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.

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!

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.

The Aging Process: What Can Be Expected?

The Aging Process

What Can Be Expected?

From birth, we begin to experience the lifelong process of aging. Most of our life this is marked by constant growth and new abilities. There is a point in ageing when a person's health begins to deteriorate or decline physically and mentally. The elderly population can often be misunderstood as they begin to go backwards, but this is a natural part of the aging process. Understanding the aging process will allow us to help enhance the quality and even the quantity of an elderly persons life. 

Not all of the effects of aging are harmful, such as the thinning of hair, hair turning grey or white, skins thins and becomes less elastic, wrinkles will be more present, and weight may change or become more concentrated in a specific area. Even though there will be more obvious changes that take place, there will also be changes that happen inside the body and that will effect the overall health of a person. These changes may vary depending on genes, lifestyle, and disease, but there is a "normal" pattern that is observed as people enter their later years (typically age 65 and older). 

Some very specific changes that will take place as a part of this process include changes in: (www.agingcarefl.org) 

• Eyesight: Loss of peripheral vision and decreased ability to judge depth. There may also be a decrease in the clarity of colors. 
• Hearing: Loss of hearing accuracy, especially sounds at the higher end of the spectrum. Also, decreasing ability to distinguish sounds when there is a lot of background noise. 
• Taste: Decreased taste buds and saliva. 
• Touch and Smell: Decreased sensitivity to touch and ability to smell.
• Arteries: Stiffen with age. Additionally, fatty deposits build up in your blood vessels over time, eventually causing arteriosclerosis (hardening of arteries). 
• Bladder: Increased frequency in urination. 
• Body Fat: Increases until middle age, stabilizes until later in life, then decreases. Distribution of fat shifts, moving from just beneath the skin to surround deeper organs. 
• Bones: Somewhere around age 35, bones lose minerals faster than they are replaced.
• Brain: Loses some of the structures that connect nerve cells, and the function of the cells themselves is diminished. 
• Heart: This muscle thickens with age. Maximum pumping rate and the boy's ability to extract oxygen from the blood both diminish with age. 
• Kidneys: Shrink and become less efficient.
• Lungs: Somewhere around age 20, lung tissue begins to lose its elasticity, and rib cage muscles shrink progressively. Maximum breathing capacity diminishes with each decade of life. 
• Metabolism: Medicines and alcohol are not processes as quickly. Prescription medication requires adjustments. Reflexes are also slowed while driving.
• Muscles: Muscle mass declines, especially with lack of exercise. 
• Skin: Nails grow more slowly. Skin is more dry and wrinkled, and heals more slowly..

The better we understand the aging process, the more efficiently we can help our loved ones during this time. Although this time may be marked by significant physical, mental, and emotional changes, this is also a significant time for people as they get to spend time with their families, reflect on life, try new things, and make lasting memories. It is important that we are able to talk to our loved ones about what they are experiencing, even though we may not directly or fully understand the process yet. 

There are some contributing factors that will help strengthen the elderly during their aging process, and that are known to help with both the length and quality of life. Some of these factors include:

• Dietary and nutritional factors. 
• Moderate consumption of alcohol.
• Physical activity throughout life.
• Sexual activity continues in later years.
• Social involvement factors.
• Physical environment factors.

Being actively involved in your health now will most likely result in better health conditions in your later years. It is necessary that we stay knowledgeable about the aging process, for the benefit of ourselves and our loved ones. 

Discovery health provides a very helpful resource that gives more specific information on the aging process: The Aging Process

Were Hiring!!!

We still have several job opportunities with Comfort of Home Healthcare.

Please forward this link to anyone you know that might be interested in working for us.

Come on in and fill out an application and you can get an interview on the spot!!!!

We are located at 2207 S 36th Street, St. Joseph MO. (There is some road construction so look at the map below to see the detour on how to get here)

Comfort of Home Healthcare Open Positions: 
(Caregiver Tip: The more available you are on when you can work, the more hours we can give you)

NEW!!!! DAY SHIFTS IN WESTON MO!!!! (Posted 7/28/14)

Personal Care Attendant/Direct Care Aide (Caregiver)

Comfort of Home Healthcare has several of these positions open! We are in the need of part time and full time caregivers.
Comfort of Home Healthcare provides caregiving services in the home of seniors and people with disabilities.
If you are a person who feels compassion for others and is drawn to take care of people, this is the perfect match for you!
All shifts are available, but the majority of our open positions will be either evenings and/or overnights.

Personal Care Attendant/Direct Care Aide (Caregiver) Rosendale/Savannah

Comfort of Home Healthcare is looking for a couple outstanding Direct Care Aide's to work evenings and some weekends in the Rosendale/Savannah area. Will pay mileage to get you there and back.

House Manager

Comfort of Home Healthcare is looking for a outstanding person to fill a management position with our company. Any client of Comfort of Home Healthcare who receives more than 16 hours of service daily will have one person dedicated to manage that particular home.

This position is typically a 40 hour weekly position and works the day shift in that home, but must be available 24/7 to answer questions and take calls from staff in that home.

Link to Comfort of Home Healthcare Application
(for your convenience, just print it and bring it in!)

Map with Detour

Depression and Suicide Prevention

Depression and Suicide Prevention

in the Elderly

There is no age group that is immune to depression, but statistically the elderly suffer with depression resulting in suicide more than any other age group or group of people. Statistics show that the elderly comprise about 13% of the United States population but they are responsible for over 18% of the total suicides in the United States. Even though depression is very common in the elderly this does not mean that it can't be treated. Often the cause of suicide in the elderly is depression that is left untreated or mistreated. 

Depression can result from various changing circumstances, but is ultimately a chemical imbalance in the brain. The symptoms of depression can be recognized more quickly if you are aware of what you should be looking for in yourself or in your loved one. It is vital that depression does not go untreated, because it will result in a low quality of life and could lead to attempted suicide. 

Here are a few warning signs that someones may be struggling with depression:

• Loss of interest in things or activities that were previously found enjoyable. 
• Cutting back on social interactions, self-care, and grooming.
• Breaking medical regiments. (Such as prescriptions, diets, etc.)
• Expecting or experiencing a significant personal loss.
• Feeling hopeless and/or worthless.
• Loss of appetite, loss of energy, and weight loss.
• Insomnia and restlessness.
• Suddenly putting affairs in order, giving things away, or making changes to wills.
• Stock-pilling medication or obtaining other lethal means.
• Preoccupation with death or a lack of concern about personal safety.
• Expression of suicidal intent. 

In addition to specific warning signs that you can keep watch for, there are also specific characteristics or situations that may put a person at high risk for depression. A person does not need to have all of these characteristics, but these characteristics may be contributing factors to putting someone at a higher risk for depression. Some of these include:

• Increased age.
• White male.
• Divorced.
• A major psychiatric disorder.
• Misuse of alcohol or drugs.
• Any medical illness.
• Family discord.
• Financial trouble.
• Physical disability.
• Unrelieved pain, or chronic pain.
• Loss and/or grief. 
• Social isolation or solitary living.
• Inability to face and manage crises. 

If you recognize any of these characteristics or warning signs in yourself or your loved one, it is necessary to get help right away. The best way to get help is to visit your doctor and be honest about what is being experienced, from there your doctor can assess your well-being and take the steps they feel necessary to better your health. Your doctor will have more information about medications that need to be given or taken away, and about lifestyle changes that may need to take place.

Your loved one needs to know that the lines of communication are open, because it may be a daunting task for them to come to you about the problems associated with depression. If you are more aware of the symptoms, you will be more effective in preventing depression and suicide in your loved one. 

Unfortunately, the chances of suffering with depression or knowing someone who is suffering with depression is extremely likely. In the case of depression, awareness may be prevention. We must be ready to act when we are faced with these situations, especially in our families. 

This article will give more research based information about depression and suicide in the elderly: Suicide in the Elderly

Affording In-Home Healthcare

Affording In-Home Healthcare

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. 

• Employer-Sponsored Health Savings Account (HAS) or Flexible Spending Account (FSA): If you or your loved one is employed, many employers will offer a HAS or FSA in their benefit plans.

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!

COHH is Pleased to Announce ~ Shared Life, Live-in Companion

Comfort of Home Healthcare is happy to announce that it’s looking for some caring individuals to make a huge difference in the life of another person. We normally provide more “traditional” in-home care services to seniors and people with disabilities.

Comfort of Home Healthcare was founded from a passion and drive to make a difference in people’s life’s, fueled by our own personal experiences.  Providing the best care possible to people who need help to remain independent is our sole goal and focus each and every day. With this commitment in mind, we cannot be more excited to begin a new journey in providing a non-traditional model of care for people with developmental disabilities in shared life, or live in companion.

The live in companion model, utilizes a shared home/ shared life approach to provide supports to people with developmental disabilities. This means that a person with a disability lives with and shares a home with a paid caregiver.

Shared Living is based on the importance of enduring and permanent relationships as the foundation for learning life skills, developing self-esteem and learning to exist in interdependence with others. 

The essential future of the Shared Living experience provides an opportunity for each individual with a developmental disability to grow and develop to his or her greatest potential and to participate in everyday community life. 

Shared living also provides individualized attention based on the needs of the individual with developmental disabilities. Shared living gives individuals opportunities to be completely immersed in their community and take an active role in their life.

Some of the many reasons Comfort of Home Healthcare is excited to be starting this type of service because the Shared Living model are: (taken from Division of Developmental Disabilities)

·        Inclusion in the community has been and continues to be a major focus of supports for people with disabilities. The Shared Living model has proven to be as good means for providing true inclusion in a person’s community, if the individual is matched and well supported by the Shared Living Provider.

·        Shared Living can provide both a stable support system and a higher quality of life for the person receiving services. The issue of staff people “revolving” in and out of the person’s life is minimized.

·        Shared Living can also provide a stable, flexible, higher quality of life for the individual.

·        This model provides the training and services quality review needed to assure the person served and the system of the highest possible quality and cost-effectiveness of the services.

Companions (paid caregiver) typically work Monday-Friday and begin each day when the consumer awakes. They assist the consumer with their morning routines, daily care, medications, meal preparation, etc.

Most consumers attend a day program, have a job or attend school and the companion is off work during these times. If the consumer is not gone during the day, then the companion is with the individual to assist them throughout the day. The companion also assists the consumer in the afternoon and evening time with their evening/night routines and then typically goes to bed after consumer has done so

_____________________________________________________________________________

Companions are salaried positions and are tied to weekdays. Companions are live in, this means that their rent and utilities are paid for, in addition to their salary.  

Each companion has the option of taking weekends off. During this time Comfort of Home Healthcare provides relief staff. ____________________________________________________________

Comfort of Home Healthcare, right now is actively seeking Companions and Relief staff for a woman with a developmental disability. As far as we know, we will be the first one in our area under this model, it will be exiting to start with us and be the first. 

Please help us spread the word to someone who you think this would be perfect for. It is absolutely paramount that we find the right person for this model and will keep interviewing until we find it.

If you have any questions about this, please do not hesitate to contact us. 816-671-0298, Ask for Jason.