Senior Resource Guide Houston (Summer 2021) by Senior Resource Guide for the Modern Caregiver

SENIOR

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HOUSTON EDITION SUMMER 2021

RESOURCE guide

DEMENTIA VS NORMAL AGING

Signs not to ignore

SETTING EXPECTATIONS

for your role as a caregiver

NEW LOOK!

SAME TRUSTED RESOURCE.

your ULTIMATE GUIDE TO aging care

Short Term Rehabilitation • Assisted Living

All Under One Roof The VibraLife of Katy community features skilled rehabilitation & nursing services, a specialized high acuity unit, and a senior living community with assisted living and respite services; that enables seamless transition from one level of care to another when needs change.

1222 Park West Green Drive • Katy, Texas 77493

346.762.6300 • www.vibralifekaty.com

The Homewatch CareGivers Difference

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Meal preparation and housekeeping Bathing and dressing Dementia and Alzheimer’s disease support Post surgery care and mobility assistance Transportation to errands and appointments Start home care today.

Homewatch CareGivers of Houston Galleria 713.781.1448 hwcg.com/houston-galleria

Homewatch CareGivers of West Spring 281.941.5606 hwcg.com/west-spring

Homewatch CareGivers of Katy 832.678.4924 hwcg.com/katy

Homewatch CareGivers of Sugar Land 281.817.1880 hwcg.com/sugarland

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We’ve elevated the experience of assisted living and memory support with distinctly different kinds of lifestyle options designed to delight, engage and move you forward like no place else. We’re ideally suited for ageless spirits who truly appreciate beautiful design, intentional living and proactive wellness. Call 281-907-9553 or visit HelloAvanti.com today!

VISION PARK 281-882-3855 Shenandoah, TX

AUGUSTA PINES 281-205-2600 Spring, TX

TOWNE LAKE 832-653-4260 Cypress, TX

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the

CAREGIVING journey Rosalynn Carter says there are only four kinds of people in the world: •

Those who have been caregivers Those who are currently caregivers • Those who will be caregivers • Those who will need caregivers •

SRGTEXAS.COM

SUMMER 2021

aregiving has a way of creeping up on us. As family, friends and neighbors, we all want to be there for our loved ones when they need us. Very few of us see ourselves as a “caregiver,” and most of the time we haven’t had any training on how to be a caregiver, or an understanding of the depth the role requires. For the majority, it takes a “trigger event” such as a fall, hospital admittance or diagnosis of a health condition before there’s full realization of the situation and what plans/actions need to take place. The Senior Resource Guide is designed and geared towards the unique needs of the modern caregiver. We’re here to help take the guesswork out of this challenging role by providing support and knowledge-based information at your fingertips when you need it—both in print and online. As you journey through different stages in your caregiving quest, our hope is that you’ll be able to use the Guide to help create space for flexibility and make well-informed decisions. At the end of the day, feeling good about your care and efforts, as well as seeing your caregiving experience as a positive expansion and transformation, will help you and your loved one live more fully. In the words of our Founder, here’s to your quest!

TRANSITION AND REFLECTION “What do I do now that they’re no longer here? How can I honor my journey? How have I grown?”

LATE PHASE FINDING BALANCE “I’m needing to recharge but there’s not enough time.”

• 5 Vital Tips to Help Deal With Caregiving Stress (see pg. 74)

FINAL PLANNING “How do I make sure they’re taken care of and their wishes are met?”

• Understanding Hospice (see pg. 144)

SHIFTING PRIORITIES “I know this is what’s going on and need to give it attention.”

INCREASING DEMANDS “This is getting bigger and needs more of my attention.”

MAJOR TRIGGER EVENTS “What are our next steps now that this event has happened?”

• Questions to Ask After Hospital Discharge (see pg. 103)

• Home Care Versus Home Health Care (see pg. 64)

IDENTIFYING YOUR ROLE “I can help out.”

• Setting Expectations for Your Role as a Caregiver (see pg. 14)

EARLY PHASE

SENIOR RESOURCE GUIDE

• Signs Not to Ignore: Dementia versus Normal Aging (see pg. 92)

• Getting Connected With Help (see pg. 22) • 5 Must-Have Legal Documents (see pg. 44)

DETECTING CHANGES “Is this part of normal aging?”

“This is not normal aging, what is it and what can I do?”

PLANNING AND PREPARING

HOUSTON EDITION

MID PHASE

CONTENTS HOUSTON EDITION

SUMMER 2021

GENERAL INFO 4

The Caregiving Journey

The Senior Resource Guide Team

10 Our Legacy

EARLY PHASE

THE ROLE

Setting Expectations for Your Role as a Caregiver

20 What to Do When You Need a Break

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SUMMER 2021

Get Connected

THE PLAN

24 Creating a Care Plan 26

Paying for Long-Term Care

What Level of Care is Right?

30 What’s an Adult Day Center? 32 Volunteering Opportunities 34 Warning Signs of Unsafe Driving in Seniors 36

Ombudsmen are Here to Help

CONVERSATIONS

38 How to Talk with Your Parents About Their End-of-Life Wishes 40 How to Talk with Your Siblings About Caregiver Responsibilities

INITIAL MEDICAL CARE

46 Understanding Medicare: Parts, Plans and Meeting Your Needs 49 BlueCross BlueShield of Texas (see also pg. 60) Make the Most of Your Doctor’s Visits

Mobile Care

MID PHASE

When Do You Need to Consider In-Home Care?

SELF CARE

70 How to Manage Caregiving Fatigue 72

Mind. Body. Strength. A Holistic Approach to Overall Health

Five Vital Tips to Help Deal with Caregiver Stress

Avanti Senior Living (see also pg. 3)

64 Home Care vs Home Health Care 65

Home Care Options

Home Care Comparison Chart

HOUSTON EDITION

DAILY CARE

SENIOR RESOURCE GUIDE

44 Five Must-Have Legal Documents

LEGAL + FINANCIAL

CONTENTS HOUSTON EDITION

100 What Type of Mental Health Professional is the Right Fit?

103 Questions to Ask During Hospital Discharge

How to Address Appetite Changes in the Elderly

MEMORY + DEMENTIA

SUMMER 2021 \\

SRGTEXAS.COM

105 Post Acute Medical (see also back cover) 106 Choosing the Right Rehabilitation Center

Steps to Take After a Memory Issue is Recognized

108 E ncompass Health Rehabilitation Hospitals

Tips for Effective Alzheimer’s Communication

Signs Not to Ignore: Dementia Versus Normal Aging

110 Making the Right Choice for Your Loved One’s Rehabilitation Services

SUMMER 2021

DIET + WELLNESS

Homewatch CareGivers (see also pg. 1)

NEW STEPS

Care Transitions

114 Making the Right Senior Housing Choice 115 Park Creek Independent Living (see also inside back cover)

116

SENIOR LIVING

116 Types of Residential Care for Seniors

119 Feeling Connected and Purposeful at Home 121 Legacy Senior Living (see also pg. 2) 125 Senior Living Communities

135 Auberge Greater Houston (see also pg. 32B) 136 VibraLife of Katy (see also inside front cover)

137 Questions to Ask When Considering Skilled Care 141 Looking at Skilled Nursing Options 143 Pillar Stone Healthcare Company, LLC (see also pg. 32A)

LATE PHASE

144 Understanding Hospice

154 Steps to Take After the Passing of a Loved One

148 Hospice Options

156 Preparing & Presenting a Eulogy 158 7 Items to Consider When Planning a Celebration of Life

84 Homemade Turmeric Almond Dressing Recipe

80 Anxiety Reducing Drink Recipe

OTHER INFO

SENIOR RESOURCE GUIDE

150 Questions to Ask When Choosing a Hospice Program

HOUSTON EDITION

133 Questions to Ask When Looking for an Assisted Living Facility

Cora Hobbs 1915-2006

Our

Karyn Dean 1957-2020

LEGACY

SRGTEXAS.COM

SUMMER 2021

hat began as a simple collection of local resources has blossomed into what we now know as the ultimate guide to aging care. As a caregiver for her grandmother and an eldercare advocate for over 25 years, our Founder Karyn Dean realized she was not alone in the quest for information and resources. It was her dream to create a reliable resource that caregivers, seniors and eldercare professionals could turn to when navigating the many challenges associated with aging—thus was born the Senior Resource Guide. Although Karyn is no longer with us, her dedicated mission of educating family caregivers and senior care professionals as well as her memory lives on. Her beautiful spirit guides every thought and decision throughout our transition into the modern caregiver’s resource. What started out as a passion project with her husband quickly grew into something more when their children united behind the mission and joined SRG. Today, a team of compassionate individuals are part of the SRG family and bring an enthusiastic energy to helping caregivers through their journey.

HOUSTON EDITION Summer 2021

PUB L I S H ER The Dean Family

CO N T R I B U TO RS Auberge Greater Houston, Avanti Senior Living, CareBuilders at Home of Katy, Encompass Health Rehabilitation Hospitals, Homewatch CareGivers, John B. Earthman, Mayo Clinic, Park Creek Independent Living, Pillar Stone Healthcare Company, LLC, Post Acute Medical, Sharon Wagner, Texas Health and Human Services, The American Elder Care Research Organization, Legacy Senior Living

A RT D I R ECT I O N /G RA P H I C P RO D U CT I O N Erin Suwwan, Jaclyn Threadgill – LuckyYou! Creative Tom Kircher

SA L E S Alex Dean – Director of Business Development RJ Gibbs – Senior Account Manager Tiffanie Gupton – Account Manager

MARKETING Jennifer Dean Stavert – Director of Marketing Winona Vo – Senior Marketing Executive Danielle Alford – Marketing Executive

D I ST R I BU T I O N

©2021. Senior Resource Guide is published semi-annually for the Greater Houston, Austin & San Antonio markets by: SRG Services, Inc., 77 Sugar Creek Center Boulevard, Suite 600, Sugar Land, Texas 77478 \\ 281–277–2333 \\ SRGTEXAS.com Disclaimer of Endorsement: Reference herein to any specific products, process, or service by trade name, trademark, manufacturer, or otherwise, does not necessarily constitute or imply its endorsement, recommendation, or favoring by the Senior Resource Guide.® The views and opinions of authors herein do not necessarily state or reflect those of Senior Resource Guide® and shall not be used for advertising or product endorsement purposes.

SENIOR RESOURCE GUIDE

Karyn Dean

FO U N D E R & C H I E F V I S I O N A RY A M O N G T H E A N G E LS

C H I E F EX EC U T I V E O F F I C E R Terry Dean

HOUSTON EDITION

Brian Stavert – Manager Myles Moore – Senior Distribution Executive

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DEMENTIA VS NORMAL AGING Signs not to ignore

SETTING EXPECTATIONS for your role as a caregiver

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EARLY PHASE

THE ROLE

SETTING EXPECTATIONS FOR YOUR ROLE AS A CAREGIVER

Getting Prepared for the Position

SRGTEXAS.COM

SUMMER 2021

t’s not always easy watching a loved one age. This can become especially hard when they reach the point of no longer being able to take care of themselves. And, if you didn’t already find yourself providing some level of assistance before a major life event occurs, you may now find yourself in the role of being the caregiver. You may have intentionally elected to become a professional caregiver or a caregiving volunteer to help those in need. In any case, if you’re new to this journey, here are some helpful tips to keep you prepared as you embark on this path.

THE ROLE OF CAREGIVER This is a role you can find yourself in rather quickly without knowing it happened. A serious health event is typically the catalyst for this type of situation. However, this change can also happen gradually, and the role of caregiver might be taken on without even realizing it until you're deep into the process. For instance, you may initially stop by just to check on your loved one. Gradually the number of visits increase, and

SENIOR RESOURCE GUIDE

progressively those visits turn into helping prepare meals, assisting with lawn maintenance, light housekeeping, and managing medical appointments. Before you know it, they’re heavily relying on you and unable to do many of these things themselves. Whether you had a conversation about it or not, at a certain point you realize you’ve accepted and taken on the role of caregiver. Although you're now taking on the responsibility to care for someone else, you may already have quite a lot of responsibilities of your own (perhaps children or a full-time job). It’s important to know and understand the responsibilities that come with your new caregiver role. This way you're better able to care for them with confidence, empathy, preparedness and love throughout this journey.

HOUSTON EDITION

EARLY PHASE

THE ROLE

EARLY PHASE

THE ROLE

Your caregiver quest doesn't come with a manual, so here are some examples of tasks you can anticipate in your new role: •

Help with finances such as paying bills, credit cards, managing rent and utilities or care home fees • Buy groceries, clothes and toiletries • Arrange medical appointments and provide transportation to and from • Be a companion or arrange for companion care • Help cook and clean • Assist with pet care • Ensure legal documents such as wills, trusts, guardianships, power of attorney are addressed • Keep other family members apprised • Make hard medical decisions

PREPARING FOR THE ROLE It can be easy to become overwhelmed and stressed when taking on this role for the first time. Here are some tips that can help you and the person you’re caring for feel more at ease.

BE SURE to have all physicians’ information on hand and establish yourself as the primary caregiver for the person. You may need to have them sign paperwork allowing you to see their health information under HIPAA or have a medical power of attorney document

SRGTEXAS.COM

SUMMER 2021

HAVE A CONVERSATION about you becoming their official caregiver and establish responsibilities and boundaries

MAKE A LIST of all medications they’re taking as well as allergies and hospitalizations in the last 10 years

Physical Therapy & Occupational Therapy for Ortho/Neuro Conditions

Certified Hand and Lymphedema Therapists

Need Therapy? Choose Houston Therapy Specialists. 281-761-7001 • 3514 Burke Road | Suite 500 | Pasadena, TX 77504

WWW.HOUSTONTHERAPYSPECIALISTS.COM

p: 713.942.0100 | f: 713.942.0103 Servicing Houston and surrounding counties

hhpros.com

Your home. Your health. 4635 Southwest Freeway, Suite 540 | Houston, TX 77027

SENIOR RESOURCE GUIDE

The only agency in the Houston area with both a 5-Star Quality and 5-Star Patient Satisfaction Rating from Medicare.

TOTAL JOINT AND ORTHOPEDICS • CARE TRANSITIONS BALANCE AND FALL PREVENTION • CARDIOPULMONARY DIABETES MANAGEMENT • INDEPENDENT AND ASSISTED LIVING CARE

Let us get you back to doing what you love.

HOUSTON EDITION

Are you or someone you know recovering from surgery, illness or injury?

EARLY PHASE

THE ROLE

SPEAK to them about how their financial obligations will be resolved TALK about where they want to live out their remaining years ASK if possible to be added to their bank account which will allow you to easily pay bills BE SURE to determine whether they have a power of attorney or other legalities in place FIND SUPPORT for both yourself and your loved one as neither of you are alone in this process CREATE a catalog of experts that you’ve interacted with. You never know whose expertise you might rely on in the future

Ways to Cope • Taking care of yourself

SRGTEXAS.COM

SUMMER 2021

• Seeking mental health assistance when needed • Getting enough sleep • Building a strong support system • Drinking plenty of water • Exercising • Eating clean

SETTING EXPECTATIONS It’s important to take care of yourself. Being a caregiver can easily take over your life if you’re not mindful. While you want to be there for your senior loved one, you also need to be there for yourself. When you’re struggling, seek help. When you’re unable to do something, it’s okay to say no. When you take care of your mental and physical self, you’re better able to care for your loved one. We are here with additional resources as needed. Remember, you are not alone as it takes a great deal of strength to be a caregiver.

In-Home Skilled Home Health Personal Care Services Hospice Care

Our Mission

Skilled In-home care which provides a wide-range Home of clinical services; with focus on recovery, Health rehabilitation, and health education. Personal In-home assistance for qualified individuals; Care with focus on help with activities of daily Services living, home safety and personal care. Hospice Care and support for individuals when a Care cure is no longer likely; with focus on the patient’s quality of life, providing symptom and pain management in the comfort of the preferred home setting. We are committed to being your Provider of Choice by providing the right care, at the right time, in the right place, during COVID-19 and every day.

855.455.3600 • Elara.com Stafford • Conroe • Pasadena & the Greater Houston Area

EARLY PHASE

THE ROLE

WHAT TO DO WHEN YOU NEED A BREAK Reviewing Your Respite Options

SRGTEXAS.COM

SUMMER 2021

here are several different types of respite care you can look into, each serving various purposes depending on the needs of your aging, disabled or sick loved one. But, in choosing your respite plan, it’s essential to think of your own requirements along with the needs of the person in your care. Respite care also makes sure you are properly taken care of so that you can continue with the great work you’re doing for your loved one.

IN-HOME RESPITE CARE In-home respite care is when you enlist someone to replace you as the provider of your aging loved one in the home. If the person in your care is especially fragile and traveling would be both unhealthy for them and additional stress for you, in-home care is going to be the best option. In-home respite care can come from several sources, including: Trusted volunteers, like family members, friends, coworkers or members of your local church or nonprofit. • Professional care providers from a company that specializes in traveling or short-term care. • Trained staff that are available for short-term visits from one of your local care homes. •

THE ROLE

EARLY PHASE

Skilled health care services from a medical facility that enables highly trained staff to provide short-term care. • Homemaker services from a company specializing in preparing meals, cleaning and running errands. •

The great thing about in-home respite care is that it’s quite flexible. You could use these services for a weeklong vacation or just for some needed help for a few hours or throughout one day. Respite care doesn’t always mean you have to do a 180° and book a flight to Bora Bora. Sometimes, you just need some help in the home while you take the time to catch up on your to-do list, spend time in the garden, or kick your heels up in the comfort of your living room.

OUT-OF-HOME RESPITE CARE Out-of-home respite care is when you take your aging loved one out of the home and into a different space for care. Out-of-home care may be overwhelming for some people, but for others, it’s a way to add excitement, new experiences and the chance to meet others. Out-of-home care can be: Specialized residential centers like group care homes, hospitals and skilled nursing facilities. • Adult day cares, which are developed specifically for adult seniors who need care. • Respite retreats and camps, which are fun getaways for you and your aging loved one that promotes healing and revitalization.

SENIOR RESOURCE GUIDE \\

Discover why respite care is especially important for caregivers of a loved one with memory issues as well as typical costs in the full article, visit srgtexas.com/getcaregivertoolkit

Dive Deeper

HOUSTON EDITION

•

EARLY PHASE

THE ROLE

GET CONNECTED Familiarizing Yourself with Local Resources That Can Help

TEXAS HEALTH AND HUMAN SERVICES The agency offers a wealth of information to connect you to resources, health care providers and services that can help you and your aging loved one live healthier. In the menu bar on their website is a dropdown for “Services,” which provides a wide range of helpful resources for people with medical, physical, intellectual or developmental disabilities; older adults; and caregivers who need a break from their duties. If you’re unsure how they can help, or even if you may not qualify for a program or service, Texas Health and Human Services’ trained professionals can help steer you in the right direction.

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SUMMER 2021

Call 1-855-937-2372 or visit hhs.texas.gov

2-1-1 TEXAS As a trusted state resource available for free 24/7, 211 Texas is a connector for all Texans to critical, community-based services. Whether it’s a sudden medical bill, a natural disaster, a veteran trying to return to civilian life, or a concern about an aging parent—people from all walks of life can find themselves in need of assistance and confronted with a maze of agencies and programs that are challenging to navigate. Their trained helpline specialists are good listeners, blending understanding and expertise to provide information and referrals drawn from a comprehensive database of social services. Call 2-1-1 or visit 211texas.org

THE ROLE

UNITED WAY OF GREATER HOUSTON United Way seeks to ensure that all older adults can live vibrant lives. They offer resources to a number of programs that focus on older adults’ health, financial security and engagement.

EARLY PHASE

An Overlooked Resource

Support groups are an excellent resource and there are many specifically for caregivers. See srgtexas.com to find support groups in your area.

SENIOR RESOURCE GUIDE

Harris County Area Agency on Aging Call 832-393-4301 or visit houstontx.gov/health/Aging

Houston-Galveston Area Agency on Aging Call 1-800-437-7396 or visit h-gac.com/area-agency-on-aging

AREA AGENCY ON AGING Serving over 250,000 people annually, Texas’ 28 area agencies on aging offer help to Texans age 60 and older, their family members and caregivers to locate and access local services, including benefits counseling, legal assistance, care coordination, caregiver support services, in-home support and the ombudsman program.

HOUSTON EDITION

Visit referral.unitedwayhouston.org for a searchable directory that offers information on several community programs covering an array of categories including transportation, housing options, benefits screenings, dementia evaluations and elder abuse.

EARLY PHASE

THE PLAN

CREATING A CARE PLAN

ith more Americans living well beyond their 70s, more adult children are now left in a position where they find themselves caring for aging parents. For many, providing help for aging parents can be financially, logistically and emotionally challenging. This is why addressing long-term care needs before a major life event occurs can help alleviate some of the stress. Here are four steps to creating a cohesive care plan:

1. CONDUCT A NEEDS ASSESSMENT Put together a list of topics and questions to discuss with your parents. Consider the following:

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SUMMER 2021

•

Family Support – who is available to provide support/care as needed? • Home Safety – are there safety concerns to be addressed? • Medical/Cognitive – are medical and cognitive health needs being considered? • Mobility – what assistance with transportation is needed? • Legal Documents & Finances – are there plans in place for paying for long-term care? Have necessary legal documents been addressed? • Housing – is their preference to age at home or move to a senior community? • Socialization – are they getting adequate opportunity to socialize?

THE PLAN

Remember

EARLY PHASE

• Support comes in many shapes • Open the lines of communication before a crisis happens • Understand their financial situation without judgment • It’s not all about you

Communicate your concerns and include your parents in the dialogue on their future needs. If they’re unwilling to discuss something you feel is important, agree to a time in the future when they would be willing to readdress.

2. RESEARCH ELDERCARE PROVIDERS AND RESOURCES The current and future needs of your loved one will dictate the types of services and resources you need to look for. Explore available aging options on srgtexas.com.

SENIOR RESOURCE GUIDE

To see a Care Plan example and access a free template for you to work from, visit srgtexas.com/getcaregivertoolkit

Start here

4. EXECUTE A CARE PLAN Now that you’ve outlined any needs, steps and goals, along with roles and responsibilities, it’s time to put the plan into action. Over time, you’ll need to look for signs and know when to reassess the situation to put updated roles and responsibilities in place.

HOUSTON EDITION

3. CREATE A CARE PLAN Put a plan together that everyone agrees will meet both immediate and long-term needs. See an example of a Care Plan in our Caregiver Toolkit.

EARLY PHASE

THE PLAN

PAYING FOR LONG-TERM CARE

ong-term care is a type of personal care service older adults may need if they become unable to care for themselves because of a prolonged physical illness, a disability or a cognitive impairment, such as Alzheimer’s disease. Long-term care can be expensive. Long-term care insurance is designed to cover medical and personal services in a number of settings such as your home, adult day care, skilled nursing facility or assisted living community. Most long-term care insurance policies are individual policies and can differ from one company to the next. According to medicare.org, long-term care may be divided into three levels: Skilled care is continuous “around-the-clock” care designed to treat a medical condition and performed by skilled medical personnel, such as registered nurses or professional therapists. Intermediate care is intermittent nursing and rehabilitative care provided by registered nurses, licensed practical nurses, and nurse’s aides under the • Medicaid supervision of a physician. • Medicare Custodial care is designed to assist with one’s activities of daily living (such • Long-term care insurance as bathing, eating and dressing). It can be • Long-term care provided by someone without professional riders attached medical skills but is supervised by a to a life insurance physician. policy or annuity Texas created the Long-Term Care • Accelerated death Partnership Program, which is a joint effort benefits from life insurance between private insurers and the state. For a list of companies participating in the • Personal cash or savings program visit: tdi.texas.gov/consumer

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SUMMER 2021

Ways to Pay

Serving Aging Texans in counties:

Austin, Brazoria, Chambers, Colorado, Ft. Bend, Galveston, Liberty, Matagorda, Montgomery, Walker, Waller & Wharton

Meals: Provide nourishing meals with socializing in senior centers and deliver to eligible homebound seniors.

Medicare & other Benefits Assistance: Trained benefits counselors assist Texans over 65 or disabled understand, shop plans and apply for assistance programs for Medicare. Help with Medicaid, health insurance and legal assistance also available. In-Home Services: Help seniors maintain independence with

personal care assistance, health maintenance, home modifications/ accessibility and case management.

Caregiver Support Services: Help family caregivers through a care system of respite care, support groups, and education. Targeting those with greatest economic needs, living in rural areas and caring for those with moderate impairments. Nursing Home Advocates: Trained ombudsmen (advocates) visit nursing homes and assisted living facilities to ensure the quality of care and quality of life of residents. They inform residents of their rights and investigate and resolve complaints. Information & Referrals: Link older Texans and disabled to

community resources.

800-437-7396

EARLY PHASE

THE PLAN

WHAT LEVEL OF CARE IS RIGHT

Understanding the Care Continuum ADULT DAY CARE An ideal option for older adults who wish to age at home but need daytime supervision. Adult day care centers provide services which typically include meals and activities that provide social interaction. Some centers specialize in services for individuals with Alzheimer’s and dementia.

SRGTEXAS.COM

SUMMER 2021

HOME CARE/HOME HEALTH For seniors living independently but require assistance. Nonmedical care (home care) or skilled medical care (home health) aim to allow an individual to remain at home by filling any gaps in care. These care services can range from specialized such as wound care to generalized like companionship and housekeeping. CONTINUING CARE RETIREMENT COMMUNITY A housing option whereby a spectrum of aging care can all be met within one community. Beginning with independent living, moving to assisted living and finally skilled nursing as needed. All are typically located together on one campus. INDEPENDENT LIVING A housing option for individuals who require little or no assistance with activities of daily living but enjoy access to dining, medical, hospitality and entertainment services. Also known as 55+ apartments or independent/retirement communities.

THE PLAN \\ EARLY PHASE

Medicare

These types of care typically accept Medicare: • Skilled Nursing Continuing Care • Skilled Nursing Rehab • Home Health Care • Hospice Care

ASSISTED LIVING A housing option similar to independent living but for those who require more assistance and have difficulty with daily living activities.

SKILLED NURSING/ REHABILITATION FACILITY Ideal for those individuals who require constant nursing care. These facilities are licensed and equipped to provide residents with health care that meets the needs of more involved medical conditions.

For a more detailed look at each of these levels of care, visit srgtexas.com.

HOSPICE CARE End-of-life care for the terminally ill, usually via visits in the home or facility of residence.

SENIOR RESOURCE GUIDE

ALZHEIMER’S/DEMENTIA CARE Provides special programs and assistance for those with memory loss. Some facilities may provide special security measures.

HOUSTON EDITION

PERSONAL CARE HOME Assisted living in a home-like setting and typically has fewer residents.

EARLY PHASE

THE PLAN

WHAT’S AN ADULT DAY CENTER? How it Can Help Caregivers

dult day care provides care and companionship to older adults in a structured setting allowing primary caregivers an opportunity to work, catch up on personal items or simply relax. Are adult day centers the same as my community’s senior center? While senior centers are intended for healthy, independent and physically capable older adults, adult day services are for individuals with physical or cognitive limitations. Adult day centers are an ideal option for older adults who wish to age at home but need some supervision. Different programs and services can be found at each adult day center. For example, some centers may specialize in Alzheimer’s or dementia care while others may offer therapeutic exercise, mental interaction, social activities and assistance with personal care. Some centers offer weekend or evening hours, but most operate weekdays during daytime hours. Many provide daily activities, nutritional meals and transportation to and from the center at no cost or on a per-ride basis. Depending on the services offered, costs for adult day care can range from $25 to over a $100 a day, according Visit srgtexas.com to the U.S. Administration on Aging. to further your Texas has one of the lowest average understanding and learn: daily rates around $35. • When exactly is the right To find adult day care programs time for adult day service in your area, type your zip code into • What questions to ask the National Adult Day Services when vetting centers Association’s searchable online directory • How to help your loved (found on their website) or contact your one adjust to the new care local Area Agency on Aging.

SRGTEXAS.COM

SUMMER 2021

More to Know

Helping Bridge the GAP for a Secure Future

Brazos Bend Guardianship Services assists incapacitated and disabled adults and their families with legal guardianship, money management and adult guardianship education. To learn more about Guardianship Services call 281-232-7701 Ask about our monthly group Information Sessions!

www.brazosbendguardianship.org 830 3rd St. #209, Rosenberg, Texas 77471

EARLY PHASE

THE PLAN

VOLUNTEERING Volunteering can be a rewarding use of your loved one's time. Consider these questions before recommending a volunteer opportunity for them: •

What are their skills, interests and personal priorities? How much time do they have to volunteer? • What's the best use of their talents? • Considering the distance, do they have reliable means of transportation? •

in the on st u o H r te Grea Area

SOME ORGANIZATIONS LOOKING FOR VOLUNTEERS Catholic Charities Volunteer opportunities at their various sites in Houston, Galveston and Fort Bend County. 713-874-6563 catholiccharities.org

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Fort Bend Care Center Volunteers can help in the office, at their community food fair, rebuild homes and tutor. 832-539-4846 fortbendcarecenter.org

Fort Bend Seniors Meals on Wheels Volunteer opportunities include administrative assistance, help with “Welcome Bags,” delivering meals and more. 281-633-7719 fortbendseniors.org

Houston Methodist

There are many volunteer opportunities such as administrative assistance, patient and unit involvement, hospital greeting and hospitality and more. 832-667-5816 houstonmethodist.org/giving/ volunteer

Interfaith Ministries for Greater Houston Many opportunities for volunteering. See their website or call for more information. 713-533-4900 imgh.org

We embrace and appreciate the opportunity to care for your loved one.

Providing Skilled Nursing, Assisted Living & Memory Care Services Providing Skilled Nursing, Assisted Living Memory Come see what makes us&diff erent.Care Services Admissions accepted 24 hours a day 7 days a week. Come see what makes us different. Admissions accepted 24locations hours ato day 7 days Four convenient serve you: a week. Four convenient locations to serve you:

Baywood Crossing

rehabilitation & healthcare center 5020 Space Center Blvd. • Pasadena, TX 77505 www.baywoodcrossing.com • Phone: 713-575-1800 • Fax: 713-575-1801

5020 Space Center Boulevard 5020 Space Center Blvd.

Pasadena ••713-575-1800 PASADENA 713-575-1800

Mont Belvieu rehabilitation & healthcare center

14000 Lakes ofBlvd. Champions Blvd. • Mont Belvieu, TX 77523 14000 Lakes of Champions 14000 Lakes of Champions Boulevard • Phone: 832-669-3900 • Fax: 832-669-3890 www.MontBelvieuRHC.com MONT BELVIEW • 832-669-3900 Mont Belview • 832-669-3900

The Park at Bay Area Enhanced Assisted Living 5000 Space Center Blvd. • Pasadena, TX 77505

www.parkatbayarea.com • PH: 281-721-2500 • Fax: 832-770-4362 5000 Space Center Boulevard 5000 Space Center Blvd.

Pasadena••281-731-2500 281-731-2500 PASADENA

License #307855 Alzheimer’s Alzheimer’sCert# Cert# 104746 License #307855 104746

Trinity rehabilitation & healthcare center

314 East Caroline Street 314 East Caroline Street TRINITY Trinity• •936-744-1300 936-744-1300

314 E. Caroline St. • Trinity, TX 75862 www.trinityrhc.com • Phone: 936-744-1300 • Fax: 936-744-0263

Facilities managed managed by by Pillar Facilities Pillar Stone Stone Healthcare HealthcareCompany, Company,LLC. LLC. 1120 Nasa Pkwy, Suite 107 • Houston Texas 77058 • www.mypillarstone.com 1120 Nasa Pkwy, Suite 107 • Houston Texas 77058 • www.mypillarstone.com

All Centers comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex.

Inspired Living...

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Our communities are speciﬁcally designed to nurture activity, exercise, dining and restful opportunities as well as engaging and purpose ﬁlled activities that stimulate personal abilities.

The Auberge at Cypresswood

10225 CYPRESSWOOD DR, HOUSTON 77070

281-955-0880

The Auberge at Vintage Lake 10120 LOUETTA RD, HOUSTON 77070

832-761-7632

The Auberge at Kingwood

22955 EASTEX FWY, KINGWOOD 77339

281-312-2526

The Auberge at Sugar Land 1221 7TH ST., SUGAR LAND 77478

281-277-1221

The Auberge at The Woodlands

7950 BAY BRANCH DR., THE WOODLANDS 77382

281-681-8000

aubergeseniorliving.com

THE PLAN

EARLY PHASE

Mainland Medical Center Auxiliary, Inc.

The Foster Grandparent Program (FGP)

Volunteers needed to help with guest services, the gift shop, admissions, human resources and more. 409-938-5758

Volunteers serve as mentors, tutors and caregivers for children and youth with special and exceptional needs. 713-595-8198 erjcchouston.org

This organization can connect you with volunteer opportunities to fit your time and interests. 713-595-8157 rsvpvolunteers.com

Second Mile Mission Center Fort Bend Volunteers enjoy working in the food pantry, helping with merchandising items and listening to those in need. 281-261-9199 secondmile.org

Sire Therapeutic Horsemanship

United Way of Greater Houston Deliver meals to home-bound seniors, paint, make repairs and more. 713-685-2300 unitedwayhouston.org

Volunteer Houston Offering a flexible volunteering model with no long-term commitment, they offer a variety of activities that conveniently fit your schedule and interests. Sign up online. volunteerhou.org

SENIOR RESOURCE GUIDE \\

These are only a few of the many organizations regularly seeking volunteers. Check srgtexas.com for more volunteer opportunities.

Find More

Volunteers 55 and older provide one-on-one emotional support, mentoring and tutoring children with exceptional needs. 281-344-3515 hhs.texas.gov

Opportunities available in several locations. Volunteers assist riders in a variety of ways, both inside and outside the riding arena. 281-344-4308 sire-htec.org

The Foster Grandparent Program (HHS)

HOUSTON EDITION

RSVP of Southeast Texas

EARLY PHASE

THE PLAN

WARNING SIGNS OF UNSAFE DRIVING IN SENIORS and When it’s Time to Address

hether warning signs surface gradually or because of a recent change in health, they shouldn't be brushed aside or overlooked. Even minor changes that manifest individually can quickly lead to a more substantial problem. For example:

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•

Neck pain or stiffness can make it tough to properly check mirrors and look out for other vehicles. • Leg pain or stiffness can make it difficult to switch between the pedals. • Diminished range of motion and arm strength can make it challenging to turn the steering wheel. • Slowed reaction time can impact braking or honking if needed quickly. • Reduced ability to multitask makes it tricky to effectively divide attention between multiple activities. • Impaired vision or hearing can be troublesome to see traffic lights and street signs and hear emergency sirens or honking horns. • Declining memory can be problematic for regularly driven trips and cause an individual to become lost or confused.

THE PLAN

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Something to Ask

Do they remember/are able to fasten their seat belt? • Do they sit comfortably at the wheel or lean forward? • Do they appear tense or distracted easily? • Is there any difficulty moving their feet between pedals? Do they often confuse the gas and brake? • Are they able to properly observe traffic lights, road signs, pedestrians, and the reactions of other motorists? • Do they drive too close to other vehicles or drift into other lanes often? • How’s your loved one’s reaction time in general? Is there any confusion in unexpected scenarios? • Are they consistently waiting too long to brake or accelerate at traffic lights? • Has your loved one retained a good sense of direction? Do they complain that vehicles or people appear suddenly to them?

If you notice any of these warning signs or others, it may be time to share your concerns, talk with their doctor, and/or have a driving assessment done. Whether your loved one is still driving, driving with limitations, or having to give up driving altogether, being aware of the warning signs can help you to play a valuable role in their safety.

SENIOR RESOURCE GUIDE

•

Has your loved one’s car insurance rate gone up? This may be a sign that they’ve had recent driving infractions. Consider giving their driving condition more attention.

HOUSTON EDITION

WHAT SHOULD YOU BE LOOKING FOR? When joining your loved one for an errand or an outing, encourage them to drive and observe the following:

EARLY PHASE

THE PLAN

OMBUDSMEN ARE HERE TO HELP Courtesy of Texas Health and Human Services

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long-term care ombudsman not only enforces, but also helps nursing home residents to understand their rights. Living in a nursing home doesn’t mean giving up your freedom. If you feel someone is violating you or your loved one’s rights, the Texas Health and Human Services Commission’s long-term care ombudsman can help. Nursing home residents have the same rights and protections of their health, safety and welfare that we all share. For nursing home residents, these rights include the right to vote, voice complaints, exercise personal choice, the opportunity to make medical and social decisions, visit with anyone they wish, and to be lawfully discharged and leave the facility. One of the most common issues one might face when being discharged is to potentially lose their spot in the nursing home they were initially admitted to. This practice, known as “patient dumping,” is among the top five frequent complaints Patty Ducayet, Texas long-term care ombudsman, sees. The long-term care ombudsman will make sure the individual knows their rights, including the right to appeal and return to the nursing home after a hospital stay, and can represent them during that appeal.

Important Number

THE PLAN

EARLY PHASE

Call 800-458-9858 to report suspected elder abuse or neglect that occurs in nursing homes, assisted living facilities, day activity and health services. You can also report care concerns about home health and hospice agencies.

Often the most direct and expedient way to ensure your issue is addressed is to inform the skilled nursing facility’s management team, but the Texas Health and Human Services Commission stands by ready to help if needed. According to Texas Health and Human Services, some of the ways long-term care ombudsmen help nursing home and assisted living residents include: Listening to residents and family members when they have concerns or issues. • Telling residents about their rights. • Protecting resident health, safety, welfare and rights. • Helping families learn about nursing homes and how to pay for them. • Working to solve problems and making sure state regulations and laws protect residents.

800-252-2412 hhs.texas.gov (search for ombudsman)

SENIOR RESOURCE GUIDE

For more information on the ombudsman in your area:

Find out more

“An ombudsman can help bring the resident’s concerns to management and offer ideas to address the concern,” Ducayet said. “An ombudsman can give everyone information about the nursing facility’s requirements about residents’ rights and will tell the resident about the option to report a complaint to HHSC LongTerm Care Regulatory Services.”

HOUSTON EDITION

•

EARLY PHASE

CONVERSATIONS

hat w w o n K nt they wa

how to talk with

YOUR PARENTS ABOUT THEIR ENDOF-LIFE WISHES

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he conversation involving your parent’s or loved one’s end-of-life wishes is a difficult one. Consider, though, that prolonging this discussion could lead to your mother or father’s inability to share their wishes should they become sick or injured. Without some type of advanced planning, you may be left to make decisions for them and these decisions could lead to conflict, especially with siblings or other family members involved.

OVERCOMING THE HESITATION TO TALK The fear of saying the wrong thing, or even validating the tender realities of your loved one’s state of being, can lead to hesitation on your part when initiating this very important end-of-life conversation. One way to overcome this hesitation is to share with your parents your thoughts on why it might be important to address these issues sooner rather than later. Perhaps you might share that you’re currently addressing your own future considerations and that it would be sensible to discuss theirs, stressing the idea that lacking a plan could result in

CONVERSATIONS

EARLY PHASE

Important Documents

There’s more of this article in our Caregiver Toolkit. To read the full article, visit srgtexas.com/getcaregivertoolkit

SENIOR RESOURCE GUIDE

There’s more of this article in our Caregiver Toolkit which offers tips on how you can open a dialogue, what questions to ask, and the important documents and resources to consider when it comes to end-of-life conversations.

SOME QUESTIONS YOU SHOULD CONSIDER ASKING 1. Have you thought about who you want to make medical decisions for you if you’re not able to make them for yourself? 2. Do you know what kind of medical treatment you want if you were to become sick or injured? 3. If you need long-term care, do you want to be cared for at home or would you prefer to move? 4. Do you know who you want to handle your finances if you’re not able to? 5. Have you created a will, power of attorney or advanced health care directive?

HOUSTON EDITION

For a list of mustknow important documents visit srgtexas.com/ getcaregivertoolkit

larger issues down the line. By opening up a dialogue about these issues in general, it’s easier to start talking about what your parents want. Ideally your parents have already begun to consider their end-oflife wishes, but it’s important to understand what those wishes are and what type of plan might be in place already.

EARLY PHASE

CONVERSATIONS

how to talk with

YOUR SIBLINGS ABOUT CAREGIVER RESPONSIBILITIES Keeping the Conversation Positive and Productive

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ften there is more than one family member involved with taking care of a parent or aging loved one. If you’re fortunate enough to have a sibling—or more—to rely on when you find yourself in a caregiving role, consider this as a blessing. Unfortunately it’s not always the case that siblings are willing or even able to help. A family can become estranged over the years, a sibling may be physically or financially unable to provide assistance, or perhaps they simply live too far away. Whatever your situation is, we’ve provided a few tips to begin the conversation with your siblings and to get the support needed for ensuring the best care for both the caregiver and the person they’re providing care for.

SIBLINGS AND ROLES Regardless of whether you are the primary caregiver or your sibling is, caregiving can come with feelings of guilt, frustration and many times helplessness. Personal emotions can sometimes get in the way of making decisions for what’s best for your parent or aging loved one.

CONVERSATIONS \\ EARLY PHASE

HOUSTON EDITION \\

SENIOR RESOURCE GUIDE

Try to begin the conversation while your parent or aging loved one is still healthy and without cognitive challenges. Being proactive will help to ensure that everyone involved will enjoy less stress, and a plan can be put in place for when the time arises. • Have the conversation in person if possible. These discussions can be sensitive by nature and are often hard to successfully carry out over the phone or by text. Schedule a time for you and your sibling to meet, and preface the meeting with the topic so everyone has some time to think about what they want to say prior to sitting down together.

•

What’s most important is to try and keep in mind that it’s all about caring for your parent(s) or aging loved one and ensuring they have a great quality of life.

HOW TO APPROACH SIBLINGS When we put our differences aside and come to the conversation prepared and without judgment, we place ourselves in a better position of getting the help we need for ourselves, our siblings, and the person for which we’re providing care. Here are a few tips to keep the conversation with your sibling positive and productive:

Remember the Why

EARLY PHASE

CONVERSATIONS

If your sibling hasn’t seen your parent or aging loved one in a while, they may not be aware of the current situation. In this case, bring any helpful documentation such as medical visits, diagnosis paperwork, and medication prescriptions to show your sibling your loved one’s current condition. • Discuss all upcoming needs. If it’s time for your parent or aging loved one to move out of their home, make sure to share this information with your sibling to avoid anyone feeling left out or blindsided. Discuss costs and location and determine whether you can agree on a place and be sure to share your parent or aging loved one’s wishes. • If you find that the conversation begins to feel contentious, take a break to allow emotions to settle down. When resuming the conversation, remind everyone that this is an opportunity to make caregiving decisions cooperatively, and agree to move forward by focusing on the tasks at hand. • Ensure that you remain emotionally available and supportive to one another. It’s often unrealistic to assume that the responsibility should lie with one sibling. If you are the primary caregiver, make it known that you will need help and how and when they can best assist you. If you are not the primary caregiver, offer your help when possible. It can be hard to ask for help in these situations, however failure to do so ultimately can lead to resentment. No matter which role you are in, empathy and the courage to ask for and offer help will be vital.

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Be sure that everyone involved is aware of present circumstances, who the primary caregiver is going to be, and where important documents can be found and accessed. These can be challenging and emotional times, so if you find you’re unable to get everyone on the same page, it may be necessary to seek a professional mediator. In the end, when tackling the caregiving process, remember that the whole is greater than the sum of its parts. Defined roles, communication, empathy and perseverance will see you through.

EARLY PHASE

LEGAL + FINANCIAL

FIVE MUSTHAVE LEGAL DOCUMENTS

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hether you’re a caregiver yourself, or perhaps interested in getting your own affairs in order, we’ve identified five recommended legal documents that every adult should have. There are many available online resources that explain each document in greater detail. Some will provide a free template for you to create your own documents for instance. If you have an attorney, be sure to ask them about these types of documents. Don’t wait until it’s too late—take a moment now to get organized.

1. ADVANCE DIRECTIVE Also known as a living will or health care declaration/directive, this document outlines your wishes for medical treatments and life-sustaining measures, in the case that you’re not able to communicate them verbally. Details might include a “do not resuscitate” order (DNR), the use of breathing machines, tube feeding or organ donation. Making these decisions in advance lets medical professionals know what measures to take and grants your loved ones peace of mind should they have to communicate these decisions for you. 2. DURABLE POWER OF ATTORNEY FOR HEALTH CARE While an advance directive is limited to end-of-life concerns, a durable power of attorney for health care accounts for all

LEGAL + FINANCIAL

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Online Resources

health care decisions in the case that you’re incapable of making decisions for yourself. In this document, you can outline how your designated power of attorney should act. Their authority to make these decisions ends when you’re once again capable of making your own decisions.

• eldercareteam.com • legalzoom.com

• nlm.nih.gov/medlineplus/ advancedirectives.html • texasnaela.com • texasprobate.com/ professional-forms

5. FINANCIAL POWER OF ATTORNEY This document designates someone (principal) to do business on your behalf should you be unable to take care of necessary matters yourself. Tasks designated might include paying bills, selling property, managing assets or applying for medical benefits. Unlike a living trust, a financial power of attorney terminates upon the death of the grantor.

SENIOR RESOURCE GUIDE

4. LIVING TRUST A living trust designates someone (trustee) to help manage and distribute your assets rather than going through the court system, as in a last will. This often prevents your last wishes from becoming public record. This document also designates terms in which the trustee would set into action should you be unable to make decisions regarding your assets during and after your life.

HOUSTON EDITION

3. LAST WILL AND TESTAMENT Many people know this document simply as a “will.” It outlines how your property (including digital property such as email accounts and blogs) should be distributed and to whom. Different states have different requirements for one’s will. In Texas your will must be signed by two witnesses.

EARLY PHASE

INITIAL MEDICAL CARE

UNDERSTANDING MEDICARE:

Parts, Plans and Meeting Your Needs Courtesy of Sharon Wagner, seniorfriendly.info

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any Americans who enter into Medicare do so with a sketchy understanding of how the system works. That’s rather alarming considering how much older Americans rely on Medicare for their health care needs. It’s essential that seniors and their caregivers understand how the program works to avoid missing out on important benefits and paying unnecessarily high costs. Sometimes, the best approach is to start from the beginning when unraveling a complex subject like Medicare.

PARTS OF MEDICARE When you sign up for Medicare at age 65 you’re automatically enrolled in Plan A, which is hospital coverage, and Plan B, which covers outpatient coverage. Part A covers room and board in a hospital or skilled nursing facility, while Part B covers things like doctor visits, surgeries, lab work, equipment and diagnostic tests. Prescription drugs are covered under Part D, which provides a card that allows you to buy prescription medications at a significantly lower cost than retail. Part D insurance is voluntary coverage but it’s a key part of the system because paying out-ofpocket for medications can be extremely expensive.

MEDICARE ADVANTAGE Choosing the right supplemental coverage is one of the most important decisions you’ll make as a Medicare enrollee.

SENIOR RESOURCE GUIDE

HOW THE PARTS WORK Your Medicare Part B coverage is based on income, with enrollees starting at a base rate of $135.50 while higher-income enrollees pay an “income adjustment” (meaning they pay more for Medicare). Part B is a necessity; you can’t purchase supplemental insurance unless you have both Part A and B. If you’re working for a large employer, your health insurance there continues as your primary with Medicare playing a secondary role, meaning you can delay enrolling in Part B if your group insurance already includes outpatient benefits. Part B covers 80% of medical services, with your share being the remaining 20%. Certain treatments and procedures can be quite expensive, which means you could end up with a hefty co-pay. Part D has built-in co-pays for medications, so you won’t need supplemental insurance for the cost of needed medications.

HOUSTON EDITION

EARLY PHASE

INITIAL MEDICAL CARE

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INITIAL MEDICAL CARE

Fortunately, you can select plan options based on your budget. Medicare Advantage, also known as Part C, offers plans that provide a low-cost alternative to Medicare. These plans have their own local network of providers and usually have lower premiums than Medigap, though there are co-pays for hospital stays, doctor visits and other approved services. Medicare Advantage also has a folded-in version of Part D, though it’s important to remember that it may not include the specific medications you need.

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MEDIGAP As mentioned, Medicare pays 80%. A Medigap plan pays the other 20% of your Part B outpatient expenses. Some Medigap plans also cover Part A and B deductibles, though you purchase your own stand-alone Part D coverage since Medigap doesn’t cover prescription medications.

Learning the ABCDs of Medicare can be confusing. We can help.

Questions about Medicare Insurance Plans? Get answers at a free Blue Cross and Blue Shield of Texas educational seminar. Virtual and in person sessions are available. Reserve a spot: By Phone: Call toll-free 1-866-427-7497, For accommodations of persons with special needs at meetings, call 1-866-427-7497 (TTY 711).

Online: bcbstx.com/medicare/seminars These events are only for educational purposes and no plan-specific benefits or details will be shared.

Blue Cross Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Y0096_TBSRGAD20_C

753378.0520

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EARLY PHASE

INITIAL MEDICAL CARE

DECIDING WHETHER MEDICARE ADVANTAGE COULD BENEFIT YOU Check to make sure your doctor is in-network and accepts Medicare Advantage (some accept original Medicare instead). Keep in mind, most Advantage plans are good about pairing you with a specialist if your doctor is out of network. You’ll also want to make sure any medications you take are covered. If you take several prescriptions and have reached the “donut hole,” the annual limit on what Medicare Advantage will cover (between $3,820 and $5,100 on covered medications), bear in mind that Part D enrollees get a 75% donut hole discount on brand-name drugs starting at $3,800. Consider also your out-of-pocket costs if you anticipate health care expenses. You can always choose a plan with lower out-of-pocket costs. Check out the plan finder at Medicare.gov to find Medicare Advantage plans in your area that meet your needs. Note that plans such as Humana Medicare Advantage have extensive benefits, including vision and dental coverage as well as an innovative fitness program called SilverSneakers, which provides access to over 13,000 fitness centers. It’s important to understand the Medicare system so you can find the coverage you need. As you compare and contrast plans, carefully check network provider and covered prescription medication lists. And stay abreast of the changes which frequently occur with Medicare. It also helps to know that if your plan doesn’t work for you this year, you can change it next year.

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LeadingAge Texas is a trade association representing the full continuum of LeadingAge Texas is a tradeaging association the full continuum of mission-driven, not-for-profit servicesrepresenting providers. Providers can learn more LeadingAge Texas is a tradeaging association the full continuum of mission-driven, not-for-profit servicesrepresenting providers. Providers can learn more & apply for membership at www.leadingagetexas.org/memberships mission-driven, services providers. Providers can learn more & apply fornot-for-profit membershipaging at www.leadingagetexas.org/memberships & apply for membership at www.leadingagetexas.org/memberships

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(512) 467-2242 (512) 467-2242 (512) 467-2242

EARLY PHASE

INITIAL MEDICAL CARE

MAKE THE MOST OF YOUR DOCTOR’S VISITS A checklist of what to do before, during and after your loved one’s appointment. BEFORE THE APPOINTMENT TAKE a photo(s) on your phone or write down all of your loved one’s current medications, supplements and vitamins. Bring the list with you to the appointment, or if you elect to bring all the medications in a bag, that works as well.

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WRITE down all the symptoms and problems your loved one is having, along with questions you have for the doctor. Prioritize the problems and questions in case you don’t get to address everything due to time constraints. A follow-up plan to address additional problems can be developed (consider making time for multiple appointments). CALL to confirm the appointment. During this time, ask if your loved one needs to fast for blood work. BRING their updated insurance cards and valid ID. Certain aspects of their insurance policy may have changed despite having the same insurance company for years. ARRIVE early to fill out paperwork or complete the paperwork online (if available).

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EARLY PHASE

INITIAL MEDICAL CARE

KNOW which pharmacy you want prescriptions to be sent to and have their contact number on hand.

DURING THE APPOINTMENT SHARE with the doctor the symptoms (when they started, how long they last, how they feel, and where they are) your loved one is having, and ASK questions. Reference your prioritized list. BE HONEST. Don’t let your loved one leave out any details that appear to be “minor” or embarrassing. You want an accurate diagnosis and the only way to accomplish this is to be comprehensive with the physician. LISTEN and WRITE down what the doctor says. From important information to prescriptions, you want to remember everything they told you. You can either bring something to write on, or you can request a printed review of the doctor’s assessment and plan, which typically includes medication instructions, diet adjustments, plan of action, etc.

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REPEAT back what you heard to ensure your understanding and to prevent any miscommunication if you must relay information to other family members. SCHEDULE another appointment before you leave (if possible), whether it’s a follow-up appointment or their next checkup. As mentioned, if you were unable to get through all of your questions, this would be a good time to schedule another appointment as well.

For the full checklist with more valuable tips to prepare you for before, during and after a doctor’s appointment, visit srgtexas.com/getcaregivertoolkit

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Become a new patient today Call 713-979-9272 or visit CenterWellPrimaryCare.com Monday - Friday, 8am - 5pm

12 locations in the Greater Houston area and Golden Triangle! CenterWell Senior Primary Care is Medicare Advantage friendly! We accept Aetna, Cigna, Humana, Memorial Hermann, TexanPlus and WellCare of Texas Medicare Advantage plans. CenterWell does not discriminate on the basis of race, color, national origin, age, disability or sex. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-877-320-2188 (TTY: 711). 注意：如果使用繁體中文，可以免費獲得語言援助服務。請致 1-877-320-2188 (TTY: 711). GCHKUA7EN

EARLY PHASE

INITIAL MEDICAL CARE

MOBILE CARE TELEMEDICINE PROVIDERS

The following offer a “digital visit” via an app, cell phone or computer.

Houston Methodist Virtual Urgent Care 713–790–3333 houstonmethodist.org/virtualurgent-care

M. Sandra Scurria, MD 281–661–5901 mdvip.com/doctors/sandrascurriamd

Suleman Lalani, MD, PA

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There are times when getting to the doctor’s office is prohibitive or not practical. For those times, consider a physician who makes oldfashioned “house calls.”

DispatchHealth 720-647-5329 dispatchhealth.com

Geriatric Home Care Physicians 281-491-6767 ghcphouston.com

281–369–8541 sulemanlalanimd.com

Harris Health House Calls and Palliative Care Program

Texas Center for Lifestyle Medicine

713-566-6832

713–690–1991 texascenterforlifestylemedicine.org

713-234-7057 drjulielester.com

Village Medical

Quentin Mease House Call Program

713–461–2915 villagemedical.com

HOUSE CALL PHYSICIANS

Julie Lester, DPM (podiatry)

713-566-6832 harrishealth.org

UT Physicians Center for Healthy Aging House Call Program 713-486-5150 uth.edu/aging

Visiting Physicians Association 713-532-6884 visitingphysicians.com

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WHEN DO YOU NEED TO CONSIDER IN-HOME CARE?

It May Be Time to Look for Assistance

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s we age, there are certain issues that we, or those we love, may eventually face when doing simple household chores, such as laundry, cleaning or grocery shopping. These issues tend to arise from normal changes in our physiology including lack of mobility, vision changes, and physical dexterity to name a few. With these changes, we often find that there's an increased need for help with necessities like bathing, dressing and meal preparation. When this happens, it may cause you to wonder if it’s time to hire in-home care or move to an assisted living. Irrespective of your search for a caregiver for yourself or for a loved one, in-home care could be the ideal option. Though research shows that most older adults prefer to age in place in their own home, there are many questions raised by older adults or their informal caregivers regarding home care. In this article we provide answers to a few questions you may have regarding in-home care.

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MID PHASE

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It may be time to look for assistance when signs of decline begin to appear during various activities of daily living. Many adult children who are caregiving may cohabitate with their parents. However, working adults may also have responsibilities that don’t allow them to provide care during the day. As time carries on, the dishes begin to stack up in the sink, the laundry piles up, and your parent is found in the same chair you left them in when you return home. Then the realization hits—your parent hasn’t had a shower in a long period of time. Perhaps even more tricky is when your loved one lives alone, and you notice a similar situation as noted above with the dishes, laundry and hygiene. You might notice that the mail has piled up and bills aren’t being paid or medication refills go unfilled. There’s also the scenario where your aging parents are living independently, however you begin to notice a decline in the health of the parent who typically provides care for their spouse. The stress of providing care can take a physical and mental toll on even the most experienced caregivers. In-home care can provide respite for the caregiver, which can allow for some muchneeded rest and time for self-care. Give yourself permission to take a break! These are just a few examples of when to consider exploring in-home care options. Moreover, receiving care assistance enables you to focus on spending quality time with your loved ones and less time worrying or stressing over daily care needs.

From the Experts

Learn what aging signs you should be on the lookout for in the full article: srgtexas.com/getcaregivertoolkit

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HOME CARE VS HOME HEALTH CARE

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HOW CAN I DETERMINE IF HOME CARE IS NECESSARY? When self-care at home becomes difficult and/or family caregivers are not available to assist, home care may be the answer. Home care often relieves family members of basic caregiving functions and makes it possible to spend quality time, rather than the functional caregiving time. Home care is often easier and faster than moving to an institutional care setting and allows the senior to stay at home in familiar surroundings. WHAT IS HOME HEALTH CARE? When the need exceeds what home and personal care can provide, a home health care agency may be required. Home health care provides skilled medical services (such as administration and adjustment of medication levels, monitoring and dressing of wounds, etc.) in the home by trained medical personnel. Home health care is always ordered and supervised by a physician. WHAT IS HOME CARE? Simply put, home care is non-medical personal assistance provided in the home. Home care may include help with bathing, dressing and personal hygiene. It may include a wide range of services: taking and recording vital signs, assistance in the bathroom, light housekeeping, meal preparation,

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GREATER HOUSTON AREA

HOME CARE / HOME HEALTH OPTIONS

companionship, grocery shopping and pharmacy errands, home safety supervision, medication reminders, bill-paying, laundry and transportation.

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WILL MY INSURANCE COVER THE COSTS? Medicare, Medicaid and private insurances are sources of payment for receiving home and home health care. Home health care services are typically medically necessary. They are paid for by Medicare or other health insurance, and have been ordered by a physician. Private duty home care services are typically paid for privately, or using long-term care insurance, reverse mortgage proceeds, Veterans aid and attendance pension benefits, or some combination of any of these programs.

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COMPANIONSHIP

MEAL PREPARATION

LIGHT HOUSEKEEPING

For a full comparison chart that includes accepted forms of payment, criminal background checks, medication reminders, respite care, plus more, visit srgtexas.com

TRANSPORTATION

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HOW TO MANAGE CAREGIVING FATIGUE

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ne in every three adults in the U.S. provides care for an adult as an informal caregiver. Be it out of love, obligation or a sense of care, caregivers form a significant part of any population due to a substantially ill and aging population. Professional caregivers are already aware of the trials and tribulations of caregiving, and most have a support system in place to help with caregiving stress. Conversely, the informal family caregiver who doesn’t recognize themselves as “caregivers” run the risk of constant burnout. If you notice any of these signs in yourself or a fellow caregiver, it’s time to take assessment of your situation and health as it’s better to get control of the situation before it becomes too serious. Incorporating stress-reducing activities (physical, mental and spiritual) will go a long way in helping ward off caregiver burnout.

HERE ARE SOME SUGGESTIONS FOR ACTIVITIES THAT HELP WITH STRESS MANAGEMENT: •

LAUGH out loud daily

•

MEDITATE and/or practice yoga

SELF CARE

MID PHASE

Take care of yourself

•

LOOK through happy photos or watch a happy or fun movie

•

GET plenty of rest and sleep

•

DO deep breathing exercises

•

TAKE daily walks

•

TAKE time away from being a caregiver even if it’s only a few hours per week—me time

•

LISTEN to relaxing music

•

TAKE a warm bath

•

PRAY

•

SPEND time with a pet

•

WRITE in a journal

•

TALK with someone about how you feel

SENIOR RESOURCE GUIDE \\

The first step is being aware that caregiver burnout is a possibility and knowing the warning signs. Then put a support system in place that will help you manage your stress and anxiety. Now you’re well on your way to a happier, healthier caregiver experience.

HOUSTON EDITION

Caregiver burnout is a paralyzing psychological condition due to stress buildup.

MID PHASE

SELF CARE This content is proudly provided by

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MIND. BODY. STRENGTH.

A Holistic Approach to Overall Health

SRGTEXAS.COM

SUMMER 2021

s we age, an active lifestyle is extremely important. It’s good for the mind, the body and strength. There are various ways for people to increase their longevity, and ultimately boost their happiness. Regular exercise helps to increase energy and boost metabolism. It helps us look and feel younger. It reduces the impact of illness, including heart disease, diabetes, cancer and dementia. Even doing simple activities such as gardening, shopping or walking is advantageous for overall health. Proper exercise can help increase muscle strength and reduce chances of falling or becoming injured. There are even exercises for those who are chairbound and face special challenges. You can do low-impact exercises to increase flexibility, improve range of motion and reduce arthritic pain. Many people with mobility issues find that exercising in water is very beneficial. It sustains the body and diminishes the risk of muscle or joint pain. Equally important, regular exercise or physical activity has many mental health benefits. It helps to decrease stress, improve sleep, boost mood and self-confidence. Exercise also aids in

SENIOR RESOURCE GUIDE

regulating brain function. It boosts the chemicals in the brain that prevent brain deterioration. Regular exercise improves cognitive abilities and decreases memory loss. This slows the progress of brain disorders. Furthermore, exercising outdoors is beneficial for those who feel depressed or restless. Being out in nature has a consoling effect. It’s calm, peaceful and serene. Long-term health is an achievable goal. All it takes is a little bit of effort and commitment.

HOUSTON EDITION

MID PHASE

SELF CARE

MID PHASE

SELF CARE

FIVE VITAL TIPS TO HELP DEAL WITH CAREGIVER STRESS

And Recognizing Unhealthy Stress Levels

ccording to the National Alliance for Caregiving and AARP, around 34.2 million Americans have provided unpaid care to an adult age 50 or older in the last 12 months. Many of these caregivers also care for other family members, such as children, and work outside the home. Without assistance from others and appropriate self-care, it’s a recipe for caregiver stress, fatigue and eventual burnout. In this article, we’re going to talk about recognizing when your stress levels are getting too high and some tips for dealing with caregiver stress.

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SUMMER 2021

SIGNS THAT YOU MAY BE TOO STRESSED Everyone copes with stress differently, but if you find yourself experiencing any of the symptoms below then your stress might be progressing to unhealthy levels. •

Feeling run-down or tired often Difficulty sleeping • Trouble concentrating • Resenting obligations • Not taking care of your own health • Smoking, drinking or eating too much • Cutting back on activities that you usually enjoy •

SELF CARE

MID PHASE

The good news is there are ways to deal with caregiver stress and keep it in check.

Tip

DECIDE WHAT‘S IMPORTANT THEN SAY “NO” TO THE REST.

Very few people can do everything alone. Tap into the network of friends, family and social services around you to lighten your own load. Even if they live far away or can’t help with hands-on care, you can delegate tasks that can be done online or over the phone. Many state, local and religious organizations also have resources available to help senior adults and caregivers. Why not task a helpful friend or family member to look through what’s available and pick out the most promising services? They can also assist with applications and coordinating services.

SENIOR RESOURCE GUIDE

TAP INTO THE RESOURCES AROUND YOU.

Tip

HOUSTON EDITION

No caregiver is perfect and it’s impossible to do everything all the time. Prioritize what you or your family member needs that is most critical and break that down into small, easier-tomanage steps. It’s okay to say “no” or even just “not right now” to tasks that drain you. You don’t have to cook a homemade meal every single night, host holiday get-togethers or have the most well-kept yard in the neighborhood. Focus on what matters and cut the rest, especially in times of stress.

MID PHASE

Tip

SELF CARE

SIMPLIFYING COMMUNICATIONS.

If your loved one has experienced unstable health lately, you may find yourself on the phone giving multiple updates to friends and family. While they mean well, it can get exhausting for you to rehash the same information and answer the same questions repeatedly. You can cut back on your update workload considerably by employing a phone tree (where you update one person and they pass the information to other designated people) or using private websites that allow you to post updates but still have privacy controls like CaringBridge or PostHope.

Tip

SRGTEXAS.COM

SUMMER 2021

SET AND FOLLOW YOUR PERSONAL HEALTH ROUTINE.

It’s easy to forget about your own health when you’re busy caring for someone else. Research has shown that caregivers, particularly female caregivers, have lower levels of self-care and higher rates of health problems than non-caregivers. Developing your own simple routines to get enough sleep, water and exercise can help to improve your health and lower stress. Don’t put off recommended health screenings and checkups. You’ll be a more effective and less-stressed caregiver if you make taking care of your own health a priority as well.

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MID PHASE

Tip

SELF CARE

TAKE CAREGIVING BREAKS REGULARLY.

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SUMMER 2021

Schedule time for yourself and do not waver. These breaks can be small, like a walk around the block or coffee with a friend while your loved one sleeps. Consider asking a family member to visit for the weekend so you can take time away to recharge. If you don’t have anyone in your personal circle who can take over caregiving duties on occasion, there are also networks of professionals available. Many communities have resources such as in-home respite care, adult day care centers or programs or senior living communities with short-term stays available.

FINAL THOUGHTS Taking care of a senior adult can be very rewarding, however there’s no doubt that at times it can also be stressful. Unrelieved stress can build up over time and damage your own health and your ability to care for your loved one. By prioritizing activities, reaching out for assistance, simplifying communications with friends and family, taking regular breaks from caregiving, and sticking to your own personal health routines, you can reduce the amount of caregiver stress that you feel. In the long run, this will help both you and your loved one to thrive during potentially difficult times.

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MID PHASE

SELF CARE

ANXIETY REDUCING DRINK Courtesy of mentalhealthfood.net

any current studies are looking into turmeric to treat a whole host of health problems. Turmeric has antioxidant, anti-inflammatory, immunomodulatory, anticancer, antibacterial, antiviral, antifungal, antiparasitic and neuroprotective properties. Help reduce anxiety and cozy up with a delicious cup of Golden Milk.

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SUMMER 2021

GOLDEN MILK RECIPE INGREDIENTS

DIRECTIONS

• 1 cup canned coconut milk • 2 cups almond milk • 1-2 teaspoons raw honey • 1 teaspoon turmeric • 1 teaspoon cinnamon • small piece of ginger root or 1/4 teaspoon ground ginger • small pinch of black pepper

Makes 2 servings. Blend all ingredients in a blender on high speed for 20-30 seconds. Pour into a small saucepan and heat for 3-5 minutes over medium heat, stirring constantly, until hot, but not boiling. Enjoy!

Find more recipes on srgtexas.com

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DIET + WELLNESS

HOW TO ADDRESS APPETITE CHANGES IN THE ELDERLY

SRGTEXAS.COM

SUMMER 2021

lthough diet fluctuations are common among seniors, it can be worrying to observe these changes in a loved one. It’s important to be mindful of this and to promptly address and prevent issues before they become more serious. Proper nutrition is imperative as you age as it not only helps an aging individual stay strong and healthy, but also in recovery from any ailments. A senior with no appetite can prove to be a difficult challenge. Let’s dive a bit deeper into some of the factors associated with your loved one’s low appetite, and perhaps most importantly, how to help.

UNDERSTANDING WHAT CAUSES THE LOSS OF APPETITE As people age, their metabolic rate slows, and their physical activity decreases too, which results in them needing fewer calories. While seniors need fewer calories, it’s essential that more nutrition is packed into each meal. Although some change in a senior’s appetite is normal, there are several factors that can contribute to this issue, such as: •

A lack of energy to cook Changing taste buds, making eating less pleasurable • Loneliness and depression • Difficulty chewing or swallowing • Side effects of medication • Health conditions •

DIET + WELLNESS

MID PHASE

Tricks to Stimulate Appetite

SENIOR RESOURCE GUIDE

Discover more powerful tips + tricks to handle diminishing appetites at srgtexas.com/getcaregivertoolkit

ADDRESSING APPETITE CHANGES IN THE ELDERLY Loss of appetite in seniors could be a result of various factors, but you can help by monitoring any noticeable changes, trying out different methods to spark their appetite, and recognizing when it may need to be addressed by a doctor. You may also consider in-home care or a meal delivery service for your loved one. These ideas ensure your loved one has someone around to eat with or access to an easy and convenient meal. If circumstances seem beyond these measures, consider consulting a specialist.

HOUSTON EDITION

In some cases, loss of appetite could be a sign of a more serious condition or illness. When seniors don’t show any desire to eat, express that they don’t feel hungry, or start experiencing unwanted weight loss, there could be an underlying medical condition. • Offer smaller An underlying cause can certainly portions of be to blame if your loved one nutrient-packed consistently expresses they are fatigued food with very little appetite. Medical • Brush their teeth conditions that might contribute to before eating loss of appetite in seniors include: • Get them to eat kidney failure, thyroid disorders, with others hepatitis, chronic liver ailment, Alzheimer’s disease or dementia, chronic obstructive pulmonary disease (COPD), some cancers. If you notice that a loved one is experiencing a decreased appetite that continues to worsen, or if they are losing weight without trying, consider contacting your health care provider soon.

MID PHASE

DIET + WELLNESS

HOMEMADE TURMERIC ALMOND DRESSING Courtesy of epicurious

his creamy dressing is great drizzled over your favorite salad, grain bowl or cooked veggies. Bonus: Turmeric offers improved brain function and anti-depressant benefits.

TURMERIC ALMOND DRESSING RECIPE

SRGTEXAS.COM

SUMMER 2021

INGREDIENTS • 3 (2-inch) pieces fresh turmeric, peeled and roughly chopped, or 2 teaspoons ground dried turmeric • 1 (1-inch) piece fresh ginger, peeled and roughly chopped

DIRECTIONS • 1 garlic clove, roughly chopped • 1/4 cup plus 2 tablespoons fresh lemon juice • 3 tablespoons natural almond butter • 1 tablespoon honey • 1/4 teaspoon kosher salt

Makes 3/4 cup. Combine all ingredients with 3 tablespoons water in a blender and purée until smooth, about 3 minutes. Taste and adjust salt or lemon juice, if desired.

Find more recipes on srgtexas.com

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HOUSTON EDITION

ADL

MID PHASE

MEMORY + DEMENTIA

steps to take after

A MEMORY ISSUE IS RECOGNIZED

he days following a loved one’s dementia or Alzheimer’s diagnosis can be difficult and filled with emotion. For many, the lack of knowledge is often scarier than the diagnosis itself as you have no idea what to do, what to expect or how you’re supposed to help. We’ll examine this topic and discuss those critical first steps to take following this type of diagnosis, as well as how you can provide the best care possible.

SRGTEXAS.COM

SUMMER 2021

STEP 1: CONSULT A SPECIALIST.

Alzheimer’s and dementia diagnoses are often made at the hospital following a significant event or at a primary care physician’s office after the onset of some cognitive symptoms. However, if you or your loved one haven’t spoken to a neurological specialist, it’s highly recommended. This is because dementia isn’t always caused by unstoppable neurological degeneration. It can result from several medical conditions, such as heart disease, intracranial pressure, or a mass located at certain spots within the body. It can also be the result of certain medications, such as anticholinergic and bladder antimuscarinic (bladder suppressant) drugs. If this is the case, you’ll want to know so you can obtain the most effective treatment.

STEP 2: CONSIDER YOUR OPTIONS.

Alzheimer’s and dementia don’t currently have cures, but there are treatments and medications available to help improve

MEMORY + DEMENTIA

MID PHASE

symptoms. Make sure you talk this possibility over with your loved one’s doctor and keep up to date on new findings and treatment options. Questions to ask your loved one’s doctor: •

What tools or tests were used to determine a diagnosis? What were you measuring? • What is causing the illness? • What are the treatment options available? • What symptoms are alleviated by each medication and are there any side effects? • Are there any clinical trials available and where can I find additional information on those? • How will the disease progress? • What forms of care are available to help my loved one live with the disease?

There’s more of this article in our free Caregiver Toolkit. To learn more critical first steps, visit srgtexas.com/getcaregivertoolkit

SENIOR RESOURCE GUIDE

Six More Steps

Receiving a degenerative memory diagnosis is never easy, and it’s important to recognize and cope with any emotions you may have. Although your loved one is still around, feelings of loss, anger and fear are common. Coming to terms with the diagnosis will help you and your loved one move forward and discover new ways to live a positive and fulfilling life.

STEP 3: TAKE CARE OF EMOTIONAL NEEDS.

HOUSTON EDITION

You should also be considering what long-term care may look like. For most adults with a memory-targeting illness, longterm care often involves professional at-home caregivers or a specialized 24-hour facility.

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MID PHASE

TIPS FOR EFFECTIVE ALZHEIMER’S COMMUNICATION

lzheimer’s disease presents many challenges, and communication is a big one. Despite the challenges, you can communicate effectively with a loved one who has Alzheimer’s. Consider these tips provided by the Mayo Clinic staff:

SPEAK CLEARLY Introduce yourself. Speak in a clear, straightforward manner.

SENIOR RESOURCE GUIDE

KEEP IT SIMPLE Use short sentences and plain words. As the disease progresses, yes-no questions may work best, and only one question at a time is best. Break down requests into single steps.

AVOID DISTRACTIONS Communication may be difficult—if not impossible—against a background of competing sights and sounds.

STAY PRESENT Maintain eye contact, and stay near your loved one so that he or she will know that you’re listening and trying to understand.

HOUSTON EDITION

SHOW RESPECT Avoid secondary baby talk and diminutive phrases, such as “good girl.” Don’t assume that your loved one can’t understand you, and don’t talk about your loved one as if he or she weren’t there.

MID PHASE

MEMORY + DEMENTIA

DON’T INTERRUPT It may take longer than you expect for your loved one to process and respond. Avoid criticizing, hurrying and correcting.

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USE VISUAL CUES Sometimes gestures or other visual cues promote better understanding than words alone. Rather than simply asking if your loved one needs to use the toilet, for example, take him or her to the toilet and point to it. DON’T ARGUE Your loved one’s reasoning and judgment will decline over time. To spare anger and agitation, don’t argue with your loved one. STAY CALM Even when you’re frustrated, keep your voice gentle. Your nonverbal cues, including the tone of your voice, can send a clearer message than what you actually say.

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SIGNS NOT TO IGNORE:

DEMENTIA VERSUS NORMAL AGING

f you’ve found yourself worried about whether or not a loved one might be showing signs of dementia, you aren’t alone. Distinguishing between dementia indicators and normal aging factors can be tricky, and it’s important to know the difference to avoid adding any unnecessary stress or worry to the situation. Afterall, is rushing mom off to the doctor because she called you your sibling’s name—maybe even the family dog’s name once…or twice—the right next step or even a cause for alarm?

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DEMENTIA OR AGING: THE SIGNS

The Alzheimer’s Society notes six different abilities and how they may be impacted by normal aging compared to possible changes due to dementia. We’ll cover all six and highlight a few of the differences between the impact of dementia or aging on those abilities.

1. SHORT TERM MEMORY & LEARNING NEW INFORMATION Normal aging can impact short-term memory and the learning process by causing one to falter or struggle to remember

2. DECISION MAKING & PROBLEM SOLVING As we age, many people struggle to juggle multiple tasks at once, take a bit more time to process decisions or information, and occasionally make mistakes when completing everyday tasks. People who are impacted by dementia, however, might make

SENIOR RESOURCE GUIDE

something commonplace. Forgetting about an appointment or misplacing the phone are all traditionally normal occurrences for many as they age. Dementia can impact short-term memory in a bit more comprehensive way. Forgetting the names of loved ones or close friends or being unable to recall who you had lunch with earlier that day can be cause for added concern. Similarly, misplacing the phone or keys in illogical places, like the bathroom cabinet or freezer, may be signs worthy of more attention.

HOUSTON EDITION

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MEMORY + DEMENTIA

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MEMORY + DEMENTIA

frequent mistakes when completing tasks like cooking or cleaning, struggle to concentrate for very long, and get confused more often. If your loved one finds it difficult to comprehend finances or gauge the severity of everyday risk, these may be signs of a more serious issue.

3. LANGUAGE Struggling to remember the right word or keep up with a conversation where many people are talking at once is pretty normal for people of all ages, especially those who are older. Though if any of these things happen on a frequent basis, it could be a sign of dementia. Regularly referring to items using words like “that” or “this” may signal to you that something more serious is at play.

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4. ORIENTATION If your loved one occasionally needs to be reminded of the date or day of the week, this isn’t necessarily cause for worry. But if they struggle to recall what the season is or need daily reminders about the date, it may be time to address these issues. Another common characteristic of those impacted by dementia is feeling unsure of their surroundings when in an otherwise familiar place—like at home. 5. VISION & PERCEPTUAL SKILLS A common complaint among older adults is they have difficulty seeing as well as they used to, often impacted by cloudy vision or worsened eyesight. But struggling with depth perception when doing things like reaching for a door handle or climbing the stairs should be addressed by a doctor as these challenges go beyond the boundaries of worsened eyesight.

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MEMORY + DEMENTIA

6. MOOD & BEHAVIOR Feeling stressed out or blue about life’s challenges or getting upset when plans don’t play out as expected is normal, especially as we age. If your loved one seems to be becoming withdrawn or uninterested in their hobbies and friends, this could be a signal for greater concern. Similarly, being extremely sad or scared for seemingly no reason, or as a result of relatively ordinary challenges, could be related to dementia.

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WHEN IN DOUBT, TRUST THE PROFESSIONALS

As your loved ones age, it’s likely you’ll face challenges discerning whether or not their behavior is a symptom of something more drastic than old age, and that’s no easy task. While we often feel responsible for the well-being of those around us, remember it isn’t your job to diagnose them beyond your capabilities—unless, of course, you’re a neurologist. Not the case? Trust a professional to give your loved one the best care possible and address the needs that cause concern.

Take Five

Feel less stressed in minutes. Set a timer for 5 minutes and close your eyes. Take a few deep breaths releasing any tension in your body and imagining it melt away. Focus on a fivecount breath: • Slowly inhale from the belly • Then into ribs • Then into chest • Up into crown of the head • Then gently hold the breath for the fifth count On the exhale, reverse for another count of five. This time start from the top of your head and move down to the chest, ribs, belly, pausing on that last bit of breath out of the body, and then repeat from the beginning.

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CARE TRANSITIONS

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hen it comes to long-term care, people often use more than one solution over time. As people switch from one type of care to another, there is a transition period. A care transition may occur when someone leaves the hospital and needs support to heal at home after they’ve been discharged from the hospital, or it might happen when someone who is receiving in-home care decides to move into a supportive community, such as assisted living or senior housing. The goal is to avoid a gap in care for the individual as they pivot from care type. When someone leaves the hospital or a rehab facility for home, their doctor or nurse can’t go with them and a family or professional caregiver might be needed as they continue to heal at home. For example, someone might need help with using the bathroom, taking new medications, or going back to see the doctor for follow-up appointments. An even longer and different type of transition may occur when someone decides to move from their current residence to a

SENIOR RESOURCE GUIDE

new one—whether that’s from a stand-alone home into a senior housing apartment, assisted living facility or in with family across town or another state. A caregiver—whether a family member or a professionallytrained one—can help to make these types of transitions smooth. If they’re transitioning to an assisted living facility, a caregiver can inquire about opportunities to join in meals and activities prior to moving in. This type of engagement can help the individual feel more relaxed about their new surroundings and making a big change. When making changes in long-term care options, aim for a continuity of care during the transition so risks for setbacks are minimized and chances for success are increased.

HOUSTON EDITION

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WHAT TYPE OF MENTAL HEALTH PROFESSIONAL IS THE RIGHT FIT?

hen exploring a potential therapist or psychiatrist, inquiring about their approach to treatment can be helpful in determining if they’re a good fit. For some, a medication-based treatment through a psychiatrist or other qualified medical professional might be best, whereas a combination of medication and therapy or just therapy on its own might be more appropriate for others. If seeking traditional talk therapy, also known as psychotherapy or • Inquire counseling, there are a number of as to the experience possibilities, including clinical or level in counseling psychologists, social treating workers, counselors or family individuals therapists. The terms “therapist” with similar and “counselor” are often used problems interchangeably and sometimes highlight • Make sure the level of education or credentialing. they’re Psychotherapy might not work licensed to for everyone and alternative methods practice in your state including animal-assisted psychotherapy or somatic therapy might be healing

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Must ask!

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Types of Counseling

Psychotherapy versus Psychological Counseling Counseling is often more short-term than therapy and focuses on specific issues—it’s designed to help a person address a particular problem, such as stress management. The focus may be on problem solving or on learning specific techniques for coping. Psychotherapy is more long-term and focuses on a broader range of issues.

options to consider. Another alternative is e-therapy via video conferencing or through services on an app, such as Talkspace which essentially puts a licensed therapist in your pocket.

SENIOR RESOURCE GUIDE

HOUSTON EDITION

Jot down any reminders, questions or findings.

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hat w w o n K to ask

DURING HOSPITAL DISCHARGE

y asking the right questions and taking an active role in your loved one’s care, you can bridge the gap that patients typically experience when transferring from one care setting to another, which is one of the top causes for hospital readmission. What care or therapies are needed after discharge? i.e. home health, outpatient therapy, rehab/skilled nursing, etc.

What is the average length of recovery time? Which doctor appointments are needed after discharge and when should they be scheduled?

SENIOR RESOURCE GUIDE

4 5

Can you show me how to do tasks that require special skills? i.e. changing a bandage, giving a shot, wheelchair transfers, etc. If we need help with these tasks, who do we contact?

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Will my loved one be safe at home upon discharge or will someone need to be with them 24 hours a day? Keep in mind dressing, bathing, cooking and housework.

HOUSTON EDITION

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6 7

9 10 11 12

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What problems, symptoms and side effects should we watch for? May we have the latest list of prescribed medications? What does each medicine do and why is it needed? What are the medication dosages, conflicts and side effects? Who should we contact with questions about the medications? What medical equipment is needed? i.e. walker, oxygen, etc. Who will arrange for this? Are there any activity restrictions and for how long? Are there any dietary restrictions? What are our options for when/where my loved one is being discharged?

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My Questions

Jot down any questions or thoughts.

We Care

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ur o y w Kno options

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CHOOSING THE RIGHT REHABILITATION CENTER

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any families aren’t aware that they have choices regarding where to complete rehabilitation and that it can take place in a variety of settings, including in the home. The most important factor in determining where to complete rehabilitation is to find a setting that will reduce the risk of hospital readmission while helping your loved one regain their strength and confidence as quickly as possible.

THINGS TO CONSIDER WHEN SELECTING A REHABILITATION CENTER • Determine whether the rehab center can provide short- or long-term rehabilitation as needed. Some only provide short-term. • Try to visit several to be able to compare and contrast. • Ask to see patient rooms and common living spaces to evaluate the levels of cleanliness, comfort and privacy that residents have.

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•

Ask if both private and shared rooms are available.

•

Check out the dining options and menus.

•

Visit the community areas to find out about social events and activities designed to keep residents engaged and entertained.

•

Ask for information about your loved one’s specific rehab program.

•

Ask if the person who is administering the rehab program is an employee or outsourced and if possible, try to meet them.

•

Ask about the availability of specialized staff, with regard to you or your loved one’s specific needs.

•

Inquire about a personalized care plan and get actual details about it in advance.

•

Ask to see their most recent “Satisfaction Survey” results and statistics on benchmarked outcomes.

SENIOR RESOURCE GUIDE

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Notes

Rehabilitation, like dancing, works best when you choose the right partner. After his wife suffered a stroke, Joe knew she needed the right rehabilitation to dance again. That’s why he did the research and chose Encompass Health, where an experienced team used personalized therapy and advanced technology to help Francine return to the life she loved.

Find out more at encompasshealth.com/houstonrehab. Encompass Health Rehabilitation Hospital of Cypress 13031 Wortham Center Drive • Houston, TX 77065 Encompass Health Rehabilitation Hospital of Humble 19002 McKay Drive • Humble, TX 77338 Encompass Health Rehabilitation Hospital of Katy 23331 Grand Reserve Drive • Katy, TX 77494 Encompass Health Rehabilitation Hospital of Pearland 2121 Business Center Drive • Pearland, TX 77584 Encompass Health Rehabilitation Hospital of Sugar Land 1325 Highway 6 • Sugar Land, TX 77478 Encompass Health Rehabilitation Hospital The Vintage 20180 Chasewood Park Drive • Houston, TX 77070 Encompass Health Rehabilitation Hospital Vision Park 117 Vision Park Boulevard • Shenandoah, TX 77384 Encompass Health Rehabilitation Hospital of The Woodlands 18550 IH 45 South • Conroe, TX 77384

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making the right choice

FOR YOUR LOVED ONE’S REHABILITATION SERVICES

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fter a loved one experiences a debilitating illness or injury such as a stroke, hip fracture or spinal cord injury, where you choose to do rehabilitation will make a difference in their independence and quality of life. However, most people don’t begin their research until they’re in the hospital and are faced with the life-changing decision. With many types of health care facilities, the below tips can help you compare availability of services, personnel, approach to delivery of patient care and patient outcomes.

REHABILITATION FACILITIES AND NURSING HOMES ARE DIFFERENT The amount of intensive therapy hours provided at each type of facility varies. Be sure to ask important questions before making your choice such as: •

How much therapy will the patient receive?

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ASSISTED LIVING

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SENIOR RESOURCE GUIDE

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HOUSTON EDITION

346-385-0123 SterlingOaksALF.com

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•

Are the programs customized to meet the specific needs of the patients? • During the stay, how many visits will a physician make to assess the patient’s needs? • Are members of the patient’s care team specialized in rehabilitation?

DO THE COMPARISON Make sure to compare the years of service, types of specialty programs offered, patient satisfaction, national clinical ratings and patient clinical outcomes among facilities. In addition, The Joint Commission awards many Disease-Specific Care (DSC) Certifications for rehabilitation programs that demonstrate compliance with national health care standards in quality and safety. Ultimately, the provider chosen should strive to help your loved one achieve the highest level of independence possible. Educate yourself as your choice can make a difference in the patient’s life post-illness or injury.

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TAKE A TOUR Before you make a decision, make an appointment to take a tour of the place. Look for cleanliness, smell for odors and ask to see therapy areas and equipment. Will they incorporate advanced technologies into the patient’s therapy? Also, talk with the providers and find out how familiar the team is with the patient’s condition being treated.

Access this article in our Caregiver Toolkit at srgtexas.com/getcaregivertoolkit and share it with a fellow caregiver.

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MAKING THE RIGHT SENIOR HOUSING CHOICE

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here are about 22,000 senior housing properties in the U.S. so figuring out which one to choose can feel a bit daunting. Asking yourself the following questions will help you narrow your range of choices so you can find the best fit for your loved one’s lifestyle and budget: How much can they afford and what level of services do they need? You may think senior living is expensive. But a lot of people are surprised at how favorably costs compare to home ownership. First, figure out how much it costs them to stay in their home. Even if they’ve paid off their mortgage, they still have homeowner’s expenses such as ongoing home maintenance issues, as well as expenses for utilities, taxes, groceries, dining out, entertainment, etc. Next, take all their financial resources into account. In addition to income and assets, this includes, retirement investments or other pension benefits. Once you collect this information, you can establish a budget and an amenities wish list. Once you do, you’ll be much closer to finding the senior living lifestyle that’s best for your loved one.

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SENIOR LIVING

TYPES OF RESIDENTIAL CARE FOR SENIORS INDEPENDENT LIVING

ASSISTED LIVING COMMUNITIES

DESCRIPTION

Single family homes or townhomes for self-sufficient seniors that offer the security and social activities of a community living environment.

Communities, typically of 2-3 story apartments, that provide 24 hr assistance with activities of daily living such as eating, bathing, and using the bathroom, but not 24 hr medical services.

SERVICES

• Laundry/linen service • Meals • Transportation • Social activities

• Laundry/linen service • Meals • Transportation • Social activities • Bathing/Dressing • Toileting • Housekeeping • Medication assistance • Security and emergency calls

REGULATION

Not Regulated

State Regulations

ALSO KNOWN AS

Retirement Communities, Retirement Homes, Senior Apartments, Senior Housing, Senior Living Communities, Active Adult Communities

Assisted Living Facilities, Personal Care Homes, Eldercare Facilities, Domiciliary Care, Board and Care, Residential Care Facilities, Community-Based Retirement Facilities, Adult Living Facilities, Adult Foster Care, Sheltered Housing, Community Residences, Group Homes, Adult Family Homes

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NOTE – there are more luxury communities that have all the amenities of country clubs.

APPROXIMATE Market rate to rent or buy a COSTS home plus community fees from $700 – $6,000/month.

$2,844 – $9,266/month Avg cost in Texas is $3,795 – source Assisted Living Research Institute

SENIOR LIVING

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• Laundry/linen service • Meals • Transportation • Social activities • Bathing/Dressing • Toileting • Housekeeping • Medication assistance • Security and emergency calls • 24 hr nursing care • Condition specific care • Hospice/end of life services • Doctors on call

State & Federal Regulations

Some State Regulations

Skilled Nursing Facilities, SNF, Nursing Home CCRCS, Continuing Care, Retirement Facilities, Care and Rehabilitation, Convalescent Life Care Facilities, Life Care Communities, Life Hospital, Rest Home Plan Community

$4,639 – $12,623/month

Varies with breadth of services required.

Campus-like communities that provide a continuum of care, from private residences to assisted living and skilled nursing care; designed for individuals with declining conditions and those that want to remain in a single location.

SENIOR RESOURCE GUIDE

Communities, typically private and shared rooms, which provide 24 hr assistance with activities of daily living and medical care by nurses and therapists.

CONTINUING CARE RETIREMENT COMMUNITIES

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SKILLED NURSING (NURSING HOMES)

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Information courtesy of The American Elder Care Research Organization

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Joint Commission Accredited Licensed Medicare Certified Insured Bonded

WHICH LOCAL SERVICES ARE THE BEST?

Sweienntehres

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SENIOR LIVING

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FEELING CONNECTED AND PURPOSEFUL AT HOME

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SENIOR RESOURCE GUIDE

HOUSTON EDITION

s we age, we require more attention and assistance. It’s up to us to accept the fact our senior loved ones can no longer do things like they could in the past. It’s also up to us to seek out proper care and assistance to help them live a life of dignity and purpose. As seniors experience the milestones of aging, they can often feel lonely. It can be tough to accept that a lot of the things they once knew as the norm are now changing, and often it can seem like it’s happening all at once. Seniors who are isolated in their own homes may start to experience a decline in happiness, which in turn can lead to depression. Depression promotes a lack of motivation to be active and connect with others, which are vital keys to staying healthy and achieving joy. It’s important that we take note of these trends before they start becoming the new standard for each day.

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SENIOR LIVING

Everyone, regardless of age or ability, has a purpose. However, before that purpose can be achieved, they must first become connected to their community, both inside the walls of wherever they call home, as well as the city they live in. Once they make these connections, they will want to become more active—physically, socially, mentally. Only when they become active participants in their community will they gain a higher sense of purpose. Ask yourself—does my home offer my loved one the opportunity to live a connected, active, purposeful and safe life? How much alone time does my loved one experience? What can I do to help my loved one re-engage in a socially active lifestyle?

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•Spacious Apartments & Suites •Chef-prepared Meals •Comprehensive Wellness Programs •Award-winning Assisted Living & Memory Care SUGAR LAND 281.277.0900

PEARLAND 281.997.2500

Lic. #030191

Lic. #12776

13825 Lexington Blvd. Sugar Land, TX 77478

2940 Cullen Parkway Pearland, TX

WESTCHASE MEMORY CARE

281.759.2900 11395 Richmond Ave Houston, TX 77082 Lic. #010308

KATY 281.578.2222

PASADENA 713.941.4663

Lic. #121252

Lic. #000951

21601 Provincial Blvd. Katy, TX 77450

4004 Vista Road Pasadena, TX

BRAESWOOD MEMORY CARE

713.799.8200 7800 N. Stadium Dr. Houston, TX Lic. #030311

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SENIOR LIVING

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SENIOR LIVING COMMUNITIES in the Greater Houston Area

710 N Main St 77562 713-298-5098

IL Anthology Senior Living Tanglewood 504 Bering Dr 77057 346-800-4990

55+ Augusta Woods

7833 Augusta Pines Dr 77389 281-205-1764

17808 Lakecrest View Dr 77433 832-653-4260

AL Avanti Living at Vision Park MC

120 Vision Park Dr 77384 281-882-3855

SNF Baywood Crossing

5020 Space Center Blvd 77505 713-575-1800

MC Cinco Ranch Alzheimer’s Special Care Center 3206 South Fry Rd 77450 281-599-3334

Key

55+ Active 55+ Community SNF Skilled Nursing

IL Independent Living

AL Assisted Living

MC Memory Care

HOUSTON EDITION

AL ADL Assisted Living Elena Estates

AL Avanti Living at Towne Lake MC

3903 Canterbury Dr 77521 713-298-5098

SENIOR RESOURCE GUIDE

AL ADL Assisted Living

24520 Community Center Dr 77389 281-205-2600

3604 Autumn Ln 77521 713-298-5098

AL Avanti Living at Augusta Pines MC

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SENIOR LIVING

MC Colonial Oaks at Braeswood 7800 N Stadium Dr 77030 713-799-8200

SNF Cypress Pointe Health and Wellness Center 8561 Easton Commons Dr 77095 713-927-3116

AL Colonial Oaks at Katy

AL Evergreen Cottages Bridgewater MC

21601 Provincial Blvd 77450 281-578-2222

21715 Bridgewater Village Dr 77449 281-670-9810

AL Colonial Oaks at Pasadena

4004 Vista Rd 7750 713-941-4663

AL Evergreen Cottages Jasmine MC

AL Colonial Oaks at Pearland

21609 Provincial Blvd 77450 281-670-9810

2940 Cullen Pkwy 77584 MC 281-997-2500

AL Evergreen Cottages Magnolia MC

AL Colonial Oaks at Sugar Land

13825 Lexington Blvd 77478 281-277-0900

MC Colonial Oaks at Westchase 11395 Richmond Ave 77082 281-759-2900

21605 Provincial Blvd 77450 281-670-9810

SNF Fall Creek Rehabilitation & Healthcare Center 14949 Mesa Dr 77396 713-254-1127

SNF Cypress Creek Rehabilitation & Healthcare Center

AL Kingwood Memory & Assisted Living MC

13600 Birdcall Ln 77429 832-808-1384

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911 Southern Hills Rd 77339 281-892-1400

Key

55+ Active 55+ Community SNF Skilled Nursing

IL Independent Living

AL Assisted Living

MC Memory Care

Honoring the Experience of Aging Since 1986 Cinco Ranch Alzheimer’s Special Care Center 3206 S Fry Rd Katy, TX 77450

Call for a Specialized Tour

281-599-3334 willowforkalz.com

Willow Fork Alzheimer’s Special Care Center 24024 Westheimer Pkwy Katy, TX 77494

Call for a Specialized Tour

281-392-2050 cincoranchalz.com

Our Exclusive Meaningful Moments® program is specifically designed to help meet the needs of those Residents with memory loss. By adding details and preferences from each Resident’s life story into their day, we can build comfort and a sense of meaning for each individual Resident. Our Meaningful Moments® program, paired with our active and engaged staff members at JEA Senior Living, brings together the very best Alzheimer’s care.

Serving the Katy area

Helping your family as Dementia Care Expert Partners

MID PHASE

SENIOR LIVING

SNF Mont Belvieu Rehabilitation & Healthcare Center

SNF Sylvan Shores Health and Wellness Center

14000 Lakes of Champions Blvd 77523 832-669-3900

3950 Underwood Rd 77571 832-861-6900

MC The Auberge at Cypresswood

IL Park Creek Independent Living

10225 Cypresswood Dr 77070 281- 955-0880

16718 Huffmeister Rd 77429 281-607-0519

MC The Auberge at Kingwood 22955 Eastex Fwy 77339 281-312-2526

SNF Park Manor of Humble 19424 McKay Dr 77338 281-961-0954

MC The Auberge at Sugar Land

SNF RollingBrook Rehabilitation & Healthcare Center

1221 Seventh St 77478 281-277-1221

750 Rollingbrook Dr 77521 832-572-7575

MC The Auberge at Vintage Lake 10120 Louetta Rd 77070 832-761-7632

SNF Rosenberg Health & Rehab Center

MC The Auberge at The Woodlands

1419 Mahlmann St 77471 281-342-0065

7950 Bay Branch Dr 77382 281-681-8000

AL Sterling Oaks Assisted Living Memory Care MC

AL The Fountains Assisted Living

505 North Clear Creek Dr 77546 346-385-0123

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1101 E Second St 77480 979-548-1524

Key

55+ Active 55+ Community SNF Skilled Nursing

IL Independent Living

AL Assisted Living

MC Memory Care

Age Well Live Well BE INFORMED. “Understanding what options are available helps me make the right decisions.”

Find the services and programs you need at http://bit.ly/seniorguide19

MID PHASE

SENIOR LIVING

SNF The Lakes at Texas City

AL Total Loving Care Inc II

AL The Landing at Augusta Woods IL

AL Total Loving Care Inc III

424 Tarpey Rd 77591 409-938-8431

7727 Augusta Pines Dr 77389 346-707-3867

AL The Legacy at Falcon Point MC

1520 Katy Gap Rd 77494 281-394-0628

AL The Legacy at Long Meadow MC

10403 Mason Rd 77406 832-353-2800

AL The Park at Bay Area

23374 Johnson Rd 77357 281-399-8377 23315 Johnson Rd 77357 281-543-5037

SNF Trinity Rehabilitation and Healthcare Center 314 E Caroline St 936-744-1300

AL VibraLife of Katy Rehabilitation Center SNF 1222 Park W Green Dr 77493 346-762-6300

SNF West Houston Rehab & Healthcare

5000 Space Center Blvd 77505 832-574-5523

13428 Bissonnet St 77083 713-351-4300

SNF Tomball Rehab & Nursing

MC Willow Fork Alzheimer’s Special Care Center

815 N Peach St 77375 281-351-5443

24024 Westheimer Pkwy 77494 281-392-2050

AL Worthington Manor Coming Soon MC

23370 Johnson Rd 77357 281-399-3718

1999 Lakes of Wedgewood Dr 77304 936-213-0550

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AL Total Loving Care Inc

Key

55+ Active 55+ Community SNF Skilled Nursing

IL Independent Living

AL Assisted Living

MC Memory Care

Healing in Motion Experience a community where compassion and residents’ needs are a priority. Skilled Nursing • Long-Term & Short Term • Respite Care Call today for a tour and more information! We accept Medicare, Medicaid, Medicaid Pending and some insurances.

Ph: 281-902-4152 • Fax: 281-902-4153 • Admissions: 713-254-1127

Healing in Motion

We accept Medicare, Medicaid, Medicaid Pending and some insurances.

Ph: 281-477-7771 • Fax: 281-477-7773 • Admissions: 832-808-1384 13600 Birdcall Lane, Cypress, Texas 77429

Skilled Nursing • Long-Term & Short Term • Respite Care Call today for a tour and more information!

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Experience a community where compassion and residents’ needs are a priority.

SENIOR RESOURCE GUIDE

CYPRESS CREEK

HOUSTON EDITION

14949 Mesa Drive, Humble, Texas 77396

Delivering premier healthcare services through dedicated and compassionate employees, while accommodating the individual needs of our patients.

SKILLED NURSING • REHABILITATION • RESPITE Call admissions today for a tour and more information. Admissions:

281-961-0954|Facility: 281-319-4060|Fax: 281-709-6296 19424 McKay Drive, Humble, TX 77338

Let us be your solution for

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SPECIALIZED DEMENTIA CARE! Our Exclusive Meaningful Moments® program is specifically designed to help meet the needs of those Residents with memory loss. By adding details and preferences from each Resident’s life story into their day, we can build comfort and a sense of meaning for each individual Resident.

CALL TODAY TO SCHEDULE A TOUR 11200 Discovery Bay, Pearland, TX 77584 832-509-1599 • www.creeksidealz.com

Helping your family as Dementia Care Expert Partners

SENIOR LIVING

questions to ask

MID PHASE

hat w w o n K to ask

WHEN LOOKING FOR AN ASSISTED LIVING FACILITY

If there is a waiting list, how many are on it and what is the policy? What are the billing and payment policies and procedures? Is there a security deposit and is it refundable?

Is there an initial assessment prior to admission?

HOUSTON EDITION

What kind of experience and training does the staff possess?

SENIOR RESOURCE GUIDE

2 3 4 5 6

What is the staff-to-resident ratio during the day, at night and on weekends?

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tart with a visual assessment of both the inside and outside. Also, note if the residents are engaged in activities or just sitting.

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SENIOR LIVING

What and how much are additional services not included in the monthly fee? What additional services are available if resident’s needs change? What is the discharge policy? What off campus excursions are provided and how often? Are happy hour activities provided? Is Wi-Fi available and if so, where on the campus? Are there safety locks on the doors and windows? Is there an emergency generator or alternate power source? Are transportation services provided or a parking lot for the resident’s vehicle? What is the pet policy? Is rehab offered on campus? Can special dietary needs be accommodated? What is the meal program? Does the residence offer worship services?

Inspired Living...

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Our communities are speciﬁcally designed to nurture activity, exercise, dining and restful opportunities as well as engaging and purpose ﬁlled activities that stimulate personal abilities.

The Auberge at Cypresswood

10225 CYPRESSWOOD DR, HOUSTON 77070

281-955-0880

The Auberge at Vintage Lake 10120 LOUETTA RD, HOUSTON 77070

832-761-7632

The Auberge at Kingwood

22955 EASTEX FWY, KINGWOOD 77339

281-312-2526

The Auberge at Sugar Land 1221 7TH ST., SUGAR LAND 77478

281-277-1221

The Auberge at The Woodlands

7950 BAY BRANCH DR., THE WOODLANDS 77382

281-681-8000

aubergeseniorliving.com

ASSISTED LIVING – RESPITE CARE

VibraLife of Katy features state-of-the-art, short-term skilled rehabilitation and an affordable assisted living community for long-term care needs.

SCHEDULE YOUR TOUR TODAY 346-762-6300

1222 Park West Green Drive • Katy, Texas 77493 www.vibralifekaty.com

SENIOR LIVING

questions to ask

MID PHASE

hat w w o n K to ask

WHEN CONSIDERING SKILLED CARE

What amenities are private pay? Is Wi-Fi available and if so, where on the property? Are there safety locks on the doors and windows?

HOUSTON EDITION

What happens when the Medicare reimbursement runs out?

3 4 5 6

Does the same team of nurses and certified nursing assistants (CNAs) work with the same resident all week?

SENIOR RESOURCE GUIDE

What is the staff-to-resident ratio during the day, at night and on weekends?

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Is there an emergency generator or alternate power source? What is the evacuation plan should it be necessary? What is the pet policy? Can special dietary needs be accommodated? Do residents have a choice of food items at each meal? Are the meals prepared on-site or off-site? What is the policy for residents eating in their rooms? Does the residence offer worship services? Is there a functioning security system? Are there pharmacy, lab, dental or x-ray services available on-site? Are they Medicare and/or Medicaid certified? Is abuse prevention training and background checks a requirement for all staff? How often are residents bathed? What special services can be provided if needed, such as on-site rehab, therapeutic whirlpool baths, ventilators, hospice, etc.?

A Unique and Personalized Approach to Memory Care

Safety and care are our top priorities! With new CV19 sanitation and precautions in place, our highly trained caregivers are making sure your loved one receives the best care possible in the safety of a well sanitized community Family owned and operated Highly trained staff to care for those with a range of memory loss Small-scale community with the comforts of home while providing security and peace of mind

Rest assured - Your Loved One will LOVE Living Here

Come by and see how we’re improving the lives of those we care for. 281.892.1400

KingwoodMemoryCare.com

Experience a facility where compassion is paramount and residents’ needs are priority.

Healing in Motion ROLLINGBROOK REHABILITATION & HEALTHCARE CENTER

Skilled Nursing • Long-Term & Short Term • Respite Care Call today for a tour and more information! We accept Medicare, Medicaid, Medicaid Pending and some insurances.

phone: 832-572-7575 • fax: 832-572-7591 • RollingBrookRehab.com 750 Rollingbrook Drive Baytown, TX 77521

Skilled Nursing • Long-Term & Short Term • Respite Care Call today for a tour and more information! Phone 713-351-4300 | Admissions: 713-858-5509 | Fax: 713-351-4301

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Experience a community where compassion and residents’ needs are a priority.

SUMMER 2021

Healing in Motion

We accept Medicare, Medicaid, Private Pay, Respite and some insurances.

13428 Bissonnet, Houston, Texas 77083

SENIOR LIVING

MID PHASE

This content is proudly provided by

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LOOKING AT SKILLED NURSING OPTIONS relying on your

5 senses

SENIOR RESOURCE GUIDE \\

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SIGHT • Is the curb appeal and grounds well-kept and is the facility clean? • Do the residents look well-groomed? Do the residents look happy? • Were residents engaged in activities during your visit?

HOUSTON EDITION

significant tool for caregivers searching for a skilled nursing facility? Your five senses. Often unrecognized, our senses are hard at work gathering powerful information from our environment. Tapping into this when touring a facility can help you make informed decisions about which is the best fit for your loved one. Whether you’re planning ahead or need to make an unexpected decision, this tip sheet from Pillar Stone Healthcare Company will help heighten your awareness by breaking down exactly what questions you should be asking yourself when selecting a skilled nursing facility.

MID PHASE

SENIOR LIVING

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SMELL • Are you greeted with unpleasant odors as you enter the facility? • Does the facility smell clean and fresh? • Do you smell food being prepared, cookies, popcorn and other pleasant smells? HEARING • Are you hearing joyful sounds in the facility? (singing, music, positive staff interactions) • Are call lights being answered timely? • Is the facility calm and peaceful sounding or is it unsettling and flooded with noise?

For the full list of questions to ask yourself when selecting a skilled nursing facility, visit srgtexas.com/getcaregivertoolkit

We embrace and appreciate the opportunity to care for your loved one.

Baywood Crossing

rehabilitation & healthcare center 5020 Space Center Blvd. • Pasadena, TX 77505 www.baywoodcrossing.com • Phone: 713-575-1800 • Fax: 713-575-1801

5020 Space Center Boulevard 5020 Space Center Blvd.

Pasadena ••713-575-1800 PASADENA 713-575-1800

Mont Belvieu rehabilitation & healthcare center

The Park at Bay Area Enhanced Assisted Living 5000 Space Center Blvd. • Pasadena, TX 77505

www.parkatbayarea.com • PH: 281-721-2500 • Fax: 832-770-4362 5000 Space Center Boulevard 5000 Space Center Blvd.

Pasadena••281-731-2500 281-731-2500 PASADENA

License #307855 Alzheimer’s Alzheimer’sCert# Cert# 104746 License #307855 104746

Trinity rehabilitation & healthcare center

314 East Caroline Street 314 East Caroline Street TRINITY Trinity• •936-744-1300 936-744-1300

314 E. Caroline St. • Trinity, TX 75862 www.trinityrhc.com • Phone: 936-744-1300 • Fax: 936-744-0263

All Centers comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex.

LATE PHASE

UNDERSTANDING HOSPICE

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ospice care is a philosophy of care that accepts dying as a natural part of life. When death is inevitable, hospice seeks neither to hasten nor postpone it. Hospice provides care, comfort and support for persons with life-limiting conditions as well as their families.

HOW DOES HOSPICE WORK? Hospice care is for any person who has a life-threatening or terminal illness. All hospices consider the patient and family together as the unit of care. Most reimbursement sources require a prognosis of six months or less if the illness runs its normal course. Patients with both cancer and non-cancer illnesses are eligible to receive hospice care. The majority of hospice patients are cared for in their own homes or the homes of a loved one. “Home” may also be broadly construed to include services provided in nursing homes or hospitals. Typically, a family member serves as the primary caregiver and when appropriate, helps make decisions for the hospice patient. Members of the hospice staff make regular visits to assess the patient and provide additional care or other services. Hospice staff is on call 24 hours a day, seven days a week. Medicaid or a private insurance company, hospices will work with the person and their family to ensure needed services can be provided.

SENIOR RESOURCE GUIDE \\

HOW IS HOSPICE PAID FOR? Hospice is paid for through the Medicare Hospice Benefit, Medicaid Hospice Benefit and private insurers. If a person doesn't have coverage through Medicare, Medicaid or a private insurance company, hospices will work with the person and their family to ensure needed services can be provided.

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WHO IS THE HOSPICE TEAM? Hospice care is a family-centered approach that includes, at a minimum, a team of doctors, nurses, social workers, counselors, and trained volunteers. They work together focusing on the patient’s needs; physical, psychological or spiritual. The goal is to help keep the patient as pain-free as possible until death. The hospice team develops a care plan that meets each patient’s individual needs for pain management and symptom control.

HOUSTON EDITION

LATE PHASE

WHO IS ELIGIBLE FOR MEDICARE HOSPICE BENEFITS? Hospice care is covered under Medicare Part A (hospital Insurance). You are eligible for Medicare hospice benefits when you meet all of the following conditions: •

You are eligible for Medicare Part A (hospital insurance) Your doctor and the hospice medical director certify that you are terminally ill and probably have less than six months to live • You sign a statement choosing hospice care instead of routine Medicare covered benefits for your terminal illness • And you receive care from a Medicare-approved hospice program. •

Please note: Medicare will still pay for covered benefits for any health problems that aren’t related to your terminal illness.

WHAT DOES MEDICARE COVER? Medicare covers these hospice services and pays nearly all of their costs: •

Doctor services and nursing care Medical equipment (like wheelchairs or walkers) • Medical supplies (like bandages and catheters) • Drugs for symptom control and pain relief • Short-term hospital care, including respite and inpatient for pain/symptom management • Home health aide and homemaker services • Physical, occupational and speech therapy • Social work services and dietary counseling • Grief support to help you and your family

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•

Please note: You will only have to pay part of the cost for outpatient drugs and inpatient respite care.

LATE PHASE

Hospice Resources

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RESPITE CARE AND MEDICARE Respite care is care given to a hospice patient by another caregiver so that the usual caregiver can rest. As a hospice patient, you may have one person who takes care of you every day, like a family member. Sometimes your caregiver needs someone to take care of you for a short time while they do other things that need to be done. During a period of respite care, you might be cared for in a Medicare-approved facility, such as a hospice residential facility, hospital or nursing home.

HOUSTON EDITION

THE MEDICARE HOSPICE BENEFIT DOES NOT COVER THE FOLLOWING: • Caring Connections • Treatment intended to cure your caringinfo.org terminal illness. You should • Hospice Link talk with your doctor if you 1-800-331-1620 are thinking about potential • National Hospice and treatment to cure your illness. Palliative Care Helpline • Medications not directly related 1-800-658-8898 to your hospice diagnosis. • Texas and New Mexico Hospice Organization Hospice team members will 1-800-580-9270 consult with the hospice physician and will inform you and your family which drugs and/or medications are covered and which ones are not covered under the Medicare Hospice Benefit. • Room and board aren’t covered by Medicare. You may receive hospice services wherever you live, even in a nursing home, however, the Medicare Hospice Benefit does not pay for nursing home room and board.

LATE PHASE

HOW DO I BEGIN RECEIVING HOSPICE? Anyone can inquire about hospice services. You or your loved one may call a local hospice and request services. The hospice staff will then contact your physician to determine if a referral to hospice is appropriate. Another way to inquire about hospice is to talk with your physician, and he or she can make a referral to hospice. Hospice can begin as soon as a ‘referral’ is made by the person’s doctor. As a hospice patient, you always have the right to stop getting hospice care and receive the “traditional” Medicare coverage you had before electing hospice. All care that you receive for your illness must be given by your hospice team.

GREATER HOUSTON AREA

HOSPICE OPTIONS

832-224-4756

Faith Community Hospice 281-422-0414

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Essential Hospice & Palliative Services

Living Waters Hospice 832-723-0420

Local options!

In-Home Skilled Home Health Personal Care Services Hospice Care

Our Mission

855.455.3600 • Elara.com Stafford • Conroe • Pasadena & the Greater Houston Area

LATE PHASE

questions to ask

hat w w o n K to ask

WHEN CHOOSING A HOSPICE PROGRAM

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1 2

3 4 5 6 7

What services are provided? What kind of support is available to the family/ caregiver? What roles do the attending physician and hospice play? How does hospice work to keep the patient comfortable? How are services provided after hours? How and where does hospice provide short-term inpatient care? Can hospice be brought into a nursing home or long-term care facility?

PEACE LOVE COMFORT Giving patients and families a sense of comfort during

end of life. We treat patients from a holistic point of view, emphasizing the importance of the whole person (mind, body, and spirit) and family interdependence.

HOUSTON EDITION \\

srgtexas.com/bestof

SENIOR RESOURCE GUIDE

Sweienntehres

WHICH LOCAL SERVICES ARE THE BEST?

832-723-0420

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23315 Johnson Rd | New Caney, TX 77357 |

LATE PHASE

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Are any of the staff members certified or credentialed in hospice? Do physicians visit the patient in the home? What is the staff-to-patient ratio? Are any alternative therapies provided to manage symptoms? What extras does the hospice provide?

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My Questions

Jot down any questions or thoughts.

we’re PASSIONATE and we CARE.

we’re CAREGIVERS. Essential Hospice & Palliative Services provides comfort, compassion, dignity and peace for patients and their families through end-of-life care.

450 N. Texas Ave, Suite A | Webster, Texas 77598

832-224-4756 | essentialhospice.com

CHAP (Community Health Accreditation Partner), Member of Texas and New Mexico Hospice Organization, Woman-Owned

“To Comfort Always”

Baytown Area’s First Locally Owned and Operated Freestanding Hospice

srgtexas.com/getcaregivertoolkit

SENIOR RESOURCE GUIDE

Start Here

Navigate the challenges of an aging loved one with the right tools.

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Serving Harris, West Chambers, Liberty, Brazoria and Galveston Counties 4721 Garth Rd., Suite H, Baytown 281-422-0414 • 1-877-422-0414 • www.faithcommunityhospice.com

HOUSTON EDITION

Faith Community Hospice, LLC

LATE PHASE

STEPS TO TAKE AFTER THE PASSING OF A LOVED ONE

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hen a loved one passes, it can often seem like the world has fallen off its axis. You no longer know which way is up or down, and while coping with grief, you’re forced to address pieces of their life that must be closed out. The process of taking care of final affairs after the death of a parent, spouse, friend or other loved one who you provided care for can seem overwhelming. We understand, which is why we’ve created a checklist outlining step by step what to do after someone passes, so you can spend more time focusing on healing. In the weeks following the death, you’ll want to begin closing out accounts and buttoning up any unfinished affairs. Tackle the tasks that are most meaningful for you and be comfortable delegating the rest to others.

STEPS TO TAKE WITHIN A FEW WEEKS: • Procure certified copies of the death certificate when it becomes available. You’ll need at least 10-15 copies to provide to entities such as banks and government agencies. •

Find the will (if there is one) and figure out who the executor is. This will be the person in charge of settling the estate in the days going forward, and they’ll need to be involved in all estate decisions hereafter.

LATE PHASE

•

Take the will to probate so it can be executed appropriately.

•

Cancel any services that your loved one may have had, such as magazine subscriptions, regular house deliveries, Netflix, Hulu, etc. You’ll also need to close out any credit card accounts and cancel their driver’s license so it can no longer be used. Make sure to also cancel any insurance services, such as home or car insurance.

•

Close out any remaining online accounts, such as social media pages (these can be memorialized if you’d like) and email inboxes.

There’s more of this article in our free Caregiver Toolkit. To discover more critical steps, visit srgtexas.com/getcaregivertoolkit

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Next Steps

SENIOR RESOURCE GUIDE

As part of the financial steps after the death of a parent, A court-supervised contact necessary agencies proceeding designed such as a CPA (certified to officially prove a public accountant) and will’s validity estates attorney. These aren’t necessarily required, but they do smooth the process and make the legal side of things more manageable.

HOUSTON EDITION

Probate

•

LATE PHASE

PREPARING & PRESENTING A EULOGY By John B. Earthman

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he purpose of a eulogy is to acknowledge and share information about a person’s life. It’s a great honor for someone to present and it’s an important part of the grieving process for the presenter, as well as the audience. A good place to start is to make a list of thoughts and memories you’d like to share. While others might not be comfortable or able to give their own eulogy, they might find great comfort in sharing memories with you that you could incorporate into the eulogy. Things you might include are stories, quotes, expressions of love or prayers—all of which can be delivered in a serious or humorous manner depending on what you feel is appropriate. In an effort to have the audience connected and involved in your tribute, the eulogy can be compiled from private memories that your audience might not be aware of as well as personal traits and details of the loved one that all will remember. You’ll want to include any accomplishments or honors no matter how big or small that were especially important to your loved one. Memories shared should always acknowledge the person in a positive manner and recognize them for who they were accurately. Once you’re ready to write the eulogy, decide on how you’ll begin, then pick the main thoughts and memories that you wish to share and finally determine how you’ll close. You need to

LATE PHASE

Remember

properly introduce yourself when you begin and have a summarizing statement to share when you close. You can read from your notes, but practice Nothing has to giving the eulogy and change make sense right any part that doesn’t feel like natural conversation in your now, you have time own words. to process what’s Presenting a eulogy can happening. cause great anxiety. Stopping at any time to collect your thoughts or emotions and then continuing when you’re ready is understandable and acceptable. If you decide that you can’t continue, simply skip to your final statement. It’s the message about the impact of your loved one that’s important, not the delivery, so just be yourself.

HOUSTON EDITION \\

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Thoughts

Is there a story about your loved one you’d like to tell? Jot down any ideas, reminders or notes.

LATE PHASE

7 items to consider when

PLANNING A CELEBRATION OF LIFE

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eing in charge of planning your loved one’s end-of-life tribute is an important undertaking. How can you honor a person very dear to your heart— and the hearts of others—in a special way without it being a somber occasion? Hosting a celebration of life. This style of observance focuses on the joyous memories of how your beloved touched countless lives throughout their years. If you’re planning this type of celebration for your loved one who has recently passed, or you simply want to plan ahead for the future, here’s a list to ensure you check off all the boxes!

1. CREATE AN INVITE LIST + DISTRIBUTE IT. Think of family, friends (new and old) and others in their life that they loved. Once the list is created, consider sending out the information via email, private Facebook event, printed invitation or phone call. 2. BOOK A VENUE. Choosing the right location can be challenging. Consider hosting the celebration at a park, faith-based community center or a place that held special meaning to your loved one. Then, decide if there’ll be a virtual aspect of the event to allow attendance from those who aren’t in close proximity to the location.

LATE PHASE

3. SET A TIME. Will this take place during the week or on the weekend? Will it be in the evening after work or early in the afternoon? Pick a time that works best for you and your family and understand that it doesn’t have to take place right after the passing of your loved one. If you’re wanting to wait a few days, weeks, or months, that’s okay. 4. INCORPORATE PERSONAL TOUCHES. Adding features that are unique to your loved one will make the celebration even more memorable. This could be having a special theme such as a luau because they loved Hawaii or wearing purple because it was their favorite color. The number of ideas is endless, and the sentimental factor will touch everyone in attendance.

SENIOR RESOURCE GUIDE

Remember, it’s a celebration for your loved one. Share wholesome experiences, laugh at funny stories and cry if you need to. Don’t hold back your emotions; be comforted knowing that your loved one is leaving this world with a beautiful commemoration.

7. GATHER PHOTOS AND CREATE A SLIDESHOW. Sharing a slideshow of images and videos of your loved one can be impactful. Pull together the memories with family and friends and have your loved one’s favorite songs playing in the slideshow background.

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6. SERVE REFRESHMENTS. You don’t have to provide an entire meal; however, serving some appetizers and drinks is appreciated. Whether you choose to do this buffet or potluck style, create a spread that fits within your budget. Also consider offering alternative options for those with dietary restrictions.

HOUSTON EDITION

5. DESIGNATE SPEAKERS. Asking a few people to share stories about your loved one is the focal point of the celebration. After all, storytelling can be the best way to make everyone feel connected. Encourage opening the floor to others once the designated speakers are done.

SENIOR

HOUSTON EDITIO N

SUMMER 2021

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16718 Huffmeister Road Cypress, TX 77429 ParkCreekActiveLiving.com

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SPECIALIZED REHABILITATION PROGRAMS • OUTPATIENT THERAPY CLINICS OUTPATIENT PULMONARY REHAB CLINIC

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SPECIALIZED REHABILITATION PROGRAMS OUTPATIENT THERAPY CLINICS OUTPATIENT PULMONARY REHAB CLINIC

u 110 E. Medical Center Blvd. Webster, TX 77598 Main: 832.224.9500 Certificate of Distinction for Stroke Rehabilitation

ut 655 E. Medical Center Blvd. Webster, TX 77598 Main: 281.286.1500

ut 18839 McKay Blvd. Humble, TX 77338 Main: 281.964.6600

Certificate of Distinction for Stroke and Pulmonary Rehabilitation

Therapy ▼ Outpatient Pulmonary Rehab Rehab KEY: ◆uOutpatient Outpatient Therapy t Outpatient Pulmonary

Senior Resource Guide Houston (Summer 2021)

Articles inside

7 Items to Consider

Understanding Hospice

Looking at Skilled Nursing Options

Steps to Take After the Passing of a Loved One

Feeling Connected and Purposeful at Home

Types of Residential Care for Seniors

Making the Right Choice for Your Loved

Making the Right Senior Housing Choice

Choosing the Right Rehabilitation Center

What Type of Mental Health Professional is

Care Transitions

Signs Not to Ignore Dementia Versus

Tips for Effective Alzheimer’s

Anxiety Reducing Drink Recipe

Homemade Turmeric

Five Vital Tips to Help Deal with Caregiver Stress

Mind. Body. Strength A Holistic Approach to Overall Health

Steps to Take After a Memory Issue is Recognized

How to Address

Home Care vs Home

When Do You Need

Five Must-Have Legal Documents

Make the Most of

Mobile Care

Understanding Medicare: Parts, Plans and Meeting Your Needs

Ombudsmen are

Warning Signs of Unsafe Driving in Seniors