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Senior Care Management Insights - February 2013

February 2013
Do Not Miss These in February:
Now Accepting Nominations - Salute to Senior Service Contest

Through your work in the geriatric field, chances are you've met a few stand-out seniors who remain active by volunteering in the community. Those seniors set a great example for people of all ages and deserve recognition. Nominate an outstanding senior now for the Salute to Senior ServiceSM Contest. Nominees have a chance to win up to $5,500 for their favorite volunteer organization.

Live Chat with Expert David Troxel - Transcript Now Available

Alzheimer's expert David Troxel led a great Live Chat discussion last month about the symptoms and stages of, and coping with, Alzheimer's disease. View the chat transcript to get insight about patients' needs and helpful solutions.

>Sign up to receive email notificationsof future Live Chats and other Alzheimer's events, news and resources.

Diagnosing Dementia - Steps to Promote an Earlier Diagnosis
Read full article.It's no secret that the incidence of Alzheimer's disease and other dementias among older adults is growing exponentially worldwide. What remains unspoken, however, are formal diagnoses for millions of those dementia cases. Here are three steps to help promote an earlier diagnosis and eight benefits of doing so.

Read full article

Resources for You

News from the Care Continuum:

Walgreens Approved as Accountable Care Organization

Along with more than 100 hospitals and physician-managed groups, drugstore chain Walgreens was included on a list of newly approved Accountable Care Organizations (ACOs) announced January 10. This is a bold step forward that supports the belief that ACOs will be a dominant model for health care delivery. Read more.

The ACO health care model helps supplement non-medical in-home care services by making health care services such as screenings, immunizations and acute care services convenient and accessible to the general public. Professional caregivers trained in non-medical care may be able to facilitate additional medical support for their clients by helping them take advantage of health services provided at approved ACOs such as Walgreens.

The Patient's Voice

The following question from Joetta illustrates a patient's and family member's desire for further information beyond a diagnosis-they want to know, if possible, what to expect as the disease progresses, and advice about what steps to take next.

My Dad's geriatric team has determined he is in the stage 7 of Alzheimer's Disease (AD). They have deemed his life expectancy to be about 2 years. What can we expect in the next 2 years, figuring he is healthy otherwise? He is physically slowing down, sleeping more, partially incontinent, weight is steady, expressive language is limited to several words, receptive language for the most part is gone, we use many non verbal ways to communicate.

Alzheimer's care and memory expert David Troxel gave Joetta this advice:

My colleague Virginia Bell and I have written in our Best Friends books that if you've met one person with Alzheimer's, you've met one person with Alzheimer's. In other words, everyone is different in their journey. Your dad is clearly in the later stages of AD but it can be hard to "predict" longevity.

My urgent recommendation to you and your family is to discuss end of life options-do you want to treat every infection or illness or focus on comfort care? What would he have wanted (and did he express his wishes in an advance directive)? Hospice can be a great resource and he may be eligible for that program now or soon.

The Heart of a CAREGiver
Caring for seniors is a labor of love that requires a special person with just the right touch. The Home Instead Senior Care® network is looking for dedicated CAREGiversSM who share its passion for caregiving to provide non-medical in-home care assistance to seniors. Learn more about what it takes to become a CAREGiver at

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Home Instead Senior Care
Phone: 888-484-5759
Email:[email protected]

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Founded in 1994 in Omaha by Lori and Paul Hogan, the Home Instead Senior Care® network is the world's largest provider of non-medical in-home care services for seniors, with more than 950 independently owned and operated franchises providing in excess of 45 million hours of care throughout the United States, Canada, Japan, Portugal, Australia, New Zealand, Ireland, the United Kingdom, Taiwan, Switzerland, Germany, South Korea, Finland, Austria, Italy, Puerto Rico and the Netherlands. Local Home Instead Senior Care offices employ more than 65,000 CAREGiversSM worldwide who provide basic support services — assistance with activities of daily living (ADLs), personal care, medication reminders, meal preparation, light housekeeping, errands, incidental transportation and shopping — which enable seniors to live safely and comfortably in their own homes for as long as possible. In addition, CAREGivers are trained in the network's groundbreaking Alzheimer's Disease or Other Dementias CARE: Changing Aging Through Research and EducationSM Program to work with seniors who suffer from these conditions. This world class curriculum also is available free to family caregivers online or through local Home Instead Senior Care offices. At Home Instead Senior Care, it's relationship before task, while continuing to provide superior quality service that enhances the lives of seniors everywhere.

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