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CareGivers providing in home care often are faced with various levels of Alzheimer’s disease. The memory loss found during home care varies in degree and thus requires flexible and sometimes creative caregiving techniques.  The follow is a recap of President Ronald Regan’s battle with Alzheimer’s.  Care-To-Go CareGivers in the Phoenix, Scottsdale, Chandler and Gilbert areas salute his contribution to America.

When Alzheimer’s Waited Outside the Oval Office

By LAWRENCE K. ALTMAN, M.D.

WASHINGTON — Ron Reagan’s new memoir, “My Father at 100,” has touched off sensational headlines with its suggestion that President Ronald Reagan might have begun showing hints of Alzheimer’s disease while still in the White House.

But in two interviews this month, the younger Mr. Reagan said he never meant to suggest that his father had dementia before leaving office in 1989. And he graciously took the blame for not being more explicit in a passage that described a few personal observations along with comments from the former president’s doctors.

A “rather small section of the book has attracted outsize attention,” he said in a telephone interview from Seattle, where he lives.

All he meant, he continued, was that the amyloid plaque characteristic of Alzheimer’s can start forming years before it leads to dementia. The former president’s diagnosis was made in 1993, four years after he left office.

“Given what we know about the disease,” his son told me, “I don’t know how you could say that the disease wasn’t likely present in him during the presidency.”

Had it been stated that way, the assertion about Alzheimer’s would have stirred little if any debate. Still, the issue is important for anyone — including candidates for office — because of the difficulty of distinguishing the initial symptoms of Alzheimer’s from, say, simple forgetfulness.

The disease occurs most frequently after 70, but it can strike younger people. Dr. Alois Alzheimer, a German psychiatrist, diagnosed the first case in a 51-year-old woman. It is now recognized as one of a number of types of dementia. And diagnosing it with certainty requires a brain biopsy, rarely done while a patient is still alive.

Mr. Reagan’s mental state was an issue even before he became the oldest man elected president, at 69, in 1980. Adversaries were fond of attributing his penchant for contradictory statements, forgetting names and general absent-mindedness to Alzheimer’s.

I reported on Mr. Reagan’s health, and he told me that his mother, Nelle, had died of senility — and that if he were to develop it in office he would resign.

As a follow-up to questions about Alzheimer’s, my extensive interviews with his White House doctors, key aides and others, I found no evidence that Mr. Reagan exhibited signs of dementia as president. The interviews did not include family members.

Moreover, until Ron Reagan’s memoir appeared, no other family member — and not Edmund Morris, the official biographer who spent seven years with Mr. Reagan in the White House — publicly hinted that he showed evidence of Alzheimer’s as president.

“My Father at 100” (Viking) is an affectionate, often lighthearted account of a son’s attempt to uncover his father’s character by going back to his early days. It is generally well written, except for portions of the closing chapter about Alzheimer’s — which Ron Reagan acknowledged were flawed because he “relied on memory” without checking facts about when and where the suspicion of his father’s Alzheimer’s was first raised.

He writes, for example, that after the former president fell from a bucking horse in Mexico in 1989, his doctors detected probable signs of Alzheimer’s in removing a blood clot that formed between his skull and brain. But such a procedure does not involve a brain biopsy that doctors would need to diagnose dementia.

Moreover, Mr. Reagan was flown to a military hospital near Tucson — not taken to San Diego, as his son writes — and the blood clot, a subdural hematoma, was removed weeks later at the Mayo Clinic in Rochester, Minn.

In the interviews, Ron Reagan genially acknowledged the errors and said that if he had anticipated the controversy he created, he “would have done more due diligence in terms of pinning down dates.”

When his father was president, Mr. Reagan, then a professional dancer with the Joffrey Ballet, visited him two or three times a year. Now 52, the younger Reagan has been a radio and television talk show host, commentator and magazine writer. In the book, he writes that he did not want his father to run for a second term, partly because of political differences (Ron has long been liberal) and partly because of his concern about Mr. Reagan’s health — not the possibility of Alzheimer’s, but the near-fatal gunshot wound he sustained in a 1981 assassination attempt.

Understandably, the son’s memories about his father’s Alzheimer’s focused on when it first produced symptoms. The anecdotes that he cites are either well known or lack convincing evidence for Alzheimer’s.

For example, he recounts the 1984 re-election campaign, when his father performed dismally as he floundered through his responses and was lost for words in his first debate with his opponent, Walter F. Mondale. But Mr. Reagan performed well in the second debate, 11 days later.

While spending a day in the Oval Office in 1987, the younger Reagan noticed that aides were providing his father with scripted index cards — a technique he often used when giving speeches — for phone calls lasting five minutes at most, implying signs of a failing memory. But in an interview, Mr. Reagan said it was “hard to know what to make of that” — and laughed as he said he was using similar notes in our conversation.

The son noted little things that he could not explain and to which he did not attach a name at the time. Based on knowing his father’s demeanor and cognition over a lifetime, the observations created an impression “that something was amiss.” But, he wrote, he did not want to leave an impression that his “father was catatonic or mumbling incoherently” at any period in the White House.

In his last months, Mr. Reagan held court from a hospital bed in his den, uncomplaining and gently agreeable. By this time he looked younger; his face had lost many of its worry lines and wrinkles. But as he stopped eating and drinking and his kidneys failed, Mr. Reagan lost the decade-long battle with Alzheimer’s and died on June 5, 2004.

Alzheimer’s hereditary patterns are not precisely known. Ron Reagan said he is aware that he is at risk for the disease. But he has not had genetic tests for it, and has not been asked or volunteered to take part in any study of the family history of Alzheimer’s.

Care-To-Go provides home care and caregivers in the Phoenix, Scottsdale, Chandler and Gilbert areas.

The old man sat in his gas station on a cold Christmas Eve. He hadn’t been anywhere in years since his wife had passed away. It was just another day to him. He didn’t hate Christmas, just couldn’t find a reason to celebrate. He was sitting there looking at the snow that had been falling for the last hour and wondering what it was all about when the door opened and a homeless man stepped through.
Instead of throwing the man out, Old George as he was known by his customers, told the man to come and sit by the heater and warm up. "Thank you, but I don’t mean to intrude," said the stranger. "I see you’re busy, I’ll just go."
"Not without something hot in your belly." George said.
He turned and opened a wide mouth Thermos and handed it to the stranger. "It ain’t much, but it’s hot and tasty. Stew … Made it myself. When you’re done, there’s coffee and it’s fresh."
Just at that moment he heard the "ding" of the driveway bell. "Excuse me, be right back," George said. There in the driveway was an old ’53 Chevy. Steam was rolling out of the front. The driver was panicked. "Mister can you help me!" said the driver, with a deep Spanish accent. "My wife is with child and my car is broken." George opened the hood. It was bad. The block looked cracked from the cold, the car was dead.
"You ain’t going in this thing," George said as he turned away.
"But Mister, please help …" The door of the office closed behind George as he went inside. He went to the office wall and got the keys to his old truck, and went back outside. He walked around the building, opened the garage, started the truck and drove it around to where the couple was waiting. "Here, take my truck," he said. "She ain’t the best thing you ever looked at, but she runs real good."
George helped put the woman in the truck and watched as it sped off into the night. He turned and walked back inside the office. "Glad I gave ‘em the truck, their tires were shot too. That ‘ol truck has brand new ." George thought he was talking to the stranger, but the man had gone. The Thermos was on the desk, empty, with a used coffee cup beside it. "Well, at least he got something in his belly," George thought.
George went back outside to see if the old Chevy would start. It cranked slowly, but it started. He pulled it into the garage where the truck had been. He thought he would tinker with it for something to do. Christmas Eve meant no customers. He discovered the the block hadn’t cracked, it was just the bottom hose on the radiator. "Well, shoot, I can fix this," he said to
Himself. So he put a new one on.
"Those tires ain’t gonna get ‘em through the winter either." He took the snow treads off of his wife’s old Lincoln. They were like new and he wasn’t going to drive the car anyway.
As he was working, he heard shots being fired. He ran outside and beside a police car an officer lay on the cold ground. Bleeding from the left shoulder, the officer moaned, "Please help me."
George helped the officer inside as he remembered the training he had received in the Army as a medic. He knew the wound needed attention. "Pressure to stop the bleeding," he thought. The uniform company had been there that morning and had left clean shop towels. He used those and duct tape to bind the wound. "Hey, they say duct tape can fix anythin’," he said, trying to make the policeman feel at ease.
"Something for pain," George thought. All he had was the pills he used for his back. "These ought to work." He put some water in a cup and gave the policeman the pills. "You hang in there, I’m going to get you an ambulance."
The phone was dead. "Maybe I can get one of your buddies on that there talk box out in your car." He went out only to find that a bullet had gone into the dashboard destroying the two way radio.
He went back in to find the policeman sitting up. "Thanks," said the officer. "You could have left me there. The guy that shot me is still in the area."
George sat down beside him, "I would never leave an injured man in the Army and I ain’t gonna leave you." George pulled back the bandage to check for bleeding. "Looks worse than what it is. Bullet passed right through ‘ya. Good thing it missed the important stuff though. I think with time your gonna be right as rain."
George got up and poured a cup of coffee. "How do you take it?" he asked.
"None for me," said the officer.
"Oh, yer gonna drink this.  Best in the city. Too bad I ain’t got no donuts." The officer laughed and winced at the same time.
The front door of the office flew open. In burst a young man with a gun. "Give me all your cash! Do it now!" the young man yelled. His hand was shaking and George could tell that he had never done anything like this before.
"That’s the guy that shot me!" exclaimed the officer.
"Son, why are you doing this?" asked George, "You need to put the cannon away. Somebody else might get hurt."
The young man was confused. "Shut up old man, or I’ll shoot you, too. Now give me the cash!"
The cop was reaching for his gun. "Put that thing away," George said to the cop, "we got one too many in here now."
He turned his attention to the young man. "Son, it’s Christmas Eve. If you need money, well then, here. It ain’t much but it’s all I got. Now put that pea shooter away."
George pulled $150 out of his pocket and handed it to the young man, reaching for the barrel of the gun at the same time. The young man released his grip on the gun, fell to his knees and began to cry. "I’m not very good at this am I? All I wanted was to buy something for my wife and son," he went on. "I’ve lost my job, my rent is due, my car got repossessed last week."
George handed the gun to the cop. "Son, we all get in a bit of squeeze now and then. The road gets hard sometimes, but we make it through the best we can."
He got the young man to his feet, and sat him down on a chair across from the cop. "Sometimes we do stupid things." George handed the young man a cup of coffee. "Bein’ stupid is one of the things that makes us human. Comin’ in here with a gun ain’t the answer. Now sit there and get warm and we’ll sort this thing out."
The young man had stopped crying. He looked over to the cop. "Sorry I shot you. It just went off. I’m sorry officer."
"Shut up and drink your coffee " the cop said.
George could hear the sounds of sirens outside. A police car and an ambulance skidded to a halt. Two cops came through the door, guns drawn. "Chuck! You ok?" one of the cops asked the wounded officer.
"Not bad for a guy who took a bullet. How did you find me?"
"GPS locator in the car. Best thing since sliced bread. Who did this?" the other cop asked as he approached the young man.
Chuck answered him, "I don’t know. The guy ran off into the dark. Just dropped his gun and ran."
George and the young man both looked puzzled at each other.
"That guy work here?" the wounded cop continued.
"Yep,"  George said, "just hired him this morning. Boy lost his job."
The paramedics came in and loaded Chuck onto the stretcher. The young man leaned over the wounded cop and whispered, "Why?"
Chuck just said, "Merry Christmas boy … and you too, George, and thanks for everything."
"Well, looks like you got one doozy of a break there. That ought to solve some of your problems."
George went into the back room and came out with a box. He pulled out a ring box. "Here you go, something for the little woman. I don’t think Martha would mind. She said it would come in handy some day."
The young man looked inside to see the biggest diamond ring he ever saw. "I can’t take this," said the young man. "It means something to you."
"And now it means something to you," replied George. "I got my memories. That’s all I need."
George reached into the box again. An airplane, a car and a truck appeared next. They were toys that the oil company had left for him to sell. "Here’s something for that little man of yours."
The young man began to cry again as he handed back the $150 that the old man had handed him earlier.
"And what are you supposed to buy Christmas dinner with? You keep that too," George said. "Now git home to your family."
The young man turned with tears streaming down his face. "I’ll be here in the morning for work, if that job offer is still good."
"Nope. I’m closed Christmas day," George said. "See ya the day after."
George turned around to find that the stranger had returned. "Where’d you come from? I thought you left?"
"I have been here. I have always been here," said the stranger. "You say you don’t celebrate Christmas. Why?"
"Well, after my wife passed away, I just couldn’t see what all the bother was. Puttin’ up a tree and all seemed a waste of a good pine tree. Bakin’ cookies like I used to with Martha just wasn’t the same by myself and besides I was gettin’ a little chubby."
The stranger put his hand on George’s shoulder. "But you do celebrate the holiday, George. You gave me food and drink and warmed me when I was cold and hungry. The woman with child will bear a son and he will become a great doctor.
The policeman you helped will go on to save 19 people from being killed by terrorists. The young man who tried to rob you will make you a rich man and not take any for himself. "That is the spirit of the season and you keep it as good as any man."
George was taken aback by all this stranger had said. "And how do you know all this?" asked the old man.
"Trust me, George. I have the inside track on this sort of thing. And when your days are done you will be with Martha again."
The stranger moved toward the door. "If you will excuse me, George, I have to go now. I have to go home where there is a big celebration planned."
George watched as the old leather jacket and the torn pants that the stranger was wearing turned into a white robe. A golden light began to fill the room.
"You see, George … it’s My birthday. Merry Christmas."
George fell to his knees and replied, "Happy Birthday, Lord Jesus"
Merry Christmas!!
This story is better than any greeting card.

MERRY CHRISTMAS AND GOD BLESS!

What to cook when cancer hits

By Liz Szabo, USA TODAY

Doctors often instruct cancer patients to eat well to keep up their strength.

But for cancer patients, getting through a simple meal can be a challenge. Radiation treatments can burn the throat, making it painful to swallow. Chemotherapy can cause patients to develop mouth sores or leave people nauseated. Other patients find that chemo takes away their sense of smell or alters their sense of taste.

Two books from the American Cancer Society aim to help both patients and their caregivers overcome these hurdles. The Complete Guide to Nutrition for Cancer Survivors ($24.95), published this year, explains how good nutrition can help boost the immune system and fight fatigue.

What to Eat During Cancer Treatment ($19.95), published last year, offers 100 recipes to help patients cope with six major symptoms of treatment. For instance, there’s a brie and apple grilled cheese for patients coping with nausea. Most recipes take only 30 minutes to make.

That’s important, given that cancer patients may not have much energy to spend in the kitchen and caregivers may be pressed for time, says the cancer society’s Colleen Doyle, who edited both books.

The recipes also include foods packed with vitamins and antioxidants, Doyle says. Patients who eat well are often better able to deal with side effects of treatment and may be better able to fight off infections, she says.

"I truly believe food is medicine, and it helps people provide their body with the nutrition they need to heal," say Barbara Grant, a registered dietitian and co-author of Nutrition for Cancer Survivors.

American Cancer Society’s tips for cooking for someone with cancer:

• Ask if the person has any special requests. "Instead of just showing up with chocolate cake, ask, ‘What can I make you? What sounds good?’ " says Grant.

• Ask if you can help with groceries or offer to do the dishes, says the American Cancer Society’s Colleen Doyle, a registered dietitian.

• Offer to put together a "survival kit" in a cooler, filled with snacks and drinks, for times when the cancer patient doesn’t want to get out of bed to go to the kitchen to eat, Doyle says.

• Prepare an "on-the-go" snack mix with nuts, pretzels, dry cereal or crackers for the cancer patient to eat when away from home.

• Instead of making one big casserole, prepare individual servings to freeze and reheat, Doyle says.

• Wash your hands carefully, make sure all meats and eggs are fully cooked, and take care to avoid any kind of contamination, which can be dangerous for people with weakened immune systems.

Recipe: Tuna melt quesadilla

The recipe from the American Cancer Society addresses the common cancer treatment symptoms of unintentional weight loss and taste alterations.

Servings: 3

Prep time: 15 minutes or less

Total time: 15 minutes or less

This twist on a classic gives new life to the tuna melt. A quesadilla is a good choice when a sandwich seems overwhelming. Choose full-fat options if trying to gain weight, reduced-fat if you are watching calories.

Ingredients:

• 1 (5-ounce) can tuna in water, drained

• 1 tablespoon regular or reduced-fat mayonnaise

• 1/2 tablespoon Dijon mustard

• 1 tablespoon finely chopped red onion

• 1 tablespoon pickle relish

• 3 (8-inch) whole wheat or plain tortillas

• 3/4 cup shredded regular or reduced-fat Cheddar or "Mexican style" cheese

Directions:

1. In a bowl, flake the tuna. Add the mayonnaise and mustard and stir to combine. Add the onion and relish.

2. On a microwave-safe plate, place 1 tortilla and spread half with 1/3 of the tuna mixture. Sprinkle the other half with 1/4 cup cheese. Fold the tuna half over the cheese half. Microwave on high for 40 to 50 seconds, or until cheese melts. Repeat twice with the remaining ingredients. Microwaving the quesadilla instead of pan-frying or baking keeps it softer.

Nutritional information:

Per serving (1 quesadilla)

Calories: 360

Total fat: 17 g

Total carbohydrate: 31 g

Dietary fiber: 3 g

Sugars: 3 g

Protein: 21 g

Sodium: 940 mg

For CareGiver Home Care in the Phoenix or Scottsdale area see http://Care-To-Go.com

10 Tips To Avoid Prescription Problems In The Elderly Phoenix AZ

Avoiding Medication Problems

Numerous elders are taking numerous medicines, which increases the

likelihood of prescription problems.  Allow me to share some

excellent tips for seniors to reduce the probability of making a

mistake with their medications:
1.    Check the label when you pick up a prescription to be sure

that you have the right prescription. Read back the prescription to

your doctor and pharmacist.
2.    Keep all prescription in original containers.
3.    Be sure to contact your health care provider or pharmacist

if you have any concerns about missing a dosage.
4.    Always fill all medications at the same pharmacy.
5.    Read the patient information that accompanies the

prescriptions.
6.    Notify the pharmacist right away if there is a change in the

shape, color, size or smell of your medication.
7.    You should not share or take another person’s medication.
8.    If you are in doubt about a prescription you are taking, be

sure to consult your doctor.  Always ask about side effects that you

might experience or expect.
9.    Construct a list of the medications you are taking and share

with your Care Giver and family members. The list ought to include

the following information:
- Your name, social security number and your date of birth.  The

Pharmacy needs this information when someone else is going to refill

the prescriptions without the client present.  Your social security

number and your date of birth should be kept on a separate sheet to

protect against identity theft.
- Prescription name (the drugs being taken, both generic or brand)
- The strength (dosage)
- Instructions for using the prescriptions, including how many times

a day and what time of day medication should be taken
- What liquids or foods are being used to take or should be used to

take with meds, for example, water, juice, apple sauce etc.
- Your allergies to certain medicines as well as foods
- Pharmacy and health care providers names, addresses, contact

numbers
- Family emergency contact information

10.    When you are in skilled nursing or a hospital:
- State your name before taking any medications and always show your

wrist bracelet for identification. Ask the doctor or nurse to

identify each medicine by name before you take it.
- Ask your doctor or nurse why your prescription has not been given

at its normal time during your hospital stay.
If your medication was started in the hospital, watch for new side

effects.  If you experience new side effects or your condition is

not improving as it should, tell your nurse.  From time to time

medications need to be changed when they are not performing

properly.
Be sure to ask your doctor how long a particular prescriptions will

be needed.  Oft times prescriptions are added in the hospital or

skilled nursing facility for a temporary problem, but when you leave

the hospital for skilled nursing or your home, the prescription

remains.  A different doctor may be reluctant to terminate a

prescription from another medical doctor.
- Remind your medical doctor if you have any allergies to certain

meds and food, or if you have a condition that may possibly affect

the use of some medications.
1.    Tell your pharmacist if you are taking any dietary

supplements or over-the-counter meds.
2.    Make sure your CareGiver has an up to date prescription log

listing all prescriptions, Doctor’s name, and Pharmacy.
Make sure to only take medications that you really need and check

with your medical doctor why you are taking it, how long you will

require it, what side effects to watch for, and that it won’t

conflict with any other meds you are taking.

In the Phoenix area Care-To-Go, an in-home care agency can assist

you with your prescription organization.  Care-To-Go also provides

complete in-home care elder services.  Contact Care-To-Go at 

www.Care-To-Go.com and for an Elder Travel Companion CareToGoTravel.com

7 Signs It Is About Time To Fire Your Doctor Reported By Scottsdale CareGiver

What should you do if your doctor isn’t listening to you or the person you’re caring for, or not honoring your desires with regards to treatment and medication choices, or recommending prescriptions or treatment options that seem to be inappropriate for older patients. Listed here are several illustrations.

The relationship with your medical doctor is a special one and has to be taken seriously. Many times senior citizens aren’t receiving enough care from their doctor. Is the medical doctor too busy and overscheduled, or there just may be a personality mismatch. Don’t be afraid to search for a new one if you feel you are not getting the attention you require.

Whenever seniors go to their doctor it’s a great idea to bring along with you, a professional CareGiver or a trusted family member. It will serve you well to have someone else there to be sure you understand what the medical professional is saying and if you need to get more in depth information from the doctor, the advocate can facilitate. Occasionally it is simpler for the other person to ask more inquiring questions.

By way of example a doctor may try to make you feel guilty when you ask to do away with a prescription or a procedure from your regimen. You may have prescriptions from a number of doctors and they may conflict with each other. Your physician may be unwilling to stop or change a prescription prescribed by a different health professional. But sometimes the dilemma doesn’t lie in your control; what is wrong is that the physician isn’t listening to you or not taking your loved one’s age or situation into account when making medication and treatment decisions. In many cases, it’s like a bad relationship; communication has broken down and you, your family member or CareGiver aren’t getting what you need.

7 signs it may be time to fire your doctor:

1. You feel the health professional blames, ignores, or criticizes you, your caregiver or the person in your care

2. The medical doctor does not reply to your feedback, or becomes defensive or unpleasant

3. It seems the physician is not taking your family member’s pain or other symptoms seriously enough

4. You discover treatments that can help that the doctor hasn’t told you about

5. The physician doesn’t explain treatment options clearly, resulting in mistakes

6. The medical doctor prescribes medications without comparing to medications prescribed by another doctor.

7. The doctor is reluctant to organize your medication inventory when it comes from various other physicians.

When you aren’t satisfied, the best thing to do is to change doctors, and change to one you can work with to provide the best care. Doctors often say that if a patient is going to change doctors, they’d appreciate hearing it directly rather than suddenly receiving a sneak request for medical records to be sent to another medical professional. However, it’s your prerogative to find a new doctor and ask the staff to fax over the request for records. You’re not obligated to engage in another confrontation.

Either way, you’ll breathe a sigh of relief once you’re dealing with a medical professional who listens respectfully, answers your questions, accommodates your requests, takes your symptoms seriously, and works with you to develop a treatment plan you can all feel good about.

In the Phoenix, AZ area Care-To-Go offers Elder Home Care services and can assist you with doctor appointments and prescription organization. Contact Care-To-Go at 1-800-818-0407 or Care-To-Go.com  For Elder Travel Companion services see CareToGoTravel.com.

Phoenix Home Care Caregiver Explains 19 Home Safety Tips For Seniors

Most accidents occur in the home and especially for our seniors.  Even though our seniors are in their own home and in familiar surroundings, they have a much higher accident rate than the rest of us. When you couple failing eyesight, poor hearing and decreased judgment and balance, the senior has a more difficult time moving around and staying safe. If you make the changes yourself or use a personal CareGiver, you may be able to avoid a major fall and injury to your parent.

What can you do to protect an elderly loved one from getting hurt?  Here are some steps to follow:

1. Keep outdoor steps and walkways in good condition and clear of debris. Be sure the hand rails are clean and in good condition.
   
2. Illuminate all stairways and hallways and provide light switches at both ends. Brighter lights are better.
   
3. Use nightlights or bedside remote controlled switches. Yeah the clapper works too.
   
4. Provide handrails in hallways and stairways.
   
5. Keep a sturdy nightstand next to the bed so glasses and other personal items are within reach.
   
6. Put felt or soft material over sharp edges and corners of furniture such as nightstands, tables and shelves.
   
7. Tack down the edges of carpets and rugs; remove throw rugs that slide or can be tripped on.
   
8. Keep pathways clear of furniture and other objects.
   
9. Provide handrails in the bathroom (especially near the toilet, at the entrance to the shower and in the shower) and use non-skid strips in the shower and bathtubs.
   
10. Use a shower seat and shower hose for those unable to stand in the shower.
    
11. Avoid using bath oils or lotions in the bathtub or shower.
    
12. Use kitchen appliances with thermostats and timers. The elderly find appliances with signal lights and buzzers easier to use.
    
13. Clearly mark the “off” position on stoves and ranges so a person with diminished eyesight can immediately tell if the element is off. Try some nail polish.
    
14. Set water heater thermostats or faucets so water does not scald the skin.
    
15. Install smoke detectors in the kitchen and throughout the rest of the house.
    
16. Keep a fire extinguisher handy and know how to use it.
    
17. Arrange frequently used kitchen items in an easy-to-reach cabinet.
    
18. Install one good lock that can be opened easily from the inside.
19. Keep loose magazines and mail off the floor, seniors tend to accumulate mail clutter.

For a complete home assessment contact Care-To-Go at 480-284-8611 and on the web at http://Care-To-Go.com Are you getting to the point where you need someone to help you shoulder the load taking care of Mom? A Home Care CareGiver will be able to assist your senior with household tasks to be sure they are safe and happy.

Custom Home Care Allows Elders Keep Their Independence in Phoenix 

Nobody likes being dependent on other people. Elders really don’t embrace the idea of

needing other people to assist him or her. Independence and freedom could be among

the qualities that a lot of seniors treasure most-and this is the reason so many elders

wish to stay in their homes. Seniors usually do not want to give up their independent

lifestyle; consequently, they are electing to forego moving to elder care centers and

assisted living facilities and opt for home care.

Because self-reliance is very crucial to the elderly, many elders regularly balk at the

thought of accepting home aid. Elders may feel that they have been handling everything

satisfactorily on their own; thus, elder care isn’t required. Rather regularly, though, the

adult children or other relatives or the friends of the elder may realize that some kind of

home care is necessary–maybe the elder just does not want to acknowledge it or does

not realize it. Since the elder’s major goal may be to hold on to their independence, it’s

always important to introduce the subject of senior care gently.

It could be easier to speak about in-home care with the senior on neutral ground with

an trusted friend present. Meeting with the senior at their doctor’s appointment for a

chat about the subject could be a good idea for some; other people may find it more

comfortable to take the senior out to lunch with a friend of hers who is in agreement

with the idea. Whatever, the focus of the conversation should be about keeping the

senior at ease with the home care and helping her to make decisions.

Unlike what seniors  might think, elder care will truly assist the senior to maintain her

independence. No, perhaps she will not be entirely self-reliant as they were before;

nevertheless, they will no longer have to depend on using taxis to take her to

appointments and shopping trips because their home care caregiver can drive her. Also,

they won’t have to order take-out food if she doesn’t feel like cooking, because her

caregiver can cook a meal for her. Yet she will still maintain her independent life style

because she is still living in her home–not in an elder facility.

It is actually easier for seniors to maintain their independence when they have a hired

senior care companion. Using a home care caregiver makes it simpler for seniors to

complete tasks. This is because the caregiver does or helps with whatever the senior

cannot do, while the senior takes care of other activities. Caregivers provide support

and services that are tailored specifically to the senior for whom they are giving care;

so the senior has the option of choosing what the caregiver does to assist her.

Some caregivers become great friends with the seniors they assist because they spend

a lot of time together. The companions really begin to become almost like part of the

family. The elder won’t think about any loss of independence or freedom at all,she will

simply be content to still be living in her own home, with the help of her home care

caregiver.

For more information on Home Care in the Phoenix area visit Care-To-Go.com For a

Personal Travel Companion anywhere, contact CareToGoTravel.com

Phoenix Home Care Caregiver Describes How To Communicate With Somebody With Cancer

One of the most important ways to help your communication is not only to inquire "how are you" but also what are you

feeling?  If you think about it, how are you is one of the most common questions we ask, but it can be a rather

inconsiderate one. The usual answer is fine or OK. It does not allow for a great deal conversation. When you ask, how

are you feeling you are inquiring deeper. Someone who is asked that question will get the notion you want to know how

he really is feeling. It may necessary to ask a few times in different ways to get to the real answers.

When you ask, what are you feeling be prepared to hear almost anything. The person could say they think a whole lot

about passing away or they are apprehensive about what the future holds for the children. Or possibly he is afraid he

isn’t going live a year. Be ready to listen and hear the answer he gives you. You do not have to have a reply, but you

should be set to hear the harsh words the question can provoke.

Your conversation with your loved ones should be direct and on an adult level.  The last thing an elder person needs

with a serious affliction is for you to be patronizing or treat them like a kid. The senior needs straight talk constantly

being compassionate and kind. Here’s a opportunity for caring support from your loved ones and their friends.

People with cancer and serious diseases frequently need to get the opinions of those around them regarding their

health problems, medications, and treatment outlook. Stay straight forward, but don’t attempt to answer questions

that you don’t know the answers to. A senior with cancer will be able to sense your honesty and be thankful for it.

While having their illness, seniors with a serious disease might express frustration and anger to friends or family.

Remember that our seniors with serious diseases pass through quite a few stages including denial, negotiation anger,

and acceptance. During the denial and anger levels, their communication could upset relatives and friends, but it can

help to bear in mind that seniors often shift their feelings onto people close to him or her. They seem to do it because

the people closest to them are safe to talk to. They realize that you will still be there for them, especially if they act

terribly and create tension. Frequently, the person is frustrated and angry concerning the cancer or disease and the loss

it brings, but that is hard to discuss. The senior may take out their angry feelings on family, friends, or anybody that

happens to be around at the time.

Remember, they will open up to you only if and when they trust you. Always be a good listener first and express

compassion and love.  Seniors usually talk themselves through the stages knowing that you are there to support them

all the way.

When using a caregiver, be sure the caregiver is trained to handle conversation with your senior.

For more information on senior care and home care in the Phoenix area contact Care-To-Go.  Senior Travel Companion

service is available at CareToGoTravel.com

Home Care Services Provide Happiness For The Elderly in Phoenix, AZ

The secret to happiness for most seniors is for them to keep living in their own homes. The thought of moving from the

familiarity of their homes and switching to assisted living is quite impossible. Given that many elderly people gradually

begin to lose functioning ability or have other health issues, they usually require help as they grow older. Because of

these issues, it truly is vital for these seniors to have caregivers which are capable of providing suitable in-home care.

Home care for seniors should involve a number of types of caregivers. Most of the time, the first caregiver might be a

family member or close friend who either lives with the senior or regularly cares for the senior. Some social workers and

clergymen may also be involved in some cases of elder care in the homeThere are agencies that could be contacted to

help with home care of the elderly, such as CNAs, home aids and caregivers.

Personal caregivers can be contracted on either a regular basis or on a part time basis. Short-term care is usually called

respite care and is normally used when the caregiver who supplies the home care needs time away. Respite care allows

the regular caregiver take a break without being concerned about care for the senior.

Caregivers that are hired to help with home care for the elderly provide important services in the lives of seniors they

care for. Caregivers often become companions and beloved friends. They can do activities with the seniors, such as

playing cards or helping with household tasks. They also take the elders to doctors or shopping. They also help take

care of the home where the senior can not, such as doing the house cleaning and laundry.

The services provided by personal caregivers are individualized and should be customized to fit the elder’s specific

needs and wants. Therefore, it can take a good deal of searching to find the right home care agency and caregiver. It is

important to assess the elder’s needs and requests before beginning care. 

When interviewing potential caregivers, it is important to do so in two parts. First, interview the agency and caregiver

alone, without the senior present. This is useful because it offers an opportunity to speak frankly and clearly about the

senior’s requirements, without the worry of embarrassing the senior. Next, it is essential to involve the senior to take

part in choosing the caregiver. Having the senior citizen involved in the caregiver decision making process provides an

opportunity to start a healthy relationship between the caregiver and elders.

If you choose a personal caregiver, a family member, a visiting nurse, or anyone else providing home care, choosing the

appropriate home care is essential for keeping seniors happy and well cared for.

One Phoenix area home care agency, Care-To-Go provides complete information on caregiving services. 

Care-To-Go.com can also provide a caregiver or a personal travel companion.

Phoenix Home Care Caregiver Explains How To Talk With Someone With Cancer Or Other Serious Diseases

One of the most important ways to help your communication is not to ask "how are you" but also what are you feeling If you think about it, how are you is one of the most common questions we ask, but it can be a rather thoughtless one. The expected answer is OK or good. It does not lead to much discussion. When you ask, "What are you feeling?" you are digging deeper. Someone who is asked that may get the notion that you want to know how they are doing.

When you ask, what are you feeling be ready to hear anything. The person could say he thinks a great deal about death or he is worried about whatever the future has in store for the children. Or perhaps he is fearful that he won’t survive a year. Be ready to pay attention and hear the reaction he tells you. You do not have to have a response, but you have to be ready to hear the pain and anguish that the inquiry may provoke.
Communication with your loved ones must be direct and on an adult level.  The last thing an elder wants with a serious affliction is for you to be condescending or treat them like a kid. Your loved one needs straight talk constantly being empathetic and kind. Here’s a opportunity for caring support from their loved ones and their friends.
Elders with cancer every now and then need to get an opinions of those near to them on their illness, treatment, and treatment outlook. Stay open and honest, but don’t endeavor to respond to questions that you don’t know a good answer to. A senior with cancer will sense your honesty and appreciate it.

While having their illness, the elderly with cancer and serious diseases may express frustration and anger to friends and family. Remember that seniors with serious diseases pass through quite a few stages including denial, negotiation anger, and acceptance. Within the denial and anger stages, their conversation can offend families and their friends, but it can help to bear in mind that elders frequently shift their feelings onto friends and family close to him or her. Your loved ones do this since the people closest to them are safe. They know you will still be there for him or her, even if they act badly or create tension. Often, the senior is really frustrated and angry concerning the illness and the losses it brings, but that is hard to discuss. So they could take out their feelings on family, friends, or anyone else that happens to be near by at the time.

Commonly a high quality caregiver helping in the home can be a bridge for communication among family members.
More help for seniors posts can be found on Care-To-Go.com