Showing posts with label St. Joseph MO. Show all posts
Showing posts with label St. Joseph MO. Show all posts

Wednesday, April 6, 2016

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.

Wednesday, January 14, 2015

Effective Communication

Effective Communication
with the Elderly or Disabled

When a family member has to become the caregiver for an elderly parent or disabled family member the dynamics of a relationship will undoubtedly change. Effective communication needs to be a priority during this transition. Sometimes it is difficult to know how to best communicate with an elderly parent or disabled family member, because of all the changes that are taking place.



Communication needs to be beneficial for both the caregiver and the ill family member. Effective communication will keep relationships healthy and strong, and will help avoid problems that may come from miscommunication. The article below has some things you can keep in mind when trying to communicate with your family member. 

A communication breakdown during this time can be very harmful to everyone involved. So, this topic cannot be overlooked; it is essential to the caregiving process and to everyone's overall well-being. These simple tips can greatly improve your communication with the elderly or disabled. 


Caregiving results in major changes in a family: physical, emotional, social and financial issues can arise. It changes the roles, responsibilities and feelings within the family, which can lead to tension and fighting. Caregivers in the AgingCare.com community frequently support each other with "tricks of the trade" when it comes to effective communication with elderly parents.
We would like to share this knowledge, gained from caregiving day-in and day-out, with you. It doesn't always work, and it won't be easy, but we hope it helps you to cope and try to maintain or repair family relationships – and help you keep your sanity during your caregiving journey! 

Don't Give Advice Unless It's Asked For
Parents have advised their children their whole lives, so hearing advice from a child – albeit an adult child - might not go over so well. That parent-child role reversal is hard on the parent. Therefore, giving advice is best avoided unless you are sure it has been asked for. It is generally better to let an outside person be the advisor. You can encourage and provide support, without doling out advise. 

Listen to What Your Elderly Parent is Saying
Really listen. Listen to what the person is saying. Don't interrupt or try to fill in the silence. A period of silence could mean your family member is contemplating a response, thinking through the conversation and how to reply. Listening goes both ways, so try to determine that the person is hearing what you say.

Accept Differences of Opinions
No matter how close a family is, and despite the dynamics involved, everyone is not going to agree all of the time. There is sure to be differences of opinions. Respect the opinions of others; don't disregard them. Listen to all sides, and make a decision together when possible.
Speak Distinctly
Some older adults do not like to admit that they cannot hear or understand the conversation around them.  The higher pitch of women's voices may be a problem for older adults; consciously think to lower the voice pitch. Remain calm and talk in a gentle, matter-of-fact way, keep sentences short and simple, focusing on one idea at a time.
Don't Condescend
Make sure your attempt to "turn up the volume" and slow down your speaking patterns doesn't come across as condescending. Even if your parent suffers from dementia or extreme hearing loss, don't speak to them as you speak to a child. Patronizing is a sure way to start an argument.
Choose the Right Environment
Avoid competing noise or activities such as TV or radio. Face the person as you talk to them. When talking in a group, make sure that the elder is not on the end of the row.  It is better to place the senior in the middle so that the conversation is around them. Or perhaps a quiet walk works best for your elderly parent.
Consider What It Is Like To Be Old
Most seniors experience a series of losses during their later years and are trying desperately to stay in control of themselves and their environment. Letting others help feels to them like giving away control of things.
Pick Your Battles
Most elderly face multiple challenges as a result of growing older. The most common include mobility limitations, decreased stamina, living alone and memory problems. You will need to prioritize the issues you want to address and hope for small victories.
Laugh When you Can
Laughter really is the best medicine. Even in a difficult and stressful caregiving situation, there are some humorous moments. A shared laugh can ease tension while building closeness. However, be sure to laugh with your family, not at their expense.

Monday, December 15, 2014

Tips for Seniors in the Winter Months

You wouldn't know it being 50 out on December 15th, but winter is going to be here any moment. 

If you yourself need a little extra help now and then, if you are caring for a loved one, or even if you’re loved one just recently needs a little bit of extra help. Here are some tips that you’re going to need to keep yourself or your loved ones safe for the next couple of months.

·       If you are not able to do everything for your own. Ask for help silly!!!
The most important tip to keep in mind is to ask for help. If you need help to clear the drive, sidewalks, etc. don’t hesitate to ask a family member, neighbor, social service agency or hire a professional. Really, don’t be afraid to reach out for help.

·       If you’re worried about your loved one.
o   Check in on them regularly, if you live out of town, arrange for neighbors/family to check in.
o   Arrange for someone to keep sidewalks shoveled and de-iced.
o   Make sure your loved one has emergency supplies.
o   Arrange transportation if need be, have groceries delivered, etc.
o   Hire a professional in home care agency such as Comfort of Home Healthcare to come in and help take good care of your loved one during these months.

·       Prepare, Prepare, Prepare!!! There are a handful of likely scenarios that are going to happen during the winter season, prepare for them.
o   Power Outages - At some point, a winter storm is going to lead to a power outage. Make sure there is easy access to flashlights and a battery powered radio. Stockpile warm blankets. Keep some non perishable food and water stored away. Here is a winter weather checklist you might find useful.
§  Oxygen – if you or your loved one is on oxygen you/they most likely have a generator supplying it. If your power goes out you will need backup tanks. Have a supply of both large tanks and smaller portable tanks readily available.

o   Home Heating Safety
§  Service the furnace every fall to make sure it’s in working order.
§  Have all chimneys and flues inspected yearly and cleaned as needed.
§  Install and upkeep on smoke and carbon monoxide detectors.
·       Using a fireplace, gas heater or lanterns can lead to carbon monoxide poising. Be SURE to pay special attention to the carbon monoxide detectors and get an updated one if needed.
§  Keep a fire extinguisher handy, replace as needed and know how to use it.
§  Place space heaters at least three feet from any curtains, betting, etc.


·    
   Stay Inside – This is an easy one. If you don’t have to get out, don’t. Seniors are more susceptible to hypothermia. Conditions such as stroke, Parkinson’s disease, severe arthritis and even some medications can limit the body’s response to cold.
o   IF you have to go out – Dress appropriate, even for a “walk out to the mailbox”. One slip and a fall could mean that your outside for longer than you anticipated.

·       Fight Wintertime Depression – Not being with others and spending more time indoors can lead to feelings of loneliness and isolation.
o   Call family members and check in daily. Get as much contact with others as possible.
o   If you are the family member, call your loved one as often as possible. Even a short daily phone call can make a big difference. If you can visit, even better!

These are just some simple tips and are not intended to be all encompassing. Be sure to get with your family and create a plan as everyone is different and will have different needs.

We hope you find this helpful and hope that you and your loved ones stay safe this winter season. Like always; Comfort of Home Healthcare is here to help, call us if you need anything!

Tuesday, November 11, 2014

Direct Care Staff.. What is it?

Comfort of Home Healthcare commonly posts information about seniors and how to be a caregiver for them. This is a growing concern for many of us with ageing parents and grandparents. 

Did you know that Comfort of Home Healthcare also provides support for people with disabilities? 

We recently posted some information trying to recruit employees for  open positions working with people who have disabilities and ran across some videos that accurately depict what these employees can expect on a shift with us. 

We wanted to share this video with all of you. You might have a passion for helping others and have not thought about working with people other than seniors. 

There are very few jobs out there that you can honestly say that you helped another person at the end of your day and feel good about it. 

Well, this is one of those jobs... With Comfort of Home Healthcare you get to have a job your passionate about. Let me tell you that is pretty rare in this day and age. 

 

If you have any questions and/or feel this is a great fit for you, let us know. We are more than happy to talk to you.

Tuesday, August 19, 2014

The Benefits of Technology for the Elderly

The Benefits of Technology for the Elderly

It is assumed that the older generation is more closed off to the use of technology to enhance or improve life. While this may often be the case, not every senior is completely closed off to giving new technology a chance. The problem lies in the fact that many of the newer technologies are not as easily understood by a generation that wasn't born with iPhones, gaming systems, TiVo systems, iPads, Kindles, laptop computers, Netflix, social networks, and iPods ingrained in their culture like the current generation has been. There is an obvious gap between the younger and older generations in regards to technology, and this gap can be destructive in our communication and connection with our elderly loved ones.  

It is important to remember to be understanding and helpful towards the generation who may have different opinions, experiences, and thoughts that contribute to their view of technology and/or their lack of use of technology in their daily life. It is not an absolute necessity for technology to be used for survival and it doesn't need to be pushed on someone who isn't interested. Sometimes this lack of interest in the technology of our culture comes from misinformation or a lack of information that has been given to the elderly. Although technology isn't a basic need, there are many technologies that would be extremely beneficial for seniors. 



Some of the benefits of technology for the elderly include:
  • Feelings of isolation are rampant among the elderly, and technology will provide a way for them to stay connected to family, friends, and the world. Often they have a limited ability to move or leave a specific place or a specific community, and technology can really open doors to their ability to connect with others and sustain relationships. 
  • Technology can also get them a way to stay updated about family issues and events. This could include small happenings in the family, or larger events such as new births in the family. Technology provides a way for them to feel a part of what is going on in the family, through pictures and more communication.
  • Cell phones, iPods, E-Readers, laptops, and more, can provide entertainment and activities that can give the elderly things to do during "down time" when their days aren't filled with as much activity as it used to be filled with. 
  • Technology can increase a seniors independence, freedom, and quality of life. Many technologies allow the elderly to stay in control of their lives for a longer time.
  • Tools such as internet banking, can help assist the elderly in their financial needs in a more effective way. 
In addition to the specific technologies already mentioned, there is also a category of technology specifically geared towards the needs to the elderly and those with disabilities, which is called "assistive technology". Assistive technology includes special equipment designed to help the elderly and disabled throughout their daily lives and improve their quality of life. Here is a link that will give you more information about this type of technology: Assitive Technology: An Introduction and Overview

Healthy conversations can be had with your loved one about technology, and these conversations could lead to making some positive changes in your loved one's life. Always remember to actively listen to their concerns and thoughts, and speak in a way that will be helpful not hurtful. 

Here are a couple resources that may be helpful in your understanding of this topic: 


Wednesday, May 21, 2014

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.
Comfort of Home logoHe 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.
two men with son injured in car accident
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.”
Comfort of Home office building in St. Joseph
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.
artistic image of hands gently holding a leafDouglas 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.”


Monday, January 27, 2014

COHH is Pleased to Announce the Start of Another New Service! Snow Removal/Lawn Care!

As the owners of Comfort of Home Healthcare we pride ourselves in going above and beyond for our clients. After all, we have been where they are; we have and still do take care of our own loved ones in the comfort of their home.

While we were out picking up caregivers and taking them to our clients homes to work during inclement weather, it occurred to us that most of our clients probably need additional help in removing the snow from their drives, sidewalks, lawns, etc.

In order to be more helpful to our clients and their families, Comfort of Home Healthcare is extremely happy to announce that we are now offering snow removal services in the winter and lawn care during the summer. With these services, we can allow you to focus more of your time and energy on the more important things in life. Let us take care of the details for you during this time. 



If you or any of your family/friends are interested, please give us a call or if it’s easier, shoot us an email. We can always be reached at 816-671-0298 or info@comfortofhomehealthcare.com. Just ask for Jason or Tad.


All homes and driveways/lawns are different and will have to be bid individually. Also, note that all direct Comfort of Home Healthcare clients will receive a significantly discounted rate!!

Wow, the green grass sure looks good right about now!!

Monday, December 23, 2013

CAUTION: Preventing Falls in the Elderly

CAUTION
Preventing Falls in the Elderly

Statistics show that falls among the elderly are the most common fatal injury in the home. It is crucial that necessary steps be taken to prevent these falls from happening. Comfort of Home Healthcare makes the safety of their clients a priority, and they need families to come alongside them in these efforts. There are specific preventative measures that can be taken in order to avoid falls among the elderly as much as possible. If the injuries from a fall are not fatal, they still cause more challenges for the elderly person as they now have to deal with the effects of the injury and the recovery process. Here are some practical steps that can be taken to help insure the safety of your home for your loved one:
  1. Stairways should have handles on both sides.
  2. Attach safety treads to steps.
  3. Remove all tripping hazards such as throw rugs, furniture, and any clutter from walkways. 
  4. Use self-adhesive non-skid mats or safety treads in bathtubs, showers, bathroom floors, and pools. Any slippery surface is a potential hazard for slips and falls. 
  5. Use non-skid rugs on bathroom floors.
  6. Use non-skid pads under rugs on bare floors.
  7. Install grab bars on both sides of toilets and bathtubs, especially those used by seniors.
  8. Consider having them use a walking aid, which will help with stability in and out of the home.  
  9. Talk to their doctor about other ways to reduce the risk of falls. This may include changing medication, exercising to improve strength/balance, etc. 


According to statistics in 2008, 19,700 elderly adults died from injuries they sustained during a fall. This number can be decreased if we are more aware of the risks and take the necessary steps toward preventing these falls. Our families and our loved ones will benefit as a result. 

Here are some resources that will give you more information about how to assess the risk of your loved one for falls, and how to be as preventative as possible:



Wednesday, October 30, 2013

What kind of "Legacy" are you leaving your loved ones?

Here at Comfort of Home Healthcare we see families in times of crisis on a daily basis. We are blessed in being able to provide quality caregivers to help families when they need it the most. 

One thing you can count on its that at some point you are going to need help to stay in the comfort of your home for the remaining your years when your health starts to fade.  

These years can be very stressful on a family, especially when the adult children are left to manage mom and dad’s care. One of the single most important step the process of making this an easier transition, is to plan for your own care.  


I ran across Frank the other day and he had some insightful things to add to this very topic. He put some helpful tips together for us in order to better help our clients and our community.

What kind of  "Legacy" are you going to leave your loved ones?

Legacy being defining as: Something inherited from a predecessor, a heritage. When you apply that to planning for care for yourself. Are you relying upon a predecessor to do that planning? Or are you planning on the government to take care of you? It is rare indeed to see a parent [as a predecessor] to plan for their children's long term care. The reality is, it is up to you! 

Mortality is 100%, yet, few of us want to plan for that unavoidable event.  Part of that is the time of our life when we, or a loved one, are faced with a set back to health and require assistance with activities of daily living. It may be for only 30 minutes. For others it may be 10 plus years.

One important step (one of many) in legacy planning is your “Health Care Directive". Who would you select to speak for you in case of a health crisis? In most areas, law requires you to have a signed Directive before receiving care.

Where do you start? How to select a directive?
Here are some things you’re going to need to think about before assigning someone as your health care directive:

1. Meets the legal requirements in your State.
2. Would be willing to speak on your behalf.
3. Would be willing to act on your wishes and separate his/ her feelings from yours.  
4. Lives close by or could travel to be by your side.
5. Knows and understands you well.
6. Is someone you trust with your life. Can you "pull the plug" on a loved one?
7. Will talk with you now about sensitive issues, and will LISTEN to your wishes.
8. Will be available long into the future. 9. Would be able to handle sensitive family conflicts. 10. Can be a strong advocate in the face of an indifferent doctor or institution.

We hope to share some ideas from time to time to slow you down long enough to ponder making a difference in your legacy.

Meanwhile; more information is available through legacy4you@ymail.com or by calling Frank Sindelar at 816-752-2624.

Thanks for "listening".

I hope you found this helpful, and please if you have questions don’t be bashful.

Here are some articles to read if you would like more information.

Four Goals of Legacy Planning – (articles on the financial aspect of legacy planning)


Tuesday, September 10, 2013

Preparing Your Children

Preparing Your Children

Whenever a parent/grandparent becomes ill, it may be very confusing and heartbreaking for a child. They won't automatically know how to respond to the changes in their grandparents behavior and health. Their grandparents might not be able to be as involved as they used to be, or they may suffer from dementia, or they may have symptoms that are confusing to a child. All of these things can be addressed in a way that is beneficial for both your children and your parents. 


Depending on age, children can't grasp certain medical concepts, death, or other changes that are taking place. There are appropriate ways to communicate with your children about these things. You don't want your child to be caught off guard by your parents declining health, it is better for them to be prepared for what they will experience before they actually experience it. 

Talking with your children honestly and simply is the best way to inform them about their grandparents health. There may come a time when you need to talk to them about death. This conversation may vary depending on age and on the individual child's needs. 

The first article below gives some tips about how to prepare your child to visit your parents. The second article gives helpful advice on how to talk to your children about death when the time is right.

Although this can be a very difficult time in your child's life, it will also be a learning process and time of growth for them. Teaching them how to cherish every moment and grieve properly will be skills they will need throughout their entire life.  

Preparing Your Children to Visit Your Parents 
(click on title to go straight to article)

Visiting an elderly grandparent who is frail and ill can be tough for your children whether they're youngsters or teens. There are things you can do before that meeting to make the time together less stressful and more rewarding for both generations.

     ● First, always remember to treat each child in a way that is appropriate for his or her age. Give your kids the basic information about their grandparent's condition in words they can understand. For example, "emphysema" probably means nothing to them. Tell them Grandma may have trouble breathing and some difficulty talking. She may need some oxygen. Describe an oxygen mask what it does and how it helps her to breathe.


     ● Talk about what equipment is being used. For instance, if your parent is on an I.V. or has a catheter bag hanging beside the bed. Kids are amazingly curious and "just looking around" may be the way for them to pass the time. Let them know you’ll answer question after the visit with Grandpa.


     ● Go over appropriate and inappropriate behavior, whether the visit is taking place in a bedroom, a nursing home or the hospital. There's no running around. And like a library or a church, it's a quiet place. And we use our "quiet voices."


     ● Warn them that all visitors may need to step out of the room if Grandpa has to take care of some personal business with a nurse or attendant.


     ● If Grandma has dementia, talk about what symptoms the children might see. Explain how she might not recognize them—or you—and might speak as if a long-dead relative is still living.


     ● Remind your children that when they aren't feeling well they tend to be cranky. The same is true with grown-ups. Grandpa may seem angry or get upset easily but it's not because he's mad at them.


     ● Offer some suggestions for what they might talk about with their grandparent. They can tell what they're doing in school. They can talk about their sports team or about their pets.


     ● Suggest that younger children might want to prepare some homemade gift, maybe a drawing to hang on the wall. Explain to older ones that their visit is a gift, one that can mean a great deal to their grandparent.


     ● Remember that your children may have very few, or no, memories of this person, especially if you live a distance from your parent and, over the years, visiting has been limited. Your father may seem to be only a little old man lying in bed. Tell your kids stories about him. About the Dad you knew. This will help your children understand why it's so important to you that they see him. So important they get to spend time together. Then, too, you’re proud of your children and you want your parent to see them.


     ● It might help to dig out the old family photo albums. Let your kids see pictures of Mom when she was young. Celebrating birthdays. Opening Christmas presents. Enjoying a vacation. Help your children understand she has a history. She has lived a long life.


     ● Prepare yourself to talk about death with your children. Don’t just wing it on the spot. This may be especially difficult, but just as you talk about how life begins when there's a newborn around, talk about how life ends. How Grandpa is near the end of life on earth and what that means. Why it's important that, just as life is respected when it comes into the world, so it needs to be as it leaves.


     ● Talk about how precious life is. And how, just because someone is bedridden, just because someone isn’t making money, it doesn't mean that person's life has no value. Maybe this is a time for Grandma to pray. Maybe it is a time to reminisce with family and friends and say good-bye. Maybe it is all of those, a time to prepare for the life that comes after this life.


     ● Remind your children they will be in the presence of history. In the presence of wisdom. Tell them you hope years from now they will remember this day, this visit—this person who has meant so much to you.



Talking to Your Children About Death
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It’s difficult, if not impossible, to explain death in words that children will understand when we don’t even really understand it ourselves.

     Still, it’s important to take the time to talk to your children. These are some points to keep in mind:

     --It’s easier to talk to your children about death before your parent is near death. And it is easier to talk about death in general, or the death of someone who isn’t too close to the family, than to talk about the death of a loved one. You might prepare your child by bringing up the subject after an elderly parishioner or neighbor has died.

     --You can use books to prepare your child.  Local Catholic bookstores will have age-appropriate books for children about death. (For example Your Grieving Child by Bill Dodds (Our Sunday Visitor) and Water Bugs and Dragonflies, by Doris Stickney (Pilgrim Press).)

     --You’re upset, too. It isn’t just your parent’s approaching death that can be upsetting to your child; it’s seeing you so upset as well. Don’t gloss over or hide your feelings, but be aware that your child is picking up on them.

     --Your child may take the death of your parent very personally. “I’m not going to see my grandma ever again.”

     --A child’s sense of security can be rattled. If Grandpa can die, that means Dad can die. If Dad can die, that means I can die.

     --It’s important to choose your words carefully. In some ways, talking to your child about death is like explaining “the birds and the bees.” You use words and concepts that someone at his or her age level will more easily understand. At the same time, it helps to remember that different children have different personalities and points of view. One child is more intellectual. Another is more easily frightened. Another is more sensitive. Use an approach that fits each child best. It’s also best to talk to each child individually before bringing up the subject with all your children as a group.

     --Talking about death as “falling asleep” or using similar analogies can be confusing for a child. Phrases like those can makes it difficult for some children to sleep because they’re afraid that if they do, they too will die. Also, if they see Grandma napping, they may become frightened that she has died. “God wanted Grandpa with him in heaven”—another common explanation—can make God seem pretty selfish, if not downright mean. 

     --This can be a good time to talk about spiritual beliefs. Talk about bodies and souls. Yes, we won’t see Grandma again here on earth, but where she’s going is a much better place. again.

Tuesday, May 7, 2013

Do you need in-home care???


Every day at Comfort of Home Healthcare we see and hear about more and more seniors who need professional help brought into their homes, yet they hesitate in actually making the decision to  go through with hiring an agency to provide any services.

The family needs to start taking an active role in keeping their ageing loved ones safe in their homes. Unfortunately, there isn't a "Home Care for Dummies" book at the office supply store to pick up and tell you what to do if you find yourself in this situation.

So here is some helpful information that we have picked up along the way through being in the home care business AND personally being in your shoes by needing to find a home care agency  (*see the who we are page) to provide services for our own loved ones.

Your family needs to ask this question: “Do we need to bring in a caregiver to help out?"

Here are some questions that can help you make this decision more efficiently.
  1.   Does your loved one need help walking?
  2.  Has there been a recent emotional or medical crisis with your loved one?
  3.  Is your loved one unable to do errands alone?
  4.  Have there been recent falls/injuries?
  5. Have you noticed any recent memory issues? Early onset of Dementia/Alzheimer’s?
  6.  Is your loved one neglecting their hygiene?
  7.  Are they wearing the same clothes each day?
  8.  Are medications either running out too soon or being left over?
  9.  Does your loved one seem depressed?
  10.  Is your loved one losing weight or having changes in appetite?
  11.   Is your loved one neglecting their home?
  12.   Has one loved one become the caregiver for the other?


If you can respond yes to even one of these questions, you really need to start seriously thinking about and considering in-home care for your loved one.

Once you have made the important decision to bring in help for your loved one, now you need to decide on whom. Through our (both owners) experiences before opening Comfort of Home Healthcare, we found that not all agencies are created equal.

You are going to have to interview and do research on who you are going to bring into your loved ones home to help out. We can’t stress enough how important this is. You need to feel comfortable with the agency you choose; and they should also be transparent about how they run their agency.

This is especially true in the private duty (private pay) industry. When there are no regulatory bodies, such as Medicaid or Medicare, etc. there are really no standards imposed on the industry.  You could potentially hire an unprofessional agency and unintentionally expose the home owner to a plethora of liabilities.

Here is a list of questions you’re going to want to know about the agency you hire:

1.        How long has the agency been in business?
a.       Is it privately owned or a franchise?
b.       If it is privately owned, why have they started the company? What’s their story?
c.       If it’s a franchise, who are the owners and who is the Director? 
2.       Are caregivers employees of your company (not 1099 contractors) and protected by workers compensation?
a.       If they are not employees, they are probably not protected by insurance and work comp.
3.       Does your agency carry liability coverage?
a.       If they do not, the home owner is completely liable if there is any accidents, etc. with the caregiver.
4.       Does your agency provide 24/7 telephone service?
a.       People need help other than 8a-5p Monday through Friday.
5.       Are your caregivers bonded and insured for theft/damages?
6.       Do you conduct national and local criminal background checks and driving records of all employees?
7.       Do you drug test employees?
8.       Do you provide backup coverage in the event a caregiver can’t make it to work? How do you do this?
a.       If they do not provide backup coverage, when the caregiver quits or is sick, there will be no one provided to help.
9.       Does your agency require a minimum number of hours per shift? If so what is it?
10.    Can your agency provide 24/7 services?
11.      How much say will the family have in your services?
a.       Do you get a say if you have a complaint?
12.     Do your services include personal care such as bathing, incontinence care, mobility assistance and medication assistance?
13.     Does your agency provide transportation services for clients?
a.       If so how do you bill it?
14.    Does your agency maintain a business office where I can meet you and the office staff?
15.     How does your agency document the caregivers work done in the home?
a.       If there is documentation from caregivers, what does it look like and where is it kept?
16.     Does your agency make supervisory visits to a client’s home?
a.       If so, by whom and when?
17.     Can you provide a list of professional references from families you have served in the past?
18.     Does your agency possess any state/local/federal contracts to provide in home care services?
19.    How does the agency ensure patient confidentiality? How?
20.   How quickly can your agency initiate service?

We hope you find this information helpful, and like always you can always call us with any question you might have. Were here to help!