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SeniorSeniorConnection

November 272011

Caregiving

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• Do you find yourself asking people to REPEAT themselves?

• Do people tell you that you turn the TV VOLUME UP TOO HIGH?

• Do you have to STRAIN to understand conversation?

• Do you have TROUBLE HEARING in a noisy background?

• Do you have DIFFICULTY UNDERSTANDING what people are saying?

Cannot be combined with any other discounts or coupons. Must present coupon at beginning of appointment.

Offer expires December 9, 2011

TRADE-IN SPECIAL!Trade-in value of up to

Good for any size hearing aid. Cannot be combined with any other discounts or coupons. Must present coupon at beginning of appointment.

Offer expires December 9, 2011

995

In many STYLES & COLORS!

Digital Hearing Aids

166 E. Goodale Avenue, BATTLE CREEK 49037

www.HearingSolutionsOfAmerica.com

Most people are unaware they have a hearing loss. It’s the family members and friends who are often the first to notice.

0% Interest Free Financing for 12 MONTHS until 12-31-11!*Payments as low as $28 a month!

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If you answered YES to two or more of these questions, you have a Hearing Loss that could be corrected with Hearing Aids.

TO DETERMINE if you need to have your hearing evaluated by a Hearing Specialist, ask yourself...

PLUS... a FREE pack of Batteries!

If you or a family member are suffering from hearing loss,

CONTACT US TO SCHEDULE YOUR

My Hearing isn’t bad enough...“ ”

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200 W. Michigan Ave. Battle Creek, MI 49017

269-966-2450800-626-6719

www.region3b.org

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Our Mission: Promoting health, independence and choice

Our Mission: Improving the health and well-being of older adults and caregivers

• Information, assistance and referral services • Care management and care planning including in

home service arrangement• Options counseling for long-term care• Assistance for individuals wishing to return home

after a nursing home stay• Veterans Directed home care program• Calhoun County senior transportation• Medicare/Medicaid Assistance Program—

enrollment, counseling, and assistance

Creating choices for living for older adults,

individuals with disabilities, and caregivers.

Suite 102Website: www.region3b.org

Aging & Disability Resource Line269-441-0973 or info@region3b.org

Call us, we’re here to help!

• Keep Movin’ and Whole Person Wellness • Aging Well educational series• Health screening and monitoring• More than 30 support groups• Matter of Balance Fall Prevention • PATH chronic disease management program• Family caregiving support and respite services

Suite 104 Website: www.seniorhealthpartners.com

269-441-0948 or1-866-721-8276 toll free

Our Mission: Keeping older adults at homeCentraCare is part of the National PACE Association (Program of All Inclusive Care for the Elderly). It is a medical/social center-based model of managed care for older adults at risk of nursing home placement.• Center-based health care and support services • Primary care, nursing, social work and specialty care • Occupational, physical, and recreational therapy • Prescriptions and total medication monitoring • Medical supplies and durable medical equipment • Daily transportation• Center based group activities• Homemaking, home health and personal care• Home delivered meals and nutritional counseling• Inpatient, laboratory and outpatient services

Suite 103Website: www.mycentracare.com

269-441-9300 or 1-877-284-4071 toll free

Come Visit Us Today!200 West Michigan Avenue

inside the Burnham Brook Community Center

Come Visit Us Today!200 West Michigan Avenue

inside the Burnham Brook Community Center

We’re working together to helpolder adults stay healthy and at home.

We’re working together to helpolder adults stay healthy and at home.

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Care Community Example of an actual competitorSinge Unit $1,300 (lowest) $2,940 (lowest)Base RateLEVELS OF CARELevel 1 $0 $500Level 2 $0 $1,500Level 3 $0 $2,000Alzheimer’s Care $0 $2,000Move-In Fee $800 $2,490First month $2,050 $3,445Monthly Rent $1,300 $2,940

Care CommunityCare Community Assisted Living Bases Its Rates OnYour Ability To Pay!

THE FINEST CARE IN AN AWARDWINNING, HIGH QUALITY, HOME LIKE ENVIRONMENT!RECOGNIZED IN THE PROFESSIONAL COMMUNITY AS THE INNOVATOR AND LEADER IN

AFFORDABLE ASSISTED LIVING.

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• Shirley Jankowski, Administrator NAPW Professional Woman of the Year 2010-2011• Region 3B Area Agency on Aging Quality Service Award for Respite and Day Care Services.

269 - 9 6 8 - 3 3 6 5 • 565 GENERAL AVE., SPRINGFIELD (Across from Custer Chapel)

Minor Eye Pathology & Injuries TreatedMost Insurances Accepted

Craig A. Miller, O.D.

I have over 30 years experiencein the eye care field. My objectiveis to be sure my patients havehealthy eyes, see well, and lookgood in properly fitted glasses or

contact lenses.

4275 Capital Avenue SWBattle Creek, MI 49015

www.craigamillerod.com

(269) 979-1561Phone & Fax

Office Hours By Appointment

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Follow us on FacebookCraig A Miller, ODEye Care For Your Family

Currently, 44 million Americans are responsible for the care of an older adult according to AARP reports. A recent survey of more than 2,500 family caregivers found that 25 percent of participants said they felt unprepared to serve as a caregiver. Only 17 percent of older adults reside in a nursing facility. Most are cared for at home. In-home care expenses are significantly less than long-term care facility expenses, but many Americans anticipating caring for an older family member still feel unprepared for the

“My therapist got me walkingagain—in the comfort of myown home.”

Kevan Peet is fully recovered from his knee replacement surgery thanksto physical therapy delivered by Borgess specialists. After receivinghome therapy for several days each week, Kevan was able to regain hismobility, flexibility and strength.

If you or a loved one could benefit from skilled home care, trust yourcare to the area’s original and most experienced provider—BorgessVisiting Nurse & Hospice. From skilled nursing and specialized heartand wound care to rehabilitation services, the Borgess advantageincludes:

• Meets or exceeds key national benchmarks including less pain,improved healing and increased daily functioning.*

• Medicare, Medicaid and Blue Cross Blue Shield accepted• Home health services throughout southwest Michigan• Accredited by The Joint Commission

Visit homehealth.borgess.com forinformation or call (800) 343.1396to schedule a free consultation.

* Source: Centers for Medicareand Medicaid Services.

Visiting Nurse & Hospice348 N. Burdick, Kalamazoo

A member of Ascension Health®

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Be Prepared to CareBy Caitlin Campbell, Region 3B Area Agency on Aging

financial burden. Children and grandchildren of older adults say they are anxious at the prospect of caring for an aging family member. Yet in most cases, it is adult children or other family members who provide nearly all of the care for older adults. And most “retired” caregivers will say they would do it again because of the satisfaction it brought to them and for the person they cared for.So how do you prepare for the care of an older family member? Here are a few key questions to answer as you prepare to care for an aging parent, spouse or sibling:•DoIknowwhattheirwishesareiftheywereunabletomakemedicaldecisionsorwere

not able to continue living alone?•DoIknowwhereimportantdocuments,suchasinsurance,wills,orfinancialstatements

arelocated?DoIhavetheauthoritytotakeoverhisorherfinancesiftheagingfamilymember can no longer manage money?

• Ismyhomesetuptoensureeaseofaccessandmobilityforanolderadultorpersonwitha disability?

•WhatarethepotentialcareneedsanddoIknowtheagenciesandresourcesinmycommunity that can help us meet those needs?

•CanImanageallofthecareneedsby myself?

•Whatadditionalservicesmightbeneeded as my elder’s care needs increase?

•Howcan Igetsupportor takeabreak?

•HowdoItakecareofmyself?

These are just a few of the questions and issues you may need to think through before you become a caregiver. Preparation and planning is your ally. Lack of preparation and planning can be your enemy if the need for caregiving comes on quickly, such as after a fall or unplanned hospital stay.Work through thesequestionswithyour parents, spouse or other family members who may need care as they age in place. You’ll be glad that you were prepared to care.

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3600 CapitalAve. SW,BattleCreek,MI 49015

269-979-6383or 1-800-274-6699www.swmeyecenter.com

The short road to cataract recovery is just a screening away!

Cataract Surgery is convenient with Southwest Michigan EyeCenter’s on-site surgery in Brookside Surgery Center

Put the color back into your world...with Refractive Cataract Surgery from SouthwestMichigan Eye Center. If you are experiencing blurred vision, night-time glare and/or poorcolor vision, then the No Shot, No Stitch Cataract Surgery Technology may be an optionfor you, now with an array of Intraocular Lens Implants (IOL’s) including the ReSTOR©,ReZoom™, or Toric IOL’s multifocal lens implants. Sight is restored almost immediately, andin most cases, you can return to normal activities within 24 hours of treatment. Like othertreatments at Southwest Michigan Eye Center, the cost of Refractive Cataract Surgery iscovered by Medicare and most supplemental insurance after your deductible has been met.

Left to Right:Randall C. Stout, M.D.,P. Jeffrey Colquhoun, M.D.Larry M. Vander Plas, M.D.

Complete Local EyeCare with over 60 yearscombined experience.

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If you have painful, achy, or “heavy” legs, come to our vein clinic held every Wednesday from 1-5 pm foryour free consultation. You’ll hear John Koziarski, MD - the first surgeon in SW Michigan board certified inphlebology (treatment of venous diseases) explain the varicose vein condition then meet with you personallyto evaluate your condition and discuss treatment options.

Appointments are on a first come, first serve basis, so call today to learn how you can get rid of vein pain for good.

An ultrasound will be performed and is covered by most insurance carriers.

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Duringthe last15years therehasbeentremendousstridesmade inthe treatment of varicose veins. There is no longer any place for the old fashioned “vein strippings.” Besides having a potentially difficult recovery, the success rate for the operation was only about 80 percent. The newer treatments have a 96-99 percent rate of success, and can be done in the office, with a minimal recovery. Most patients are back to normalactivityin3-4days.Withthepropertreatment,notonlywillyourlegs feel better, they will look much better too. Besidesbeingawellrespectedgeneralsurgeon,JohnKoziarski,MDisone of the most experienced phlebologists in the country. A phlebologist is someone that has shown extra competence in the treatment of venous diseaseandpassedawrittenboardexamination.Dr.Koziarskiwas

also the first board certified phlebologist in the greater Battle Creek-Kalamazoo-Grand Rapids area.One out of five Americans suffer from a disease known as venous insufficiency; a disease that most people have not heard of before, yet this disease is one of the most common reasons for lost work and productivity in the world. Venous insufficiency is when the blood does not get out of the legs efficiently, putting pressure on the nerves, the veins in the skin, and the skin itself. This results in pain, heaviness, aching, varicose veins, spider veins, skin rashes, skin itching, ulcers, or infections and can occur in anyone; young or old, obese or thin, men or women, athletes or couch potatoes.

Are You Afraid Of Varicose Vein Treatment? Well Fear No More!

Evenwithallofhisexperience,Dr.Koziarskimakessurehestaysabreastof the latest cutting edge technology in the treatment of vein diseases. Every year he attends national seminars put on by the International Vein Congress (IVC) and the American College of Phlebology which are specifically designed for the treatment of vein diseases. Experts from all overthecountrysharetheirexpertiseatthesemeetingsandDrKoziarskiwas invited to make a special presentation at the IVC this past May which was well received by his peers. His presentation even earned him front page coverage in the daily newsletter published by the IVC at the conference.The only way to know if your leg symptoms are due to venous insufficiency is to be evaluated and examined. Family Surgical holds a free seminar everyweekinwhichyoucanbetestedforvenousinsufficiencybyDr.Koziarski. If you would like more information on the free seminar you can visit www.familysurgicalveins.com or call Family Surgical at 269-979-6200whichislocatedat3620CapitalAvenueSW,SuiteB,BattleCreek,MI, 49015.Trust your treatment to someone who has the knowledge and experience toproperlydiagnoseandresolveyoursymptoms.TrustDr.JohnKoziarskiat Family Surgical and Vein Care.

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Expert Eyecare. Locally Focused. | www.smovision.com

You deserve the most advanced, comprehensive, and convenient care when it comes to

your vision, especially when dealing with cataracts. Loss of vision, reduced ability to see

colors, and glares are just a few symptoms that can signify the need for intervention.

Right here in Marshall, the ophthalmologists at SMO have performed thousands of successful

cataract surgeries. They provide the latest in diagnostic equipment and the most progressive

surgical techniques, giving you the best chance for improving your vision. And the best part?

You don’t need to leave town. For the clear choice in cataract care, call 269-781-9822.

MONEY WORRIES?Feel like you’re losing control

of your finances?

Worried about being scammedor overcharged?

You’re not alone.

Over 1000 seniors helped locally

Free service (if you qualify)

Confidential

A nonprofit with over 45 yearsof trusted services

www.yourguardian.org(866) 963-3253 x430

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Lassen0100067309

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2011 SRX LUXURY COLLECTION 2011 ENCLavE 2011 aLL NEW REGaL CXL2011 CTS SPORT SEDaN

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Serving Breakfast All Day7:00 am - 2:00 pmMon-SunPOT OF COFFEE185 Capital Avenue269-964-6790

Serving BattleCreek Communityfor 42 Years

Voted BestBreakfast2009-2010

an affiliate of the

ELDERHOSTEL INSTITUTE NETWORK

Kellogg Community CollegeRegional Manufacturing Technology Center

405 Hill Brady Road, Battle Creek, MI 49037Phone 269-965-4134 Email ilr@kellogg.edu

www.kellogg.edu/lifelong/ilr

ILRmight be taking a holiday break…but they hope to see youin class next year.

Call for Schedule

Educational and socialopportunities for individualsage 50 and better.

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HEALTHYHAPPENSHERE

BATTLE CREEKFAMILY YMCAwww.ymcabattlecreek.org269 963 9622

Twinges in the Hinges ClassesClasses every weekday

Get HealthyMake FriendsHave Fun!

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Can You Help with a Sweater?There are people who need to keep warm thiswinter - can you help?We are collecting needed sweaters in adult andchildren’s sizes. Please bring them to theBachman Hebble Funeral Serviceat 223 North Bedford Road.

Thank you forthinking of others!

223 N. Bedford Rd. • Battle Creek269.965.5145

www.bachmanhebble.com

LJ-0100128390

BATTLECREEKTRANSIT

339W. MICHIGANAVE.BATTLE CREEK, MI 49037

What is Tele-Transit?Tele-transit service is door to door public

transportation for Battle Creek arearesidents. For more information please visit

our website or call the number below.

bct BATTLECREEKTRANSIT

Visit www.battlecreekmi.gov/living or call (269) 966-3474

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On November 1, President Barack Obama declared November 2011 as National Family Caregivers Month, a continuation of an effort started in 2009 to use the month of November to recognize the efforts of family caregiv-ersintheUnitedStates.Inmakingthisdeclaration,PresidentObamastated,“Wehonorthetirelesscompassionof Americans who heal, comfort, and support our injured, our elders, and people with disabilities…let the quiet perseverance of our family caregivers remind us of the decency and kindness to which we can all aspire.”

Originally recognized as a week of acknowledgement, it has now expanded to encompass an entire month anchored by Thanksgiving, a holiday celebrating the importance of family. The National Family Caregivers Month initiative seeks to educate and raise awareness of issues involving family care while celebrating the support of family members that commit to caring for a loved one in need. It also highlights the important efforts of these caregivers and brings awareness to local programs and services that can support family caregivers.

Caregiving is a year-round effort for the 65 million Americans who provide care for family members. Their efforts are valued at more than 375 million dollars. Fortunately, there are resources in our community to help family caregivers in their efforts to ensure dignity, compassion and quality care for elders. The National Family Caregiver Program, funded by the Administration on Aging and administered locally by Region 3B Area Agency on Aging, offers support, resources, and services to help caregivers in our community. Locally, this program is housed with Senior Health Partners (SHP). SHP has many support groups, educational programs, health and well-ness and emergency respite services for caregivers and older adults throughout Calhoun County. To learn more about their programs, contact Anne Clark, SHP’s Program Coordinator, at 269-441-0920.

November is National Family Caregiver MonthBy Caitlin Campbell, Region 3B Area Agency on Aging

3566 Capital Ave. SW • 1 Mile South of I-94 • (269) 979-6455WWW.BATTLECREEKHEARINGAIDS.COM

Improve your hearing today!

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Initial Consultation!(269) 979-6455. With this ad.

Callnow! Free

Dennis Trantum &Paja DickensonAudiologists, MACCC-A

• NO GIMMICKS

• We have the most competitive prices

in the area - Financing available!

• 60 day trial

• Walk In Services always welcome

Our friendly knowledgeable staff will help you makean informed decision on your hearing care needs!

Mon-Fri 9am-5pm &Saturday 9:30am-Noon

OVER 23 YEARS, SERVING OUR COMMUNITY!

Battle Creek

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NOTTAWA GAS &WILD BIRD SUPPLY

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Music of the SpheresWindchimes

A great gift for any of yourgarden loving friends.

You won’t believe your ears.$55 - $377

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May the Holidays bring youPeace and Happiness

BATTLE CREEK’S FIRST...EST. 1866 BATTLE CREEK’S FIRST...EST. 1866

2838 Capital Ave., S.W. Battle Creek, Michigan 49015-4016

(269) 979-3838 www.shawfuneralhome.comThe Order of theGolden Rule

MemberMemberT. R. SHAW JR. CHUCK STALLARD

If you’re like most seniors, a few gray hairsaren’t your only signs that you’re gettingolder. When your overall health presentssome gray areas, too, there’s a place you cango to get answers...The Senior DiagnosticCenter of South Central Michigan.

The skilled professionals at The SeniorDiagnostic Center consider all areas of yourhealth... physical, social and behavioral.They are experts at developing practicaltreatment plans that can help you enjoy lifeto its fullest. What’s more, in addition tobeing shared with your family doctor, it’salso shared with you and any loved onesyou choose. This means no more gray areaswhen it comes to your health.

So, if you’re a senior, consider giving yourhealth care plan a complete checkup. Makean appointment with The Senior DiagnosticCenter today. We’reright in your ownbackyard... and as faras you have to go foranswers

Call269/441-1136

When The Gray

Needs More Than

Just A Touch Up...

SENIOR DIAGNOSTIC CENTER OF SOUTHCENTRAL MICHIGANLocated in the Behavioral Health Resources Building • 3630 Capital Ave, SW

South of Beckley Road in the Brickyard Cree Medial Office ParkLJ-0100132411 LJ-0100128465LJ-010

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There’s no place like home. But “home” isn’t always safe if Alzheimer’s has slipped in through the back door and attacked one of its occupants. It’s never the front door where this dreaded visitor can be confronted and promptly escorted out. No, Alzheimer’s sneaks in subtly, often leaving the one closest to its victim the last to recognize its presence. Caring for a loved one through the many stages of Alzheimer’s isn’t easy. The once casual reminder eventually turns into the need for repetitious prompting—to the exhaustion of the caregiver. An incident thirty years ago becomes more familiar to the victim than a con-versation with a spouse in the last five minutes. The inability to perform daily activities, let alone process new information, makes for frustration and fear—for everyone!Doesthissoundfamiliar?Haveyourdaysturnedintonightsandyournightsintonight-mares?Ifso,don’tletpridekeepyoufromaskingforhelp.Don’tletguiltkeepyoufromdoing what’s best for both you and your loved one. Whatcanbedonewhencarehasbecomea24/7job?Askafriendtostopbysoyoucangetaway for a few hours. Or, find a place where you can take advantage of their adult day care program.Don’twaituntilanemergencyarisestocheckoutoptionsofrespitecare,beitafamily member who can stay for a few days or a place you trust will care for your loved one professionally and with heart.

If it ’s Alzheimer’s, There’s Something You Can Do!

Whenyoufindanemptypanonanall-too-hotburner(oh,soit’salreadyhappened),it’stimetotakeoverthekitchen.Telladaughter,callMealsonWheels,buyaneasy-to-followcook book. You can do it!Short term memory loss may make your loved one forget which decade and in which home he resides, so don’t let the car leave your drive without you. This is a good time to make an appointment with the doctor and let him say “driving is off limits until tests results are in.” If your doctor is at all familiar with dementia, this won’t be a problem, and with reminders of the doctor’s remarks, you won’t personally suffer as much backlash when you refuse to hand over the keys.As with driving, leaving an Alzheimer’s victim who is an elopement risk alone while you slip off to the store can be disastrous. Locking the doors while you’re gone should NEVER be done.Whatifthere’safire?Howwillhe/shegetout?Nowisthetimetolookatpermanentresidency in a memory specific home. Find one with a professional, friendly staff to take over the care you’ve been doing for so long. This will not keep you from “caring” for your loved one, and your own health may improve. So, if it’s Alzheimer’s, there is something you can do. Start by researching memory care facili-ties. Ask about staff-to-resident ratios. Staff credentials. State citations. Are exit doors secured? Is it clean? Are there smells? Are exer-cise, art, music, activities and religious services offered? Is there a secured outside area for resi-dents to enjoy during nice weather? And finally, are residents happy? It won’t be easy, but if you act while your loved one can still acclimate to a new “home,” it will be so much better for him or her—and eventually even you.

by Barbara White of Sensations Memory Care Residence

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Richard L. Royal3rd Generation Owner/Manager

281 Upton Avenue at Dickman Road(Next to Seelye Wright Kia)

(269) 964-3706

Specializing in traditional,contemporary, and cremation

services. Providing peace of mindpre-arrangement plans.

Serving your family for 75 yearsFUNERAL HOME, INC.

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Quality Rehabilitation ServicesPromoting living each day to the fullest.

IndividualizedTreatment PlansBalancing lifestyle,

continued health and well-being.

111 Evergreen Road, Springfield, MI 49037

269-969-6110

Celebrate Life

www.nexcarehealth.comRejoicing in LifeRestoring Health Recovering Abilities

Short Term RehabSkilled Nursing Care

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ConnectionWe’ve Got Your

LJ-0100128788

100 South Bedford RoadBattle Creek, MI 49037Hours 8 a.m. to 5 p.m.

Tel (269) 962-3261Fax (269) 962-6735bedfordmanor@republicmgmt.com

Bedford ManorApartments

Equal Housing Opportunity

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HO-N-O-O27-SG

THE TRAIN PLACEBuy -Sell- Trade

1022 E. Columbia Ave.Battle Creek, MI 49014Ph. 269-788-6836 - GaryPh. 269-979-3059 - Ann

HOURS12:00-6:00pm Mon - Fri12:00-5:00pm Saturday

Closed Sunday

Natural Foods

Comics, Cards and Games

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181 North Ave., Battle Creek, MI 49017 • (269) 963-0932 • www.holistichealthcenter.com

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MagnumCareof Hastings

LONG TERM SKILLED NURSING FACILITY& REHAB CENTER

MagnumCare of Hastings is here to meet all your health care needs.Personalized Care Plans developed for specific rehab needs:

• Cardiac • Diabetes • Chronic Disease • Orthopedic • CVA/StrokeOffering Short Term & Long Term Care

• Respite Care • Rehab • Hospice CareMagnumCare of Hastings, 240 East North St.

Hastings, MI 49058 269.945.9564

Not always does a title reflect what someone does. The title Care Giver is a succinct literal definition of a role many assume in their lifetime. A Care Giver is anyone who is engaged in the pursuit of providing any level of care to someone. The recipient of the care, for the pur-poses of this discussion will include family, loved ones, neighbors, and anyone who needs care. The care given may range from a “hands off” approach, guiding and directing the recipient through the myriad of agencies and service providers. To delivering direct patient care twenty four hours a day to a frail parent or loved one. Regardless of the specific type of care or the particular recipient there seems to be a few common obstacles to doing this job. They include but are not limited to: time, self determina-tion and mixed messages. Time is the most common cause of frustration and burn-out. Time slices in two directions. Not enough time to care for the loved one and not enough time for the care giver to recover from this exhausting work. The first temporal frustration is linked to unrealistic expectations. How long does it take to eat a meal? It is common to assume that a frail elderly person needing help eating should be able to eat a meal in fifteen minutes however it is not uncommon to need 30-45 minutes to help feed someone, this difference between realities (forty-five minutes) versus the expected out come(fifteen minutes) leads to frustration. If one multiplies this thirty minute disparity by ALL of the chores required to

Care Giving: The Challenges And RewardsDr. Gary Wortz, GerontologistCo-author Jan Tolf, Director Senior Diagnostic Center

give care one could end up spending hours more than expected pro-viding care for a family member. The second aspect of time for care givers is that they do not invest time into recharging their own spirit. It is crucial that all care givers take time to nurture themselves. Try the 10 percent rule as a guide. Try to reinvest ten percent of the time spent care giving into you. Go for a walk, read a book, exercise, take a nap. Recharge yourself. Self determination can be a source of frustration. In America the freedom of self determination is wonderful. But as a care giver it can be frustrating when the decisions of a capable loved one conflict with the goals of the care giver. Good advice to care givers is that some-times you need to walk away from unreasonable demands. The law and principles of ethics give a person the right to make poor choices. These same constructs of our civilized world give you the right to walk

away from “unreasonable demands”. Unfortunately a care giver needs to give a capable adult enough room to fail and then perhaps a reasonable solution to a problem can be reached. The final barrier to caregivers is “mixed messages”. It is crucial as one gives care to a loved one that clearly articulated outcomes and goals of specific care issues are discussed. Everyone involved in the care of an individual needs to be on the same page. It is important that questions about pain control, diet and nutrition, activities and end of life be clearly answered. As mentioned earlier a capable adult should make their own decisions and care givers should comply to the extent that the request is reasonable. In situations that involve more than one decision maker a clear consensus must be reached. Not many challenges in life bring the satisfaction that the job of care giver conveys. This exhausting and rewarding role requires time, respect for the decisions of others as well as clear communication.

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