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By night (and weekends) I run several websites designed to help familes that are dealing with parent or other loved one with declining health. By day (for the past 18 years), I am the executive director of an assisted living community. So it was natural for my old high school friend to write me when his mother-in-law was in the hospital and could not safely return to her home. I used our emails and wrote to articles for an on-line magazine website called ezinearticles.com (http://ezinearticles.com/?Assisted-Living-Insider-Secrets-From-a-Veteran-Administrator&id=3795816). And I am going to share them with you here. Yesterday, an old friend contacted me, asking about placing his mother-in-law in an assisted living. However, after answering him in a series of emails, I realized that other people facing the same decision might be interested in the same information. Here’s the interesting thing I discovered about myself in the process – my tone with him was different than if I were going to write for my blog or for an Ezine article. As a result, so were the tips that I would normally give – they were not very ‘politically correct’. But thinking about it, I would not change a word. In many ways, it was much better because of my mind set. I was focused on giving my friend advice rather than writing a “well written” article. So except for a few deleted lines that would identify my friend, here is some good advice about picking an assisted living: Hi Donahue, How’s everything? We need to catch up soon. Need your input – soon – We are looking at places (assisted living) for Mary’s mom – she has continuing health issues primarily heart and respiratory. Would you look at the attachments and let me know your thoughts on these two places? Thanks so much, John Hey John, I will look at the attachments closer later, but let me first highlight some important stuff to consider: First of all, if there is a non-refundable “community fee” of any kind, it is negotiable. What is going to be more important than the room layout and the view and the transportation and all the other B.S., is how much care is going to cost. How do they charge for extra care? By levels of care? or by minutes? And when you find out – figure out what your maximum budget is, and what the most she will have to pay if she gets ALL their services. Next, ask the facility about what would cause her to HAVE to move out? Ask them if they have a hospice waiver. (they are in California, so their rules are exactly like mine and I can tell you, if they do not have a hospice waiver, then when she gets towards the end, they will kick her out to a nursing home). Ask them about house doctors (do they have a doctor that comes to the facility to see clients), and are home health care agencies allowed in the building? and if so, do they require that you use theirs or if you can pick your own. I will explain why this important later. Ask about wheelchairs. Are they allowed? What about motorized ones? Does mom have a dog or cat? Many place will let you bring it…for a fee. It too is negotiable. The important thing to understand is how they charge between the room (and basic services) and care (optional services). They are much more likely to negotiate the room but they rarely negotiate care services. The best case scenario for you is to get them to lock in the rate for two years (or more). That is where they will try to screw you later, because they can raise their rent as much as they like. So make sure you trust the place. Anyway, think about this stuff and I will get back to you after I look at the marketing materials you sent me. cheers, DV The second round of emails really got interesting and some never revealed stuff about assisted living gets revealed, so stay tuned. Better yet, sign up at www.easycaregiving.com Donahue Vanderhider, a Gerontologist practicing in Southern California, can be found at http://www.caregiverrelief.com. Donahue has a deep understanding and extensive knowledge of Aging and all its related disorders: both normal and abnormal. He has a Masters Degree from USC and postgraduate training in Clinical Guided Imagery, Metaphysics, and Neuro-linguistic Programming. He is also on an advisory board to the Alzheimer’s Association. His passion and life-long goal is to improve the quality of life of caregivers, especially those dealing with Alzheimer’s. Currently his active blogs are at the site mentioned above.
Please follow this article to get free caregiving materials from a dedicated caregiver himself: Former caregiver Robert Coyne reminds caregivers in attendance at the Frank R. Strang Senior Center in Farragut never to ignore the cardinal rule of caregiving – taking care of their emotional and physical needs first! Why? Because he knows whats its like. Speaking of his wife he says “When she passed away in 2003, I was left with an incredible sense of guilt. How many mistakes did I make? Could I have done a better job? Could I have prolonged her life? There were no answers,” Like I said in my last blog post, few people rarely prepare to be caregiver, It’s a challenge very few are prepared for. It’s a labor of love that can quickly turn into a living nightmare for everyone involved. Few people understand the terrible consequences better than Robert Coyne. His personal experiences now serve as a wake-up call to other individuals finding themselves in the role of caregiver. Robert took an early retirement when his wife, Kathie was diagnosed with an illness that would eventually claim her life five-and-a-half years later. “Nothing in my professional background prepared me for this undertaking,” Robert said. “I experienced the entire gambit of emotional, physical and physiological issues resulting in my suffering a heart attack followed by open heart surgery. I was fortunate enough to recover and return to my duties as Kathie’s caregiver. “When she passed away in 2003, I was left with an incredible sense of guilt. How many mistakes did I make? Could I have done a better job? Could I have prolonged her life? There were no answers,” he recalled. Naturally he fell into a deep depression and could not see any way out. The pain was to much too bear. “Finally a physician who I respected greatly told me in no uncertain terms to concentrate on something else, start thinking about other people. I did just that and began researching the availability of resources for caregivers. I needed to educate and help others caring for a loved one.” Devoting all his labors to the memory of Kathie, wife, mother, grandmother and best friend, reaction to Coyne’s seminar was instantanious with inquiries and future bookings. “It’s been nearly two years, and I’m still presenting the three- and six-hour sessions on a semi-regular basis. I do my best to keep the attendance down to between 10 and 20 for each session. It’s a private, intimate relationship, caregiving. You will find that those who attend quickly converse with one another in a manner of understanding and kinship. They rarely give their names but exchange personal experiences benefiting everyone.” Local churches, non-profit organizations, area hospitals, senior groups are just a few of the outlets taking advantage of Robert’s knowledge. “Everyone attending receives a 90-page reference guide and handouts. The seminars are free of charge. I do ask for a small donation for printing expenses, but there is no pressure. My only concern is getting this information out into the hands of people who really need it,” Coyne said. Coyne, may be contacted at bobcoyne@charter.net I just emailed him myself, so I cannot guarantee the results, and if you do not want to take a chance, I will post my results in a couple of days. (lets see if I hear back myself?) Source: Elizabeth A. Pooley/Special to the News Sentine
As a gerontologist, I have spent 20 years in the world of aging. I have witnessed and helped hundreds of people deal with the ravages of poor health and aging. I have seen super healthy 98 years olds, and I have seen miserable chronically ill 68 year olds. I can honestly say that for first 10 years I could not make rhyme or reason of how or why some people lived active youthful golden years and others did not. I mean I saw some of the obvious clues. (There are not very many 80 year old smokers, life-long exercisers tend to be limber their whole lives). And some people had great genetics. But for the vast majority of people, I could not see the life-style habits that made the difference between healthy aging, normal aging, and abnormal frail aging. But knowing what I learned at the University, I have been watching for certain clues. I began to see the things that people were doing that had a genuine effect on their health, and which things seemed to make no difference. The best guinea pig is my dad, who in his late 70s, has been an insulin injecting diabetic for 20 years and remains healthy and vibrant with light exercise (swimming at the YMCA), and supplements. Yes supplements!… Besides the genetically gifted people, those that stayed healthy into their late life where 1. those that consciously stayed active and 2. right behind that were those that took the right products – nutritional and vitamin supplements. Which makes perfect sense. Because there are only two proven anti-aging, life extending theories. Caloric Restriction and anti-oxidants. This is not my opinion, it is fact. Look it up! And when I say proven, I don't mean a fringe crack-pot's unsupportable claims, I mean scientifically studied and accepted by repeated research, theory. Based on that, I see people that take anti-oxidant supplements staying healthy and disease free, while others are succumbing to the ravages of time all around them. Consequently, I have researched the best anti-oxidants for the money. I take them myself, and I recommend them to my clients and friends. Recently, I have decided to personally endorse the same products that I research and take myself. My favorite is the ingredient that they have distilled from the skins of grapes. Its called Resveratrol. You may have seen the 60 minutes piece or read a story in the newspaper about it. Its usually touted as being the result of drinking red wine. But the truth has nothing to do with wine, and everything to do with grapes. If fact scientists have distilled greater concentrations of Resveratrol products other than grape skins. But before I ramble on, let me send you straight to a great offer (yes, if you order I will get rewarded), but it will not cost you more to order here, the price remains the same if you buy from me, or go to the site on your own. Please, just know that I found the product that I use first, then applied for the relationship, not other way around. Check it out. Do your on research. But try it! Day to day caregiving is difficult enough. However when dealing with Alzheimer’s, the very nature of this disease and the way it affects the brain frequently have added frustrations and difficulties, which make Caregiver’s lives just that much more difficult. Our mission at www.caregiverrelief.com is to make sure you have every advantage possible. Please join me at that site and sign up HERE on the upper-left corner, for a FREE newsletter and received a FREE stress management guided imagery recording. Today, part two of our series, we are going to talk about incontinence. The primary source for the following is great booklet from my library called “Understanding Difficult Behaviors: Some Practical Suggestions for Coping with Alzheimer’s Disease and Related Illnesses”. It was written 20 years ago but has stood the test time, as one of the best resources for Alzheimer’s. It was first published by the Geriatric Education Center of Michigan. INCONTINENCE The first thing we should say is, it is not necessarily permanent. Except in the very late stages, it is controllable. It’s just a matter of how much time and effort you have to put into helping your loved one become autonomous when it comes to going to the bathroom. Remember there are different levels of incontinence. For example, a person may have bladder incontinence, or bowel incontinence, it could be only night time incontinence. Let’s take a look Possible Causes are physiological, medical, and environmental. Here’s a very long list of causes: * Infections, such as urinary tract infection (UTI) urethritis or vaginitis, can cause loss of urine control. ENVIRONMENTAL CAUSES * Distance to the bathroom may be too far. OTHER CAUSES * Person may not remember what to do once in the bathroom. COPING STRATEGIES If you really want to help, observe carefully and assess the problem. * Do accidents happen only at certain times of the day or only at night? VERY IMPORTANT * Communicating with some one that has Alzheimer’s takes a conscious effort: When trying to direct someone simplify the steps involved. Do one step at a time. CLOTHING * Simplify clothing. Try Velcro tape instead of zippers or buttons. PROTECTIVE GARMENTS * Adult briefs, are sold small, medium, large and extra large. Make sure you get the right size. A little too small an they may pinch or be uncomfortable, too large and they will not be leak proof and fall down when wet. SKIN CARE * Wash the skin after any accident. It is important to keep the person’s skin clean and dry to prevent rashes and sores. There are special products available which act as both soaps and skin conditioners. Look into creams for adult diaper rash. AT NIGHT * Consider putting a commode beside the bed, especially if the person has trouble moving around. BATHROOM AIDS: * A raised toilet seat with grab bars makes it easier for a person to get on and off the toilet. OTHER CONSIDERATIONS * Purchase washable chair cushion covers. Wow, that is big topic. Again, like the previous topic “anger and agitated behavior”, we are only scratching the surface of possible causes and solutions. But I sincerely hope you will help me by signing up for my newsletter at the following link and you will receive a free eBook on handling wandering and Sundowning Good luck, and write me with any questions that you have, Donahue This is the most amazing video, you will smile from ear to ear when you watch it. Back to Caregiving now…. please sign up, I have a great newsletter coming out, and I want you to have it. Hello! If you came here from another site, like www.caregiverrelief.wordpress.com or www.caregiverhelp.blogspot.com, then let me direct your gaze to the upper-left side of this page: you will see that sign up form? Please put in your information and I promise you two things. One, I will never give your information to another person, and two, I will never inundate you with useless, intrusive sales pitches. You will get an occasional newsletter, and when I we launch Alzheimer Secrets you will be offered first crack at the CD (there are limited quantities), and that’s it! But if you are a caregiver or have someone with Alzheimers in your family…you better sign up quick, there is information that you need ASAP. If you did not come here through one of those sites mentioned above, please continue, I have a short message about anxiety and to deal effectively with it. Learning to Relax with Anxiety Many anxiety sufferers are learning the proper cognitive tools to overcome their anxiety. It isn’t easy. It takes commitment. Learning to relax with anxiety takes daily practice and commitment. Here are some relaxation tips to get you started: 1. Acceptance – Whatever we resist will persist. Try not to see yourself as fighting your anxiety. Instead, see yourself as moving toward your goal of relaxation. Learning to relax with anxiety will command your daily dedication. Be sure and celebrate even minor improvements. They are likely to be permanent ones! Please make sure you sign up for the FREE stress management CD, and you will automatically put on the newsletter notification list. I’m on the speakers bureau of the Alzheimer’s Association and this weekend I am giving a talk on “Partnering with Your Doctor” In the materials that the Alzheimer’s Association provided me for the talk was a short little quiz. I was impressed with this short 12 question survey, and thought you would like to see it too. In my experience, caregivers often lose focus when they take their loved one to a doctor. Maybe you do too? Do you feel rushed when the doctor finally comes into the examination room? Do you sometimes leave the office and remember something important you wanted to discuss with the doctor? Or do you start running at the mouth frittering away your time with the doctor talking about the minutiae of your loved one’s behavior or symptoms and get side tracked from the important changes that you should have covered. Here’s the quiz, lets see how you do. And remember afterwards to go over to either www.easycaregiving.com or www.caregiverrelief.com and sign up for the newsletter. One more thing: I noticed that the quiz seems to be written to you and about your own doctors visits. If you are a caregiver for a memory impaired person please mentally re-word the questions so they fit your circumstances. (Keep track of your answers so you can determine your score afterward.) Do you usually:
Count the number if times you circled “yes” (score: _________) 0 – 4 = I am not a very active health care partner 5 – 8 = I am somewhat of an active partner 9 or more = I am a very active healthcare partner So how did you do? Is there room for improvement? Not to worry – you are on the right track, you will be fine. Remember you have two websites that can help you with all your caregiving questions. Start with www.caregiverrelief.com and stay updated with www.easycaregiving.com and don’t forget to sign up for the FREE newsletter at either site. Please help me keep this blog active and at least visit my sponsors website. (Not to mention that its an amazing product that I use faithfully) “>CLICK HERE for the ResV site and you can get a FREE sample by using this link! Today I want to share a grim story with you. If you watch the news it may have caught your eye. But I want to post it in its entirety here. It may be that you are like Bobby, taking care of one or both parents with Alzheimer’s. If you have been doing it a while then you may identify with Bobby quite a bit. If you are a new caregivers, then let this be a cautionary tale. The point is caregiver stress is potent, and it sneaks up on you, and before you know it your whole life has changed and you are putting one foot in front of the other – day in and day out, and you have almost stopped asking yourself questions like: how did I get here? The point is, there is a way out, there really is! But you are going to have to open your mind to new information and take some NEW actions in your life. Please take a moment and read this article, and see how much of what Bobby was dealing with, you are dealing with too. I will have a little more information for you afterward: Caregiver stress underlies death The Associated Press Published: November 9, 2009 FORT LAUDERDALE – The scenes seared into the minds of those who know Bobby Yurkanin differ only in place: Whether in the pool, dinner table or bowling alley, he was a 50-something man whose life had been handed over to the sickness of his parents. Always, his father was by his side. Yurkanin moved across the country to care for his dying mother. He did it again as his father sank into Alzheimer’s disease. When the father grew combative, his son would calm him. When he didn’t want to eat, his son would cajole him to take some fruit. Friends said the son assumed a caretaker role out of necessity, despite a strained family history. Those who saw him and his father together often described the younger Yurkanin as dutiful, patient, dedicated. All this disappears into a single scene: A beachside argument, the father’s lifeless body lying in the sand, and accusing fingers pointing to the son. Witnesses said they saw the son drag his father into the ocean, let the waves steal his breath, then tell a 911 dispatcher called by an onlooker to turn the ambulance around. Yurkanin arrived at his lowest point a relentless, thankless, solitary task of caring for someone with dementia. Millions know it. But Yurkanin’s downward spiral ended with a charge of murder. Yurkanin’s father was a successful engineer, businessman and inventor. The family’s New Jersey home sold for nearly $1 million, and there were two more modest homes in Florida. Yurkanin told psychologists his father was an abusive alcoholic, his mother prone to psychotic episodes. He told his ex-wife his father abused his mother and his grandmother. For Bobby, an only child, growing up was traumatic, said his attorney, Michael Weinstein. Still, he finished college and graduate school. He started law school, dropped out and set up a paralegal business. He also excelled at something that would be cited when his father lay helpless on the beach. He was a lifeguard, whose skill is evident in newspaper clippings of his wins at competitions. In the late 1990s, moved home to Short Hills, N.J., to help care for his mother, who had cancer. Not long after she died in 2001, his father showed signs of Alzheimer’s. When the father resisted going to a nursing home, his son felt he had no choice but to take over his care. Bobby Yurkanin assumed supervision and he and his father moved to Florida. The disease progressed. In time, Bobby showed signs of losing control. In Palm Coast, neighbor Kathy Mittelstadt told police she once saw the father wandering the street in a diaper. Numerous other times, she said she heard the son yelling and cursing. “I can’t wait till you’re no longer one of my problems,” she said she heard him say. Troubles mount At the Playa Del Sol condominiums in Fort Lauderdale, where father and son settled, complaints grew. The father was often wandered in hallways, sometimes nude, and into others’ condos. Residents complained he dressed in front of an open door. Once, when Yurkanin was alerted his dad had been wandering, condo employees said he went into a profane tirade in the lobby. Anna Fico, a friend who sometimes helped watch the father, said Bobby Yurkanin confided that it was all too much. It’s a dilemma many others have confronted. Sometimes the stress has led to physical abuse. People caring for a spouse or parent with dementia have been accused of killing them in rage or expression of mercy to end their misery. Caregivers have gone to prison. “The demands on caregivers are almost unfathomable,” said Gail Gazelle, an assistant professor at Harvard Medical School who is an advocate for Alzheimer’s patients and their families. “The anger, guilt, and shame that caregivers experience is intense.” No one accused Yurkanin of abuse, Weinstein said. Many who saw him with his father said the son would grow frustrated by his father and sometimes raise his voice, but his care was undeniably loving. Kenneth Carter, an old friend of Yurkanin, said he saw him with his father during several visits. He described both men as alcoholics, but said he was impressed with the way his friend cared for his father. Carter said the old man would suddenly stand and recite the Gettysburg Address or sing “The Star-Spangled Banner.” He would take off his shorts and run down the street. His mood could change at a moment; he would kick, scream, and become combative “Bobby would always come to Bob’s rescue, and all would be forgiven,” Carter said. One Friday, Yurkanin had to give his father a shower and a shave, Fico, called and asked them to join her at the beach. Yurkanin agrees. Fight over swimsuit Not long after they arrive, the father pulls down his swimsuit and stands on the sand exposed. “Bob! Bob! Bob! Your father took off his clothes!” Fico yelled. What happened varies according to witness accounts. Yurkanin swears at his father, said a couple nearby. With the father resisting, the son took him into the water. Onlookers and Fico used the word “drag.” It’s the only way his father will learn, the only way he’ll listen, a witness quoted Yurkanin as saying with profanity. In waist-deep waters, Yurkanin removes his father’s shorts and diaper as Fico helps hold him up. The son goes ashore to throw out the diaper, returns, and dives underneath to try to put the shorts back on. It doesn’t work. Some say the father continues to fight his son. Some witnesses said Yurkanin pulled his father’s ankles upward to put the shorts on and the old man’s head went underwater. But attorney Weinstein said it’s not clear the father’s head was submerged. Whatever happened, it was clear to many watching the father was distressed. Joanne Turing, peering through binoculars from her balcony, saw the man’s face change color. “This guy’s dying,” she said. After Yurkanin brought his father ashore, some witnesses were puzzled by his actions. He put him so close to the water, waves washed over his face, some said. Others didn’t know why it took so long for him to begin cardiopulmonary resuscitation. Some said he never did. Three witnesses called 911. In one call, an agitated Yurkanin is heard yelling that an ambulance isn’t needed. “Oh sir, you’re kidding,” the called said. “I’m his son!” he shouted. “Get out of here! Don’t send any ambulance. I don’t want any ambulance.” The caller pleads with the operator: “Help! Help! Help! Help! Help!” Yurkanin took the phone and told the dispatcher: “Forget it! Don’t you come! If you come, I’m not releasing this patient.” A man grabs the phone, asking the dispatcher to send help.Paramedics arrive. As they prepare to take the father to Holy Cross Hospital, where he arrived in critical condition, the son asked to ride along. He is told to wait for police, who asked Yurkanin why he forced his father in the water. “He smelled bad,” he replied. The father died the next day. The death is ruled a homicide and Yurkanin, 53, is arrested two weeks later on a first-degree murder charge. He is free on bond while awaiting trial in January. If convicted, he could be sentenced to life in prison. Weinstein said Yurkanin’s response was a culmination of “deep-rooted psychological issues,” not malice. Psychologists hired by Weinstein said Yurkanin felt helpless, hopeless. They said caring for two chronically ill parents for many years resulted in post-traumatic stress disorder. ******************
Terrible. Whether you believe what Bobby did is inexcusable, or you believe he is a victim of stress and driven insane by an uncontrollable demented father, as caregivers we can identify with him at least a little bit. However, if you can identify with Bobby a lot, and you are a lone caregiver taking care of difficult parent or spouse, you need to take action. I am sure you have heard that stress is killer: that long-term stress significantly increases your chance for a heart attack, stroke, even cancer. And you may have even seen the statistics that half of all caregivers die before the person they caring for. I can’t prove it, but I think the only imaginable reason for this scary statistic is stress. Stress kills!
But you can reduce and even eliminate your stress, and you can do it without changing your circumstances or putting your loved one in a nursing home. This post is already too long for me to be specific, but I have been writing about stress management for years. I have developed a number of techniques that work great for caregivers who cannot get away or out of the house.
In fact, I will be posting many on them in my newsletter. But for now, let me recommend Guided Imagery. In fact, if you sign up for my newsletter (and get on the list for a free stress management CD), you will get a free download today! Just look for the sign up for in the upper-left part of this page, put in your name and email and I will send you a free, no obligations required, guided imagery recording that was written and produced by a Gerontologist, just for caregivers like yourself.
Donahue Vanderhider, MSG
Gerontologist, Hypnotherapist
p.s. I was deeply moved by this story, if you feel you are against the ropes and can picture yourself in Bobby’s shoes, hurting the one you love, please contact me immediately. Do not worry about your identity, it is safe with me. But let me help or at least steer you to someone or some agency that can. Contact me here just leave a response in the comments section, or write me at donahueg@alumni.usc.edu
NATIONAL FAMILY CAREGIVERS MONTH, 2009
– - – - – - - BY THE PRESIDENT OF THE UNITED STATES OF AMERICA A PROCLAMATION The true strength of the American family finds its roots in an unwavering commitment to care for one another. In difficult times, Americans come together to ensure our loved ones are comfortable and safe. Whether caring for a parent, relative, or child, our Nation’s caregivers selflessly devote their time and energy to the well-being of those they look after. During National Family Caregivers Month, we honor the individuals providing essential services to family members who could not otherwise look after themselves. Caregiver support is at the heart of my Administration’s commitment to assisting our Nation’s families. Currently, a variety of programs and services offer help and encouragement to family caregivers. The National Family Caregiver Support Program and the Lifespan Respite Care Act include important resources for caregivers of children and adults, with opportunities to receive much-needed assistance and take part in support programs with other families. These programs allow individuals to remain with their families for as long as possible while helping to ensure the wellness of participating care providers. My Administration’s dedication to caregivers is also embodied in our efforts to develop policies to support workers trying to manage their responsibilities on the job and at home. Families are best able to care for their loved ones when they can take time away from work without fear of losing their job or their income. We all have roles to play, including employers, by providing paid leave, flexible work arrangements, and other programs when feasible, to help ensure that caregivers are able to successfully meet their work and household responsibilities. Every day, family caregivers assist loved ones with tasks ranging from personal care and homemaking, to transportation and financial assistance. As the foundation of America’s long-term care system, these individuals give millions of Americans the peace of mind and security that only family can provide. NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim November 2009 as National Family Caregivers Month. I encourage all Americans to pay tribute and support those who are caring for their family members, friends, and neighbors in need of assistance. IN WITNESS WHEREOF, I have hereunto set my hand this thirtieth day of October, in the year of our Lord two thousand nine, and of the Independence of the United States of America the two hundred and thirty-fourth. BARACK OBAMA If you are a family caregiver, chances are you are sometimes verging on burnout. If so, look in the upper-left hand corner of this blog and sign up for the free stress management CD. Even though the CD is not available, you will get a link to the first track of that CD, so you can start listening to it right away.
Caring for someone with Alzheimer’s is quite literally a thankless task. Which is not to say that it’s unappreciated, but aside from the first few months of an early diagnosis, Alzheimer’s sufferers are generally oblivious of their own condition and naturally cannot comprehend the sacrifices made by their loved ones to keep them healthy? Stubbornness is Born Thanks for reading this far. This post was actually published in ezines.com with you in mind…my goal is to provide caregivers like you a voice as well as recognition. I realize that assisted living may not be in the cards for you. Whatever the reason; be it financial or bad memories from another time in your life. But whatever your choice, I want you to feel supported. Please feel free to leave a message, ask a question or sign up to be the list for a free stress management CD. |
