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31.08.2014
I didn’t have a care coordination provider in 2009 when my daughter and I started caring for my mom, Margaret. There may have been something called “care coordination,” but at that time, many of the care coordination services were in early stages of development or new.
My challenge was taking a fragmented health care system and organizing it into something cohesive to serve her. The team then monitors and reports to the family on all aspects of the loved one’s care, including medical and physical condition and outside activities.
Care coordination frequently reduces cost through better, more efficient use of health care services. Full disclosure: I am President and CEO of InnovAge, which provides health services, including care coordination, to older adults and is based in Denver, Colo.
In addition to the time and stress of being a working caregiver, there are many career and monetary difficulties.
Organizations that provide care coordination have the ability to wrap services and health care around older adults and their families.
Care plans must be built and action taken using medical, psychosocial, therapeutic and nutritional data to give older adults and their families one very important thing: control. We all know the final years of life can be something joyous or extremely distressing for the older adult and their caregivers and families. Living & LearningWhich Bob Dylan Album Are You?Do you know enough about him to call yourself a Dylanologist? Across the country, developers are re-imagining community life, creating holistic settings that will appeal to older people. Many bank on boomers’ ongoing interest in wellness, remaining active and staying connected across generations. A pioneer in transformative eldercare, Shields is leading the development of a town-within-a-town in Liberty, Mo., that will focus on wellness and intergenerational living. Town life will center around a “Healthy Living Center” complex that includes 6,500 square feet of: state-of-the-art exercise space, a yoga studio, a spinning room and four swimming pools as well as a restaurant, bistro, theater and childcare center – all open to the broader Liberty community. One core element will be households — rather than traditional assisted living or nursing homes — for those who need long-term care services (as I wrote about in my book Old Age in a New Age: The Promise of Transformative Nursing Homes). Smart Living 360 and Federal Realty are partnering on an upcoming 48-unit rental complex for people 55+ in Rockville, Md., called The Stories. Visitors to the leasing center will be presented with a wall of graphics, aimed at prompting them to envision their next chapter, based on these five areas of well-being. To that end, he has hired a “lifestyle ambassador,” Greg Timpone, who will act not only as a concierge but also as a liaison, both within the apartment complex and with the broader community. Outside Atlanta, Ga., Serenbe is a growing community in a pastoral setting in the Chattahoochee Hill Country. Homes are pricey — from $300,000 to more than 10 times that — but rental apartments and carriage houses are encouraged to allow for more affordable options, including for multigenerational families.
Steve Nygren, who cofounded the community with his wife, Marie, was frustrated with the typical senior housing.
Serenbe includes nature trails, a 25-acre organic farm, a farmer’s market, outdoor theater, artist-in-residence program and spa, among other features. Tom Blum, a retired physician, and his wife, Christina, an artist, moved there eight years ago from Minneapolis, Minn. Other wellness-promoting features of life are a vibrant arts scene and stimulating discussion groups and lectures, he adds.
The new health and wellness hamlet includes a senior housing piece, located across from the community pool and a childcare center. Sixteen two-bedroom cottages will soon open for older people, each with front doors that lead to a nature garden. Another building will look like a large home, but will have 12 efficiency apartments of 500 square feet each that open to shared spaces.
Developed by a software developer turned elder care advocate and psychotherapist Montgomery Ostrander, the model stresses quality of life. Ostrander hopes to conduct research to measure how effective these alternative approaches are, especially for people with dementia. In the meantime, he says, “The proudest achievement that I have is that every single person came in on antidepressants and every one of them was off after six months. Health & Well-Being6 Side Effects of Exercise That May Not Be NormalChances are, there's little cause for concern. If your parents are progressing in their senior years, you may start worrying about their safety and security.
Secure Sliding Patio DoorsA patio door or any other sliding door can be an easier target for a burglar than a regular door.
To help add an extra layer of security, reinforce the sliding door with a Master Lock 265DCCSEN Security Door Bar. Safely Share A Spare KeySo often when we want to leave a key out for a friend, relative or worker to gain access to our home, we’re tempted to hide it under a mat or under a plant. By using a Master Lock Key Safe, you can store spare keys to give someone access to your house while you’re out.
Keep Valuables Safe While TravelingIf your parents spend time at the beach or travel often, you may want to remind them to keep their most expensive and important items like smart phones, cameras, jewelry, keys, passports, sunglasses, cash, and credit cards extra safe. With Master Lock SafeSpace you can lock up those small valuables and lock them down by wrapping the cable securely around a fixed object. Keep Valuables and Important Documents in a Fire SafeSeniors often have collected many personal items that are extraordinarily valuable both for their memories and monetary worth. You want to help them to take extra steps to ensure those items are protected from fire and theft. Store Passwords and Private Digital Data SecurelyYour parents didn’t grow up in an age where they had to use fifty different passwords every day. In order to remember different passwords that are complex enough to be safe, we all need to use a secure site to store the passwords. Show your parents how to use the site Master Lock Vault to keep track of their passwords and other digital data.
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The latest advancements in technology can be exciting for seniors who are interested in learning how to use a home computer or tablet. Those of us who use this type of technology on a daily basis are aware of the dangers that lurk online, and for the most part, we know how to avoid scams and possible identity theft. We were all new to the internet at one time and it is likely that most of us have fallen for one or more scams such as false free gift offers or scam emails. One of the best ways to ensure that your elderly parents will have a safe and secure online experience is to make sure that they are using an up-to-date and secure computer, with the latest security software installed.
Online shopping can be a major help to seniors who can no longer drive to the store to pick up necessities or medication. Going online can be extremely beneficial to senior citizens because it allows them to stay connected to the things that are most important to them.
Acorn’s two West Yorkshire factories were visited yesterday by important guests from the Marie Curie charity.
Four years after the first set of baby boomers hit the retirement age of 65, this segment of America continues to grow at record numbers. I did have lists of caregiving services and phone numbers for my mom, as well as financial statements and housing options. Known as care coordination, this process is usually tackled by a team of health care professionals working together and sharing information to provide the best care possible at the appropriate time to, in this case, an older adult. It’s InnovAge’s goal, and mine as well, due in no small part to my personal experience, to deliver these services to older adults to improve their health.
Without one, I went through many options with my mother until we finally found a way to fit her desires and situation. I found a nurse practitioner and physician who would monitor her health and well-being monthly.
More than one in six caregivers work part- or full-time while spending at least 15 hours a week as a caregiver. The following statistics from the AARP Public Policy Institute, the National Alliance for Caregiving and MetLife show the impact on the economy and the workforce of family caregivers.
Our job is to ensure older adults live the final years of their lives in something resembling the former.
The project, Healthy Living Community, is a partnership between ActionPact and Liberty Hospital. As the community builds out, a variety of housing types will be available for rent, for people of all ages.
The model is based on five characteristics used by Gallup-Healthways in their community surveys of well-being: a sense of purpose, supportive relationships, financial security, pride in community and physical health.
Located in a busy residential and commercial area, residents will be able to walk to a large shopping center, restaurants, movies and public transportation.
The community is made up of distinct “hamlets,” each with a focus — the arts, organic farming and a new one dedicated to health and wellness. From the asethetics (“mauve colored carpet, dark stain molding, heavy draperies”) to the rules governing community life and the age restriction, Nygren thought he could do a lot better. Tree of Life assisted living in San Diego, Calif., offers “therapeutic elder care” to residents, many of whom have dementia, in a home setting with an unusual offering of wellness and complementary therapies.
Many seniors prefer to continue living independently, so it’s a good idea to help them take a few extra steps to ensure their personal safety and secure their belongings. You can help your own parents out by letting them know there’s a safer way to do this now.
Explain to them the importance of creating secure passwords and using different passwords on different websites. Going online can be helpful, informative, and an excellent way for the elderly to pass the time.
However, many seniors, especially those who are new to the Internet, may not know how to stay safe online and avoid the dangers, such as identity theft or credit card fraud.
In order to protect your elderly parents from these online threats, you may need to constantly remind them of the many online threats that are out there.
Anti-virus software can help safeguard their computer from potential popups, and providing additional security to their email account will help to safeguard them against spam and phishing scams. Make sure that your parents understand that not every website can be trusted, and that they should always check to make sure the site they are on is security enabled before putting in their credit or debit card information. If you have recently introduced your elderly parent to the Internet, and have helped them to set up their equipment so that they may get online, be sure to also help them stay safe and secure by following these helpful tips. Care coordination is a good choice for older adults who want to age in place, because services are brought in to the patient.
Shields anticipates monthly rents will be market rate for the Kansas City area, ranging from $1,800 to $4,800 or more for the largest spaces. Two hundred homes have been built, out an eventual 1,200, and the community is for people of all ages. Rates are from $4,000 to $4,500 a month (the national monthly average for assisted living is $3,500).
If you would like to help your parent enjoy the benefits of using the web, while keeping them safe at the same time, you should follow these helpful tips.
In addition, receiving these services at home is less expensive than living in a nursing home, costing approximately $1,000, compared with more than $5,000 a month at a nursing home. Ostrander also incorporates shamanistic spirituality, such as a house blessing conducted by a friend who is a member of the Pima tribe.
I was like most caregivers in the United States: a full 72 percent of us provide care for a parent or family member.
I put together a list of everything and everyone who could potentially come to the house to provide services, like hair and foot care. Their website is filled with advice and tips as well as helpful resources that any online user could benefit from. Marie Drouillard nods and shares the solemn sentiment with her fellow mariners but her emotions quickly change once her feet hit the docks and she is filled with joy.It is a sunnyA April morning, and a new day in a new world was ahead of Marie.
She left behind her mother Marie Jeanne, and father Jacques, and the rest of her famille in Ville Marie, Saintonge. As she set her feet on the rickety docks of settlement named Three Rivers, she took the capine from her head and shakes off the last mist of salt water in her hair and thus begins a romantic adventure that she played out in her mind since her youth.Marie takes a look at theA small settlement and all the activity going on around her.
It would be a kindness if you would allow me to take you to Father.MARIEVery well Monsieur, I just don't want to put you to any trouble.


I am sure you must have other obligations.PIERREIf you are a friend of Fathers then I am obligated to see you safely to his presence.
Now then you would not like the good people of Three Rivers to look down on me as if I were one of the savages walking with empty arms while you tote a heavy load.
My mother's name was Marie Madeleine.A MARIENow I know you are making jest of our conversation.A PIERREHonest! I want to get away from these arrangements.PIERREWhy is that?MARIEWhen I marry, I want to marry for love and to whom I choose.
As she stops walking she looks over and sees a man where before she seen only a trusted soldier. That is if you don't object?A MARIEI would like that Pierre.PIERREWell then we are here at the Chapel. He is an old man and sometimes takes a while for him to answer.A A MARIEThat is not neccesary Pierre. The strikingly beautiful Marie had captured his heart and there is no escaping the feelings he hasA for the demoiselle heA just met. It is the first time he has seen her in years.LALEMANTWell look who is all grown up!MARIEI suppose I have grown a little. How do you feel about Elisabeth marrying at so young a age?LALEMANTIt is long held family tradition to have ones parents betroth their daughter Marie. Why your parents did the same to Gillette, giving her to her first husband and as well as to her second.
I pray Elisabeth will be fine.MARIEWhat issues with Julian do you speak of Father?LALEMANTJulien has been known to enjoy his wine and his work habits are less than desirable. Well I have crossed the ocean and I have come to the mind set that I cannot live in the past, or change my families mistakes. He sold fish in the market place and he took on the resemblance of a halibut in his looks and also his smell; but that was no matter to my father. Do you think it is selfish of me, to want to find happiness in this life and a spouse who is not chosen for me, but one that I choose?LALEMANTMarie some do not understand my choice for a spouse.
I believe you will have many suitors Marie.MARIEI have not come this far and sacrificed so much to gamble on a stranger's heart.
I presume you have talked over your terms of employment with Monsieur Francois Peron?MARIEYes Father, I will be working at Peron's store as a merchard mercier and will also manage some of his business affairs.LALEMANTExcellent Marie, I am so proud of you. When we were children we promised that we would never allow this to happen to us or our children.LALEMANTNow Marie, you do not want cause a fuss? After all what is done is done and today is a day of celebration.MARIEMe Father that is the last thing I want to do. Jacques is a locksmith by trade, and he and Gillette have a small farm that barely sustains their 7 children. He is spending most the afternoon in close proximity to the nearestA  keg of brandy and socializing with his rowdy group friends. Besides in his state of drunkenness, he is having trouble remembering which of the Bertault daughters he is suppose to be married too. I cannot remember.A (laughter from the crowd)The amusement is not shared by Elisabeth's father who looks on and glares his disapproval. Gillette has the look of surpriseA on her face.A GILLETTEYou have made the journey across the ocean Marie and arrived on all days the day of the wedding. She is so young and still acts yet like a child.GILLETTEWell I was 13 when I married my first husband Martin.
Should it be any different for my children, Marie?A Gillette looks down at the seven-year-old sister of Elisabeth, Suzanne who she consoles in her arms.
I thought things would be different in New France but in so many ways it is the same as was back in Normandy.
Marie do you see life any other way?A MARIEI just hope that Julien takes good care of Elisabeth.
Julien has a reputation for sloth and I hear he has a horrible temper when he has been drinking.
It seems there is someA doubt on his ability to be a provider.GILLETTEJacques has had several talks with Julien. Julien has been told that he is expected to provide and care for Elisabeth and we think it will all work out. It is just that everyone is just a step away from starvation with the hostilities with the Iroquois. Have you given the fish salesman an answer, yes or no to marriage?MARIEI have told the Halibut he will have to wait till my contract with Miser Peron is complete and then I can decide with more certainty on my future. Right now I am glad there is a ocean between us.A GILLETTEAnd does anyone else fit into my dear sisters future? I couldn't help to notice that handsome young soldier escorting you.A MARIEThere is no fit for anyone for a while, I suppose. To tell you the truth I have days when the thought of living with the Ursulene Sisters seems like the best of all options. I ask myself do I really need a man to take care of and complicate my life?GILLETTEYou are so independent Marie.
Gillette rises from her chair and searches for her husband among the crowd but he is no where to be found. Elizabeth is in tears and quite upset by his behavior as Julien mocks and demeans his new bride for some miss cue of her speech and her untidy appearance.
Elizabeth looks over to her mother for some help or reassurance but none is forth coming.Marie now sits alone taking in all the activity of the celebration into her heart and again ponders the value of marriage arranged or otherwise.
Among the women in line for eggs, flour and assorted food items is the familiar face of the stores newest most frequent customer Pierre. Marie is hurrying as she runs late and holds two large hand sewn quilts in a bundle that the Sisters at the convent had sewn.
Marie watches in amusement as Pierre fended off the big winged insect.MARIEPierre you are always so helpful and here when I need you.



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