What Happens When Your Parents Can No Longer Drive?

Pamela Swingley - August 9, 2010

Nothing may bring on a greater sense of fear in a senior citizen than when it’s time to go to the DMV and renew their drivers license. My dad starts worrying a year in advance. In preparation he reads the manual a few times, visits the DMV office to try to memorize the eye chart, practices his skill at getting on and off the freeway, and mentions the deadline date on every visit.

Dad’s fear of losing his license is shared by many, many seniors. A car not only represents independence; it is often a neccesity. They depend on driving to get to doctor’s appointments, buy food, and visit with family and friends.

But what happens when they can no longer drive? Like me, many children with elderly parents work full time and can’t afford to take a day off to visit the doctor, get to the lab, and pick up new medications. Public transportation is often inconvenient. Taxi cabs expensive. Friends and spouses may have significant driving restrictions. 

It’s a big problem, one that is growing larger every day. We like to imagine a daywhen transportation could be scheduled along with a medical appointment through an eHealth platform. Pick-up, delivery, and time details would already be available. And confirmation emails, and reminders could easily be sent. Most of the pieces are available today, they just need to be connected together with local driving services.

Our friend from the UK, Peter Kruger, covers the challenge of transport for seniors in detail in his latest report, “When You Get Old and Lose Your Car“.  More excellent information about aging is avaliable on Peter’s website, www.alphadaughters.com.

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Care Giving from the Office - Our Published Report in Self Funding Magazine

Alex Bettencourt - July 30, 2010

as featured in 300x122 Care Giving from the Office   Our Published Report in Self Funding Magazine

Vincent Van Gogh once said, “Great things are not done by impulse, but by a series of small things brought together.”

What does this have to do with our recent report on long-distance care and employee health care costs? Well, when Self Funded Magazine decided to publish our report, “Care Giving from the Office“, we thought it was a great thing!

Writing this report was hard work because we did a lot of digging around for statistics, studies, analyses, and more.  We felt like eager pilgrims gathering tiny morsels of food to make a decent dinner. The result of all this reviewing and writing was a Thanksgiving feast.

We were very flattered the reputable Self-Funding Magazine published it in their July issue. Self Funding Magazine was created by healthcare executives who have run and administered self funded plans for employers for years. They always provide cutting edge industry news and expertise. We were very flattered when they chose to publish our report. You can read it here or you can click on it on the Self Funded Magazine logo above.

In the report you will find all the discoveries we made when connecting the dots between long-distance care and employee health care costs. We knew care giving could take a toll on someone working full-time, but we wanted to thoroughly learn who else it effects and how.

“Care Giving from the Office” explores the constant juggling act 60% of caregivers face trying to balance work and care.  In the report you will also learn it’s stressful and costly to employers because of the productivity loss.

Read more surprising facts and learn about what solutions are out there to help. Feel free to share your insight too! We would love to hear your story or advice.

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Leaders in Online Health - eCare Diary

Alex Bettencourt - May 12, 2010

John Mills, founder of eCareDiary.com, and RememberItNow! founder, Pam Swingley, have a lot in common. Both had fathers with ailing health and could not find online solutions to help make care giving easier.

Just as Pam decided to take matters into her own hands by creating RememberItNow! software, John decided to develop in an informative care giving website, and founded eCareDiary.com.

Instead of specializing in medication reminders and eHealth like RememberItNow!, eCareDiary is different because it focuses on long-term care by providing comprehensive care giving and health information, resources, and tools, like the Care Diary.

The Care Diary is used to coordinate care share information between family and caregivers, similar to the RememberItNow! Wellness journal. Both of these features demonstrate a need for improved communication among family members and health teams. Both also help ensure peace of mind.

eCare Diary also has a comprehensive database of nursing home and home care services, guides on long term care financing and information on important health care documents.

By getting the word out about eCare Diary we hope care giving becomes easier and families have less to worry about. Below is a snapshot of what the eCare diary looks like.

ecarediary1 Leaders in Online Health   eCare Diary

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Must Read for Understanding Alzheimer’s

Pamela Swingley - April 7, 2010

Book Review: Alzheimer’s from the Inside Out

alzheimers from the inside out image Must Read for Understanding Alzheimers

Whether you are caring for someone who has Alzheimer’s or have been diagnosed yourself, Alzheimer’s from the Inside Out, will enrich your knowledge and help you to understand how an Alzheimer’s patient sees and thinks about things.

The author, Richard Taylor was diagnosed with Alzheimer’s disease at age 61. A former psychologist, Richard courageously shares an account of his slow transformation and deterioration and the growing division between his world and the world of others.

With poignant clarity, candor, and even occasional humor, more than 80 brief essays address difficult issues faced by those with Alzheimer’s disease, including:

* the loss of independence and personhood
* unwanted personality shifts
* communication difficulties
* changes in relationships with loved ones and friends
* the declining ability to perform familiar tasks

This rare, insightful exploration into the world of individuals with Alzheimer’s disease is a captivating read for anyone affected personally or professionally by the devastating disease. The writings reinforce the fact that there IS someone inside a person with dementia, a human being first and foremost, that deserves to be treated respectfully and is worth the trouble of doing what it takes to communicate with effectively.

You can order Richard’s excellent book from Amazon.com right here. >>>

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Are you ready? Pre-plan with A GoldenHand

Pamela Swingley - March 30, 2010

a golden hand2 Are you ready? Pre plan with A GoldenHand
RememberItNow! helps you coordinate care for someone you love. But where do you find the caregivers to coordinate? How do you know what kind of care you really need? What will it cost? Who can help you, help your parents?

A GoldenHand can.

Recently we met with Richard Wexler, the CEO of A GoldenHand, a company that will help you prepare for the inevitable day when an aging parent needs help.

Richard founded A GoldenHand to help families pre-plan and manage the Golden Years. His experienced staff helps you to preplan for the possibility that you or your parent might be struck with a stroke, heart attack, cancer or some other health crisis and require assisted living care.

While Richard emphasizes the importance of preplanning as it saves time, money and a great deal of stress, his care consultants have access to all the resources you need in an emergency situation, including assisted living facilities, in-home care, meal delivery services, pharmaceutical consultations.

I started RememberItNow! because I realized that very soon, I’d need to help my father continue to live his life as independently as possible. It was a hard reality for me to face, because as I child I saw my father as invincible. Richard’s pre-plan services not only help you when a medical crisis arises, but will help you buy back time. To learn more, visit www.agoldenhand.com today.

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Patient Navigator - Why You Might Need One

Alex Bettencourt - February 24, 2010

Senior couple meeting with agent

Most of us haven’t even heard of a patient navigator before. Now that it has taken the 11th spot on the list of top jobs for the coming decade, the patient navigator is receiving more and more attention.

So what exactly is a patient navigator? The title actually indicates many of its main functions; they “navigate” patients throughout their health care. Families can quickly become overwhelmed when providing long-distance care, and patient navigators quickly alleviate the stress. They help communicate, care, and support your aging loved one going through an illness.

According to Senior Care Examiner, a patient navigator’s job “is to provide up-to-date, reliable information to the patient and family so that with the medical team, they feel confident about his or her treatment decisions.”

One should also note that your patient navigator is not a source for medical advice. They only provide the valuable skill of communication between you and your medical team. (more…)

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Using Your Journal to Coordinate Care

Alex Bettencourt - December 18, 2009

How RememberItNow! Gives Grandma a Break and Mom Peace-of-Mind
As the primary caregiver for my grandpa, my grandmother is frequently overwhelmed. For several years my entire family has tried to get her to hire some help, but she would shrug and say, “I would rather just take care of Grandpa myself.” Of course, this really took a toll on her own wellness.

When she did get some help, she complained that it was more time consuming for her to explain all the new medications, stats, and directions to a new caregiver.

When I introduced RememberItNow! to her, she wasn’t too sure. But within a few weeks, she decided I knew what I was doing. Having all of Grandpa’s information in one place means that she doesn’t have to explain the routine to new caregivers, or dig up contacts and website links. And it means my mother and I can help her keep an eye on Grandpa’s care from wherever we are.

One of the features of RememberItNow! she loves is the Health Journal. She uses it to coordinate care and provide instructions for the day.

Grandma even moved the computer to the living room so that the caregiver has quick access to it. When a caregiver arrives they log in. Here’s how an entry looks to start:

journal entry12166 Using Your Journal to Coordinate Care

Notice where the red arrow is pointing above. The Journal’s time stamp on each entry makes it easy for someone like my grandmother to keep track of a caregiver’s hours, and it ensures punctuality as an extra bonus.

The care giver simply logs in,  makes an entry of her or his arrival, looks at the activities scheduled for the day, and continues on with their work.

One of the responsibilities Grandpa’s caregiver has is to record his blood sugar and blood pressure during the day. They record the readings, his overall wellness, and significant events in the journal during the day.

wellness chart Using Your Journal to Coordinate Care

The journal gives Grandma a sense of control and freedom. It makes it easy for her to leave instructions, and to have a history of activity. She knows everything the caregiver needs to help Grandpa can be found within RememberItNow! And, when she gets home, she has a record of the days activities.

My mother often logs in from work during the day to check on things. She can see all the important items right from the dashboard.

newdashboardrin1218 Using Your Journal to Coordinate Care

RememberItNow! gives my mother peace-of-mind, knowing that grandma can get out for a bit or get some much need sleep during the night. Mom can now do a checkup on things without going by the house. Most important, RememberItNow! helps to keep grandpa healthier. Happy holidays to all the grandpas out there, and especially  my “avo” (Portuguese for grandpa :) .

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TriNet HR Trends Survey - Q3 2009

Pamela Swingley - December 13, 2009

TriNet’s recent HR Trends survey provides insight into the challenges small businesses face in offering their employees healthcare benefits.

Most shocking, of the respondents who pay at least a portion of the health care premiums of their employees, 56.8% indicated that insurance consumes at least 1-5% of total revenues; another 19.3% indicated that it consumes 6-10%.  Wow.

And the cost continues to increase. 62.6% of respondents said their health care costs rose between 6-20% in the last year alone.

The survey also asked small businesses to share their expectations about the results of health care reform, once enacted. More than 70% believe reform will result in a program that is more complex than it is now and more than half fear that it will be more costly.

It’s never been easy to be a small business, but today the challenges are greater than ever. The adaptability and determination of small businesses is remarkable. Hey, we get it. We are a (very) small business too!

About TriNet
TriNet partners with small companies to help them contain HR costs, minimize employer-related risks, relieve the administrative burden of HR – and keep their focus on business success.

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New Report About the 65M U.S. Caregivers

Pamela Swingley - December 9, 2009

caregiving in the us cover New Report About the 65M U.S. Caregivers

A recent report conducted by the National Alliance for Caregiving and the AARP provides a comprehensive portrait of family caregivers today in the United States.

What is amazing is the number of people who act as unpaid caregivers. In the past 12 months, an estimated 65.7 million people in the U.S. have served as unpaid family caregivers to an adult or a child. The Caregiving in the U.S. 2009 report is packed with research. Here are a few of the findings:

* Eighty-six percent of caregivers provide provide care for a relative, 36% care for a parent and 14% care for their own child.
* The main reasons people need care are old age (12%), Alzheimer’s disease (10%), mental/emotional illness (7%), cancer (7%), heart disease (5%) and stroke (5%).
* On average, caregivers spend 20.4 hours per week providing care.
* 90% of caregivers say their recipient takes prescription medications.
* 68% of caregivers for an adult receive help from one other unpaid caregiver.

New technologies such as RememberItNow! offer great promise for facilitating some of the responsibilities that caregivers’ shoulder and more generally to improve the care for their recipients. Nearly half of caregivers say they are already using some type of technology to provide care. An electronic organizer/calendar is the most frequently used technology. Here’s a breakdown:

use of technology in caregiving New Report About the 65M U.S. Caregivers

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Top 10 Caregiving Websites

Pamela Swingley - September 7, 2009

Are you a caregiver that could use some extra help?

BestSitePicks top 10 caregiving websites list features hand-picked links to referral services, caregiver support, eldercare advice, health services and much more! You can add or vote for your favorite caregiving websites.

On the top of the list:

* Family Caregiving 101 - It’s not all up to you.
* Lotsa Helping Hands - Free community
* Caring.com - Helping you help your parents

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