless</li>
<li>Soiled linen or clothing</li>
<li>Social Isolation</li>
</ul>
<p><strong>Signs of Neglect/Self-Neglect: </strong></p>
<ul>
<li>Dehydration</li>
<li>Malnourishment</li>
<li>Inappropriate or soiled      clothing</li>
<li>Odorous</li>
<li>Over/under medicated</li>
<li>Deserted, abandoned or      unattended</li>
<li>Lack of medical necessities or      assistive devices</li>
<li>Unclean environment</li>
<li>Social Isolation</li>
</ul>
<p><strong>Signs of Exploitation: </strong></p>
<ul>
<li>Missing/&#8221;disappearing&#8221;      property</li>
<li>Inadequate living environment</li>
<li>Frequent/recent property title      changes or will changes</li>
<li>Excessive home repair bills</li>
<li>Forced to sign over control of      finances</li>
<li>No/limited money for food,      clothes and other amenities</li>
</ul>
<p>Prevention can only occur if there is awareness, the statutes are adhered to, and any suspicions of abuse, neglect or exploitation of vulnerable adults are immediately reported to Adult Protective Services and/or law enforcement.</p>
<p>All states have agencies that receive complaints of abuse. In some states failure to report abuse of the elderly is a crime. To contact an abuse complaint department, call your local area agency on aging. To find an area agency on aging in your area go to <a href="http://www.longtermcarelink.net/eldercare/ref_state_aging_services.htm">http://www.longtermcarelink.net/eldercare/ref_state_aging_services.htm</a></p>
<p>Visit us at <a href="http://www.maryandmikecare.com">www.maryandmikecare.com</a> if you need help for an aging loved one in the La Grange, IL area.</p>
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		<title>Family Reunion&#8211;a Good Time for Family Planning in La Grange, Illinois</title>
		<link>http://homehelperslagrangeil.wordpress.com/2009/07/21/family-reunion-a-good-time-for-family-planning-in-la-grange-illinois/</link>
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		<pubDate>Tue, 21 Jul 2009 17:32:41 +0000</pubDate>
		<dc:creator>mdoepke</dc:creator>
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		<description><![CDATA[Summertime brings a lot of family time. With family reunions, picnics, weddings and other events, long distant family members travel to gather together. It is also the perfect time to do some planning for the future. With parents aging and their health and lifestyles changing, children need to discuss some changes and decisions that will be needed in the near future. Parents should take the time to tell their children where important documents are kept and what their wishes are in the event of needing health care directives or experiencing long term care needs. <a href="http://homehelperslagrangeil.wordpress.com/2009/07/21/family-reunion-a-good-time-for-family-planning-in-la-grange-illinois/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=homehelperslagrangeil.wordpress.com&amp;blog=6597536&amp;post=87&amp;subd=homehelperslagrangeil&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p style="text-align:left;">Summertime brings a lot of family time. With family reunions, picnics, weddings and other events, long distant family members travel to gather together. It is also the perfect time to do some planning for the future. With parents aging and their health and lifestyles changing, children need to discuss some changes and decisions that will be needed in the near future. Parents should take the time to tell their children where important documents are kept and what their wishes are in the event of needing health care directives or experiencing long term care needs.</p>
<p>For those children who live away, the change they see in their parent&#8217;s health and mental capacity may be alarming &#8212; whereas siblings that have daily contact are working with these issues constantly. Here is the chance to compare notes and work together as a complete family in the long term care planning process.</p>
<p>For you parents who are well and active, this is a good time to hold a family meeting and share with your children your plan for long term care. Tell them where financial and legal documents are located. Review health care directives, living wills and long term care alternatives.</p>
<p><span id="more-87"></span>Experience has shown that even families that are close can quickly grow angry, jealous and hostile towards each other when an aging parent begins to need long term care. If a sibling moves into the parent&#8217;s home, others can easily be suspicious of ulterior motives and fear losing their inheritance. On the other hand, the child providing the elder care becomes bitter and feels there is no support or help from siblings. Pre-need meetings for the purpose of making a plan, before eldercare becomes imminent, avoids these types of conflicts.</p>
<p>In its book, “The 4 Steps of Long Term Care Planning,” the National Care Planning Council provides guidelines and checklists for family planning meetings. Here&#8217;s an excerpt from the book:</p>
<p>“The first step to holding a meeting, and perhaps the most difficult one, is to get all interested persons together in one place at one time.</p>
<p>If it&#8217;s a family gathering, perhaps a birthday, an anniversary or another special event could be used as a way to get all to meet. Or maybe even a special dinner might be an incentive.</p>
<p>The person conducting the meeting can be a parent or one person of a couple who are doing their planning, years before the need for care arises. A meeting on behalf of someone already receiving care or needing care in the immediate future could be conducted by that person or by a member of the family, by an adviser or a friend.</p>
<p>The agenda could be formal or informal. If you want a formal agenda, we suggest using our care planning checklist as the agenda.  Copies of the care plan should be prepared prior to the meeting and  presented to those attending. Discussion is encouraged and we recommend that the person in charge not dictate but encourage input from everyone.</p>
<p>After a thorough discussion of the issues and the presentation of the solutions to the problems that will be encountered, there should be a consensus of all attending to support the plan. If the plan needs to be altered to meet everyone&#8217;s expectations then by all means do so if that can be done. But it is not always possible to please everyone so there must sometimes be compromise.</p>
<p>The end of the meeting should consist of asking everyone present to make his or her commitment to support the plan.</p>
<p>GET IT IN WRITING! All good intentions seem to be forgotten with time. It may be years after this meeting before the long term care plan begins. If there are vocal commitments to help with transportation to doctors, give respite to the caregiver or other commitments, write them down on the care agreement. You can even have each person put a signature to his or her commitment if you think that is important.”</p>
<p><em>“<a href="http://www.longtermcarelink.net/a16four_steps_book.htm">The 4 Steps of Long Term Care Planning</a> </em>,” by The <a href="http://www.longtermcarelink.net/">National Care Planning Council</a></p>
<p>The U.S Department of Health and Human Services states:</p>
<p>“No one wants to think about a time when they might need long-term care. So planning ahead for this possibility often gets put off. Most people first learn about long-term care when they or a loved one need care. Then their options are often limited by lack of information, the immediate need for services, and insufficient resources to pay for preferred services. Planning ahead allows you to have more control over your future”.</p>
<p><a href="http://www.longtermcare.gov/">http://www.longtermcare.gov</a></p>
<p>&#8220;Whether you plan a formal meeting with an agenda or informally gather for a discussion, when the family is together make it a point to start the long term care planning process.</p>
<p><em>There is a lot to learn and many decisions to make concerning finances, health issues and legal work. It may take research and a lot of time to put a plan together, but if everyone is involved it will work, and be worth it.&#8221; National Care Planning Council, <a href="http://www.longtermcarelink.net/">www.longtermcarelink.net</a></em></p>
<p><em><span style="font-style:normal;">Visit us at www.maryandmikecare.com if you need help for an aging loved one in La Grange, Illinois</span></em></p>
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		<title>Putting Home Care in La Grange, Illinois in Perspective</title>
		<link>http://homehelperslagrangeil.wordpress.com/2009/07/14/putting-home-care-in-la-grange-illinois-in-perspective/</link>
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		<pubDate>Tue, 14 Jul 2009 17:29:33 +0000</pubDate>
		<dc:creator>mdoepke</dc:creator>
				<category><![CDATA[Home Care]]></category>
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		<description><![CDATA[In the first century of our country's history there was no such thing as nursing homes or assisted living. Society was mostly rural and people lived in their own homes. Families cared for their loved ones at home till death took them. In the latter part of the 1800's because of an increasingly urban society, many urban families were often unable to care for loved ones because of lack of space or because all family members including children were employed six days a week for 12 hours a day <a href="http://homehelperslagrangeil.wordpress.com/2009/07/14/putting-home-care-in-la-grange-illinois-in-perspective/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=homehelperslagrangeil.wordpress.com&amp;blog=6597536&amp;post=85&amp;subd=homehelperslagrangeil&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p><strong>The Evolution of Home Care<br />
</strong>In the first century of our country&#8217;s history there was no such thing as nursing homes or assisted living. Society was mostly rural and people lived in their own homes. Families cared for their loved ones at home till death took them. In the latter part of the 1800&#8242;s because of an increasingly urban society, many urban families were often unable to care for loved ones because of lack of space or because all family members including children were employed six days a week for 12 hours a day. During this period many unfortunate people needing care were housed in County poor houses or in facilities for the mentally ill. Conditions were deplorable. In the early 1900&#8242;s home visiting nurses started reversing this trend of institutionalizing and allowed many care recipients to remain in their homes. Nursing homes or so-called rest homes were also being built with public donations or government funds. With the advent of Social Security in 1936, a nursing home per diem stipend was included in the Social Security retirement income and this government subsidy spurred the construction of nursing homes all across the country.</p>
<p>By the end of the 1950s it was apparent that Social Security beneficiaries were living longer and that the nursing home subsidy could eventually bankrupt Social Security. But in order to protect the thousands and thousands of existing nursing homes Congress had to find a way to provide a subsidy but remove it as an entitlement under Social Security. In 1965 Medicare and Medicaid were created through an amendment to the Social Security Act. Under Medicare, nursing homes were only reimbursed on behalf of Social Security beneficiaries for short-term rehabilitation. Under Medicaid, nursing homes were reimbursed for impoverished disabled Americans and impoverished aged Americans over the age of 65. It has never been the intent of Congress to pay for nursing home care for all Americans. The nursing home entitlement for all aged Americans was now gone.</p>
<p>Over the last 40 years, there has been a gradual change away from the use of nursing homes for long-term care towards the use of home care and community living arrangements that also provide in-house care.</p>
<p><strong>With Proper Planning People Could Remain in Their Homes for the Rest of Their Lives </strong><br />
<span id="more-85"></span>We are seeing a trend towards working conditions like those in urban America in the early 1900&#8242;s where both husband and wife are working and putting in longer hours. We are also seeing a return of the trend in the early part of the 20th century where outside visitor caregivers are becoming available to replace working caregiver&#8217;s and allow the elderly to receive long-term care in their homes. In addition there is a significant trend in the past few years for Medicaid and Medicare to pay for long-term care in the home instead of in nursing homes.</p>
<p>Given enough money for paid providers or government funding for the same, a person would never have to leave his home to receive long-term care. All services could be received in the home. Adequate long-term care planning or having substantial income can allow this to happen.</p>
<p>We only need to look at wealthy celebrities to recognize this fact. Christopher Reeve, the movie star, was totally disabled but he had enough money to buy care services and remain in his home. President Ronald Reagan suffered from Alzheimer&#8217;s for many years but received care at his California ranch. He was also wealthy enough to pay for care when needed. Or what about Annette Funicello or Richard Pryor? Income from their movie careers allowed them to receive care with their multiple sclerosis at home. We will be willing to bet that Mohammed Ali, who is severely disabled with Parkinson&#8217;s disease, will probably never see the inside of a care facility, unless he chooses to go there to die. With the proper planning and the money it provides, most of us could remain in our homes to receive long-term care and we would never have to go to an institution or a hospital.</p>
<p><strong>The Popularity of Home Care </strong><br />
Most of those receiving long-term care and most caregivers prefer a home environment. Out of an estimated 8 million older Americans receiving care, about 5.4 million or 67% are in their own home or the home of a family member or friend. Most older people prefer their home over the unfamiliar proposition of living in a care facility. Family or friends attempt to accommodate the wishes of loved ones even though caregiving needs might warrant a different environment. Those needing care feel comfortable and secure in familiar surroundings and a home is usually the best setting for that support.</p>
<p>Often the decision to stay in the home is dictated by funds available. It is much cheaper for a wife to care for her husband at home than to pay out $2,000 to $4,000 a month for care in a facility. Likewise, it&#8217;s much less costly and more loving for a daughter to have her widowed mother move in to the daughter&#8217;s home than to liquidate mom&#8217;s assets and put her in a nursing home. Besides, taking care of our parents or spouses is an obligation most of us feel very strongly about.</p>
<p>For many long-term care recipients the home is an ideal environment. These people may be confined to the home but continue to lead active lives engaging in church service, entertaining grandchildren, writing histories, corresponding, pursuing hobbies or doing handwork activities. Their care needs might not be that demanding and might include occasional help with house cleaning and shopping as well as help with getting out of bed, dressing and bathing. Most of the time these people don&#8217;t need the supervision of a 24/7 caregiver. There are, however, some care situations that make it difficult to provide long-term care in the home.</p>
<p>Please note from the first graph below that a great amount of home care revolves around providing help with activities of daily living. Note from the second graph below that the average care recipient has need for help with multiple activities of daily living. Finally, it should be noted from the second graph that well over half of home care recipients are cognitively impaired. This typically means they need supervision to make sure they are not a danger to themselves or to others. In many cases, this supervision may be required on a 24-hour basis. (Graphs were derived from the 1999 national caregivers survey, courtesy www.longtermcarelink.net.)</p>
<p>It is precisely the ongoing and escalating need for help with activities of daily living or the need for extended supervision that often makes it impossible for a caregiver to provide help in the home. Either the physical demands for help with activities of daily living or the time demand for supervision can overwhelm an informal caregiver. This untenable situation usually leads to finding another care setting for the loved one. On the other hand if there are funds to hire paid providers to come into the home, there would be no need for finding another care setting.</p>
<p><strong>Problems That May Prevent Home Care from Being an Option </strong><br />
Caregivers face many challenges providing care at home. A wife caring for her husband may risk injury trying to move him or help him bathe or use the toilet. Another situation may be the challenge of keeping constant surveillance on a spouse with advanced dementia. Or a son may live 500 miles from his disabled parents and find himself constantly traveling to and from his home, trying to manage a job and his own family as well taking care of the parents. Some caregivers simply don&#8217;t have the time to watch over loved ones and those needing care are sometimes neglected.</p>
<p>The problems with maintaining home care are mainly due to the inadequacies or lack of resources with informal caregivers, but they may also be caused by incompetent formal caregivers. These problems center on five issues:</p>
<ol>
<li>Inadequate care provided to a loved one</li>
<li>Lack of training for caregivers</li>
<li>Lack of social stimulation for care recipients</li>
<li>Informal caregivers unable to handle the challenge</li>
<li>Depression and physical ailments from caregiver burnout</li>
</ol>
<p>In order to make sure home care is a feasible option and can be sustained for a period of time, caregivers must recognize these problems, deal with them and correct them. The responsibility for recognizing these problems and solving them is another function of the long-term care planning process and the team of specialists and advisers involved.</p>
<p><strong>Adequate Funding Solves Most Problems Associated with Providing Home Care </strong><br />
None of the problems discussed in this article would be an obstacle if there were enough money to pay for professional service.</p>
<p>s in the home. These services would be used to overcome the problems discussed in the previous section. If someone desires to remain in the home the rest of his or her life, adequate preplanning could provide the solution.</p>
<p>This planning must occur prior to retirement. The most obvious way to provide sufficient funds for home care is to buy a long-term care insurance policy when someone is younger, healthy and able to afford the lower premiums. If insurance is not an option, then money must be put aside early in life to pay for care in the future. The only other option is to be rich.</p>
<p>Unfortunately, very few people address the issue of needing long-term care when they are older. This leads to a lack of planning and in turn leads to few options for elder care when the time comes. Lack of planning means most people do not have the luxury of remaining in their homes and must rely on Medicaid support in a nursing home to finish out the rest of their lives.</p>
<p>Visit <a href="http://www.maryandmikecare.com">www.maryandmikecare.com</a> of La Grange Illinois if you need help with an aging loved one.</p>
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		<title>Helping Your Older Parents Stay Happy and Healthy in La Grange, Illinois</title>
		<link>http://homehelperslagrangeil.wordpress.com/2009/07/10/helping-your-older-parents-stay-happy-and-healthy-in-la-grange-illinois/</link>
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		<pubDate>Fri, 10 Jul 2009 17:51:26 +0000</pubDate>
		<dc:creator>mdoepke</dc:creator>
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		<description><![CDATA[If you're fortunate enough to have one or both parents still living, you may have noticed a role reversal taking place in your relationship. Remember the days when Mom shuttled you to the doctor whenever you were sick? Now, it may be you who's driving her to her medical appointments. Perhaps you've become even more involved in managing her healthcare needs – serving as her healthcare proxy, moving her into your home to care for her, or even having to select a nursing home for her to live in. <a href="http://homehelperslagrangeil.wordpress.com/2009/07/10/helping-your-older-parents-stay-happy-and-healthy-in-la-grange-illinois/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=homehelperslagrangeil.wordpress.com&amp;blog=6597536&amp;post=83&amp;subd=homehelperslagrangeil&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p><!--StartFragment--></p>
<p style="text-align:left;"><span style="font-size:10pt;color:black;"><em>by Robert Stall MD, Geriatrician </em></span><span style="color:black;"> </span></p>
<p><span style="color:black;">If you&#8217;re fortunate enough to have one or both parents still living, you may have noticed a role reversal taking place in your relationship. Remember the days when Mom shuttled you to the doctor whenever you were sick? Now, it may be you who&#8217;s driving her to her medical appointments. Perhaps you&#8217;ve become even more involved in managing her healthcare needs – serving as her healthcare proxy, moving her into your home to care for her, or even having to select a nursing home for her to live in. </span></p>
<p><span style="color:black;">Whatever the case, it&#8217;s natural to feel challenged – and, yes, intimidated – in the role you&#8217;ve undertaken. But if you stay positive and proactive, you&#8217;ll be in a great position to advocate for your parents&#8217; optimal care. And, really, what better way is there to say &#8220;Thank You&#8221; for all they&#8217;ve done for you over the years? </span></p>
<p><span style="color:black;">The following six recommendations will help you understand what may be happening to your parents as they age – and what you can do to help. </span></p>
<p><strong><span style="color:black;">1. Stay vigilant to sudden changes. </span></strong><span style="color:black;"><br />
Typically, sudden changes arise from sudden problems. Your elderly father who becomes confused one week but was alert and oriented the week before, or becomes unsteady walking and starts falling, is likely experiencing an acute problem – an infection, medication side effect, or perhaps, a heart attack or stroke. </span></p>
<p><span style="color:black;">If you pay attention to your parent&#8217;s baseline health and behavior, you&#8217;ll be alert to sudden, and subtle, fluctuations. Being attuned to what&#8217;s “normal” for your parent is critical in advocating for his care. By informing his physician of these changes, you help ensure that he receives a proper diagnosis and timely treatment – especially important in acute conditions.</span></p>
<p><strong><span style="color:black;"><span id="more-83"></span>2. Investigate the source of gradual decline. </span></strong><span style="color:black;"><br />
Several years ago, I met an elderly woman living in a nursing home. Her family, assuming she had dementia, had moved her there after she had gradually stopped speaking. </span></p>
<p><span style="color:black;">After performing a brief procedure on her, I asked how she was doing. “I&#8217;m OK,” she replied. </span></p>
<p><span style="color:black;">A miracle? Not exactly. I&#8217;d removed bullet-sized pieces of wax from her ears. She&#8217;d stopped speaking because her ears were too plugged to hear. </span></p>
<p><span style="color:black;">A host of conditions can cause gradual decline. Before jumping to the conclusion – as many people do – that Alzheimer&#8217;s disease is the culprit, recognize that your parent may be experiencing an altogether different problem: a vitamin B12 deficiency, an underactive thyroid, Parkinson&#8217;s disease or depression, to name a few. </span></p>
<p><span style="color:black;">When discussing your parent&#8217;s decline with her physician, make sure the two of you consider all the possibilities. To prepare for the appointment, make notes detailing how her decline has manifested itself – loss of appetite, a failing short-term memory and so forth – and how long you&#8217;ve noticed these changes. That way, you won&#8217;t leave anything out. To help you, I&#8217;ve created a free checklist that either you or your parent can complete at <a href="http://seniorselfassessment.com/">seniorselfassessment.com </a>– make sure you print or email the “Test Result Details” at the bottom of the page to analyze your responses and give you advice based on your answers. </span></p>
<p><strong><span style="color:black;">3. Know thy parent&#8217;s medicine cabinet. </span></strong><strong><span style="color:black;"><br />
</span></strong><span style="color:black;">Familiarize yourself with the medications your parent takes: what each one is for and how often he takes them. Make sure you notify <em>each </em>doctor your parent visits of all <em>the </em>medicine he takes, including over-the-counter products. Ask what side effects you might observe from each medication and whether it&#8217;s potentially dangerous if your parent takes them together. You also want to tell the doctor whether your parent drinks alcohol or caffeinated drinks and whether he smokes, as these substances can affect some medications&#8217; efficacy and safety. To recognize which medications might cause the symptoms your parent experiences, check out  <a href="http://drugscanmakeyousick.com/">drugscanmakeyousick.com </a>. </span></p>
<p><strong><span style="color:black;">4. Discourage ageist attitudes. </span></strong><strong><span style="color:black;"><br />
</span></strong><span style="color:black;">Simply put, ageism is prejudice against the elderly. It exists in many forms but can be particularly damaging to an older person&#8217;s self-esteem when it assumes that all of her woes are age-related. Here are a couple of ways of expressing ageism to an elderly parent: </span></p>
<p><span style="color:black;">“What do you expect at <em>your </em>age?”<br />
“You&#8217;re not getting any younger.” </span></p>
<p><span style="color:black;">If you&#8217;re ever tempted to utter something similar, remind yourself that by chalking up everything that ails her to her age, you sell your parent short. If she&#8217;s depressed, it may have nothing to do with the fact that she&#8217;s 80 and everything to do with a biological predisposition to depression. And remember that right-knee pain in a 90 year-old can&#8217;t be just from age if there&#8217;s no problem with her left knee. (More about Dr. Stall and a more in-depth article on the attitude of society towards medical care for the elderly can be found at <a href="http://www.longtermcarelink.net/eldercare/medical_care_issues.htm">http://www.longtermcarelink.net/eldercare/medical_care_issues.htm </a></span></p>
<p><strong><span style="color:black;">5. Address not just symptoms—but emotions, too. </span></strong><span style="color:black;"><br />
There is disease and then there is “dis-ease” – that is, a lack of ease, security or well-being. “Dis-ease” can manifest itself as myriad emotions in an elderly person: fear, grief, boredom, embarrassment and sadness among them. The fact is, these emotions can be every bit as debilitating as disease. </span></p>
<p><span style="color:black;">Take the case of a parent who&#8217;s incontinent. Too embarrassed to socialize, she cuts herself off from friends. Without companionship, she becomes lonely. Instead of allowing her to become a hermit, discuss with her doctor how to address the incontinence. Together, you can consider different solutions that will ease her embarrassment and reinvigorate her social life. </span></p>
<p><strong><span style="color:black;">6. Strive to maximize your parent&#8217;s quality of life. </span></strong><strong><span style="color:black;"><br />
</span></strong><span style="color:black;">No matter our age, we all want to enjoy life to the fullest and have the capability to do the things we want to. Improving the enjoyment of life and a patient&#8217;s functional ability are the cardinal goals of geriatric care. But you don&#8217;t need a medical diploma on your wall to help your parent achieve either of those goals. </span></p>
<p><span style="color:black;">Being there to solve a problem or provide company are tremendously worthwhile services you can provide – no expertise required. Remember, as your parent gets older, his quality of life becomes more important to him than how much longer he lives. And he doesn&#8217;t necessarily need medications or surgery to ensure that he&#8217;s living the latter part of his life to the fullest. </span></p>
<p><span style="color:black;">If he enjoys books but has difficulty reading regular-sized type, check out sight-saving titles at the library. If he&#8217;s grieving the loss of his best buddy, introduce him to new acquaintances at the senior center. If he&#8217;s living in a nursing home, bring your kids there to share a meal with him. </span></p>
<p><span style="color:black;">Sometimes, it&#8217;s the small gestures that have the most profound impact. As the child of an elderly parent, you are uniquely positioned to deliver these life-changing gifts. </span></p>
<p><span style="color:black;"><em>Dr. Robert Stall is a geriatrician practicing in Tonawanda, New York and a clinical associate professor at the University of Buffalo&#8217;s School of Medicine and Biomedical Sciences. He serves as medical director and attending physician at Beechwood Homes in Getzville and Blocher Homes in Williamsville. To learn more about senior care issues, visit his website at </em><a href="http://stallgeriatrics.com/"><em>stallgeriatrics.com </em></a><em>or call 716-213-4345. For information on a new program offering balance assessment and fall prevention tips, call 716-213-0772.</em></span></p>
<p>If you need help with an aging parent in the La Grange IL area, visit <a href="http://www.maryandmikecare.com">www.maryandmikecare.com</a>.</p>
<p><span style="color:black;"> </span></p>
<p><!--EndFragment--></p>
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		<title>INDEPENDENCE – It’s priceless in more than one way in La Grange Illinois!</title>
		<link>http://homehelperslagrangeil.wordpress.com/2009/06/30/independence-%e2%80%93-it%e2%80%99s-priceless-in-more-than-one-way-in-la-grange-illinois/</link>
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		<pubDate>Tue, 30 Jun 2009 18:29:10 +0000</pubDate>
		<dc:creator>mdoepke</dc:creator>
				<category><![CDATA[Home Care]]></category>
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		<guid isPermaLink="false">http://homehelperslagrangeil.wordpress.com/?p=80</guid>
		<description><![CDATA[Many people who have bravely fought in WWII to preserve America’s freedom are now struggling with their own independence; that is, the ability to live independently. A solider that would have been 20 years old in 1940 is now 89, and is part of America’s fastest growing segment of the population. <a href="http://homehelperslagrangeil.wordpress.com/2009/06/30/independence-%e2%80%93-it%e2%80%99s-priceless-in-more-than-one-way-in-la-grange-illinois/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=homehelperslagrangeil.wordpress.com&amp;blog=6597536&amp;post=80&amp;subd=homehelperslagrangeil&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>Many people who have bravely fought in WWII to preserve America’s freedom are now struggling with their own independence; that is, the ability to live independently. A solider that would have been 20 years old in 1940 is now 89, and is part of America’s fastest growing segment of the population.</p>
<p>Mary Doepke, RN, owner of Home Helpers says, “the needs of adults age 85+ tend to be complex due to multiple chronic conditions” Many older adults that benefit from care provided in their home have come to recognize their own limitations and realize their independence is priceless.”</p>
<p>It can take sickness for people to truly appreciate good health, the same is true for our ability to live and function independently. It is the times we become more dependent on others for help with daily living activities that we recognize and truly appreciate our own independence.</p>
<p>As the name suggests ‘activities of daily living’ have to do with day-to-day activities. These activities are fundamental to caring for one’s self and maintaining independence. ‘Activities of daily living’ are classified into two categories: independent living (IADLs) and personal care (ADLs).</p>
<ul>
<li>Instrumental Activities of Daily Living (IADLs) are activities related to independent living and include preparing meals, managing money (writing checks, paying bills), shopping for groceries or personal items, maintaining a residence/performing housework (e.g. laundry, cleaning), managing medications, using a telephone, handling mail, and traveling via car or public transportation.</li>
<li>Activities of Daily Living (ADLs) are everyday personal care activities such as bathing – sponge, bath or shower, getting dressed, getting in or out of bed or a chair (also called transferring), using the toilet, eating, and getting around or walking.</li>
</ul>
<p><span id="more-80"></span>Physical or mental limitations may restrict a person&#8217;s ability to perform activities of daily living. When a person has a limitation, he or she has an inability to independently perform one or more daily living activity. A three-part scale is typically used to determine the level of dependence (limitation or deficit) for each activity.</p>
<ul>
<li>INDEPENDENT –      performs tasks without assistance</li>
<li>ASSISTANCE NEEDED &#8211;      performs task with assistance from a human being or support device</li>
<li>DEPENDENT – unable to      perform tasks without assistance</li>
</ul>
<p>Doepke adds, “it is important to be aware of a person’s limitations with ‘activities of daily living’ for the following reasons:</p>
<ul>
<li>Recognizing a      person’s limitations is the first step to developing a care plan to      provide the appropriate type and level of assistance.</li>
<li>Determining the type      of ADL care that is needed enables families to assign caregiver roles and      become educated on how to perform care appropriately.</li>
<li>Admission policies      for Adult Day services, care communities and institutions often reflect      ADLs to determine eligibility to participate in a program.</li>
<li>Long-term care      insurance policies/programs often rely on ADL measures (the inability to      do a certain number of ADLs) to determine whether an individual qualifies      for benefits.”</li>
</ul>
<p>Doepke says, “we encourage people to proactively seek assistance with daily living activities when life becomes more challenging. The more we can do to provide the care and support people need and deserve, the better able our clients are to maintain and maximize their independence and live life to the fullest. Making Life Easier<sup>tm</sup> is more than a tagline for Home Helpers, it’s our mission.”</p>
<p>Home Helpers provides compassionate caregivers to help individuals remain independent in their own homes. They can be reached at 708-783-1220, or visit their website at <a href="http://www.maryandmikecare.com">www.maryandmikecare.com</a>.</p>
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		<title>Prevent Senior Fraud in La Grange Illinois</title>
		<link>http://homehelperslagrangeil.wordpress.com/2009/06/25/prevent-senior-fraud-in-la-grange-illinois/</link>
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		<pubDate>Thu, 25 Jun 2009 22:46:12 +0000</pubDate>
		<dc:creator>mdoepke</dc:creator>
				<category><![CDATA[Home Helpers Home Care LaGrange IL]]></category>
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		<guid isPermaLink="false">http://homehelperslagrangeil.wordpress.com/?p=73</guid>
		<description><![CDATA[“Seniors can make easy targets for fraud, whether it’s for unbelievable investment returns or fraudulent sweepstakes prizes. Fraud on seniors can happen by phone, mail, in person, or, less commonly, the Internet (because seniors are online in smaller numbers). It can happen to wealthy seniors, and those of limited means. According to the Federal Trade Commission, studies show con artists are more likely to target senior citizens than other age groups because they believe seniors are more susceptible to such scams. The FTC reports that fraudulent telemarketers direct from 56 to 80 percent of their calls at seniors. The need for senior fraud prevention has become greater than ever.” <a href="http://homehelperslagrangeil.wordpress.com/2009/06/25/prevent-senior-fraud-in-la-grange-illinois/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=homehelperslagrangeil.wordpress.com&amp;blog=6597536&amp;post=73&amp;subd=homehelperslagrangeil&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p><strong>Senior Fraud Prevention</strong></p>
<p>“Seniors can make easy targets for fraud, whether it’s for unbelievable investment returns or fraudulent sweepstakes prizes. Fraud on seniors can happen by phone, mail, in person, or, less commonly, the Internet (because seniors are online in smaller numbers). It can happen to wealthy seniors, and those of limited means. According to the Federal Trade Commission, studies show con artists are more likely to target senior citizens than other age groups because they believe seniors are more susceptible to such scams. The FTC reports that fraudulent telemarketers direct from 56 to 80 percent of their calls at seniors. The need for senior fraud prevention has become greater than ever.”</p>
<p>Follow the link below to read the rest of this very informative article.  If you have any questions or need help in the La Grange IL area, visit <a href="http://www.maryandmikecare.com">www.maryandmikecare.com</a>.</p>
<p><a href="http://www.thehomecaredirectory.com/home_health_care/related_articles/senior_fraud_prevention/49/">http://www.thehomecaredirectory.com/home_health_care/related_articles/senior_fraud_prevention/49/</a></p>
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		<title>10 Easy Ways to Prevent Falls at Home in La Grange Illinois</title>
		<link>http://homehelperslagrangeil.wordpress.com/2009/06/20/10-easy-ways-to-prevent-falls-at-home-in-la-grange-illinois/</link>
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		<pubDate>Sat, 20 Jun 2009 18:59:52 +0000</pubDate>
		<dc:creator>mdoepke</dc:creator>
				<category><![CDATA[Home Helpers Home Care LaGrange IL]]></category>
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		<description><![CDATA[According to a new report released by the U.S. Centers for Disease Control, about one in six Americans age 65 and older will suffer a fall in the next three months, with about a third of those people sustaining serious injuries, such as a broken hip. The critical takeaway point is that most of these falls are preventable. <a href="http://homehelperslagrangeil.wordpress.com/2009/06/20/10-easy-ways-to-prevent-falls-at-home-in-la-grange-illinois/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=homehelperslagrangeil.wordpress.com&amp;blog=6597536&amp;post=71&amp;subd=homehelperslagrangeil&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>Here is a helpful article for seniors living at home.  If you need help with an aging loved on in the La Grange IL area, visit <a href="http://www.maryandmikecare.com">www.maryandmikecare.com</a>.</p>
<p><strong>10 Easy Ways to Prevent Falls at Home</strong></p>
<p><strong>Safe home tips for seniors to prevent falls and accidents</strong></p>
<p><strong>By Gina Roberts-Grey</strong></p>
<p>According to a new report released by the U.S. Centers for Disease Control, about one in six Americans age 65 and older will suffer a fall in the next three months, with about a third of those people sustaining serious injuries, such as a broken hip. The critical takeaway point is that most of these falls are preventable.</p>
<p>About half of the tumbles that seniors experience occur in their homes. It only takes a few simple modifications and improvements to your home, however, to eliminate many of the common hazards that can cause such disabling, even fatal, falls. Armed with the pointers below, you (or a caregiver or family member), along with someone who&#8217;s handy with a few power tools, can accomplish these safety modifications over the course of a weekend. These adjustments can make your home safer for not only an older person, but also for everyone who steps inside — especially grandchildren who often fail to watch where they&#8217;re going!</p>
<p>ontinue reading here:</p>
<p><a href="http://www.everydayhealth.com/longevity/future-planning/prevent-falls-at-home.aspx?xid=nl_EverydayHealthHealthyAging_20090613">http://www.everydayhealth.com/longevity/future-planning/prevent-falls-at-home.aspx?xid=nl_EverydayHealthHealthyAging_20090613</a></p>
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		<title>When Your Loved One Resists Care in La Grange Illinois</title>
		<link>http://homehelperslagrangeil.wordpress.com/2009/06/12/when-your-loved-one-resists-care-in-la-grange-illinois/</link>
		<comments>http://homehelperslagrangeil.wordpress.com/2009/06/12/when-your-loved-one-resists-care-in-la-grange-illinois/#comments</comments>
		<pubDate>Fri, 12 Jun 2009 22:38:14 +0000</pubDate>
		<dc:creator>mdoepke</dc:creator>
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		<description><![CDATA[Here is an article I found that is very helpful for caregivers who are struggling with the loved one they are trying so hard to care for.  It offers other ways to look at the behavior to try to understand what our loved ones are trying to communicate to us.  If you are a caregiver, and need help with an aging loved one in the La Grange IL area, visit www.maryandmikecare.com.
“How many times has your mother refused to change her clothes? Has your father resisted getting out of bed? Has your wife pushed you away when you tried to brush her teeth? Many times a caregiver will be particularly frustrated by her loved one’s refusal to help himself. At times she can’t help but think that the person she cares for "36 hours a day" is going out of his way to make her miserable! The increasing irrationality of individuals with dementia makes it even harder on the caregiver.” <a href="http://homehelperslagrangeil.wordpress.com/2009/06/12/when-your-loved-one-resists-care-in-la-grange-illinois/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=homehelperslagrangeil.wordpress.com&amp;blog=6597536&amp;post=69&amp;subd=homehelperslagrangeil&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>Here is an article I found that is very helpful for caregivers who are struggling with the loved one they are trying so hard to care for.  It offers other ways to look at the behavior to try to understand what our loved ones are trying to communicate to us.  If you are a caregiver, and need help with an aging loved one in the La Grange IL area, visit <a href="http://www.maryandmikecare.com">www.maryandmikecare.com</a>.<br />
<em><br />
“How many times has your mother refused to change her clothes? Has your father resisted getting out of bed? Has your wife pushed you away when you tried to brush her teeth? Many times a caregiver will be particularly frustrated by her loved one’s refusal to help himself. At times she can’t help but think that the person she cares for &#8220;36 hours a day&#8221; is going out of his way to make her miserable! The increasing irrationality of individuals with dementia makes it even harder on the caregiver.”</em></p>
<p>Continue reading article here: <a href="http://www.thehomecaredirectory.com/home_health_care/related_articles/when_your_loved_one_resists_care/147/">http://www.thehomecaredirectory.com/home_health_care/related_articles/when_your_loved_one_resists_care/147/</a></p>
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