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When Barack Obama’s mother in law moved into the White House last year, it brought much-needed attention to America’s multigenerational families. According to the Pew Research Center, in 2008 there were an estimated 49 million Americans, or 16% of the population, living in households with three or more generations, up 33% since 1980. This jump is attributed to a number of factors including the economic downturn and the overall aging of our population.

While Marian Robinson moved into the White House to help care for Barack and Michelle’s two children, many multigenerational families are the result of aging parents who need additional assistance and care. One of the first dilemmas these families confront is that of space or lack thereof. Privacy also comes into play, as well as how the arrangement will change the family dynamic. All the while, families want to keep their loved ones as independent as possible for as long as possible.

There are solutions that allow your loved one(s) to live close at hand, while maintaining privacy and independence.  Considering the average cost of a nursing home stay can reach over $70,000 annually or nearly $6,000 a month, these options may be more cost effective. Be that as it may, the alternatives listed below are not for every family. The decision to move mom or dad home is one of the most biggest eldercare decisions a family can make. Accordingly, it should not be taken lightly.

MED Cottage: Med Cottage is a small mobile home that can be temporarily placed on the caregiver’s property. The Med Cottage is nearly 300 square feet and comes equipped with many high-tech assistive features including motion sensors, floor-level video cameras, as well as other remote monitoring capabilities, a smart pill dispenser, a virtual companion, and a lift to help move occupants. Med Cottage can be leased for between $1,500 and $2,000 a month or bought for $75,000. Potential buyers should research zoning requirements in their state and make sure Med Cottage is compliant. N2Care, the company that makes Med Cottage, expects to be able to start processing orders sometime in 2011. For more information go to www.medcottage.com or to watch a video click here:

Sidekick Homes: For another detached cottage-style option, consider Sidekick Homes, which designs and constructs backyard cottages that blend with the existing and neighborhood architecture. These living units are specifically designed for those with limited abilities. Sidekick offers standard and custom home designs. Homes usually take about 6 months to complete and models range from $75,000 to $200,000 for the structure itself, plus the cost of foundation/basement, utilities, and site work. For more information go to www.kephartliving.com.

Next Door Garage Apartments: Next Door Garage Apartments (NDGA) are temporary apartment units that are constructed inside a standard two car garage. A complete conversion can be done in 10 days and NDGA will convert it back to a garage when the unit is no longer needed. The apartments come with a private entry, living room, dining room and bedroom area, plus all necessary appliances. Utilities are hooked up to the primary home, but the temperature can be regulated separately. For buyers who reside within 200 miles of Indianapolis, Indiana, the cost is $35,000. For those living elsewhere, the cost is $35,000 and a percentage depending on where you live. The extra percentage ranges from 5% to 25%. For more information go to www.nextdoorgarageapartments.com and to watch a video, click here: http://nextdoorgarageapartments.com/nextdoor.swf

It’s no secret that caregiving can take a huge toll on the caregiver, both emotionally and physically. Added to which, caregivers often face financial difficulties which compound an already stressful situation. Over time, these effects can have devastating consequences as the following statistics on family caregivers show:

  • Caregivers report having a chronic condition at more than twice the rate of non-caregivers.¹
  • Caregivers who are caring for a spouse 36 or more hours a week are more than six times likely to experience symptoms of depression or anxiety than non-caregivers. ²
  • Caregivers experiencing extreme stress have been shown to age prematurely, taking as much as 10 years off a caregiver’s life. 3
  • Elderly spousal caregivers with a history of chronic illness themselves who are experiencing caregiving related stress have a 63% higher mortality rate than their non-caregiving peers. 4

These statistics show that family caregivers must take steps to reduce the stress in their lives. Exercise, a healthy diet, a good night’s sleep, and regular doctor visits can go a long way; however, there are also certain stress control technologies that caregivers should be aware of.

A company called HeartMath has an award-winning product called the emWave Personal Stress Reliever (PSR), which is designed to help users manage their body’s response to stress, anxiety, and anger and improve emotional resilience. The emWave PSR is a small, hand-held device that shows how stress is effecting you body through subtle changes in heart rhythms. It helps you shift from a mode of stress to a state called coherence.

Coherence is a mental, emotional, and physical state that people experience when their heart, brain, and nervous system are working efficiently and harmoniously. Effectively, they are in-sync or in the “zone”.  When people are in this state, they will experience improved energy and less stress, something all caregivers could benefit from. Users can reach this state through HeartMath’s Quick Coherence technique which focuses on heart-centered breathing and good feelings. With practice, users can shift into coherence at will and better control stressful situations. Overall, frequent users report a reduction in stress, higher energy levels, greater mental clarity, enhanced emotional balance and listening ability, and better, more restful sleep.

HeartMath also offers emWave Desktop software, which collects data through a pulse sensor that plugs into the computer. Users can view their heart rhythm changes in real-time and track and store their progress. The program includes interactive games designed to help reach coherence as well as an Emotion Visualizer, which emits varying degrees of color and movement as you adjust your emotional state and coherence level.

The emWave PSR costs $199 and includes the unit, an ear sensor, and a Coherence Coach CD. The Desktop software costs $299 and comes with a software CD, USB module and pulse sensor, and a practice plan. HeartMath does provide a 30-day no risk guarantee. Readers can learn more by going to www.heartmath.com.

As a caregiver one of the most important things you can do for both yourself and your loved one is to find ways to effectively manage stress and anxiety. HeartMath’s emWave seems like a great place to start!

For an overview of the emWave PSR check out this video:

Or for the Desktop Software watch this video:

¹ Source- Health and Human Services, Informal Caregiving: Compassion in Action. Washington, DC: Department of Health and Human Services. Based on data from the National Survey of Families and Households (NSFH), 1998 and the National Family Caregivers Association, Random Sample Survey of Family Caregivers, Summer 2000, Unpublished and National Alliance for Caregiving and AARP, Caregiving in the U.S., 2004

² Source – Elissa S. Epel, Dept of Psychiatry, Univ of Calif, SF, et al, From the Proceedings of the National Academy of Sciences, Dec 7, 2004, Vol 101, No. 49

³ Source – Schulz, R. and Beach, S. R., Caregiving as a Risk Factor for Mortality: The Caregiver Health Effects Study. Journal of the American Medical Association, Vol. 282, No. 23, December 15, 1999

4 Source – Cannuscio, C.C., C. Jones, I. Kawachi, G.A. Colditz, L. Berkman and E. Rimm, Reverberation of family illness: A longitudinal assessment of informal caregiver and mental health status in the nurses’ health study. American Journal of Public Health 92:305-1311, 2002

Apple is very effective at increasing the number of applications, or apps, which do everything from provide entertainment to aid in business dealings. The iPhone currently has over 200,000 apps, some of which, albeit too few, are designed to help caregivers. Below we have highlighted some of the more popular choices available today.

CareConnector

Designed for “caregivers on the go,” CareConnector is operated by the Johnson & Johnson Caregiver Initiative.  The free app can be used on the iPhone or iPod touch and includes the following: a Care Planner to store insurance, health care provider, and emergency contact information; a platform to track prescriptions and prescription history; a caregiver Message Board to talk with other caregivers and share stories and tips; and a Journal which gives caregivers the ability to take notes during doctor’s appointments and write down questions. To learn more, visit www.strengthforcaring.com/careconnector.

Elder 911 and Elder 411

Doctor Marion, a lifelong gerontologist and elder care expert, and Presto Services Inc. have launched two caregiver apps for the iPhone and iPod touch.

Elder 411: Elder 411 contains over 500 pieces of expert advice, which are categorized into 10 eldercare topics. Each section is organized by media type whether written, audio, or video, as well as an “Ask Dr. Marion” category. You can also create and attach notes to any written, audio, or video tip. Elder 411 is available for $1.99 from the iTunes store. For information, visit www.elder411.net.

Elder 911: Elder 911 guides the user through the steps of a medical emergency including what to do before a crisis occurs, while at the hospital, before leaving the hospital, and after leaving the hospital. The app also addresses recovery and quality of life issues. Each crisis page tells the user step-by-step what to watch out for. It also includes interactive checklists and supporting information where necessary. Elder 911 is available for $0.99 from the iTunes store.

Caregiver’s Touch

Caregiver’s Touch provides a way to store and easily access all of your loved one’s information in one place. Users can create up to 6 individual profiles, storing data in the following categories: medication and medical history, contacts, emergency information, insurance, legal and financial, and military records. It also includes a calendar of appointments and a place to write notes.  The iPhone application costs $4.99, while the web-based version costs $19.95 per month or $199.95 per year. For more information, visit www.caregiverstouch.com

Medicine Cabinet

Medicine Cabinet gives caregivers the ability to easily store and retrieve all of their prescription-related information including: drug and physician information, pills, dosage, and duration of treatment. Medicine Cabinet is ideal for those caregivers who are managing prescriptions for multiple family members. For more information, visit www.limbua.com/limbua/MedicineCabinet/

RxmindMe

For those individuals who have trouble managing their own prescriptions, or who are overburdened with their loved one’s medication regime, RxmindMe could help. RxmindMe not only keeps track of medications, it also sends reminder alerts. The product advertises itself as the first and only iPhone App available for prescription reminders. There are 5 different prescription reminders: daily, weekly, monthly, or specific dates. Users can also store and track all of their prescription-related information. RxmindMe costs $3.99. For more information go to: www.rxmind.me/Default.aspx

Burns, especially from hot water, are some of the most common injuries for people aged 65-79, resulting in about 8,600 emergency room visits annually, according to the Centers for Disease Control and Prevention. Overall, scalds, or burns attributed to hot liquids or steam, account for 33-58% of all patients hospitalized for burns in the United States. Older adults can be especially susceptible to scalding because their skin is thinner; they often have reduced coordination and mobility, and a lower ability to feel heat due to health conditions or medications. Hot water from faucets is a common source of scald injuries. According to the U.S. Consumer Product Safety Commission, the recommended maximum residential standard is 120°F.

One way you can help protect yourself and your loved ones from scald injury is by installing an anti-scald value, also called a tempering valve, on the water line next to the water heater. An anti-scald valve mixes cold water in with the outgoing hot water to assure that hot water reaching a fixture is at a temperature low enough to be safe. Some plumbing skills are required to install an anti-scald value to the water line so it is probably best seek the services of a licensed plumber. Check out the following websites for additional information:

You should also consider what’s called a Temperature Activated Flow Reducer (TAFR). This device will automatically turn off the water flow when the water temperature gets too hot.

HotStop’s anti-scald faucet reduces water flow to a trickle when the water reaches an unsafe temperature. As soon as the water in the line cools, the flow restarts, often within 30 seconds. It works through the use of a thermostat designed to trigger at a pre-determined temperature. HotStop’s faucets cost between $45-50. Other companies that make similar products include ScaldShield and Hydroguard.

Regardless, everyone should always be sure and check the water temperature by hand before stepping into a bath or shower. This brings us to another important safety tip. Falling in the tub or shower is dangerous enough, but when the fall is in scalding water the risk of serious injury or even death is multiplied. If your senior has mobility or coordination difficulties, it might be a good idea to consider installing grab bars, a shower seat, or a transfer bench.

Bathrooms and kitchens are undoubtedly dangerous places. The potential for falls, burns, and accidents in general is high enough without including reduced motor skills or sensory loss. Fortunately, there are products readily available that can greatly reduce the probability of an accident and give piece of mind to caregivers and loved ones.

Where are the robots we were told would help simplify our lives? Ready or not, they are here. From the living room, to the operating table, to more human-like prototypes, robotic technologies are advancing at a rapid pace and increasingly becoming a part of everyday life.

What about robots to help with eldercare? Given the caregiver shortage and the growing number of people who need care, surely there could be a role for robots, at least in some capacity. Indeed, there are a number of amazing and somewhat Jetson-esque solutions being developed by some very innovative companies.

GeckoSystems International Corporation is a leading developer of mobile service robots (MSRs) that specialize in safety, security, and service. The company has developed a robot called CareBot which is specifically designed to aid in eldercare.

So what does CareBot do? For starters, the robot can help monitor the care receiver from virtually anywhere in the home. It can alert caregivers or emergency personnel when a harmful event has occurred such as a fall or a medical emergency and can respond to calls for help. What about reminders for medication, doctor’s appointments, or family visits? No problem. As the video below shows, CareBot can even remind someone of when their favorite television show is on. Family caregivers find that the robot is an effective communication and networking device given the onboard webcam and video monitor. Interestingly, CareBot’s personality, voice, and phrases can be customized to suit the preferences and heritage of the elder. It can even play music, tell jokes, or retell family anecdotes.

CareBot does have some limitations. For instance the battery life is only about 10-20 hours. Also, its suitability for homes with indoor steps remains in question. Pricing is a mystery; however, other reports have pegged the cost at $10,000 to $15,000 each—expensive, but well below the annual cost of a nursing home. There is also the “big brother” issue to confront.

So will mom or dad come to view CareBot as a companion/caregiver of sorts? Not a replacement for human care, but perhaps a substitute for those times when the family caregiver cannot be there. As human beings it is our nature to develop connections outside of ourselves and not just with other people. We are capable of developing deep emotional bonds with pets and even talk to plants on occasion. As the presence of robotic technology in our daily life increases, is accepting a robot caregiver really such a stretch?

CareBot is eye-popping and stirs the imagination; however, we have a ways to go before it or something similar will be able to effectively service the masses. Until then, ElderBrief will continue to give our readers glimpses into the future of caregiving.

Isolation is huge issue for seniors living alone and its effects can be devastating, from bringing about chronic conditions like anxiety and depression to making existing conditions worse. According to a study by the University of Chicago, older adults who feel most isolated report 65% more depressive symptoms than those who feel least isolated, regardless of their actual levels of connectedness.

With the advent of Facebook, smartphones, and even robotic pets, wouldn’t it be great if there was a technology available that actually helps to increase emotional connectedness? With funding from the National Science Foundation, the folks at Emota have a product that does just that.

Emota’s fun, easy to use emotional networking platform uses touch screen internet tablets and picture frames in a cartoon-like format to help seniors maintain closeness and mutual awareness with their loved ones. The technology is designed to be subtle and nonintrusive which, according to founder and CEO Paul To, carries a much stronger social and emotional value over time.

Picture this. Your mother has a computer tablet, like Apple’s iPad, and you appear as an avatar on the screen, along with other family, friends, and care providers. You can send her flowers, messages, or just a caring nudge-which shows up as a shaking flower. In turn, she floats on your smartphone or desktop and can easily contact you if she needs help or just wants to say hi. What is important here is that the communication is gentle and nonintrusive but has a high emotional value.

Emota can even help with medication noncompliance, which increases with the level of isolation. For example, once a medication reminder is programmed in, it shows up as a cartoon bird on a telephone wire. When the time arrives to take the prescribed medication, the bird moves along the wire and gets closer and will even tap the screen to deliver its reminder. This fun and creative way of delivering messages isn’t limited to medication reminders. It can also be used to tell the senior you are on your way to pick them up, or maybe you just want to wish them a good day.

So how much does emotional connectedness cost these days? A lot less than one might think. Excluding the cost of the tablet, Emota will offer both a free and premium version of the application. For example, on Apple’s iPad, the premium version will provide enhanced support and capabilities for messaging, content, and alternate display themes, all for a one-time $10 fee. Emota also plans to release follow-on offerings including video calling, peace-of-mind family monitoring, and medication management, among others. These will be available for a monthly subscription fee of about $10.

Of all the technologies we’ve profiled at ElderBrief, Emota is the first that actually seeks to increase emotional connectedness. EmotaMe will be available this spring in a limited beta release. We will update our readers with news regarding the roll out.

For more information check out Emota’s home page.

Extreme temperatures can affect everyone.  

However, senior citizens and elder adults  are at a greater risk of injury as the body’s ability to maintain a constant internal temperature declines with age. Elders are also more likely to have a chronic medical condition that alters normal body responses to heat or cold. Physical limitations can worsen the situation further by limiting the ability to react.

This time of year in Chicago one never knows whether they should leave the jacket or grab the scarf before heading out the door. Thankfully, the days of ice storms are behind us, but before long we will need to prepare for the heat of summer and the dangers it can bring.

So what devices are out there to help seniors who may have difficulty managing a thermostat?

Kelvin Voice Activated Talking Programmable Thermostat

The Kelvin Voice Activated Talking Programmable Thermostat could be helpful for seniors who are visually impaired or disabled. Once programmed using the talking buttons, you can raise and lower the temperature by using voice commands. For instance, if you say “Raise”, Kelvin will increase the current temperature by one degree. Say “Raise” again and increases by another degree. It will also announce the temperature when asked. Users can set up to four different temperature changes per day, and it can be programmed for weekends and vacations as well. Despite being voice interactive, all the traditional functions can still be accessed from the control panel. This device has been endorsed by the National Federation of the Blind and retails for roughly $90. Click here for a demonstration.

What happens if the furnace breaks down in the middle of winter? Or air conditioner in summer? How can long-distance caregivers be notified of potentially dangerous temperature swings?

Temperature Guard VM500-2 and VM500-3

Temperature Guard makes a number of temperature monitor and alarm systems, but caregivers should probably consider either the VM500-2 or VM500-3. These devices monitor temperature and power in the home. The difference between them is as follows. The VM500-2 will dial up to two emergency numbers should the temperature in the home fall below 45 degrees. The VM500-3 has all the features of the VM500-2, but it allows you to program both low and high temperature thresholds yourself. It will also dial up to four emergency numbers. Both devices will notify you if the power fails for more than five minutes.  With either device you can call anytime and hear the temperature. The VM500-2 retails for about $200 while the VM500-3 sells for about $260.

Check out the Specsheets:

VM500-2 Specsheet

VM500-3 Specsheet

BAYweb Thermostat

The BAYweb Thermostat help caregivers monitor and control the temperature in the care receiver’s home. The device will also notify you through your mobile phone or email if there are problems with your heating or air conditioning.

The personalized web portal allows you to operate the thermostat anytime anywhere through the computer or web-enabled cell phone. Occupancy sensing enables the device to automatically adjust the thermostat to the home owner’s lifestyle. It can even notify you of a break-in if the house is unoccupied. Keep in mind the occupancy sensors require a motion detector device which runs around $25. According to the company, energy savings will pay for the device in about a year. Until then, it retails for around $200. BAYweb Brochure.

Curious about installation? Click here for a video.

The Trane Remote Energy Management Thermostat may also be of value for those that have a Schlage security system. The Trane thermostat allows you to remotely monitor and control your thermostat from anywhere with any Internet-enabled computer and most Internet-enabled cell phones.

What will the future look like?

A couple of years ago JoonHo Choi, a doctoral student at Carnegie Mellon, designed a thermostat that adjusts a room’s temperature according to the body’s “bio-signals”. The device monitors skin temperature and heart rate through an armband or wristband and transmits the data wirelessly to the thermostat.

While it could be used by anyone, Choi specifically mentioned its implications for older adults. “Elderly people are sensitive to thermal stress. This is due to their health conditions but also due to their inability to adjust the temperature without assistance. The ‘smart’ thermostat is a human support device that could be essential.” While this device or one like it probably won’t be available for some time, it does provide a fascinating glimpse into the future of home care.

GETTING FOCUSED

There was a running joke in my family about how long family pictures would take because my grandmother was constantly adjusting the camera. She never missed an opportunity and took hundreds of pictures at family events, vacations, and other get-togethers. To our family those pictures are priceless. My family is not unique. According to an InfoTrends survey, over 30% of seniors consider themselves to be “memory keepers” for the family. Seniors are going digital as well with over 60% of people 55 and over owning a digital camera.

ElderBrief has taken this opportunity to highlight a few of the more senior friendly cameras on the market today.

SO MANY CAMERA CHOICES:
Also, while there are no hard and fast rules for buying a camera for a senior, one should consider the following before making a purchase:

1. How comfortable are they with technology? Have they used a digital camera before? Some seniors may be perfectly comfortable operating the latest SLR; however, in most cases, you’re going to want to keep things simple.

2. What features are most important to the senior? Cameras today are chocked full of useful features that make it especially easy to take great pictures. Auto zoom, image stabilization, and auto focus are common. Many cameras even come with video recorders which are great for reliving family visits.

3. Do they have a computer or photo printer? If so, how easy is it to navigate the software, download pictures, save them, and make adjustments? Do they have a high speed internet connection which can make this process much easier? If not, most chain grocery and convenience stores have photo kiosks that relatively straightforward to use. Ritz Camera locations are also very helpful with photo printing and the prices are affordable.

4. Does your senior have problems with eyesight or finger dexterity? As with most electronic devices, the better the technology, the smaller it becomes. Often this can cause problems for seniors. Make sure the camera is appropriately sized, easy to grasp, with well marked buttons and controls. On/off buttons can be really small on today’s digital cameras, something a senior would find especially off-putting. Also be mindful of the glare a glossy camera can create, which can make it hard to read the controls.

5. Take time to show your senior how to use the camera. If you hand over a piece of technology they don’t understand it will probably rot in drawer somewhere. Be sure and go over the camera, software, printer, and/or using a photo kiosk.

I spent some time in Best Buy looking over the latest offerings and picked out the following cameras which have a number of senior friendly features. The first two are more basic and great for first-time digital camera users, while the final two have more advanced features, but can also accommodate beginners.

Kodak-EasyShare Z915

At around $200 (on sale for $130) this camera has many of the same features as more expensive models, but is very user-friendly and great for beginners. It has a 2.5” LCD screen and an easy to read menu display. It is 10MP, has a 10X optical zoom, image stabilization, and video recording ability. This camera also features a nice grip, making it very comfortable to hold. The buttons are clearly defined and easy to push/adjust. I found the four button system on the back of the camera to be a nice feature. Check out a video review of the Kodak-EasyShare Z915: http://www.youtube.com/watch?v=KnkyzLaquoQ

Samsung SL102

The Samsung SL102 is a basic point and shoot digital camera, ideal for the first time user. It is 10.2MP, has a 3X optical zoom, a 2.5” LCD screen, image stabilization, and the ability to record video. It is very durable, and has an easy to navigate menu. The Samsung is smaller than the other cameras featured and will fit into most pockets; however, due to its size, it might not be ideal for seniors with dexterity issues. This camera retails for about $100. Check out a video review: http://www.youtube.com/watch?v=0loaDbW-6qE

Canon- PowerShot SX120 IS

The first thing I noticed about the Canon PowerShot SX120 was the simple, easy to navigate controls. The buttons are separated and pronounced. The LCD screen is a full 3”, allowing for easy viewing. It is 10MP, has a 10X optical zoom, image stabilization, and can record video. It also features a Smart auto mode which automatically chooses the right setting depending on the surroundings. The camera is a nice size and easy to hold. It retails for around $230.

Sony Cyber-Shot DSC-H20

What I liked instantly about this camera was the comfortable rubber grip. The user doesn’t have to worry about holding the camera and accidently pushing buttons. Like the Canon, the Sony has a 3” LCD screen, is 10MP, with a 10X optical zoom. Unlike the Canon, this camera will record video in high definition. The finish is matte black, which largely eliminates glare. It has image stabilization as well as “auto intelligence” features that make taking great pictures really easy. This camera retails for approximately $250. Check out a video review of the Sony Cyber-Shot: http://www.youtube.com/watch?v=MukboSaF0LY&feature=related

Readers are encouraged to shop around and talk with their senior about what is important to them in a camera. A trip together to Best Buy or your local camera shop could also be helpful. As mentioned, there are no set rules for buying a senior friendly camera. Ultimately it boils down to finding a camera they are comfortable using and will enjoy.

What is a Geriatric Care Manager?

A Geriatric Care Manager (GCM) is a specialist who assists families who are caring for older relatives. They are typically experienced in one or more fields related to elder care management including: nursing, gerontology, social work, or psychology-with a focus on elders. GCMs even have their own professional association, the National Association of Professional Geriatric Care Managers (NAPGCM). The demand for this expertise has grown rapidly in recent years as the group’s membership has gone from 50 to 2,000 since its 1985 founding.

What services do Geriatric Care Managers provide?

Services provided can include but are not limited to the following:

  • Perform care-planning assessments to identify problems and create solutions.
  • Screen, arrange, and monitor in-home help or other services, including assistance in hiring a qualified caregiver.
  • Provide short or long-term assistance for those engaged in local or long distance caregiving.
  • Review financial, legal, or medical issues and offer referrals to geriatric specialists.
  • Provide crisis intervention.
  • Act as a liaison to families at a distance, overseeing care, and quickly alerting families to problems.
  • Assist with moving an older person to or from a retirement complex, assisted care home, or nursing home.
  • Provide consumer education and advocacy.
  • Offer eldercare counseling and support.

For more, check out this video on Geriatric Care Managers:

http://www.youtube.com/watch?v=1xb0FfPuxC4&feature=related

Do you need a Geriatric Care Manager?

Do you feel as if the challenges involved in caring for your loved one are becoming larger and more complex than you can comfortably handle? Have the demands become so great that you cannot provide the level of care your loved one needs? If the answer to either of these questions is yes, it may be time to talk with a GCM.

How much do Geriatric Care Managers cost?

Medicare or Medicaid does not cover services provided by GCMs; however, some long-term care policies do. For the most part these services are an out of pocket expense. GCMs usually charge by the hour, with rates ranging from $50-$200/hour depending on the location. Many also accept lump sum payments for a particular service, with cost depending on the time and complexity involved.

Where do you find a Geriatric Care Manager?

Checking with friends, health professionals, and elder-care attorneys can be an effective way to find a good GCM; however, one can also go to the NAPGCM’s website (www.caremanager.org) and click “Find a Care Manager”.

What question should you ask?

The decision to hire a GCM is an important one so be sure and ask plenty of questions.

  • Ask about the GCM’s credentials. Since GCMs do not specialize in all areas it is important to make sure that his or her area(s) of expertise are suitable to your needs. Also ask about licensure and membership in the NAPGCM. Members must meet strict educational and experience requirements, as well as adhere to a Pledge of Ethics and Standards of Practice.
  • It’s also important to inquire about the GCM’s experience in elder care management and be sure and ask for references.
  • If applicable to your situation, ask whether the GCM is available on weekends or night hours in case of an emergency.
  • Lastly, always make sure you understand the costs involved. Get all fees in writing.

A Geriatric Care Manager can be an extremely valuable resource for families struggling to handle the challenges of caring for an elder. For more information, the NAPGCM website is full of valuable resources and guides.

REMINDER SYSTEMS
It has happened to all of us at one time or another. After leaving the house you suddenly think to yourself, did I forget to turn off the iron. While leaving the iron on is a common mistake, it isn’t the only small appliance that can pose a danger if left on and unattended. Curling irons, hair straighteners, crock pots, panini grills, and coffee pots can also be hazardous. Injury could also result if one forgets a heated appliance has been turned on and touches it anyway. Seniors suffering from dementia could be especially susceptible to these situations.

While some appliances today have auto-shut off features built in, many do not. For these situations, an auto shut-off safety outlet may be helpful. These simple and affordable devices give piece of mind and are an additional safety measure.

Enter the Simple Touch Auto Shut-Off Safety Outlet

These safety outlets will automatically turn off an appliance after a pre-set period of time. Simply plug the unit into a wall outlet and then plug the appliance into the auto shut-off outlet. With the push of a button the safety outlet is activated. This particular device comes in two models.

The Simple Touch C30002 Single Setting shuts off small appliances after 60 minutes. It retails for roughly $15. The Simple Touch C30001 Multi Setting can be used for 1, 2, 4, or 8 hour periods and retails for about $20.

Both devices are very convenient to use and are UL safety approved. Readers interested in purchasing one can go to www.amazon.com, www.goldviolin.com, or www.healthshopsite.com to buy.

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