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	<title>The Intentional Caregiver &#187; alzheimers</title>
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		<title>Stuffed Animals Bring Comfort to Dementia Patients.</title>
		<link>http://takingcareofthefolks.com/stuffed-animals-bring-comfort-to-dementia-patients/</link>
		<comments>http://takingcareofthefolks.com/stuffed-animals-bring-comfort-to-dementia-patients/#comments</comments>
		<pubDate>Thu, 22 Mar 2012 01:18:27 +0000</pubDate>
		<dc:creator>Shelley</dc:creator>
				<category><![CDATA[Caregiving]]></category>
		<category><![CDATA[Featured]]></category>
		<category><![CDATA[alzheimers]]></category>
		<category><![CDATA[Bettina Dickson Rusher]]></category>
		<category><![CDATA[dementia]]></category>
		<category><![CDATA[Frances Dickson]]></category>
		<category><![CDATA[memorable pets]]></category>
		<category><![CDATA[Pets to People program]]></category>

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		<description><![CDATA[Stuffed Animals Bring Comfort to Dementia Patients I&#8217;ve noted that many caregivers of loved ones with dementia use stuffed animals to successfully provide comfort.   Here&#8217;s a company that took the idea one step further. MEMORABLE PETS AIMS TO HELP FAMILIES, PATIENTS DEAL WITH DEMENTIA AND ALZHEIMER’S New Business Creates Stuffed Animals Designed to Soothe Patients [...]]]></description>
			<content:encoded><![CDATA[<div><strong>Stuffed Animals Bring Comfort to Dementia Patients<img class="alignright" title="Phil the Schnauzer" src="http://memorablepets.com/shop/images/395/mp-028.jpg.jpg" alt="" width="269" height="322" /></p>
<p></strong></div>
<div><strong>I&#8217;ve noted that many caregivers of loved ones with dementia use stuffed animals to</strong><strong> successfully </strong><strong> </strong><strong>provide comfort.   Here&#8217;s a company that took the idea one step further.<br />
</strong></div>
<div><strong>MEMORABLE PETS AIMS TO HELP FAMILIES, PATIENTS DEAL WITH DEMENTIA AND ALZHEIMER’S </strong></div>
<div><em>New Business Creates Stuffed Animals Designed to Soothe Patients and Create Connections with Family</em></div>
<p>Lexington, KY – (February 22, 2012) In a time where families can  often feel helpless in reaching their loved ones a new company,  Memorable Pets, has released a line of plush stuffed dogs and cats to  bring joy to dementia and Alzheimer’s patients and to serve as a  connection point for family members.</p>
<p>The company, started by sisters Bettina Dickson Rusher and Frances  Dickson, came to fruition after their mother began her battle with  Alzheimer’s.  “Our mother had a real cat which she loved, but once the  Alzheimer’s set in she was unable to care for it properly, so we bought  her a stuffed cat to keep her company,” Rusher said. “We were amazed at  the joy the cat brought her and how attached she became. Before we knew  it we were producing animals and handing them out to other patients on  her floor.”</p>
<p>Memorable Pets are based off the most popular cat and dog breeds and  are lap-sized so they are large enough for adults to hold, flexible so  they can be easily carried  and soft so they are soothing. Their eyes  appear alert to keep patients engaged and a portion of the proceeds from  every Memorable Pet sold goes back to fund Alzheimer’s care and  research.</p>
<p><img class="alignleft" title="Caldonia the Calico" src="http://memorablepets.com/shop/images/354?240,240,-1972832506" alt="" width="240" height="162" />“Several studies have shown that interactions with a stuffed animal  increase happiness  and provide a calming effect. They’re also a great  way to allow patients, who often have to rely on everyone else for care,  to be able to care for something themselves,” Dickson said.</p>
<p>Nurse Sarah Burdine noticed a strong attachment between one of her  Alzheimer’s patients and Memorable Pets. “The Memorable Pet helped to  calm my patient, especially when she was feeling agitated. Their special  bond has been a true gift for the patient and for us to watch,” she  said.</p>
<p>Aside from soothing the patient, Memorable Pets also provide a  connection point for young children and their grandparents who may be  suffering from dementia or Alzheimer’s. When both the child and  grandparent have a similar stuffed animal it gives them something to  talk about that is familiar creating a special bond.</p>
<p>The company’s goal is to gain non-profit status for their Pets to  People program which allows individuals, organizations and corporate  sponsors to purchase a Memorable Pet for someone unknown to them. <strong>To  participate in the Pets to People program or to order a Memorable Pet,  which retails at $29.99 including shipping , visit  <a href="http://www.memorablepets.com/" target="_blank">www.memorablepets.com</a>. </strong></p>
<p>About Memorable Pets: Memorable Pets was created by two sisters who  are passionate about making a difference in <img class="alignright" src="http://memorablepets.com/wp-content/uploads/2011/09/About-Us-300x225.jpg" alt="" width="300" height="225" />the fight against  Alzheimer’s disease. After losing their mother Betty Dickson, who deeply  loved her Memorable Pet and held it in her arms when she died from  Alzheimer’s disease, the sisters founded the company. Their goals are to  provide therapeutic, realistic pets to help enhance the lives of people  with Alzheimer’s or dementia, educate and raise awareness and money for  Alzheimer’s care and research,  and honor their mother’s legacy. More  information at <a href="http://www.memorablepets.com/" target="_blank">www.memorablepets.com</a>.</p>
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		<title>35 Questions to Ask When Searching for a Care Facility</title>
		<link>http://takingcareofthefolks.com/35-questions-to-ask-when-searching-for-a-care-facility/</link>
		<comments>http://takingcareofthefolks.com/35-questions-to-ask-when-searching-for-a-care-facility/#comments</comments>
		<pubDate>Mon, 01 Aug 2011 23:50:46 +0000</pubDate>
		<dc:creator>Shelley</dc:creator>
				<category><![CDATA[Featured]]></category>
		<category><![CDATA[Living Arrangements]]></category>
		<category><![CDATA[alzheimers]]></category>
		<category><![CDATA[assisted living facility]]></category>
		<category><![CDATA[dementia]]></category>
		<category><![CDATA[nursing home]]></category>
		<category><![CDATA[skilled nursing]]></category>
		<category><![CDATA[what to look for]]></category>

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		<description><![CDATA[        35 Questions to Ask When Searching for a Care Facility                                      &#8230;&#8230;.in no particular order by Shelley Webb and Tonia Boterf Exactly what services are offered? How often does the staff change or turn over?  How many R.N.s are available on each unit and on each shift.  Do they utilize LPNs /LVNs ?  Who administers the medications?   What [...]]]></description>
			<content:encoded><![CDATA[<p>       <span style="text-decoration: underline;"><strong> 35 Questions to Ask When Searching for a Care Facility</strong></span><br />
                                     &#8230;&#8230;.in no particular order</p>
<p>by Shelley Webb and Tonia Boterf<a href="http://takingcareofthefolks.com/wp-content/uploads/2011/08/1001625_thb.jpg"><img class="alignright size-medium wp-image-2269" title="1001625_thb" src="http://takingcareofthefolks.com/wp-content/uploads/2011/08/1001625_thb-270x300.jpg" alt="" width="270" height="300" /></a></p>
<div><span style="font-family: Arial; font-size: medium;"><br />
<span style="font-size: small;">Exactly what services are offered?</span></span></div>
<p><span style="font-family: Arial; font-size: medium;"></p>
<div>
<span style="font-size: small;">How often does the staff change or turn over?  How many R.N.s are available on each unit and on each shift.  Do they utilize LPNs /LVNs ?  Who administers the medications?</span></div>
<div> </div>
<div><span style="font-size: small;">What levels of care are offered and what are the fees?</span></div>
<div></div>
<div><span style="font-size: small;">If your loved-one has any form of dementia, is there a separate facility or area?</span></div>
<div><span style="font-size: small;">If so, is it secured so that residents don&#8217;t wander?</span></div>
<div>
<span style="font-size: small;">(Check the state or province&#8217;s past reviews of the facility if available.)</span></div>
<div><span style="font-size: small;"> </span></div>
<div><span style="font-size: small;">Is the facility on a busy street?  If so, this could be dangerous and also just plain irritating.</span></div>
<div>
<span style="font-size: small;">Do you or your loved one KNOW anyone who is already a resident there?</span></div>
<div>
<span style="font-size: small;">What and how often are activities offered?  Are there off-site excursions? Look at the calendar of events that is often posted in the lobby or eating area.  If it&#8217;s not there, then it may be in the director or social worker&#8217;s office.  Ask to see it.</span></div>
<div>
<span style="font-size: small;">Is physical therapy available and if so, is it an additional charge?</span></div>
<div>
<span style="font-size: small;">What are the financial and medical requirements to qualify for the facility?</span></div>
<div>
<span style="font-size: small;">Can money be left in a safe in the facility for use by your loved one?</span></div>
<div>
<span style="font-size: small;">Check the appearance and maintenance of the place&#8230;..again, trust your gut.  How does it smell?</span></div>
<div>
<span style="font-size: small;">Do they have any pets on site?  (Does your loved one LIKE pets or have any pet allergies?)  Can pets come to visit?</span></div>
<div>
<span style="font-size: small;">If your loved one is religious, are religious services available?  Is there a chapel?  Is there transportation available to an off-site place of worship?</span></div>
<div>
<span style="font-size: small;">Is there a cafeteria where family members can come to eat a meal with your loved one? Would YOU eat the food that is being served?</span></div>
<div>
<span style="font-size: small;">What kinds of things can be brought from home?  (Be aware that things often &#8220;disappear&#8221;. I just had a friend tell me that her Mom&#8217;s iPod disappeared within an HOUR of her leaving it at the facility.)</span></div>
<div>
<span style="font-size: small;">Do the rooms have a television?  Is there an extra charge for that?</span></div>
<div>
<span style="font-size: small;">What are the rules regarding visitation or going out of the facility for an overnight stay?  </span></div>
<div>
<span style="font-size: small;">Watch how the staff is treating the current resisidents.  Are all the residents strapped into wheel chairs and sitting at the nursing station?  Are they all in bed? </span></div>
<div><span style="font-size: small;"> </span></div>
<div><span style="font-size: small;">Is the staff washing their hands and/or using sanitizer between residents?</span></div>
<div>
<span style="font-size: small;">Is the facility close enough that you and your loved one&#8217;s friends or relatives could come to visit? ( People who have frequent visitors do better.)</span></div>
<div>
<span style="font-size: small;">Be aware that you&#8217;ll probably have to change your loved one&#8217;s physician.  You may want to call the current physician to discuss the fact that you&#8217;re considering a residential placement and whether or not the physician can and will make visits there.</span></div>
<div>
<span style="font-size: small;">Be sure to have all your legal paperwork in order BEFORE your loved one transfer there as many patients decline after being admitted to a nursing home.</span></div>
<div>
<span style="font-size: small;">Is there a place where residents can go outside by themselves SAFELY?</span></div>
<div>
<span style="font-size: small;">Are there security systems in place? Must visitors check in and  wear nametags? Does the staff have nametags?</span></div>
<div>
<span style="font-size: small;">Will your loved one&#8217;s room and his/her belongings be protected from those patients (generally the ones with dementia and/or Alzheimer&#8217;s) who wander?  Are dementia patients kept on a different ward?</span></div>
<div><span style="font-size: small;"> </span></div>
<div><span style="font-size: small;">If this is a facility for those with dementia, are there visual cues (such as photos, items from home) to remind them which room belongs to them and to help calm them?  (For instance, some facilities will hang a photo holder at the entry to each room where personal photos can be placed or a locked curio shelf where treasured mementos can be placed.)</span></div>
<div>
<span style="font-size: small;">Is there air conditioning?  Is there enough heat?  Do they have an emergency generator?  Are there fire alarms located along the hallways?  If the facility is of the larger variety, are there fireproof doors interspersed throughout the facility?</span></div>
<div>
<span style="font-size: small;">Do they offer services such as salon care (hair cut, wash, manicure, etc.) on site? If so, how much do these services cost?</span></div>
<div>
<span style="font-size: small;">Are snacks and drinks available at all times or only at scheduled times?</span></div>
<div>
<span style="font-size: small;">Are there any up-front deposits or fees?</span></div>
<div>
<span style="font-size: small;">Do they have internet access (if your loved one would like to learn that sort of thing)?  </span></div>
<div>
<span style="font-size: small;">How close is the facility to the nearest hospital?</span></div>
<div>
<span style="font-size: small;">Is smoking allowed (if your loved one smokes&#8230;.or if he/she hates smoke)?</span></div>
<div>
<span style="font-size: small;">Can you take your loved one out of the building without being accompanied by a staff member?  (When my father was in skilled nursing for a few days, I was allowed to take him by wheelchair around the block and this helped to settled him down.)</span></div>
<div>
<span style="font-size: small;">Do the other residents appear happy? </span></div>
<div>
<span style="font-size: small;">Is this a place that you or your loved one are interested in? (Trust your gut.)</span></div>
<div></div>
<div><span style="font-size: small;">Would YOU stay here?</span></div>
<div></div>
<p><span style="font-size: small;">Tonia Boterf is a licensed clinical social worker.  Several of her e-books (and her brand new print book) can be found on our website under products. </span></p>
<div></div>
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		<title>Expressing Love to an Aging Parent With Dementia</title>
		<link>http://takingcareofthefolks.com/expressing-love-to-an-aging-parent-with-dementia/</link>
		<comments>http://takingcareofthefolks.com/expressing-love-to-an-aging-parent-with-dementia/#comments</comments>
		<pubDate>Mon, 21 Feb 2011 23:06:18 +0000</pubDate>
		<dc:creator>Shelley</dc:creator>
				<category><![CDATA[Caregiving]]></category>
		<category><![CDATA[Featured]]></category>
		<category><![CDATA[alzheimers]]></category>
		<category><![CDATA[aging parents]]></category>
		<category><![CDATA[caregivers]]></category>
		<category><![CDATA[dementia]]></category>
		<category><![CDATA[expressing love]]></category>

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		<description><![CDATA[It&#8217;s no secret that communicating with parents who suffer from  dementia is difficult, especially in the latter stages of the disease. So what can we do to communicate our love to a person who may not even remember who we are? The answer may be to look at ways in which they expressed their love to [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://takingcareofthefolks.com/wp-content/uploads/2011/02/file8611264377173.jpg"><img class="alignleft size-medium wp-image-1739" title="file8611264377173" src="http://takingcareofthefolks.com/wp-content/uploads/2011/02/file8611264377173-225x300.jpg" alt="" width="225" height="300" /></a>It&#8217;s no secret that communicating with parents who suffer from  dementia is difficult, especially in the latter stages of the disease.</p>
<p>So what can we do to communicate our love to a person who may not even remember who we are?</p>
<p>The answer may be to look at ways in which they expressed their love to us.</p>
<p>When you failed a test at school, or your friends &#8220;left without you&#8221; or you were not feeling well, what did your Mom or Dad do to make you feel better?  I remember that when I had a cold, my Mom would always rub Vick&#8217;s Vapo Rub on my chest.  I hated the smell and the stickiness but never-the-less, it showed me that she cared. </p>
<p>Once when my 2 best friends were playing the &#8220;Three&#8217;s a Crowd&#8221; game, my father, who was handy with woodwork, made me a skateboard.  He never said a word about flaunting it in front of my friends; he just asked me to &#8220;try it out&#8221;.  And before long, my two best friends came running over for a chance at a turn to ride on it.</p>
<p>When you were not at your best, what kinds of things did your parents do to express their love to you?</p>
<p>I posed the question on Facebook and Twitter and here are some of the responses that I received:</p>
<ul>
<li>caring words</li>
<li>opening the windows</li>
<li>let me stay home from school</li>
<li>kisses on the forehead</li>
<li>brought me &#8220;magic toys&#8221; from the drugstore</li>
<li>asking &#8220;you alright?&#8221;</li>
<li>sang to me</li>
<li>let me eat in my bedroom which was otherwise forbidden</li>
<li>put Vick&#8217;s Vapo Rub on my chest with heated towel on top</li>
<li>brought me a stuffed animal</li>
<li>took us bowling</li>
<li>stroked forehead</li>
<li>light touches on shoulder, hand or knee</li>
<li>brought me soup (potato, chicken noodle), 7-Up, Ginger Ale, popsicles</li>
<li>just sat quietly close by</li>
<li>hand-written notes in lunch boxes</li>
<li>brought me ice cream when I had a sore throat</li>
</ul>
<p>My theory is that if you examine the things that your aging parent did to show you love, you could use these same things to show them YOUR love.  The actions will be familiar and comfortable to them and should evoke the same loving feelings that they felt towards you when they intiated the actions themselves. </p>
<p>Give it a try and let me know if it works for you.</p>
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		<title>Wandering Dementia Sufferer Found Frozen to Death</title>
		<link>http://takingcareofthefolks.com/wandering-dementia-sufferer-found-frozen-to-death/</link>
		<comments>http://takingcareofthefolks.com/wandering-dementia-sufferer-found-frozen-to-death/#comments</comments>
		<pubDate>Tue, 18 Jan 2011 00:06:32 +0000</pubDate>
		<dc:creator>Shelley</dc:creator>
				<category><![CDATA[Caregiving]]></category>
		<category><![CDATA[Featured]]></category>
		<category><![CDATA[Safety Equipment]]></category>
		<category><![CDATA[alzheimers]]></category>
		<category><![CDATA[dementia]]></category>
		<category><![CDATA[froze to death]]></category>
		<category><![CDATA[locating technology]]></category>
		<category><![CDATA[Toronto]]></category>
		<category><![CDATA[wandering]]></category>
		<category><![CDATA[woman]]></category>

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		<description><![CDATA[Media at the scene where a 66 year old woman wandered and froze to death. Credit: Fernando Morales/The Globe and Mail Last night, in Toronto, Ontario, Canada, a 66 year woman who had been suffering from dementia froze to death because she wandered from her home and was not found in time. That&#8217;s right&#8230;&#8230;&#8230;&#8230;..she froze [...]]]></description>
			<content:encoded><![CDATA[<div class="mceTemp">
<dl id="attachment_1679" class="wp-caption alignleft" style="width: 230px;">
<dt class="wp-caption-dt"><a href="http://takingcareofthefolks.com/wp-content/uploads/2011/01/web-frozen_1131891cl-3.jpg"><img class="size-full wp-image-1679 " title="web-frozen_1131891cl-3" src="http://takingcareofthefolks.com/wp-content/uploads/2011/01/web-frozen_1131891cl-3.jpg" alt="" width="220" height="123" /></a></dt>
<dd class="wp-caption-dd">Media at the scene where a 66 year old woman wandered and froze to death. Credit: Fernando Morales/The Globe and Mail</dd>
</dl>
<p>Last night, in Toronto, Ontario, Canada, a 66 year woman who had been suffering from dementia froze to death because she wandered from her home and was not found in time.</p></div>
<div class="mceTemp">That&#8217;s right&#8230;&#8230;&#8230;&#8230;..she froze to death. </div>
<div class="mceTemp">According to The Globe and Mail, a Canadian news source, her husband stated that he noticed she wasn&#8217;t in her bed at about 2 a.m. but thought that she went to sleep on the sofa.  When she did not return an hour later, he went out to search for her but did not find her.  The article did not say that he called the police.</div>
<div class="mceTemp">What the article did say was that the woman was just a block away from her home and could be heard  screaming by several neighbors.  One neighbor &#8220;even looked outside and noticed someone stumbling around&#8221;.   And police later found clawing marks on the screen door of a residence.</div>
<div class="mceTemp">But did anyone intervene or call the police???  NO.  Not a single person called the police when a woman could be heard screaming at two in the morning.</div>
<div class="mceTemp">I could go on about the degradation of a society that would not intervene but I&#8217;m not going to do that.</div>
<div class="mceTemp">What I AM going to do is to implore any of you that have relatives or loved ones with any kind of dementia to obtain protection for them by utilizing some sort of safe return system. </div>
<div class="mceTemp">I have talked about this before.  It&#8217;s a fact that more than 60% of those with dementia WILL wander at some point.  According to a close neighbor, the woman in this story had a documented incident a wandering  that necessitated police intervention in order to find her. </div>
<div class="mceTemp">You cannot guarantee that when your loved one wanders, it will be during the daylight hours or on a warm night or that they will wander to a neighbor&#8217;s home or that youw ill be able to find them&#8230;&#8230;&#8230;.in time.</div>
<div class="mceTemp">The Alzheimer&#8217;s Association has a Medic Alert + Safe Return program which utilizes an identification and a call center.  Their <a href="http://www.alz.org/safetycenter/we_can_help_safety_medicalert_safereturn.asp" target="_blank">Medic Alert + Safe Return </a>program does <strong>not</strong> utilize a GPS locating service but their<a href="http://www.alz.org/comfortzone/" target="_blank"> Comfort Zone </a>program uses a location based mapping service.   In Canada, the Alzheimer&#8217;s Association has the <a href="http://safelyhome.ca/en/safelyhome/aboutsafelyhome.asp" target="_blank">Safely Home</a>  program. </div>
<div class="mceTemp">Another example of one company that utilizes locating technology through the cellular network  is<a href="http://www.emfinders.com/" target="_blank"> EmFinders </a>which costs about $225.00 for the device and $25.00 per month for the service.</div>
<div class="mceTemp">Here is a great article on different types of<a href="http://www.alzheimer.ca/english/care/dailyliving-locatingdevices.htm" target="_blank"> locating systems </a> available on the market.</div>
<div class="mceTemp">My most sincere condolences to the family of this woman and especially to her husband, who as her caregiver and loved one, will surely be suffering. </div>
<div class="mceTemp">Don&#8217;t let this happen to you or your loved one.  Be proactive and put wandering protection in place before it is too late.</div>
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<div class="mceTemp">Other programs with tracking technology include</div>
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		<title>Some Startling Statistics</title>
		<link>http://takingcareofthefolks.com/some-startling-statistics/</link>
		<comments>http://takingcareofthefolks.com/some-startling-statistics/#comments</comments>
		<pubDate>Wed, 10 Nov 2010 20:59:10 +0000</pubDate>
		<dc:creator>Shelley</dc:creator>
				<category><![CDATA[Featured]]></category>
		<category><![CDATA[Money & Legal]]></category>
		<category><![CDATA[alzheimers]]></category>
		<category><![CDATA[election]]></category>
		<category><![CDATA[feed the children]]></category>
		<category><![CDATA[statistics]]></category>

		<guid isPermaLink="false">http://takingcareofthefolks.com/?p=1591</guid>
		<description><![CDATA[There are many needs that go unanswered in our world.  There are millions of people who go without food or water; children who go without the love and care of parents (either because of parental neglect or because their parents have died of diseases such as cancer and AIDS);  people who are denied access to healthcare due [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://takingcareofthefolks.com/wp-content/uploads/2010/11/19145862_thb.jpg"><img class="alignleft size-medium wp-image-1592" title="19145862_thb" src="http://takingcareofthefolks.com/wp-content/uploads/2010/11/19145862_thb-300x199.jpg" alt="" width="300" height="199" /></a>There are many needs that go unanswered in our world.  There are millions of people who go without food or water; children who go without the love and care of parents (either because of parental neglect or because their parents have died of diseases such as cancer and AIDS);  people who are denied access to healthcare due to monetary considerations or simply because the healthcare is unavailable in their area of the world.  There are caregivers who go without sleep or time for recreation of the soul and there are elders who go without the love and care that they need.</p>
<p>I recently learned of some starting statistics concerning the spending practices of those living in  America.  I&#8217;m not picking on America here; these are just the statistics to which I have access.  And, for the rest of this article, I&#8217;m going to refer as Americans, anyone who is living in the United States.</p>
<p>First let me say that America, by a huge percentage, is the biggest provider of monetary support and food and relief efforts to the world.  We should be proud of that.  I love America and am very grateful to live here.</p>
<p>There are some things we could change.</p>
<p>Did you know that:</p>
<ul>
<li>The United States is only 4.5% of the world&#8217;s population and yet we consume 20% of its resources</li>
<li>Less than 6% of the world&#8217;s population owns a car (how many do you have?)</li>
<li>We spend 40 BILLION dollars a year on WEIGHT LOSS products</li>
<li>                     45.5 BILLION dollars a year on pets and their products</li>
<li>                     31 BILLION dollars a year on ice cream</li>
<li>                     45 BILLION dollars a year on tabacco and alcohol products</li>
<li>                     WE SPENT 1.2 billion DOLLARS IN THE LAST 3 MONTHS ON ADVERTISING FOR THE ELECTION!</li>
<li>                    and then&#8230;&#8230; 500 million dollars a year on Alzheimer&#8217;s research (NOT billion)</li>
</ul>
<p>The World Health Organization estimates that it would take 20 billion dollars a year to provide food and potable water to all fo the world&#8217;s children.</p>
<p>It would take even less to provide some respite care for caregivers so that the 40% who die BEFORE the person for whom they are caring, might last a while longer.</p>
<p>Any thoughts?</p>
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		<title>WSU Receives Grant from Alzheimer&#8217;s Association</title>
		<link>http://takingcareofthefolks.com/wsu-receives-grant-from-alzheimers-association/</link>
		<comments>http://takingcareofthefolks.com/wsu-receives-grant-from-alzheimers-association/#comments</comments>
		<pubDate>Tue, 26 Oct 2010 21:13:42 +0000</pubDate>
		<dc:creator>Shelley</dc:creator>
				<category><![CDATA[Caregiving]]></category>
		<category><![CDATA[Featured]]></category>
		<category><![CDATA[alzheimers]]></category>
		<category><![CDATA[Alzheimer's Association]]></category>
		<category><![CDATA[caregiver]]></category>
		<category><![CDATA[grant]]></category>
		<category><![CDATA[mild cognitive impairment]]></category>
		<category><![CDATA[Pullman]]></category>
		<category><![CDATA[Spokane]]></category>
		<category><![CDATA[Washington]]></category>
		<category><![CDATA[Washington State University]]></category>

		<guid isPermaLink="false">http://takingcareofthefolks.com/?p=1527</guid>
		<description><![CDATA[Hi everyone, This is a press release that I received today and wanted to share.  It is centered around those diagnosed with mild cognitive impairment AND their caregivers. WSU Awarded Alzheimer’s Association Grant to Test New Intervention Source Contacts: Maureen Schmitter-Edgecombe, WSU College of Liberal Arts, 509-335-0170, schmitter-e@wsu.edu;  Dennis Dyck, WSU Spokane, 509-358-7618, dyck@wsu.edu; Joel Loiacono, [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://takingcareofthefolks.com/wp-content/uploads/2010/10/88344535_thb.jpg"><img class="alignleft size-medium wp-image-1528" title="88344535_thb" src="http://takingcareofthefolks.com/wp-content/uploads/2010/10/88344535_thb-199x300.jpg" alt="" width="199" height="300" /></a>Hi everyone,</p>
<p>This is a press release that I received today and wanted to share.  It is centered around those diagnosed with mild cognitive impairment AND their caregivers.</p>
<p>WSU Awarded Alzheimer’s Association Grant to Test New Intervention<br />
Source Contacts:<br />
Maureen Schmitter-Edgecombe, WSU College of Liberal Arts, 509-335-0170, <a href="mailto:schmitter-e@wsu.edu">schmitter-e@wsu.edu</a>; <br />
Dennis Dyck, WSU Spokane, 509-358-7618, <a href="mailto:dyck@wsu.edu">dyck@wsu.edu</a>;<br />
Joel Loiacono, Alzheimer’s Association – Inland Northwest Chapter, 509-473-3390, <a href="mailto:joel.loiacono@alz.org">joel.loiacono@alz.org</a></p>
<p>Media Contact:<br />
Judith Van Dongen, WSU Spokane, 509-358-7524, <a href="mailto:jcvd@wsu.edu">jcvd@wsu.edu</a></p>
<p>PULLMAN, WASH. &#8211; Researchers at Washington State University have received a $320,000 grant from the Alzheimer’s Association to test a novel intervention for the treatment of individuals with mild cognitive impairment, a precursor to Alzheimer’s disease and other forms of dementia.<br />
 <br />
This three-year early intervention study will be the first to examine the effectiveness of a new treatment method that integrates two existing interventions: One is a cognitive rehabilitation method that was built in part on the work of WSU professor of psychology Maureen Schmitter-Edgecombe, the principal investigator of this study. The other is a therapy named multi-family group treatment, which was originally developed to treat schizophrenia.<br />
Co-principal investigator and WSU professor of psychology in neurosciences Dennis Dyck successfully adapted this family-based treatment for patients with traumatic brain injury and spinal cord injury, and has been working with researchers from the Veterans Affairs Health Care System to adapt it for traumatic brain injury in returning veterans, specifically. The goal of the new intervention is to identify ways to keep people functioning independently for longer, decrease caregiver burden, and increase social support networks for both patients and family.<br />
 <br />
“We don’t have any proven pharmacological interventions right now,” said Schmitter-Edgecombe, “and there’s not a whole lot out there in terms of education or support for individuals and their families when people do get diagnosed with mild cognitive impairment. So we’re hoping that we will be developing something that can be used to help patients and their family members cope and compensate.”<br />
 <br />
Using a randomized controlled study design, the study will look at 40 patient-caregiver “teams,” or dyads, half of whom will be included in the intervention. The other half will serve as controls, receiving standard care from their personal physicians and getting tested at the same intervals as the intervention group.<br />
The intervention consists of 10 weeks of twice weekly sessions in multi-family groups of five to seven dyads, led by two clinicians. Sessions alternate between those aimed at teaching cognitive skills and memory strategies, such as the use of a memory notebook to record past actions and plan future ones, and those focused on the problem-solving activities and socialization that are central to the multi-group family treatment method.<br />
 <br />
“Working with both patient and caregiver is key,” said Dyck. “There’s a lot of information that a clinician normally doesn’t get that can be obtained by including the spouse or caregiver. “ He also noted that this team approach helps strengthen the mutual understanding of the difficulties being faced.<br />
 <br />
The researchers are looking to run intervention groups in Spokane and Pullman, and potentially also in Lewiston, Idaho, starting in late spring or early summer of next year. Study participants will be recruited through multiple methods, including referrals by study collaborator Dr. David Greeley, a neurologist with Northwest Neurological.  WSU research associate Diane Norell will train and supervise the clinicians who will be conducting the groups.<br />
 <br />
Cognitive testing will be done both prior to and following the intervention to determine its effectiveness.<br />
“What we’re hoping to see is that patients use the memory techniques and strategies they have been taught and that they will report fewer everyday memory lapses as a result,” Schmitter-Edgecombe said. Other anticipated outcomes include less reported distress and enhanced quality of life for both members of the dyad, as well as a strengthening of their relationship.<br />
 <br />
Individuals interested in participating in this intervention study may call (509) 335-4033, extension 1, for additional information. Eligible individuals must be 50 years or older; be experiencing mild memory problems (to be verified through screening); be able to participate in psychometric testing and groups; and have a spouse or another family member or friend willing to participate. There is no cost to participate, and each dyad will receive an honorarium.<br />
About the Alzheimer’s Association<br />
The Alzheimer’s Association is the leading voluntary health organization in Alzheimer care, support and research. Its mission is to eliminate Alzheimer’s disease through the advancement of research; to provide and enhance care and support for all affected; and to reduce the risk of dementia through the promotion of brain health. For more information, visit <a href="http://www.alz.org/">www.alz.org</a>. You can contact your local Chapter at 509-473-3390.<br />
Related Links:<br />
Washington State University<br />
Alzheimer’s Association, Inland Northwest Chapter<br />
“Maureen Schmitter-Edgecombe’s work to help people with memory loss” – Washington State Magazine, Spring 2009<br />
“Research Brings Hope to Injured Veterans” – WSU Spokane Campus Bulletin, May 14, 2008</p>
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		<title>Today is World Alzheimer&#8217;s Day &#8211; Would You Please Help?</title>
		<link>http://takingcareofthefolks.com/today-is-world-alzheimers-day-would-you-please-help/</link>
		<comments>http://takingcareofthefolks.com/today-is-world-alzheimers-day-would-you-please-help/#comments</comments>
		<pubDate>Tue, 21 Sep 2010 19:57:55 +0000</pubDate>
		<dc:creator>Shelley</dc:creator>
				<category><![CDATA[Featured]]></category>
		<category><![CDATA[alzheimers]]></category>
		<category><![CDATA[dementia]]></category>
		<category><![CDATA[Maria Shriver]]></category>
		<category><![CDATA[World Alzheimer's Day]]></category>

		<guid isPermaLink="false">http://takingcareofthefolks.com/?p=1452</guid>
		<description><![CDATA[  Today is World Alzheimer&#8217;s Day &#8211; a day to bring attention to the world about this dreaded disease that still has no cure.  It is estimated that by the year 2030, the number of people with dementia will double and that by 2050, it will TRIPLE.  Dementia costs the world $604 billion a year. [...]]]></description>
			<content:encoded><![CDATA[<p> <object width="640" height="385"><param name="movie" value="http://www.youtube.com/v/4YmSupgtxms?fs=1&amp;hl=en_US&amp;rel=0"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/4YmSupgtxms?fs=1&amp;hl=en_US&amp;rel=0" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="640" height="385"></embed></object></p>
<p>Today is World Alzheimer&#8217;s Day &#8211; a day to bring attention to the world about this dreaded disease that still has no cure.  It is estimated that by the year 2030, the number of people with dementia will double and that by 2050, it will TRIPLE.</p>
<p> Dementia costs the world $604 billion a year. That&#8217;s  1% of the global GDP according to new statistics&#8230; <a rel="nofollow" href="http://bit.ly/arDwVa" target="_blank">http://bit.ly/arDwVa</a></p>
<p>I&#8217;ll be walking at Maria&#8217;s event in Long Beach, California in honor of my father.  If you&#8217;d like to walk on my team or to donate to the cause, you may do so<a href="http://mariasmarch.kintera.org/faf/donorReg/donorPledge.asp?ievent=427504&amp;lis=0&amp;kntae427504=71AC506D54DD4C718F580DE66B8C78BA" target="_blank"> here</a>.</p>
<p>And thanks so much!</p>
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		<title>Will Assisted Living Facilities Become the Next Dinosaur?</title>
		<link>http://takingcareofthefolks.com/will-assisted-living-facilities-become-the-next-dinosaur/</link>
		<comments>http://takingcareofthefolks.com/will-assisted-living-facilities-become-the-next-dinosaur/#comments</comments>
		<pubDate>Wed, 13 Jan 2010 00:19:11 +0000</pubDate>
		<dc:creator>Shelley</dc:creator>
				<category><![CDATA[Activities]]></category>
		<category><![CDATA[Featured]]></category>
		<category><![CDATA[Living Arrangements]]></category>
		<category><![CDATA[aging]]></category>
		<category><![CDATA[alzheimers]]></category>
		<category><![CDATA[assisted living]]></category>
		<category><![CDATA[care giving]]></category>
		<category><![CDATA[caretaker]]></category>
		<category><![CDATA[dementia]]></category>
		<category><![CDATA[elder]]></category>
		<category><![CDATA[eldercare]]></category>
		<category><![CDATA[eldercare support]]></category>
		<category><![CDATA[family]]></category>
		<category><![CDATA[father]]></category>
		<category><![CDATA[mother]]></category>
		<category><![CDATA[parent]]></category>
		<category><![CDATA[physician]]></category>
		<category><![CDATA[senior]]></category>
		<category><![CDATA[the eldercare support group]]></category>

		<guid isPermaLink="false">http://takingcareofthefolks.com/?p=876</guid>
		<description><![CDATA[ This past couple of years, I&#8217;ve noticed many new assisted living facilities being built in the area in which I live.  These are gorgeous properties with beautiful amenities throughout that have been placed there by designers hired to make them look like &#8220;home&#8221;. It wasn&#8217;t until I began looking at them as a means of [...]]]></description>
			<content:encoded><![CDATA[<p> <img class="alignleft size-medium wp-image-877" title="19853488_thb" src="http://takingcareofthefolks.com/wp-content/uploads/2010/01/19853488_thb-300x227.jpg" alt="19853488_thb" width="300" height="227" />This past couple of years, I&#8217;ve noticed many new assisted living facilities being built in the area in which I live.  These are gorgeous properties with beautiful amenities throughout that have been placed there by designers hired to make them look like &#8220;home&#8221;.</p>
<p>It wasn&#8217;t until I began looking at them as a means of respite care placement for my father that I learned of their costs.  In my father&#8217;s case, the daily respite cost was $220 but the monthly cost would have been over $5000.00 for a semi-private room.  This rate did not include medications or transportation to medical appointments. (Rates seem to vary between $4000.00 and $7500.00 per month depending upon the residence.)   None of these facilities accepted Medi-Care and private insurances don&#8217;t cover such things.  A couple of them stated that if a person were 2 guarantee private payment for 3 years, then they would not &#8220;evict&#8221; the resident once their money was gone.  At that time, they would then accept Medicaid reimbursement. </p>
<p>Recently I have read several articles about assisted living facilities being available mostly in areas of higher income.  In areas of lower income, rural areas and in areas where minorities live (and all 3 of these are equivalent to areas of lower mean income), there are less available assisted living facilities.</p>
<p>In a study at Brown University, a conclusion was made that hispanics would be more likely to use nursing homes than assisted living facilities because they at more likely to be at the lower end of the socio economic scale and did not have the money.  Because of lack of money, they were more likely to be placed in nursing homes with less than desirable facilities, receiving less than adequate care which sent them back to the hospital and began a downward spiral.</p>
<p>I think that another reason that there are fewer assisted living facilities in areas where hispanics live is that their culture has the tradition of elder care being handled by the adult children of the family in a home setting.  My best friend&#8217;s mother took care of both her mother and aunt in her home until she was physically unable to do so anymore.</p>
<p>Assisted living facilities vary tremendously; they can contain a myriad of amenities and consist of private apartments with a nurse on duty 24 hours a day or at the other end of the spectrum, they can be closer to a nursing home environment with semi-private areas that consist of 2 beds in a room with a television set.</p>
<p>Assisted living homes are not the right choice for everyone.  Unless a facility has a special unit  (and many are opting to include these), dementia patients should not be placed there.  Sometimes patients have medical conditions that are too complicated for this type of living arrangement, as well.</p>
<p>Nursing homes don&#8217;t have much variation.  In MY words, they are simply sad places where lonely people live out their final days. </p>
<p>In between, there are skilled nursing facilities, but in most instances, these are temporary placements until the &#8220;patient&#8221; can either be returned home or to a more permanent placement in a different facility.</p>
<p>I&#8217;m concerned about what will happen when the aging population runs out of money to pay for these expensive assisted living homes.  At between $ 50,000 and $90,000 per year, who will be able to live there long?  Our elders were a little more prepared but I don&#8217;t believe that the baby boomer generation has prepared themselves well enough to be able to cover even a year of living there.  And now that many boomers are upside down on their mortgages, selling their home won&#8217;t help to pay for that care.  Not many of us have long term care insurance either. (And in reality, how can long term care insurance continue to exist when almost ALL of us will need it at some point?)</p>
<p>I also think that with health reform, more families are going to be responsible for the care of their elders.  Hospitals will discharge elder patients sooner and before they are able to care for themselves.  This is happening even now !  I literally had to beg that my father be admitted to help remove the 12 pounds of fluid that had accumulated in his legs due to congestive heart failure.  Sure&#8230;..they&#8217;ll put a defibrillator in an 86 year old man with dementia (because insurance will pay for THAT)  but when it comes to managing the care of that man post procedure, they&#8217;ll leave it to the family.   (And they won&#8217;t discuss end-of-life care&#8230;but that&#8217;s a whole other issue.)</p>
<p>Already, a big portion (17% of employees in south Florida, according to a recent study)* are having to leave the work force in order to care for their aging loved ones and another 15% have cut their hours. </p>
<p>During the past year, as we have experienced a financial crisis, more family members are gathering together under one roof in order to make ends meet.  Do you think that we will return to the days of Leave it to Beaver and Father Knows Best where Moms become the caregivers for the family while Dads return to providing the financial contribution?</p>
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		<title>Eating Fish &#8211; The Benefits Outweigh the Risks</title>
		<link>http://takingcareofthefolks.com/eating-fish-the-benefits-outweigh-the-risks/</link>
		<comments>http://takingcareofthefolks.com/eating-fish-the-benefits-outweigh-the-risks/#comments</comments>
		<pubDate>Mon, 04 Jan 2010 20:58:37 +0000</pubDate>
		<dc:creator>Shelley</dc:creator>
				<category><![CDATA[Caregiving]]></category>
		<category><![CDATA[Featured]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[alzheimers]]></category>
		<category><![CDATA[caregiver]]></category>
		<category><![CDATA[caring]]></category>
		<category><![CDATA[contaminants]]></category>
		<category><![CDATA[dementia]]></category>
		<category><![CDATA[diet]]></category>
		<category><![CDATA[fatty fish]]></category>
		<category><![CDATA[fish]]></category>
		<category><![CDATA[food]]></category>
		<category><![CDATA[healthy]]></category>
		<category><![CDATA[mercury]]></category>
		<category><![CDATA[new year]]></category>
		<category><![CDATA[omega-3 fatty acids]]></category>
		<category><![CDATA[The American Heart Association]]></category>

		<guid isPermaLink="false">http://takingcareofthefolks.com/?p=853</guid>
		<description><![CDATA[For many people, the start of a new year brings a resolve to eat more healthy.  One of the ways that we can do this is by choosing to add foods to our diet and that of our loved ones that are healthy in and of themselves.  Some of the best &#8220;heart healthy&#8221; foods are fatty fish [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignleft size-medium wp-image-855" title="20516426_thb" src="http://takingcareofthefolks.com/wp-content/uploads/2010/01/20516426_thb1-300x292.jpg" alt="20516426_thb" width="300" height="292" />For many people, the start of a new year brings a resolve to eat more healthy.  One of the ways that we can do this is by choosing to add foods to our diet and that of our loved ones that are healthy in and of themselves. </p>
<p>Some of the best &#8220;heart healthy&#8221; foods are fatty fish such as samon, herring, lake trout and anchovies.  These fatty fish contain omega-3 fatty acids which are good for preventing and fighting heart disease,  maintaining a low blood pressure, helping to prevent dementia, increasing immunities and easing arthritis.  They are also high in protein and lower in calories.  But recently, many people have stopped eating fish because of concerns about mercury and other toxins.  Just how safe is it to eat fish?</p>
<p>Well, according to <em>Newsweek</em> magazine, two new studies bring a positive answer to that question.  Researchers at the Harvard School of Public Health and the National Academy of Sciences have both arrived at the same conclusion. <strong>The benefits  from eating fish outweigh the risks from the small amounts of mercury and other toxins that can be found in them.</strong></p>
<p>One thing to note is that the levels of mercury vary from species to species.  The larger the fish, the larger amount of contaminants it might contain.  This is because the larger fish are higher on the food chain and have eaten the smaller fish who already have traces of mercury in them.  (Unfortunately, industrial pollution is to blame for most of the mercury that is contaminating the fish.)  So your best bet is to eat smaller fish such as salmon, anchovies, cod, flounder, and pollack (the fish that is usually used to make &#8220;faux crabmeat&#8221;) and shellfish such as scallops.</p>
<p>Also, try to eat fish that are from the wild as opposed to being farm-raised. </p>
<p>An interesting side note (per AARP&#8217;s interview with Donald Hensrud, M.D., a nutritional specialist with the Mayo Clinic) is that older persons, whose brains and nervous systems are fully developed, can tolerate higher amounts of mercury than children. Of course, pregnant women should also be careful not to eat fish with the potential for high mercury levels. </p>
<p>For a list of Mercury Levels in Commercial Fish and Shellfish from the U.S. Food and Drug Administration, go here: <strong>http://tinyurl.com/m7uhzb</strong></p>
<p>The American Heart Association recommends consuming at least two servings of fish (especially those that contain omega-3 fatty acids) per week.  To keep the meal low in saturated fats, avoid frying them or adding rich buttery sauces.</p>
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		<title>Ten Caregiving Goals for 2010</title>
		<link>http://takingcareofthefolks.com/ten-caregiving-goals-for-2010/</link>
		<comments>http://takingcareofthefolks.com/ten-caregiving-goals-for-2010/#comments</comments>
		<pubDate>Thu, 31 Dec 2009 20:14:25 +0000</pubDate>
		<dc:creator>Shelley</dc:creator>
				<category><![CDATA[Activities]]></category>
		<category><![CDATA[Caregiving]]></category>
		<category><![CDATA[Featured]]></category>
		<category><![CDATA[2010]]></category>
		<category><![CDATA[activities of daily living]]></category>
		<category><![CDATA[aging]]></category>
		<category><![CDATA[alzheimers]]></category>
		<category><![CDATA[caregiver]]></category>
		<category><![CDATA[caring]]></category>
		<category><![CDATA[eldercare]]></category>
		<category><![CDATA[eldercare support]]></category>
		<category><![CDATA[family]]></category>
		<category><![CDATA[goals]]></category>
		<category><![CDATA[loved one]]></category>
		<category><![CDATA[new years]]></category>
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		<guid isPermaLink="false">http://takingcareofthefolks.com/?p=846</guid>
		<description><![CDATA[  If you&#8217;ve been following me for awhile, you KNOW that the majority of these goals are about taking care of yourself.  Yes, I know I&#8217;m being repetitative, but you can&#8217;t take care of anyone else effectively unless you take care of yourself first.  Remember&#8230;&#8230;YOUR oxygen mask goes on first !   1.  Learn to take [...]]]></description>
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<div><span style="font-size: small;"><img class="alignleft size-medium wp-image-845" title="16465131_thb" src="http://takingcareofthefolks.com/wp-content/uploads/2009/12/16465131_thb-199x300.jpg" alt="16465131_thb" width="199" height="300" />If you&#8217;ve been following me for awhile, you KNOW that the majority of these goals are about taking care of yourself.  Yes, I know I&#8217;m being repetitative, but you can&#8217;t take care of anyone else effectively unless you take care of yourself first.  Remember&#8230;&#8230;YOUR oxygen mask goes on first !</span></div>
<div> </div>
<div><span style="font-size: small;">1.  <span style="text-decoration: underline;">Learn to take 1 hour each day for yourself.</span> Whether it be for reading, taking a bath, journaling, calling a friend, using Wii Fit, meditating or perusing a magazine,  it is important to find 60 minutes to give your mind a rest.  You could do this while your loved one is sleeping or watching a program or you could hire a teen to come over after school for an hour.  </span></div>
<div> </div>
<div><span style="font-size: small;">2. <span style="text-decoration: underline;"> Resolve not to be right.</span>  It doesn&#8217;t matter.  If you&#8217;re talking with your Mom long distance on the phone and she insists that Merle Streep starred in a movie in which you know that she didn&#8217;t, what does it really matter if you let her have the last word?  (Just be sure you have the ability to look into the matter if it is something that might be dangerous&#8230;such as finances or abuse by a hired caregiver.)  </span></div>
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<div><span style="font-size: small;">3.  <span style="text-decoration: underline;">Learn to accept help.</span>  People want to help (as long as you don&#8217;t over-whelm them) and if you continue to decline it, they will stop offering (which brings me to my next suggestion).</span></div>
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<div><span style="font-size: small;">4.  <span style="text-decoration: underline;">Keep a &#8221;Things that People Could Help Me With&#8221; list by the phone.</span>  When someone calls and offers help, you will have an immediate answer for them.  These could be little things like picking something up from the dry cleaner, dropping off a prescription at the pharmacy or &#8230;. spending that 1 hour with Mom so that you can relax.</span></div>
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<div><span style="font-size: small;">5.  <span style="text-decoration: underline;">Bite your tongue when what you WANT to say is&#8230;&#8230;&#8230;.You JUST asked me that !!</span>  Sometimes moving to a different room or moving the item of conversation helps.  For instance, there was a photo of my daughter and her boyfriend on the table where my father and I were sitting having coffee.  My father would say &#8220;he&#8217;s a handsome young man; what does he do?&#8221;  I&#8217;d explain and less than 30 seconds later, he would ask the same thing.  I finally got up, got more coffee and moved the photo to the other room.  Problem solved&#8230;.for the moment.</span></div>
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<div><span style="font-size: small;">6.  <span style="text-decoration: underline;">Don&#8217;t despair if you lose patience&#8230;&#8230;&#8230;&#8230;.because you will.</span>  Caregiving, from near or far, is tough work.  Just do the best you can and remember that you&#8217;re human.  Apologizing is good though, even if you think your loved one doesn&#8217;t understand you&#8230;.try a soft touch.</span></div>
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<div><span style="font-size: small;">7.  <span style="text-decoration: underline;">Attend at least one support group meeting.</span>  Just try ONE.  Support groups are educational and encouraging.  If you really detest the idea of attending one in the community, try one on-line.  (One of OUR goals this year is to put into place a member forum where caregivers can exchange information with each other.  Stay tuned for more details soon.)</span></div>
<div> </div>
<div><span style="font-size: small;">8.  <span style="text-decoration: underline;">Celebrate the small stuff.</span>  There is a &#8220;new&#8221; normal now and it&#8217;s highly unlikely that the old normal is coming back.  Maximize the quality of each day for you and your loved one.  Maybe take a drive to a pretty area, or reminisce about &#8220;the old days&#8221; (you might want to set up the video camera for that, or take notes), or make cookies, or just sit on the patio.  A friend of mine puts on a DVD of an orchestrial performance and her mother &#8220;conducts&#8221; the symphony, usually with a broad smile on her face.</span></div>
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<div><span style="font-size: small;">9.  <span style="text-decoration: underline;">Find ways to help your loved-one stay occupied and connected.</span>  If your loved-one enjoyed attending Sunday services, try to enable them to continue that.  Senior Centers  or or Day Care Centers might be an option.  </span><span style="font-size: small;">My father was not good at walking around stores with me, but he liked to go for the ride and was safe enough to sit in the car while I ran in.  He just enjoyed &#8220;getting out&#8221; as long as the outings were short.</span></div>
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<div><span style="font-size: small;">10.  <span style="text-decoration: underline;">Last but not least, forget about planning out the entire year.</span>  Caregiving is much too uncertain to be able to make long term goals and it will only frustrate you to do so. The time to be able to do that will come again. </span></div>
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<div><span style="font-size: small;">Have a wonderful 2010 </span></div>
<div></div>
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