Dementia and Alzheimer's

Dementia and Alzheimer's in the Elderly

Your family is not alone. The effects of dementia and Alzheimer's are devastating, not only to the one suffering from dementia or Alzheimer's, but also to the family members who are coping with this new reality. You may feel alone in this battle, but there are many other families who are struggling with these same circumstances in their own family. Coming to a better understanding about the symptoms and effects of dementia and Alzheimer's, may help change your perspective on this issue. Also, we will provide you will a couple resources that may help you get the support you need during this time. 

First, it is important to understand that although the terms "dementia" and "Alzheimer's" are often used to mean the same thing, they are defined and diagnosed differently. Dementia refers to, "A loss of mental ability severe enough to interfere with normal activities of daily living." This can encompass a wider variety of diseases, but Alzheimer's disease accounts for 60 to 80 percent of dementia cases. 

Although Alzheimer's is most commonly found in and associated with the elderly, it is not a natural part of the aging process. Alzheimer's is a progressive disease that gets worse over time; the intensity and form the symptoms take will change as the disease progresses. For example, in the beginning stages an individual might experience minor memory loss, but in later stages an individual may experience more severe memory loss, affecting their ability to function independently. 

Some of the general symptoms of Alzheimer's include:

• Memory loss, ranging from mild to severe. 
• Disorientation.
• Mood and behavior changes. 
• Deepening confusion about events, time and place.
• Suspicions about family, friends, and caregivers.
• Difficulty speaking, swallowing, and walking.

If any of these symptoms are occurring in you or your family member, a doctor should be seen right away. Although there is no cure for Alzheimer's, there are a few helpful intervention methods that can slow down the process. Early diagnosis is key for Alzheimer's treatment. There are very noticeable changes that take place in the brain scans; Alzheimer's prevents nerve cells in the brain from accurately performing their job. This causes the brain to lose function, resulting in many of the symptoms seen above. 

The best way to communicate with your family member who has Alzheimer's is to meet them where they are at, and be aware that this may change from day to day. This disease is completely out of their control, and should not be handled with anger and frustration. It is important for family members to get support during this time, because it can become too big of a physical and emotional burden, especially on family members who also have the responsibility of being the main caregiver.

Here are a few helpful resources in regards to this topic and support for your family:

Support for Alzheimer's/Dementia

Alzheimer's: Dealing with Family Conflict

Affording In Home Healthcare...Can I afford to keep my loved one at home?

One of the main reasons people choose not to invest in in-home healthcare (1 on 1 care) for their loved ones is because of the possible financial burden or the lack or resources the individual has. Comfort of Home Healthcare wants to make in-home healthcare not only comforting and convenient for your family, but also financially affordable. As a business, we try to keep costs down as much as we can, but there are also resources for your family to participate in that will dramatically change your financial outlook on in-home healthcare services. 

But before we get in to some of the resources, Comfort of Home Healthcare would like to point out that if your receive in home care for two people. E.g. Parents/ grand parents
It is very feasible to financially keep your loved ones in their homes!! In a facility setting (nursing home) you will have to pay out of pocket for each person. In home care is priced by staffing and not each individual person. 

This is so important because this will allow you to; 
1. keep your loved ones in their home! 
2. You will have one staff taking care of both of them as opposed to one CNA per 10+ people!

Unfortunately this is not case for most of our clients. For those of you who are looking for care for a loved one (not a couple). Comfort of Home Healthcare has provided a list of resources that will offset costs, for you to consider. Here are several of those resources and how you may qualify to receive these benefits: 
(Not all scenarios work for every person. This simply a list of all options available)

• Veterans Benefits: If you or your loved one was a veteran.

• Veterans Widows Benefits: If you or your loved one was married to a veteran.

• Medicaid: If you meet the financial guidelines to qualify for Medicaid, they have potential opportunities for assistance. 

• Long Term Care Insurance: If you or your loved one has purchased a Long Term Care Insurance Plan.

• Life Insurance: If you or your loved one is terminally ill, a life insurance plan is a valuable resource. 

• Life Insurance (Viatical Settlement): A viatical settlement is the sale of a life insurance policy to a third party, usually a funding company owned by a group of investors. 

• Life Insurance (Loan): A policy owner may be able to make a loan against the cash value of the policy, based on what type of policy is owned. 

• Reverse Mortgage: If you or your loved one has equity in their home, they can probably qualify for a reverse mortgage.

• Area Agency on Ageing: There can be local organizations such as the Area Agency on Ageing that can help with some of the costs of in-home care.

If you have questions about the specific details (contacts and phone numbers) of these resources, Comfort of Home Healthcare would be happy to talk to you about the resources that will best fit your family and your family's individual needs. 

We care about your family and we want to provide the best possible service at the best price for your family!

Elderly Care is a Family Affair

Elderly Care is a Family Affair

Your elderly or disabled loved ones are at crucial points in their life, filled with many changes and new circumstances. During this time your loved one needs support and help in planning their future and making sure all of their needs are properly addressed. No one should walk this road alone, and so the care of your loved one needs to become a family issue. Often family members are the caregivers to their elderly or disabled loved one, so they too may be experiencing many life changes. The best way to care for your family is to make sure that you are coming together as a family, making compromises when necessary, and making decisions based on the needs of the entire family. 

"Seniors are at a vulnerable stage of life. They often face multiple health concerns and loss of physical and cognitive function. More than ever, seniors need the support and love of family members. Seniors often have difficulty expressing their needs, desires and preferences, so they must have someone to advocate for them. And who is more qualified for that than the people who know them better than anyone else in the world?"

To be able to be the advocate for your loved one during this often difficult time, is such a rewarding opportunity. If you and your loved one are able to work together and communicate effectively, this will increase the positive outcomes in both of your lives. 

It is not uncommon for family members to be the sole or primary caregiver for an elderly or disabled family member. "A new study of caregivers says that one out of three adults in the U.S. currently serves as a caregiver." Caregiving is no easy task, and takes up much of the caregivers time and energy. If you are in this position it may be necessary to consider some in-home healthcare options for your family. In addition to this, it is important to ask the right questions when you are considering a plan for your elderly or disabled loved one's care. 

Here are some questions that may be helpful to consider:

• What is the best way to talk to my parents or loved one about their healthcare needs?
• How will the care they need be funded?
• What is the safest, most comfortable, most appropriate care option for my loved one?
• Is there a family member nearby who can be of assistance at a moment's notice?
• What types of services or help does my loved one need-- for instance, bathing, eating, transportation, medications, etc.?
• How do my loved one's religious affiliation and personal preferences influence the care decisions we need to make?
• What types of senior care are available? How do they differ? How does each one address my parents specific needs?

Here is a resource that gives more statistical, and practical information on this subject:

Caring for Elderly and Disabled is a Family Affair

The Sandwich Generation

The Sandwich Generation
Caring for Your Children as You Care for Your Aging Parent

Many families today are put in a position to care for both their growing children and their aging parent at the same time. Their combined role as both parent and caregiver can bring great stress, exhaustion, and tension into a family environment. For many people it is a priority that their aging parent stay in the comfort of their own home, so it is important that the caregiver has a balanced view of their new role; which will help them thrive in various circumstances.

It is possible to raise your kids and provide care and comfort for an aging parent, but you can't do it alone without completely overwhelming yourself and your family.

The good news is that this task does not have to be taken on alone and there is help available to those willing to take it! The following articles give some helpful tips about how to effectively juggle child-care and parent-care. There are specific things you need to remember during this time when addressing your child's needs, your aging parent's needs, and your own needs. Every person is affected uniquely by the new family dynamic, and so every person needs to be taken care of differently.

From experience we know that there will be challenges along the way, but this time will be rewarding for every family member involved.

Articles from youragingparent.com: 

Caring for Your Children as You Care for Your Aging Parent

Caring for Your Children
as You Care for Your Aging Parent

     If you’re a member of the “sandwich generation,” if you’re taking care of your aging parent as well as your children, it’s hard to shake the feeling that if you focus on one generation you’re losing sight of the needs of the other.

     It can help to remember – to realize – that your taking care of your parent is good for your children, too. How so?

     You’re right that your kids also make a sacrifice because you can’t be around as much as the they would like you to be and, most likely, they have to do more – become more responsible – because you can’t be there. (Maybe they have to make their own lunch to take to school. Or you can’t be a chaperon at some school event even though you were able to do that a year or so ago.)

     Yes, in some ways a child is being deprived of what a parent might be able to give if he or she didn’t have caregiving obligations to an older family member (or to a spouse who is ill or to a child with special needs) but – from another perspective –Mom or Dad is giving something to that child or those children that he or she otherwise couldn’t give. We mean a front-row view of love in action without any possibility of mistaking the unchangeable fact that true love demands service and sacrifice.

     Still . . . it can be a lot to put on little shoulders. All they may see at first glance is that Mom or Dad isn’t there (or is there but is exhausted from caregiving and holding down a job) and they miss not just what that parent does for them (nice meals, rides to practice and so on) but also that person himself or herself. They miss time spent together. With that in mind, here are a few suggestions if you’re taking care of an aging parent and your children:

     --Talk about caregiving at a time when neither you nor your child are tired and emotions are not running high.

     --Do something special with each child, one-on one.

     --Explain what it’s like to be a care-receiver, how it can be hard to accept help. Talk about why you’re taking care of Grandpa or Grandma and explain – in an age-appropriate way –what his or condition is.

     --Work at establishing a link between your children and your parent. Let them have some time together.

     --Remember children can, in small ways, help with caregiving, too.

     --Teach what respectful care means and explain the difference between “dignity” and “dignified.” Yes, at times, a situation may be less than “dignified” but a person must be treated with dignity.

     --Remember to thank the child for making sacrifices and for helping you help your mother or father.

The Sandwich Generation

The Sandwich Generation

     The "sandwich generation" is a good description. There's pressure from both sides and sometimes it gets messy in the middle. That's what it can feel like if you're taking care of not only your children but your aging parent as well.

     Add in a spouse and a job and it's no wonder it often seems a twenty-four-hour day and seven-day week just aren't enough for all you have to do.

     Then, too, from the time all of us were little we were taught there is a right way and a wrong way to accomplish a task. To meet—and overcome— challenge. Maybe your parent took care of Grandma or Grandpa. Your spouse took care of your mother- or father-in-law. Your friends or co-workers seem to be able to handle their situations. But you . . . .

     When you realize, when it becomes so painfully obvious, you can't do all the things you're supposed to do—all the things other people have done or are doing—you feel so inadequate. So guilty.

     You think you're letting everyone down. If you just worked a little harder. Slept a little less. Sacrificed a little more. Then somehow . . . .

     If you find yourself in that situation, or feel yourself sinking into it, these suggestions might help:

     ● Remember there is no single "right" way to do this. Trying to exactly mimic what another person has done probably isn't going to work. Each case is unique because the personalities and problems in each case are unique.

     ● If you don't take care of yourself—take time to eat, sleep, catch your breath and pray—you will burn out quickly and be of little use to anyone, including yourself. The situation in which you find yourself is not a sprint, it's a marathon. Yes, someday it will end but that may be a long, long time from now. In the meantime, if you do not pace yourself, sometimes even pamper yourself, you won't be able to keep going. That's not because you're weak, it's because you're human.

     ● The big picture can look and feel overwhelming. Sometimes it helps to break it down into the many tiny pieces that make up the whole. What you have to do for your parent. Your children. Your spouse. Your job. Yourself. The lists may be long but somehow no single item is overpowering.

     ● Prioritize your tasks. Making those lists helps. Obviously, getting Mom to her doctor's appointment is more important than vacuuming her apartment.

     ● Give away some of the low-priority duties. Someone else can be hired to do the apartment cleaning. Someone else—the bakery department at the local grocery store—can supply the brownies you're supposed to send to the next Cub Scout den meeting.

     ● Get support for yourself. Groups for caregivers and organizations that focus on your parent's particular illness or condition can help you deal with what you are facing. Doctors, social workers and the Area Agency on Aging can give you local contacts.

     ● Write it down. Dates and schedules and all that information from doctors, therapists, pharmacists, teachers, coaches, your boss, your spouse, your kids . . . . There's no way a person can remember all the things you need to remember.

     It may seem the day is completely packed but if you jot down your own "to do" list, you may discover there's half an hour free here. Twenty minutes there. A little oasis like that gives you something to look forward to. A short break to at least partially recharge your batteries before you have to go, go, go again.

In Home Care 101

Most phone calls we receive are from people who have never had never needed any type of in home care before and don't know what is out there.

From this initial conversation I have a quick talk of what I call "In-Home Care 101", or the basics. There is a very common misconception out there that Medicaid will pay for in home care. Medicare will pay for some things, but extended care is not one of them.

So here it is, a very simple and short explanation: In Home Care 101

First off, Medicare will pay for SKILLED NURSING only. You need a physician order to qualify for all skilled nursing/Medicare services.

Think of skilled nursing as task oriented; a nurse will come out to the home and perform some sort of task (E.g. bath, med set up, wound dressing, physical therapy). Once they are finished with that task, they leave.

The two main services for medicaid skilled nursing is 1. Home Health and 2. Hospice.

Here is a blog from a home health agency that explains Home Heath in further detail. 

&     Here is a article that explains Hospice in further detail.


For many people skilled nursing is not enough and they need caregivers to come out and help with their loved one for longer period of time. This brings us to In Home care; you can think of it more as time oriented rather than task oriented services.

This is the type of services that Comfort of Home Healthcare provides. We can go in and provide what is called ADL's or activity of daily living. We come in and do some of the same services such as bathing and medications etc, but we can also do some of the other tasks that your loved one can no longer do themselves such as toileting, cooking, cleaning, etc.

These services range anywhere from 3 hours a couple times a week, all the way to 24 hours, 7 days a week.

Unfortunately Medicare does NOT pay for these type of services. However Medicaid will pay for some of these services.

Since Medicaid is income based, most of our phone calls do not qualify. This leaves families to pay out of pocket for in home care services.

If your loved one was a veteran or the widow of a veteran there might be some assistance from the VA, but that is about it. There are some other assistance but too few would qualify to put in this post.

This all can get very confusing. If you need any further assistance or have any further questions please do not hesitate to contact our office. We are more than happy to answer any questions you might have.

Tips to Help Seniors Enjoy the Holidays

With  the holidays  upon us, you have probably already planned your family gatherings.  If you have a family member who needs care, its going to take a little bit of extra planning on your part and your going to have to think about some things that you might not have had to do before. 

Much of what my wife and I have learned over the years was by trial and error, just learning as we go along. Over the holidays, as relatives come and go, they usually only see the best out of Mom/Dad/Grandpa/Grandma  and leave with a nice warm feeling on how “well” they are doing.

But what they don’t see, is once everyone has gone back to their everyday life, the long day of visits has taken a toll and has left your loved one exhausted. In turn, can take days or even weeks to get their strength back.

If you have been though this yourself, or this is your first time going through taking care of a loved one, this article can be of some use. You can find it over at about.com, senior living.

I hope you find it as useful as I did. And as always, contact us if you have any questions or need any support…

10 Tips to Help Seniors Enjoy the Holidays

Ensure happier holidays for seniors with special needs or health issues

By Sharon O'Brien , About.com Guide

For most of us, the holidays are a wonderful time to share the joys of family life and friendship. But for many older adults the holidays can be highly stressful, confusing, or even depressing if their mental, physical and emotional needs are not taken into account.

If you have older friends and family members with underlying health issues, you can help them enjoy the holiday season more by following these simple tips, based on advice from specialists in senior medicine at the University of California, San Diego (UCSD) School of Medicine:

1.        Stroll down memory lane. Holidays provoke memories, which can be especially powerful in the later years of life. “Leading authorities have observed that memory and ‘life review’ are important parts of the aging process,” says Barry Lebowitz, Ph.D., deputy director of UCSD’s Stein Institute for Research on Aging. “Older people whose memories are impaired may have difficulty remembering recent events, but they are often able to share stories and observations from the past. These shared memories are important for the young as well—children enjoy hearing about how it was ‘when your parents were your age…’.” He suggests using picture albums, family videos and music, even theme songs from old radio or TV programs, to help stimulate memories and encourage older seniors to share their stories and experiences.

2.       Plan ahead. If older family members tire easily or are vulnerable to over-stimulation, limit the number of activities they are involved in or the length of time they are included. The noise and confusion of a large family gathering can lead to irritability or exhaustion, so schedule time for a nap, if necessary, and consider designating a “quiet room” where an older person can take a break. “Assign someone to be the day’s companion to the older person, to make sure the individual is comfortable,” says Daniel Sewell, M.D., director of the Senior Behavior Health Unit at the UCSD Medical Center, who adds that these guidelines work well for young children as well as adults with mental, emotional and physical health issues.

3.       Eliminate obstacles. If a holiday get-together is held in the home of an older person with memory impairment or behavioral problems, don’t rearrange the furniture. This could be a source of confusion and anxiety. If the gathering is in a place unfamiliar to an older person, remove slippery throw rugs and other items that could present barriers to someone with balance problems or who has difficulty walking.

4.      Avoid embarrassing moments. Try to avoid making comments that could inadvertently embarrass an older friend or family member who may be experiencing short-term memory problems. If an older person forgets a recent conversation, for example, don’t make it worse by saying, “Don’t you remember?”

5.       Create new memories. In addition to memories, seniors need new things to anticipate. Add something new to the holiday celebration, or volunteer for your family to help others. Enjoy activities that are free, such as taking a drive to look at holiday decorations, or window-shopping at the mall or along a festive downtown street.

6.       Be inclusive. Involve everyone in holiday meal preparation, breaking down tasks to include the youngest and oldest family members. “Older adults with physical limitations can still be included in kitchen activities by asking them to do a simple, helpful task, like greasing cooking pans, peeling vegetables, folding napkins or arranging flowers,” Sewell says.

7.       Reach out. Social connectedness is especially important at holiday times. “Reaching out to older relatives and friends who are alone is something all of us should do,” Lebowitz says. “Loneliness is a difficult emotion for anyone. Recent research with older people has documented that loneliness is associated with major depression and with suicidal thoughts and impulses.”

8.       Beat the blues. “Holiday blues” are feelings of profound sadness that can be provoked by all the activities of the holiday season. Seasonal blues can have a particular impact in the lives of older people, according to Lebowitz. “In some people, the ‘holiday blues’ represent the exacerbation of an ongoing depressive illness,” he says. “Depression is a dangerous and life-threatening illness in older people. Tragically, suicide rates increase with age, specifically for older men. Depression is not a normal part of aging and should never be ignored or written off.”

9.       Keep on the sunny side. Seasonal affective disorder (SAD) or winter depression is an illness that can be provoked by reductions in sunlight during the short days of winter. It is important for people confined indoors, especially those at risk for winter depression, to make time for activities that will increase exposure to daylight, according to Lebowitz.

10.    Monitor medications and alcohol. If you have senior family members, be sure to help them adhere to their regular schedule of medications during the frenzy of the holidays. Also, pay attention to their alcohol consumption during holiday parties and family gatherings. According to Sewell, alcohol can provoke inappropriate behavior or interfere with medications.

“Older family members with special needs can get lost in the shuffle and chaos of happy family gatherings,” Sewell says. “So, with all the hustle and bustle of the season, just remember to be sensitive and loving. And plan ahead.”

Warning Signs of Health Problems

Warning Signs of Health Problems
How to Recognize When Your Parents Need Help

Sometimes it is hard to fully comprehend a situation unless you are on the outside looking in. As your parents begin to age it may be difficult for them to see warning signs of their declining health. They need someone who can identity the warning signs more efficiently so that they can get the help they need when they need it. There are some specific things you can be watching for in your parents in regards to their health and well-being. Ultimately you want your parents to be able to keep their independence as long as possible, but there may come a point when it is hard for them to do so. 

Whenever you are around your parents watch for the warning signs that are listed in this article. If you notice that certain aspects of their health are declining then there are ways you can take action and get involved in sustaining your parents health. It is important that you allow your parents to have a voice in any action you want to take, because they need to be informed and active in their healthcare.

There are ways you can approach your parents that will be both encouraging and beneficial for everyone involved. Don't be afraid to ask for help, no one person can take on caregiving alone, and Comfort of Home Healthcare is always available to come alongside you in the caregiving process. 

Read the following article carefully and be prepared to take the steps you need to take. As you care for them, always keep their best interest in mind. 

Aging parents: 7 warning signs of health problems

Concerned about your aging parents' health? Use this guide to gauge how your aging parents are doing — and what to do if they need help.

By Mayo Clinic Staff

As your parents get older, how can you be sure they're successfully taking care of themselves and staying healthy? When you visit your aging parents, ask yourself the following questions. Then, if necessary, take steps to help your aging parents maintain their independence.

1. Are your aging parents taking care of themselves?

Pay attention to your parents' appearance. Are their clothes clean? Do they appear to be taking good care of themselves? Failure to keep up with daily routines — such as bathing, tooth brushing and other basic grooming — could indicate dementia, depression or physical impairments.

Also pay attention to your parents' home. Are the lights working? Is the heat on? Are the bathrooms clean? Is the yard overgrown? Any big changes in the way your parents do things around the house could provide clues to their health. For example, scorched pots could mean your parents are forgetting about food cooking on the stove. Neglected housework could be a sign of depression, dementia or other concerns.

2. Are your aging parents experiencing memory loss?

Everyone forgets things from time to time. Modest memory problems are a fairly common part of aging, and sometimes medication side effects or underlying conditions contribute to memory loss. There's a difference, though, between normal changes in memory and the type of memory loss associated with Alzheimer's disease and other types of dementia. Consider your aging parents. Are memory changes limited to misplaced glasses or an occasionally forgotten appointment? Or are memory changes more concerning, such as forgetting common words when speaking, getting lost in familiar neighborhoods or being unable to follow directions? If you're concerned about memory loss for either of your aging parents, schedule an evaluation with the doctor.

3. Are your aging parents safe in their home?

Take a look around your parents' home, keeping an eye out for any red flags. Do your parents have difficulty navigating a narrow stairway? Has either parent fallen recently? Are they able to read directions on medication containers?

4. Are your aging parents safe on the road?

Driving can sometimes be challenging for older adults. If your aging parents become confused while driving or you're concerned about their ability to drive safely, it might be time to stop driving. To help your aging parents maintain their independence, suggest other transportation options — such as taking the bus, using a van service, hiring a driver or taking advantage of other local transportation options.

5. Have your aging parents lost weight?

Losing weight without trying could be a sign that something's wrong. For aging parents, weight loss could be related to many factors, including:

• Difficulty cooking. Your parents could be having difficulty finding the energy to cook, grasping the tools necessary to cook, or reading labels or directions on food products.
• Loss of taste or smell. Your parents might not be interested in eating if food doesn't taste or smell as good as it used to.
• Underlying conditions. Sometimes weight loss indicates a serious underlying condition, such as malnutrition, dementia, depression or cancer.

If you're concerned about unexplained weight loss for either of your aging parents, schedule an evaluation with the doctor.

6. Are your aging parents in good spirits?

Note your parents' moods and ask how they're feeling. A drastically different mood or outlook could be a sign of depression or other health concerns. Also talk to your parents about their activities. Are they connecting with friends? Have they maintained interest in hobbies and other daily activities? Are they involved in organizations or clubs?

If you're concerned about your parents' moods, schedule an evaluation. Depression can be treated at any age.

7. Are your aging parents able to get around?

Pay attention to how your parents are walking. Are they reluctant or unable to walk usual distances? Is knee or hip arthritis making it difficult to get around the house? Would either parent benefit from a cane or walker? Issues such as muscle weakness and joint pain can make it difficult to move around as well. If your parents are unsteady on their feet, they might be at risk of falling — a major cause of disability among older adults.

Taking action

There are many steps you can take to ensure your aging parents' health and well-being, even if you live far away. For example:

• Share your concerns with your parents. Talk to your parents openly and honestly. Knowing that you're concerned about their health might give your parents the motivation they need to see a doctor or make other changes. Consider including other people who care about your parents in the conversation, such as other loved ones, close friends or clergy.
• Encourage regular medical checkups. If you're worried about a parent's weight loss, depressed mood, or other signs and symptoms, encourage your parent to schedule a doctor's visit. You might offer to schedule the visit yourself or to accompany your parent to the doctor — or to find someone else to attend the visit. Ask about follow-up visits as well.
• Address safety issues. Point out any potential safety issues to your parents — then make a plan to address the problems. For example, perhaps your parents could use assistive devices to help them reach items on high shelves or to help them stay steady on their feet. A higher toilet seat or handrails in the bathroom might help prevent falls.
• Consider home care services. If your aging parents are having trouble taking care of themselves, perhaps you could hire someone to clean the house and run errands. A home health care aide could help your parents with daily activities such as bathing and dressing. You might also consider Meals on Wheels or other community services. If remaining at home is too challenging, you might suggest moving to an assisted living facility.
• Contact the doctor for guidance. If your parents dismiss your concerns, consider contacting the doctor directly. Your insights can help the doctor understand what to look for during upcoming visits. Keep in mind that the doctor might need to verify that he or she has permission to speak with you about your parents' care, which might include a signed form or waiver from your parents.
• Seek help from local agencies. Your local agency on aging — which you can find using the Eldercare Locator, a public service of the Administration on Aging — can connect you with services in your parents' area. For example, the county in which your parents live might have social workers who can evaluate your parents' needs and put them in touch with pertinent services, such as home care workers and help with meals and transportation.

Sometimes aging parents won't admit they need help around the house, and others don't realize they need help. That's where you come in. Remind your parents that you care about them and that you want to do what's best to promote their health and well-being, both today and in the months and years to come.

Why Choose In Home Healthcare?

Why Choose Home Healthcare?

"When the time comes that a loved one needs help at home, the process of convincing him or her to accept help can be difficult. Most of us value our independence, and having someone come into one's home to assist with such intimate activities as bathing and dressing can be a problem.

But, as our population lives longer, and our aging parents have more impairments with aging, the need for workers who can enable elders to stay in their homes increases. Most elders, if asked, would say that they prefer to stay at home, rather than move to a facility as they age. How do we keep them safe at home, when we must rely on others to provide help with activities of daily living?" (agingcare.com)

When considering the next step in the healthcare process for the elderly or disabled, in-home healthcare is an excellent option. Comfort of Home Healthcare is a company that is dedicated to providing peace of mind for all clients and their families. Comfort of Home holds their home care services to the highest standard in all aspects of business and care. Their name stands for quality and integrity that is preserved above all else. If you are considering a home healthcare agency for your loved one, remember Comfort of Home Healthcare!

The article below gives the top 10 reasons for choosing home health care for your loved one, when it is necessary to make that decision.

Top 10 Reasons for Choosing Home Healthcare

• Home care is delivered at home. When we are not feeling well, most of us ask to be at home. We enjoy the sanctity of our residences and the joy of being with our loved ones. When our loved ones are ill we try to get them home and out of the hospital as soon as possible.
• Home care keeps families together. This is particularly important in times of illness. The ties of responsibility and caring can be severed by hospitalization.
• Home care prevents or postpones institutionalization.
• Home care promotes healing. There is scientific evidence that many patients heal faster at home.
• Home care is safe. Many risks, such as infection, are eliminated or minimized when care is given at home.
• Home care allows for the maximum amount of freedom for the individual. Patients at home remain as engaged with their usual daily activities as their health permits.
• Home care promotes continuity. The patient's own physician continues to oversee his or her care.
• Home care is personalized and tailored to the needs of each individual. Patients receive one-on-one care and attention.
• Home care is less expensive than other forms of care, especially lengthy inpatient hospitalization.
• Home care is the form of care preferred by the American public.
• Home care can prevent re-hospitalization and decrease the need for urgent care.

Elderly Care is a Family Affair

Elderly Care is a Family Affair

Your elderly or disabled loved ones are at crucial points in their life, filled with many changes and new circumstances. During this time your loved one needs support and help in planning their future and making sure all of their needs are properly addressed. No one should walk this road alone, and so the care of your loved one needs to become a family issue. Often family members are the caregivers to their elderly or disabled loved one, so they too may be experiencing many life changes. The best way to care for your family is to make sure that you are coming together as a family, making compromises when necessary, and making decisions based on the needs of the entire family. 

"Seniors are at a vulnerable stage of life. They often face multiple health concerns and loss of physical and cognitive function. More than ever, seniors need the support and love of family members. Seniors often have difficulty expressing their needs, desires and preferences, so they must have someone to advocate for them. And who is more qualified for that than the people who know them better than anyone else in the world?"

To be able to be the advocate for your loved one during this often difficult time, is such a rewarding opportunity. If you and your loved one are able to work together and communicate effectively, this will increase the positive outcomes in both of your lives. 

It is not uncommon for family members to be the sole or primary caregiver for an elderly or disabled family member. "A new study of caregivers says that one out of three adults in the U.S. currently serves as a caregiver." Caregiving is no easy task, and takes up much of the caregivers time and energy. If you are in this position it may be necessary to consider some in-home healthcare options for your family. In addition to this, it is important to ask the right questions when you are considering a plan for your elderly or disabled loved one's care. 

Here are some questions that may be helpful to consider:

• What is the best way to talk to my parents or loved one about their healthcare needs?
• How will the care they need be funded?
• What is the safest, most comfortable, most appropriate care option for my loved one?
• Is there a family member nearby who can be of assistance at a moment's notice?
• What types of services or help does my loved one need-- for instance, bathing, eating, transportation, medications, etc.?
• How do my loved one's religious affiliation and personal preferences influence the care decisions we need to make?
• What types of senior care are available? How do they differ? How does each one address my parents specific needs?

Here is a resource that gives more statistical, and practical information on this subject:

Caring for Elderly and Disabled is a Family Affair

Missouri Business Development Program; Comfort of Home Healthcare

Hey, check it out! Comfort of Home Healthcare was highlighted in piece from the Missouri Business Development program!!!

Original Article Can Be Found Here!

Comfort of Home Healthcare, LLC – St. Joseph

Jason Douglas, co-owner and co-founder of Comfort of Home Healthcare, LLC, a home health care service based in St. Joseph with a satellite office in Gladstone slated to open later this year, didn’t start adult life as a health care entrepreneur.

He was a relief pitcher for the Missouri Western State University Griffons.

His repertoire included a wicked curve ball that had opposing hitters flailing away — or “They’d hit it 400 feet!” he laughs. He threw in the low 80s — good enough for college, but he knew the majors would be a long, hard climb. “I chased a lot of foul balls, raked the infield dirt a lot,” he admits.

The curve ball life threw at him when first his father, then father–in-law, then mother-in-law became incapacitated requiring round the clock care was tougher to handle. His father passed away at home with family present and hospice care; his mother-in-law too. Not so his father-in-law. Staying on top of the often unprofessional caregivers was virtually a job in itself, he recalls. With all this going on, he still held down jobs with the National Multiple Sclerosis Society’s St. Joseph branch, Blue Sky Home Care and Midland Empire Resources for Independent Living, where he saw what good caregiving looked like.

Tad Ulmer’s (left) son, Douglas (center) suffered traumatic brain injury in an auto accident. Jason Douglas is on the right.

Meanwhile in St. Joseph, truck driver Tad Ulmer received the phone call every parent dreads. His teenage son had been badly injured in a car accident and had been rushed to the hospital. Then things got even worse. He learned his son had suffered traumatic brain injury and would never walk again — in fact, would never feed, dress or bathe himself again, requiring 24-hour care. Ulmer too was frustrated with the care his son received at nursing homes; he says he believes staff stole and he saw them berate his son. When he registered a complaint, one provider suddenly stopped coverage.

The energetic, entrepreneurially minded Douglas had also been taking classes on entrepreneurship and small business through the SBTDC in St. Joseph. He and Ulmer met at a chamber event and clicked, realizing their vision of caring, professional at-home care could be more than a vision.

Douglas then met with Rebecca Evans, director of the SBTDC in St. Joseph, and began bombarding her with questions about partnerships, how to write a business plan, labor and employment law, office space, alternative financing and much more.

Finding office space was surprisingly easy. Evans knew that Mo-Kan, the regional planning and economic development group in St. Joseph serving northwest Missouri and northeast Kansas, needed new businesses for its incubator. “Originally, we were just going to work out of our homes,” says Douglas. “Mo-Kan leased us space for $175 a month.”

This building in St. Joseph is home to Comfort of Home administrative services.

Financing was tougher to field. The business didn’t require a great deal of outlay, mainly payroll; even so, Douglas had to cash in his retirement plan, sell the family Toyota and more just to issue paychecks. Banks were reluctant to loan two inexperienced businessmen the capital for an untried venture. Together, however, the team explored and secured a low-interest loan from the state of Missouri, enough to get the fledgling business off the ground.

The first months were terrifying, Douglas says, but his faith and the help of the SBTDC pulled him though. “We had to sell almost everything we owned!” he says. “There was no money the first few months, not a dime. But you don’t know what you’re capable of when there’s no other option. It really makes you focus when you are a trapeze artist and the net is taken from underneath you.

“We were also smart enough to realize when you don’t know what you don’t know, and we found someone who does know what she knows … Sometimes the Lord makes you sweat it a little bit.”

Evans even secured a video segment for the partners with TV station KQTV, shown at the St. Joseph chamber’s annual banquet, among other venues.

“Now we are off and running!” Douglas says. “We jumped in the deep end and we found ourselves swimming.”

And he and Ulmer have never looked back. The firm today has 70 and plans to hire 20 more employees; has around 40 private and two public (Missouri Division of Mental Health, Medicaid) clients; enjoyed gross sales of more than a million and a quarter last year; and is negotiating to locate a second office in Gladstone, north Kansas City.

Douglas says the firm’s largest obstacle by far has been finding the right people. (Yes, he’s also acting HR director.) He and Ulmer first looked at candidates’ prior experience, certifications and the like, but now Douglas says he looks more for character. Skills can be taught. Caring and steadfastness can’t.

“I say [in interviews], If you’re just looking for just a job, there’s Taco Bell right down there. There’s a bank there. We need people who want to help other people.” In fact, he says he won’t let anyone enter a home he wouldn’t have in his own home.

The partners and their families have suffered and emerged not just better people, but better business people. Douglas knows, however, that he doesn’t have all the answers.

He does have the answer to the age-old question of which came first, the chicken or the egg.

In business, “They come at the same time! That’s the answer.”