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    AdultCaregiving GuideInormation, Advice and Support

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    As a person begins to age, amilmembers oten eel the need to

    help with everda tasks that

    are now challenging or a loved

    one. This can include activities

    like meal preparation, laundr

    and housekeeping. Eventuall,

    man amil members nd

    themselves assisting in was

    the never expected, like hgiene

    and grooming. Other caregivers

    are aected b a loved onesunexpected disease or disorder.

    Caregiving or a loved one

    can take its toll and can change

    amil dnamics. And providing

    care or a loved one can become

    highl stressul whether our

    amil member lives next door

    or thousands o miles awa.

    I ou need help, oure not alone.

    Right at Home provides caregiving

    services or thousands o amilies

    across the nation just like ours.

    We can help ou, too.

    Aging isnt easy.Not for the person

    who is feeling the

    effects of the years.

    Not for the familymembers.

    1 - 2 - 3Follow the simple steps in this

    document to ensure that your aging

    parent, spouse or riend is getting

    the assistance he or she needs.

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    Step 1:

    Determinewhetheryour loved

    one needsassistance.

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    Signs Your Loved OnesNeeds Are ChangingIt can oten be hard to tell when aging is aecting a amil member. Dont ignore the warning

    signs, because small things can add up to a larger challenge incredibl ast. I ou notice certain

    changes in our loved one, it might be time to seek outside help:

    Changes in relationships with others.

    Withdrawal rom social interactions.

    Unusual behavior. This could include

    increased agitation, speaking loudl

    or little talking at all.

    Neglecting personal care. Poorhgiene or nutrition.

    Thisworksheet willhelp youand otherfamilymembersdeterminewhat typesofassistanceyourloved oneneeds.

    Needs Assessment Worksheetfor adult caregivers

    Hearing

    Vision

    Perception

    Orientation

    Thinking

    Memor

    Decisionma king

    Judgment

    Phsical dexterit

    Balance

    None Some Major

    Strength

    Energ

    Bladder/bowel control

    Arthritis

    Hpertension

    Heart disease

    Diabetes

    Phsical deormit

    Depression

    None Some Major

    Bathing

    Dressing

    Grooming

    Toileting

    Eatinganutritiousdiet

    Gettingout

    o bed

    Gettingouto chair

    Walking

    Usingthetelephone

    Shoppingor

    personal items

    Transportation

    Managing

    mone

    Doinglaundr

    Lighthousework

    Preparingmeals

    No Help Some help Much help

    NEEDS:

    INSTRUMENTAL ACTIVITIESO DAILy LIVING (IADLS)

    No Help Some help Much help

    NEEDS:

    ACTIVITIES ODAILy LIVING (ADLS)

    EFFECT:

    CONDITIONS/UNCTIONAL STATUS

    EFFECT:

    To help ou better understandour loved ones limitations, use

    the provided Needs Assessment

    Worksheet on the ollowing

    page. illing out the worksheet

    can serve as a guide as to

    whether or not its time to hire

    a proessional caregiver. I it is,

    the worksheet can also help our

    caregiver begin to understand

    our loved ones dail needs.

    Needs Assessment Worksheetfor Adult CaregiversThis worksheet will helpouand other amil members determine what tpes o assistance our lovedone needs.

    Hearing

    Vision

    Perception

    Orientation

    Thinking

    Memor

    Decisionmaking

    Judgment

    Phsical dexterit

    Balance

    None Some Major

    Strength

    Energ

    Bladder/bowel control

    Arthritis

    Hpertension

    Heart disease

    Diabetes

    Phsical deormit

    Depression

    None Some Major

    Bathing

    Dressing

    Grooming

    Toileting

    Eatinganutritiousdiet

    Gettingouto bed

    Gettingout

    o chair

    Walking

    Usingthetelephone

    Shoppingorpersonalitems

    Transportation

    Managingmone

    Doinglaundr

    Lighthousework

    Preparingmeals

    No Help Some help Much help

    NEEDS:

    INSTRUMENTAL ACTIVITIESO DAILy LIVING (IADLS)

    No Help Some help Much help

    NEEDS:

    ACTIVITIES ODAILy LIVING (ADLS)

    EFFECT:

    How do the ollowingaect

    the persons abilit to unction?CONDITIONS/UNCTIONAL STATUS

    EFFECT:

    Signs o orgetulness. Watch or piles o unread

    newspapers or unopened mail, dirt or scorched

    cookware, unwashed laundr.

    Mismanagement o nances. Check to see that there

    paing their bills and not making unusual purchases.

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    Needs Assessment Worksheetfor Adult CaregiversThis worksheet will help ou and other amil members determine what tpes o assistance our

    loved one needs.

    Bathing

    Dressing

    Grooming

    Toileting

    Eating anutritious diet

    Getting outo bed

    Getting outo chair

    Walking

    Using thetelephone

    Shopping orpersonal items

    Transportation

    Managingmone

    Doing laundr

    Light housework

    Preparing meals

    No Help Some help Much help

    NEEDS

    INSTRUMENTAL ACTIVITIESO DAILy LIVING (IADLS)

    Hearing

    Vision

    Perception

    Orientation

    Thinking

    Memor

    Decision making

    Judgment

    Phsical dexterit

    Balance

    Strength

    Energ

    Bladder/bowel control

    Arthritis

    Hpertension

    Heart disease

    Diabetes

    Phsical deormit

    Depression

    EFFECT

    None Some Major

    EFFECT

    None Some Major

    How do the ollowing aectthe persons ability to unction?CONDITIONS/UNCTIONAL STATUS

    No Help Some help Much help

    NEEDS

    ACTIVITIES ODAILy LIVING (ADLS)

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    Which barriers can be removed or changed?ENVIRONMENTAL SAETy

    Limitation No Problem Needs Changed

    Neighborhood SaetConvenience

    riends or relatives nearb

    Living Quarters Age o dwelling

    Roo in good repair

    Windows in good repair

    Siding in good condition

    Looks cared or

    Securit and saet

    Dead bolt locks on outside doors

    Peephole in ront door

    Window bars or locksVisible rom road

    (no large trees or bushes block view)

    Smoke alarms installed, tested

    Passagewas clear o wires and clutter

    Stairs Handrails on both sides

    In good repair and nonskid surace

    Clearl marked

    Floors Nonskid level suraces

    Nonglare suraces

    No loose rugs

    Furnishings Couch and chairs eas to useTables the right height

    Bed eas to get in and out o

    Lighting Light switches eas to reach

    Important areas are well lit

    Light diused rom windowsand suraces (no glare)

    Passagewas have night lights

    Kitchen Lever handles on sink

    Clean rubber mat b the sink

    Items used oten are accessible

    Storage is eas to get toNo objects are over the stove

    Bathroom Grab bars attached to studs,b the toilet and tub or shower

    Nonskid strips in the tub or shower

    Hand-held shower head

    Nonslip bath mat or rug

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    Step 2:

    Provide theassistanceyour loved

    one needs.

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    Nearl two-thirds o adult caregiverstake time o during the workda, while

    17 percent take a ormal leaveo absence and 10 percent takeearl retirement.

    An inormal caregiver is estimated to lose

    an average o $25,494 in Social Securitbenets, and $67,202 in pension benetsbecause o time spent caregiving instead

    o working.

    More than 34 millionadults 16 percent o the adult Americanpopulation provide care to

    someone aged 50 ears or older.

    Someone caring or a parent has

    been doing so or an average o

    20 hoursa week or our ears.

    One in three adult caregivers isalso raising a child under the age o 18.

    Are You an Adult Caregiver?youre Not Alone.

    About 70 percent o adult caregiversget help rom amil members, riends or

    neighbors. And about 30 percentrel on help rom paid caregivers.

    Someone caring or a spouse spends

    more than 30 hours a week directl

    caring or their loved one and is less likelto get help rom relatives or riends.

    Studies show a 20 to 50 percentincrease in depressive smptoms or adult

    caregivers versus their non-caregiving peers.

    Long-distance caregivers spend an average o $392 a month on travel and out-o-pocketexpenses as part o their caregiving duties.

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    Use the Home Saety

    Checklist. B going

    through the checklist,

    ou can signicantl

    reduce an harm

    that ma come to a

    amil member asou decide on our

    approach to care.

    What to Do When Your

    Loved One Needs CareAs ou notice changes in a loved one, there are a ew things that ou can do to help them and ouramil as a whole:

    Thisworksheet willhelp youand otherfamilymembersdeterminewhat typesofassistanceyourloved oneneeds.

    Needs Assessment Worksheetfor adult caregivers

    Hearing

    Vision

    Perception

    Orientation

    Thinking

    Memor

    Decisionma king

    Judgment

    Phsical dexterit

    Balance

    None Some Major

    Strength

    Energ

    Bladder/bowel control

    Arthritis

    Hpertension

    Heart disease

    Diabetes

    Phsical deormit

    Depression

    None Some Major

    Bathing

    Dressing

    Grooming

    Toileting

    Eatinganutritiousdiet

    Gettingout

    o bed

    Gettingouto chair

    Walking

    Usingthe

    telephone

    Shoppingor

    personal items

    Transportation

    Managing

    mone

    Doinglaundr

    Lighthousework

    Preparingmeals

    No Help Some help Much help

    NEEDS:

    INSTRUMENTAL ACTIVITIESO DAILy LIVING (IADLS)

    No Help Some help Much help

    NEEDS:

    ACTIVITIES ODAILy LIVING (ADLS)

    EFFECT:

    CONDITIONS/UNCTIONAL STATUS

    EFFECT:

    I theres a noticeable decline in thinking and

    reasoning in a loved one, schedule a doctors

    appointment and ask the physician to test

    or cognitive unction. And dont assume

    cognitive decline is an unavoidable part o

    aging. Some causes are treatable, such as

    interaction o medications.

    Have everyone in your amily (including

    spouses) check with their employers to see i

    their companies oer any caregiver benefts.

    I ou decide on a path o care, ask the

    agency or a care plan specifcally based on

    your loved ones physical needs, cognitive

    needs and goals.

    Have a amily member accompany your

    loved one to as many medical appointments

    as possible. This allows them to serve as

    another set o ees and ears, and become a

    patient advocate i necessar.

    Arrange or a amily

    meeting to discuss

    your care options.

    Be sure to include the

    wishes o the loved

    one who needs carein the discussion. Use

    our answers rom the

    Needs Assessment

    Worksheet as a guide.

    Home Safety Checklistfor Adult CaregiversUse this checklist to make sure that our lovedones routine is as benecial as possible andthat

    their home doesnt pose an healthor saet hazards.

    ind someone to check onthe

    individual dail.

    Schedule visioncheck .

    Discuss medications withphsician

    to determine aects onbalance .

    Establish light exercise routine.

    No loose carpetingor rugs that

    do not have anon-slip backing.

    Trac areas ree o urniture.

    Electrical cords andother wires taped

    against walls.

    Bright lightingwith switches andall

    light bulbs inworking order.

    Telephones placedontables at

    aheight that canbe reached

    romthe foor.

    ree o items.

    Plent o roomto move at top

    andbottom.

    No loose carpetingor edges

    to catchon.

    Handrails securel attached and

    at the proper height or user.

    Proper lightingon all steps, including

    switches at topandbottomo stairs.

    Grabbar s near the tub, shower and

    toilet locatedandmountedproperl.

    Non-slips uraces inthe tubor shower.

    Nightlight or whenrst entering

    the room.

    Rugs or bathmats withnon-slip

    backingonthe foor.

    Shower/tubbench or seat.

    Bedside table withnon-tiplampand

    roomor eeglasses.

    Clear trac arearombedroom

    to bathroom.

    Comortable, sturd chair to aid

    indressing.

    Items placedwhere the canbereachedwit hout the use o astool.

    Areato sit duringoodpreparation.

    looringre e o cracks, splits or

    up-turnededges.

    All Rooms

    Bedrooms

    General

    Stairsand InclinesKitchen

    Bathroom

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    Home Safety Checklistfor Adult CaregiversUse this checklist to make sure that our loved ones home doesnt pose an health or saet hazards.

    ind someone to check on theindividual dail.

    Schedule vision check.

    Discuss medications with phsicianto determine eects on balance.

    Establish light exercise routine.

    Remove loose carpeting or rugs thatdo not have a non-slip backing.

    Clear trac areas o urniture.

    Tape electrical cords and other wiresagainst walls.

    Install bright lighting with switchesand working light bulbs.

    Place telephones on tables at a heightthat can be reached rom the foor.

    Keep ree o items.

    Clear plent o room to move at top

    and bottom.

    Repair loose carpeting or edges.

    Securel attach handrails at the properheight or user.

    Install proper lighting on all steps,including switches at top and bottom

    o stairs.

    Ensure grab bars near the tub, showerand toilet are mounted properl.

    Place non-slip suraces in the tub

    or shower.

    Place nightlight near room entrance.

    Add non-slip backing to rugs orbathmats on the foor.

    Add shower/tub bench or seat.

    Place non-tip lamp on bedside tableto allow room or eeglasses.

    Clear trac area rom bedroom

    to bathroom.

    Use a comortable, sturd chair to

    aid in dressing.

    Place items where the can be

    reached without the use o a stool.

    Create area to sit during

    ood preparation.

    Repair fooring which has cracks,

    splits or up-turned edges.

    All Rooms

    Bedrooms

    General

    Stairs and InclinesKitchen

    Bathroom

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    Step 3:

    Get help ifyou need it.

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    Right at Home oers caregiving services

    or almost an amil and practicall an

    situation. We have more than 200 oces

    that serve thousands o clients across the

    United States.

    The Right at Home dierence is ound in

    our process. In ver little time, were able

    to assess and understand our loved ones

    unique situation and recommend a custom

    plan or our particular needs. This gets

    our loved one the care he or she needs

    as soon as possible.

    Right at HomeCan Help

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    Caregiver Matching

    Once ou approve the Custom Care Plan, we begin our search

    or the right person to implement that care. Our sstem nds

    a caregiver or our loved one b taking numerous actors into

    consideration: the services needed, our loved ones interests and

    the personalities o both our loved one and the potential caregivers.

    B looking at the whole situation, were able to provide the most

    appropriate caregiver possible. O course, i ou ever have an

    concerns about a specic caregiver, we can search or and provide

    a replacement in ver little time.

    Care Supervision

    Ever Right at Home caregiver goes through an extensive interview

    process, including background checks. Once hired, caregivers are

    trained through Right at Home Universit to ensure that there able

    to deliver the care set out in our loved ones Custom Care Plan.

    Beore providing care, there bonded and insured.

    Local Right at Home team members sta in touch with caregivers

    to ensure things are going well. Those team members also make

    unannounced visits to the homes o those who are in our care to

    ensure caregivers are ollowing the specics o the Custom Care Plan.

    The Initial Call and Meeting

    rom the moment ou call, we begin considering the specic

    needs o our loved one. We ask questions during our call to

    orm a basic needs assessment. Then we set up an in-home visit

    with our amil, including our loved one who will ultimatelreceive our care. This visit enables us to gather even more

    inormation, answer questions and help our amil understand

    how Right at Home can help.

    The Custom Care Plan

    Ater our initial meeting, well develop a Custom Care Plan or

    our loved one. We make detailed recommendations on exactl

    what kind o services we eel would benet our loved one and

    tailor a plan specic to his or her needs. We then review theCustom Care Plan in detail and modi it as ou see t.

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    Our caregivers can provide services that help our loved one stave o or dela

    urther eects o aging, both phsical and mental. We can help oster wellness

    with services that include:

    Light exercise program

    development

    Meal planning

    Medication reminders

    Saet supervision

    Cognitive stimulation

    Wellness

    In those locations that have medicall trained sta, we can provide a level oin-home care not ound within man other home care companies:

    Visiting nurses

    Medication set-up

    Medication administration

    I.V.-related therapiesand administration

    Insulin injections

    Wound care

    Dressing changes

    Catheter care

    Ostom/Colostom care

    Tube eeding assistance

    Skilled hospice support

    Skilled Nursing

    *Not all services are available in ever location. or a ull list o available services in our area,

    check with our local Right at Home oce.

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    Special Care SituationsCaring or a loved one who has special needs due to an illness or injur can be overwhelming, which

    makes Right at Home perect or either ull-time care or respite. Our caregivers can accommodate

    numerous special phsical and mental situations. With our in-home care services, our loved one will

    receive a customized care regimen that takes those needs and their environment into account. Some

    o these special care situations include*:

    Alzheimers and other dementiaMost Alzheimer's patients particularl those in the earl and middle stages o the illness

    can be cared or at home and dont require nursing homes or other acilities. In act, more than

    hal o all diagnosed Alzheimer's patients continue to live in home settings. Right at Homes

    services oered to those who suer rom Alzheimers include:

    amiliar rame o reerence

    Continuit o dail routines and schedule

    reedom to move about in a amiliar,unrestricted space

    Minimal stress that can aggravate thesmptoms o Alzheimers and dementia

    Dail orientation to time, place and people

    OsteoarthritisOsteoarthritis can lead to rustration, weariness and depression when a person can no

    longer perorm simple, dail tasks with ease. But in most cases, people with osteoarthritis

    can lead ull, active lives b properl managing the condition. Right at Home can helpalleviate some o the pressures o dail living b oering:

    Meal preparation

    Light housekeeping

    Shopping

    Laundr

    Assisting with recreational activities

    *Not all services are available in ever location. or a ull list o available services in our area,

    check with our local Right at Home oce.

    Hypertension/stroke recoveryThe best strateg or controlling and preventing high blood pressure is to begin with

    liestle changes. or seniors, this oten means a combination o light exercise and

    medication. Right at Home can prepare a customized hpertension program topromote a healthier liestle, including:

    Development o a light exercise schedule

    Coordination o a health meal plan

    Shopping

    Meal preparation

    Medication reminders/set-up/administration

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    DiabetesI our loved one is one o the more than 20 million Americans who suer rom diabetes,

    Right at Home can help manage the disease through:

    Education o what aects

    blood glucose levels

    Coordination o a health meal plan

    Development o a light exercise schedule

    Shopping

    Meal preparation

    Medication reminders/set-up/

    administration

    Heart diseaseRight at Home has extensive experience in prevention and care when it comes to managing

    heart disease. We can customize a program or our loved one that:

    Develops and/or implements a heart

    health diet (including shopping and

    meal preparation, i necessar)

    Monitors and/or administers medication

    Helps with the dail activities o living

    (such as Homemaking and Hgiene)

    Assists with phsician-prescribed exercises

    Neuromuscular diseases and disordersNeuromuscular conditions are complex because the can aect both motor skills and

    cognition. Regardless o the particular disease/disorder or the extent o its progression,

    Right at Home caregivers can help b oering:

    Saet supervision

    Ambulator assistance

    Getting dressed

    Grooming Light housekeeping Laundr services

    Medication reminders

    Cognitive stimulation

    Cancer recoveryMan cancer patients eel more comortable receiving care at home so that there not

    separated rom amil, riends and amiliar surroundings. But cancer is a condition that can

    change relationships and require amilies to address new issues.

    In-home care is oten a great wa to alleviate some o the pressures o amil caregiving

    when it comes to cancer, allowing ou to ocus on emotional support instead o the details

    o dail activities. Right at Home caregivers can help with an o the care services, as well

    as supplement an hospice care.

    *Not all services are available in ever location. or a ull list o available services in our area,

    check with our local Right at Home oce.

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    Hospice/palliative supportWhether ou and our amil are simpl tring to relieve someones pain during a serious

    illness or whether oure tring to provide end-o-lie care, it can produce a lot o stress or

    amil members involved in caregiving.

    Right at Home can give ou and our amil a respite rom the dail tasks that seem to

    build. rom light housekeeping to meal preparation, Right at Home caregivers can provide

    support during tring times. In addition, we work with Hospice and palliative care agencies

    to urther support our needs and those o our loved one.

    Mental healthRegardless o age or phsical abilit, some people who suer rom mental health disorders

    become homebound during their recover. Anxiet, Post-Traumatic Stress Disorder (PTSD)

    and depression can all easil aect entire amilies, not just those who are diagnosed.

    Right at Home can provide numerous services that help amilies do more than just survive a

    loved ones struggle with the eects o a mental health disorder. We can be a large part o

    helping a amil thrive on their path o recover. We can also help when mental health is a

    concern or seniors who are coping with the realit o becoming homebound.

    Traumatic brain injuryRight at Home can help amilies who nd themselves coping with the unexpected eects o a

    sudden injur to the brain.

    Whether its helping a amil establish new routines immediatel ater the injur or providing

    respite to amilies who have established a sstem o care, Right at Home has numerous

    services that can help. I there are an medical needs, skilled nursing is available in man areas.

    Paraplegia/quadriplegiaRight at Home provides numerous services to loved ones who have a spinal cord injur and

    need a wheelchair or dail living.

    Our caregivers can help someone adjust to a new living situation directl ater a spinal

    cord injur. The can also continue to assist with an household tasks that are complicated

    b an injur. or quadriplegia, caregivers can assist in a amil members dail hgiene.

    And i there are an medical needs, skilled nursing is available in man areas.

    *Not all services are available in ever location. or a ull list o available services in our area,

    check with our local Right at Home oce.

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    MoreResources

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    How do I pay or home care services?

    Medicare, Medicaid and most emploer-sponsored HMO

    and PPO plans will onl reimburse ou or intermittent

    visits rom a home care nurse on a temporar basis

    and onl when our loved one has a specic qualiingmedical diagnosis. In general, these tpes o insurance

    policies are not designed to pa or ongoing, hourl

    caregiving services that are classied as Long-Term

    Care. (Use the Ocial Medicare Eligibilit Tool at

    www.medicare.gov/LongTermCare/Static/Medicare.asp

    to learn more.)

    Resources and OptionsAvailable to Adult Caregivers

    Making the choice to provide ormal care or a loved one is a brave and dicult decision, but ou

    dont have to do it alone. There are resources available in most communities that will help ou

    undertake the task o nding care or an elderl or disabled loved one.

    I I want my loved one

    to be cared or at home,

    what are my options?

    A trusted amily member, riend or

    neighbor could be a cost-eective

    option. And ou could alwas

    hire additional paid caregivers to

    supplement care. However, i ou hire

    an individual who isnt associated with

    a home care agenc, keep in mind that

    ou assume emploer responsibilities.

    Most homeowners insurance

    policies exclude injur to privatel

    hired caregivers, and man o those

    caregivers arent bonded or insured,

    so oud be legall and nanciall

    responsible or man o their actions

    and responsible or the tax obligations.

    you could also hire a private duty

    home care agency to provide services

    to our loved one. you should ask or

    proo that the perorm background

    checks on their caregivers, as well as

    an required licensing. The should

    inorm ou o how the train their sta

    and whether or not the have 24-hour

    emergenc scheduling services.

    I our loved one doesnt require too

    much phsical and medical care, man

    areas have adult day care centers.

    These are oten a lower-cost option

    than private home care services.

    Long-term

    care insurance

    Reverse mortgages

    Emploer-sponsored

    Health Savings

    Accounts (HSA) or

    lexible Spending

    Accounts (SA)

    Emploee-sponsored

    caregiving stipends,

    such as Back-Up

    Care programs or

    emploees who are

    adult caregivers and

    travel or work

    amil trust unds

    Workers compensation

    insurance

    Catastrophic

    auto insurance

    State-subsidized

    home- and communit-

    based services, oten

    reerred to as Medical

    Waiver programs.

    (Age and income

    qualications appl.)

    Veterans Aid and

    Attendance

    That said, there are man other nancial options available

    to ou in order to pa or ongoing care services:

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    0

    Learn MoreTo learn more about powers

    of attorney, contact an elder law

    attorney in your area through

    the National Academy of Elder

    Law Attorneys ( www.naela.org).Consult with any of these

    attorneys to discuss your needsand concerns. Laws regarding

    powers of attorney are different

    in every state, so consulting

    an experienced attorney is

    very important.

    HealthcarePower o Attorney

    Healthcare power o attorne becomes

    active onl when an individual is so ill that

    he or she cant make or communicate a

    healthcare decision to his or her phsicians.

    or example: i someone goes into a coma,

    that persons agent has power o attorne

    to make medical decisions or that person.

    Likewise, i a person develops dementia

    which impairs the persons understanding

    and judgment, a power o attorne would

    be consulted or medical decisions.

    Do not assume that amil members

    automaticall have the right to make these

    tpes o decisions. amil members are

    not given powers o attorne b deault.

    Most state laws are quite vague about who

    is permitted to make medical decisions oranother person. A valid power o attorne

    claries the decision-maker or phsicians.

    And when issues such as lie support or

    terminal illness are involved, clarication

    becomes incredibl important.

    More than one agent can be named. I

    this happens, there is tpicall an order

    assigned to agents in terms o whos

    contacted and when. Oten, a amil

    member who lives nearb is named the

    primar agent, but an out-o-town amil

    member could be named as a second

    agent in case phsicians are unable to

    locate the primar agent in an emergenc.

    FinancialPower o Attorney

    inancial power o attorne allows a person

    to nominate a person (or persons) to manage

    legal and/or nancial matters. Once a power

    o attorne is executed, both the person and

    his or her agent have access to the persons

    nances. The share authorit to manage the

    nances but the person retains ownership

    o the assets.

    To nominate agents or nancial powers o

    attorne, ou can oten use simple state-

    approved short orms or a person ma

    state in length text the exact powers being

    granted. The best solution depends on the

    individual situation.

    Powers of AttorneyTerms and ormats dier rom state to state, but there are tpicall two tpes o powers

    o attorne. One is or managing nances, the other or managing healthcare.

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    Questions to Ask When

    Hiring a CaregiverI ou decide on home care, there are several questions ou should ask the home care agenc

    to ensure our amil and loved one remain sae, health and happ:

    I the caregiver becomes

    ill, goes out o town or

    is otherwise unavailable,

    what are the alternative

    arrangements?

    Who pas the caregivers

    ederal and state taxes,

    Social Securit (ICA) and

    unemploment insurance so

    that our amil is not legall

    responsible?

    Can ou veri that the

    caregivers are legall able

    to work in the United States?

    I the caregiver is injured

    at a clients residence,who is responsible? (Man

    homeowners insurance

    policies exclude injuries

    to domestic emploees,

    so the caregiver should

    be covered b workers

    compensation insurance.)

    Do ou perorm criminal

    background checks and

    state abuse registr checks?

    Do ou check caregivers

    reerences rom prior work

    histor?

    Are ou bonded and insured

    in case o injur or thet?

    How do ou document

    that our services were

    indeed completed?

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    Aging

    American Societ on Aging

    www.asaging.org

    National Council on Aging

    www.ncoa.org

    National Resource Centeron Nutrition, PhsicalActivit and Aging

    nutritionandaging.fu.edu

    National Association oArea Agencies on Aging

    www.n4a.org

    National Associationo Proessional GeriatricCare Managers

    www.caremanager.org

    Government

    Administration on Aging

    www.aoa.gov

    Centers or Medicare

    and Medicaid Services

    www.cms.gov

    U.S. Government/

    Senior Citizens Resources

    www.seniors.gov

    United We Ride

    www.unitedweride.gov

    Caregiving

    Right at Home Newsletter

    www.caringnews.com

    Direct Care Alliance, Inc.

    www.directcarealliance.org

    amil Caregiver Alliance

    www.caregiver.org

    Kaiser amil oundation

    www.k.org

    National Clearinghouse on

    the Direct Care Workorce

    www.directcare

    clearinghouse.org

    National amil

    Caregivers Association

    www.ncacares.org

    National Guardianship

    Association, Inc.

    www.guardianship.org

    National Private

    Dut Association

    www.privateduty

    homecare.org

    Third Age

    www.thirdage.com

    Health/Medical

    Alzheimers Association

    www.alz.org

    American Association or

    Respirator Carewww.aarc.org

    American Cancer Societ

    www.cancer.org

    American Diabetes Association

    www.diabetes.org

    American Heart Association

    www.americanheart.org

    American Lung Associationwww.lungusa.org

    American Stroke Association

    www.strokeassociation.org

    National Parkinson oundation

    www.parkinson.org

    National Alliance

    or Hispanic Health

    www.hispanichealth.org

    National Organization

    on Disabilit

    www.nod.org

    American Hospice oundation

    www.americanhospice.org

    Adult CaregivingResource LinksWhen caring or a loved one, theres no such thing as too much inormation. Hopeull, these links

    can provide even more inormation about caring or our loved one and his or her specic needs.

    Right at Home provides in home care services to clients and equal emploment opportunities to emploees and applicants without