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No "Slip Slidin' Away"

Avoid Winter Driving & Walking Accidents   
With all due respect to singer/songwriter Paul Simon, we all want to minimize slipping and sliding during the winter, whether while driving or walking. Even for those in milder climates, rain and the occasional and unpredictable freezing and snowy weather can present hazardous conditions. The best defense is to be sure that you and your vehicle are properly prepared for safe walking and driving at all times, especially during challenging weather.  

Prepare Your Vehicle
Winterize your vehicle by checking tire pressure, inspecting belts and hoses, ensuring that the battery is fully charged, changing the oil and switching to a thinner grade for better performance in colder temperatures, and inspecting wipers and wiper fluid for good visibility.

If you live in an area that gets heavy snows and you drive frequently, switch to snow tires or carry easy-to-install tire chains. Be sure your headlights are clean and properly adjusted.

Prepare or purchase an emergency road kit to keep in your vehicle. Emergency flares, extra oil and antifreeze, blankets, drinking water, and a cell phone are important basic items to have on hand. Sand or cat litter for traction on ice and a snow and ice scraper are also essential. Learn how to change a flat tire and how to jump start your car (carry a good set of jumper cables) or be sure to have that cell phone nearby in case you need to call for assistance.  

Adjust the mirrors and your head restraint for maximum comfort, safety, and visibility, and do the same when driving a rental car.

Driving Tips for Hazardous Conditions
Check weather forecasts before leaving on a trip to avoid unnecessary surprises. If you anticipate poor weather, build in extra time to allow driving at a slower speed. Travel with your headlights on, especially anytime you are using wipers.

Leave extra space between your vehicle and others since it takes longer to stop on wet or icy roads. Try to stay in the middle lane. Roads tend to be higher in the middle with less chance of standing water. If you do drive through pools of standing water, tap your brake pedal to dry your brake rotors.

Steer gradually when driving on snow and ice; do not make rapid changes in direction. Brake before turning a corner or onto an icy patch; in other words, brake while still driving in a straight line. If you do go into a skid, turn your wheels into the skid and accelerate slightly to regain control of your vehicle. If your car has an anti-lock braking system (ABS) you do not need to pump your brakes to slow down. If you drive an older model vehicle without ABS, you will need to pump the brakes in order to slow down quickly. If you are hydroplaning, steer in a straight line. It is better to skid and go off the road than to overcorrect and flip your car. Just as you should slow gradually, so should you accelerate gradually on wet or slippery roads.  

If you drive only rarely and your skills are not sharp, consider not driving at all in rough weather; ask a friend, relative, or caregiver to take you out to run errands or shop for necessities. If you do plan to drive in poor conditions, practice some safe driving techniques ahead of time. Information and tips, including instructional videos, classes, and a Drivers 65 Plus self-assessment (click the link to download), are available onSeniorDriving.AAA.com.

Minimize Fall Risks
Exercise. Start an exercise program if you do not already have one. Strength and balance are important for preventing falls or minimizing their impact. Exercise does not have to be painful or difficult. Yoga and Tai Chi are two forms of exercise that can be modified to anyone's ability and age and are great for strength and balance. Walking is free and a great form of exercise. Many malls have organized walking clubs, so contact your local mall to find out if there is one near you. Mall walking is a great way to meet people, be protected from the elements and traffic, and feel safe.

Medication Side Effects. Let your doctor know of any over-the-counter medicines you are taking to ensure that they are safe for you. Cold and flu medicines, as well as some herbal remedies, can increase drowsiness and your chances of a driving or falling accident.

Vision. Vision problems can lead to accidents. Have your eyes checked yearly for changes in eyeglass or contact lens prescriptions, as well as for glaucoma or cataracts, which can limit your vision and increase the risk of falls and accidents.
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"Learn About Senior In Home Health Care in South Bend, Indiana

Senior Helpers Provides Many services in the South Bend, Indiana area. We provide a full array of Home Care services for seniors and the elderly living in this beautiful area. Our Home Care Services are provided by bonded and insured employees and all employees pass a National Background check.

If you need Home Care services in Bremen, Bristol, Cromwell, Elkhart, Goshen, Granger, Howe, Lagrange, Lakeville, Ligonier, Middlebury, Milford, Millersburg, Mishawaka, Nappanee, New Paris, Notre Dame, Osceola, Plymouth, Rome City, Shipshewana, South Bend, Syracuse, Topeka, Wakarusa, Wawaka, Wolcottville, and the surrounding areas we are an excellent choice with impeccable references. Home Health Care for your elderly loved ones is never an easy choice but we can promise we will do our best to make it as painless as possible. From our family to yours we sincerely thank you for considering Senior Helpers of South Bend Home Health Care Company.  "

Senior Boom Creates A Demand For Home Health Workers

By Jessica Marcy
WASHINGTON, D.C. - At her home health care agency here, Venus Ray quizzes 65 job applicants assembled before her: Can they cook? Do they know the right way to wash their hands? Can they safely transfer patients into wheelchairs? If they give wrong answers, speak English poorly or — God forbid — forget to turn off their cell phones, she asks them to leave.
By the end of the session, Ray has dismissed 42 of the applicants, almost two-thirds, even though she's in dire need of employees.
Ray is executive director of Health Management Inc., which employs about 410 people, including 395 home health aides. With business booming, she is constantly looking to hire more, and she holds group interviews once or twice a month.
"There's a huge demand, and it's only going to get larger as the years go by," Ray said. With the nation's aging population, she added, many people "will tell you that they are more comfortable in their home."
The demand for workers by Ray's company mirrors national trends and is fueled in part by stepped-up efforts to keep seniors and the disabled out of nursing homes. The growth is likely to pick up in coming years as the 2010 federal health law tries to reduce hospital readmissions and expands programs such as Money Follows the Person, which encourages Medicaid recipients to receive care at home.
But experts warn that a shortage of qualified labor is looming. Workers often lack the training and support needed to properly care for patients, and poor working conditions lead to high turnover, experts say. In addition, salaries are low: In 2009, the median national hourly wage for direct-care workers — a term that includes home health aides — was $10.58, substantially below the $15.95 median for all U.S. workers. Nearly half lived in households that received food stamps, Medicaid or other government aid, according to PHI, an advocacy group for direct-care workers.
In addition, experts say, regulations about training and background checks for direct-care workers vary across states, and often leave consumers without adequate protection.
"I see tremendous challenges on the care side and the consumer side," said Peggy Powell, national director of curriculum and workforce development at PHI, which is based in New York. "My fear, my deep concern, is that in this quick switch [to provide care at home], there is the potential for care to get worse and for the direct-care workers' job to get harder, with less support and training."
A Growing Force
There are several types of direct-care workers, and their titles often vary:

• Certified nursing assistants provide basic clinical care such as taking blood pressure and caring for wounds. They also help with the activities of daily living such as eating, dressing and bathing. They usually work in nursing homes or assisted living facilities and have at least the 75 hours of training required by the federal government for positions at a Medicare- or Medicaid-certified facility.
• Home health aides provide similar care but in private homes and under the supervision of a nurse or therapist. If they're employees of a home care agency, these aides also may need at least 75 hours of training because the federal requirement extends to agencies that serve Medicare and Medicaid patients.
• Personal care aides work in the home and help with everyday activities such as bathing and also perform light housekeeping and cooking chores. There are no federal requirements for their training, which is generally minimal. About a quarter of these workers are not employed by agencies, according to PHI.

In some states, certified nursing assistants and home health aides can administer medication, although some states require that they get extra training to do that. Personal care aides cannot.
More than 3.2 million people work in direct care, according to 2008 data from the Bureau of Labor Statistics. That is 52 percent more than in 1998. Jobs in direct care are projected to account for four of every 10 new health-care jobs between 2008 and 2018, according to PHI.
'What's Your Passion?'
Venus Ray begins her group interview by asking: "Why do you want to be a home health care worker? What's your passion?"
Many describe caring for a loved one, while others say they have been drawn to the field by their deep religious faith. Latreaviette Stewart, 21, says she decided to become an aide after caring for her grandmother, great-aunts and her mother's best friend, who recently died of breast cancer. She just completed a home health aide program at the Community College of the District of Columbia.
Pamela Nfor, a 34-year-old aide from Cameroon who has a child with disabilities, says she enjoys seeing how clients, even those who are depressed and can't go out, improve under her care. "I love the job and I hate the money," she tells other applicants, who erupt in laughter.
Emotions run deep during the morning's activities. One West African woman passionately describes how God revealed her vocation to be in home health care after she prayed intensely, while another woman nearly breaks into tears when she's asked to leave after her cell phone goes off. Both women fail to pass the interview process.
Later, Ray said that she once had to dismiss an entire group of 12 applicants after all of their cell phones rang.
The applicants provide a visual snapshot of national trends. Direct-care workers are disproportionately minorities, and 23 percent are foreign-born. Almost 90 percent are female. The average age is 42, but the number of workers older than 55 is increasing rapidly, according to PHI.
To ensure a qualified workforce, experts say, it's important to increase wages, improve training and beef up licensing requirements.
"It's really important to figure out how to build career ladders for these workers so that they can advance and see this as a real career," said Bob Konrad, a researcher at the University of North Carolina at Chapel Hill. "We have to turn these folks into really active and engaged people in the health policy world."
http://www.kaiserhealthnews.org/stories/2011/august/16/direct-care-workers-in-demand-as-seniors-ranks-grow.aspx


"Learn About Senior In Home Health Care in South Bend, Indiana

Senior Helpers Provides Many services in the South Bend, Indiana area. We provide a full array of Home Care services for seniors and the elderly living in this beautiful area. Our Home Care Services are provided by bonded and insured employees and all employees pass a National Background check.

If you need Home Care services in Bremen, Bristol, Cromwell, Elkhart, Goshen, Granger, Howe, Lagrange, Lakeville, Ligonier, Middlebury, Milford, Millersburg, Mishawaka, Nappanee, New Paris, Notre Dame, Osceola, Plymouth, Rome City, Shipshewana, South Bend, Syracuse, Topeka, Wakarusa, Wawaka, Wolcottville, and the surrounding areas we are an excellent choice with impeccable references. Home Health Care for your elderly loved ones is never an easy choice but we can promise we will do our best to make it as painless as possible. From our family to yours we sincerely thank you for considering Senior Helpers of South Bend Home Health Care Company.  "

Seniors Should Take the Time to Research Their Social Security Payments and Healthcare Premiums

Starting at the end of December, millions of Social Security recipients will start to see higher payments due to the cost-of-living adjustment (COLA) increase. On average, recipients will receive an increase of $39 a month. This will benefit seniors over 65 years old, disabled adults and children, and those who meet the financial limits of the Supplemental Security Income program.
COLA is tied to inflation and during 2010 and 2011 inflation was too low to warrant an increase. Before that, increases had been automatic since the adjustment had been enacted in 1975. The increase comes at a critical time for many individuals in the down economy. That said, individuals must balance this increase in payment with how their Medicare Part D premiums might fluctuate in the next year. The open enrollment period for Medicare is until December 7, 2011 to choose a 2012 plan.
Individuals who want to estimate their Social Security benefits can now do so online as the SSA no longer mails statements. The online tool will show the expected Social Security payments based on an individual's 35 highest-earning years in the U.S. workforce. Payouts are reduced if SSI claims are made before full retirement age. And, spouses are eligible for a survivor's benefit when a higher-earning spouse dies.

http://www.forbes.com/sites/bernardkrooks/2011/11/09/seniors-should-take-the-time-to-research-their-social-security-payments-and-healthcare-premiums/


"Learn About Senior In Home Health Care in South Bend, Indiana

Senior Helpers Provides Many services in the South Bend, Indiana area. We provide a full array of Home Care services for seniors and the elderly living in this beautiful area. Our Home Care Services are provided by bonded and insured employees and all employees pass a National Background check.

If you need Home Care services in Bremen, Bristol, Cromwell, Elkhart, Goshen, Granger, Howe, Lagrange, Lakeville, Ligonier, Middlebury, Milford, Millersburg, Mishawaka, Nappanee, New Paris, Notre Dame, Osceola, Plymouth, Rome City, Shipshewana, South Bend, Syracuse, Topeka, Wakarusa, Wawaka, Wolcottville, and the surrounding areas we are an excellent choice with impeccable references. Home Health Care for your elderly loved ones is never an easy choice but we can promise we will do our best to make it as painless as possible. From our family to yours we sincerely thank you for considering Senior Helpers of South Bend Home Health Care Company.  "

Dew Bakker invited you to join her on Google+

Dew Bakker invited you to join her on Google+ Learn more about Google+ The Google+ project is currently working out all the kinks with a small group of testers. If you're not able to access Google+, please check back again soon. Circles The easiest way to share some things with college buddies, others with your parents, and almost nothing with your boss. Hangouts Let friends know you're free for a video hangout, any time, anywhere. Then catch up, watch YouTube, or... just hangout. Sparks A feed of just the stuff you're really into, so when you're free, there's always something waiting to be watched, read, or shared.

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Mean old girls: Seniors who bully

Bullying doesn't always end in high school — it also happens in retirement communities

By Diane Mapes
When Nancy Murphy moved into a retirement community near Portland, Ore., she didn't realize she'd actually traveled back in time.
"I came into breakfast one morning and this woman sitting at a nearby table sees me and says, 'Well, would you look at the new girl? She has WET HAIR!'" says Murphy, a 75-year-old retired schoolteacher. "She did this three mornings in a row. Then I found a flyer in my mailbox with a copy of the house dress rules. I know she tucked it in there."
Murphy, who's lived at the facility just under two months, says she ignores the woman's jabs — "I refer to her as Harriet High School" — but others at the nursing home have confided they're afraid of her.

"I had dinner with two gentlemen the other night and they said she terrifies them," she says. "That she's dictatorial, demanding, critical — classic bully behavior."
While much scrutiny and study has been devoted to bullying in grade school and high school these last few years, less attention has been paid to another category of bullies: those with gray hair, false teeth, hearing aids and canes. But according to experts, gray-haired bullies do exist and, as with their younger counterparts, their behavior can run the gamut from verbal intimidation to physical violence.
"It's kind of an institutional thing," says gerontology expert Robin Bonifas, an assistant professor at Arizona State University School of Social Work, who's currently researching senior-to-senior bullying. "It tends to take place in senior centers or nursing homes or assisted living facilities, places where they're spending a lot of time and need to share resources, whether it's chairs or tables or TV stations or staff attention."
Mary Noriega, a 64-year-old from Phoenix, says she has had run-ins with a group of "mean girls" at the senior complex where she and her husband moved a year and a half ago.
"I've endured a lot of bullying," she says. "There's a clique here of probably 20 women and they feel they control the property. I'm their kicking stone."
Story: Mickey Rooney gets order against bullying stepson
Noriega says the women in the group gossip about her ("One piece of gossip that went around was that we'd been evicted from our last apartment," she says); spread lies about her; discourage other residents from befriending her and give her dirty looks whenever she tries to use community facilities, like the rec room.
"No one should have to deal with the harassment I've endured," she says. "The first six months I lived here, I used to sit in my apartment and just cry. I've never dealt with anybody like this before."
These days, Noriega is gathering evidence ("I've got a briefcase crammed full of information about the harassment I've endured") and is turning to outside agencies like the local city council and ASU's School of Social Work in order to get help for her — and other residents — with the bullying problem.
Age-old problem
This kind of problem is nothing new to Gina Kaurich, an executive director at FirstLight HomeCare, who previously worked as a director of nursing at an assisted living facility outside of Dayton, Ohio, for several years.
"There is, in some regard, a caste system among residents," Kaurich says. "There would be an elitist type of table in the dining room where you had people who could eat and drink and carry on conversations very well together. And if an individual who had trouble eating tried to sit with them, they would ignore them or say, 'Why do you always seem to drop your fork?' They'd speak meanly to them. It was like high school."
Kaurich says even fun activities like singing weren't immune from bully behavior.
"In the recreation room, if somebody didn't participate the way somebody else thought they should, you'd see them get into that person's face," she says. "They'd be literally shaking their finger and saying, 'How dare you call out Bingo when you don't have a Bingo!' or 'How dare you sing that hymn that way!' Even if the person was in a wheelchair, they'd be looking down at them, shaking their finger in their face."
Story: Elderly drivers' brains may be distracted by irrelevant data
Doris Lor, a 76-year-old retired secretary, told the Arizona Republicthat when she moved to an age-restricted retirement community in Chandler, Ariz., her new neighbors yelled at her whenever she walked into the recreation center and refused to let her sit at the club's card tables or community pool.
The bullies were part of a "clique … that is meaner than mean," she says.
Estimated 10 to 20 percent of seniors bullied
There's little published research on elderly bullying, but Bonifas estimates about 10 to 20 percent of seniors have experienced some type of senior-to-senior aggression in an institutional setting, much of it verbal abuse.
Both men and women can bully, she says, but women tend towards passive-aggressive behavior like gossiping and whispering about people when they enter a room while men are more "in your face".
"With men, it's more negative comments directly to the person," she says "With women, it's more behind your back."
But it doesn't always stop at back-biting and bickering. Seniors have also been the victims of violence, she says, sometimes over something as trivial as a coveted spot at the dinner table.
"At one facility where I worked, there wasn't assigned seating so residents would tend to claim ownership at certain tables," she says. "And one time, a woman was sitting at a table having a cup of coffee and another resident came in and saw her seated at 'his' table and started yelling at her. She yelled back. And then he hit her — with his fist."
According to Bonifas, incidents like these are all part of a pattern of behavior.
Dementia and violence
"There's kind of a continuum to this aggressive behavior," she says. "Bullying would be on the lower end of the spectrum and at the higher end, you'll have actual incidents of violence between seniors. They could be hitting each other, kicking each other; there have actually been deaths."

"Learn About Senior In Home Health Care in South Bend, Indiana Senior Helpers Provides Many services in the South Bend, Indiana area. We provide a full array of Home Care services for seniors and the elderly living in this beautiful area. Our Home Care Services are provided by bonded and insured employees and all employees pass a National Background check. If you need Home Care services in Bremen, Bristol, Cromwell, Elkhart, Goshen, Granger, Howe, Lagrange, Lakeville, Ligonier, Middlebury, Milford, Millersburg, Mishawaka, Nappanee, New Paris, Notre Dame, Osceola, Plymouth, Rome City, Shipshewana, South Bend, Syracuse, Topeka, Wakarusa, Wawaka, Wolcottville, and the surrounding areas we are an excellent choice with impeccable references. Home Health Care for your elderly loved ones is never an easy choice but we can promise we will do our best to make it as painless as possible. From our family to yours we sincerely thank you for considering Senior Helpers of South Bend Home Health Care Company. "

5 Things to Look For in Long-term Care

5 Things to Look For in Long-term Care
by Molly Edmonds
When we're looking for our dream home, we usually have a list of must-have features in mind. Some people can't live without walk-in closets, natural light and built-in bookcases, while others require two-car garages and big backyards. When it comes to long-term care options for ourselves or a loved one, however, we often don't know exactly what we're looking for. And because the decision that an aging adult needs long-term care can already be difficult in and of itself, we may let emotions get in the way of an objective search.
As it turns out, we can consider long-term care facilities with the same critical eye we bring to crown molding or skylights. First, there are some basic decisions to be made regarding the level of care and supervision needed, the financial resources available to pay for the care -- and location, location, location. Once you have a list of places that fit those criteria, how do you pick? Take a look at the five things on this list for some must-have features in long-term care.
5: Your First Impression
Feel free to trust your first impression when you walk into the doors of a long-term care facility. Use all your senses -- does the place smell pleasant, or is there an industrial or unpleasant odor in the air? Is it well-lit and pleasingly decorated? Is there a television blaring, serving as a babysitter for residents, or are there spaces for quiet and for conversation?
As you walk through the facility, you should get a sense that this is a home, not an institution. It's important to see the rooms to determine if the layout, lighting and sense of security are adequate. Privacy is important to many people, so find out if there are single rooms or if sharing will be required. Do residents live in long, anonymous rows of rooms, or are they grouped into small households or living units? Will there be opportunities for residents to make their spaces their own, such as bringing in their own furniture and decoration? What rules regarding noise and visiting are in place?
While people tend to focus on their own rooms, take time to visit common areas as well. You might inquire if there are outside areas where residents congregate, or in which activity rooms residents tend to spend a lot of time. Evaluate these areas for homeyness and cleanliness.
You'll also want to get a sense of the eating facilities -- more information on that can be found on the next page.
4: The Food
When you're touring a nursing home or assisted living facility, you'll likely be provided with a long list of social activities available to residents -- everything from bingo to swim classes. And while a long list of activities is a good way to pick a summer camp, there's no guarantee that the aging adult in question will want to spend a Tuesday afternoon making lanyards. That's why it's more important to focus on the one social engagement on everyone's calendar: meals.
Even if assisted living residents insist on spending all of their free time parked in front of the television, they're usually required to show up for meals. Since meals are often the primary activity of the day, take time to visit the dining areas and have a meal there. Consider whether the food is tasty enough to eat every day, and request a week's worth of menus to see if there's a variety of options.
Two other things to check are how dietary restrictions and preferences, such as keeping kosher, are handled, and whether a resident can get extra food or a snack throughout the day. These last two considerations will give you a clue as to whether the facility sees its residents as numbered mouths to feed or as distinct individuals with their own needs and desires. If the residents are given special attention when it comes to meals, then that standard of care usually carries over into other spheres as well.
3: Staff-to-patient Ratio
Most long-term care facilities strive to maintain residents' independence and autonomy as much as possible. However, that doesn't mean that residents should be deprived of care and help when they need it. For that reason, it's important to consider the staff-to-patient ratio of any care facility. In particular, you'll want to investigate the number of personal care aides, as they provide the bulk of resident care; a good ratio would be one aide to every five or six residents during the day and 1-to-15 at night [source: Matthews].
Good patient care is more than just numbers, though. Residents aren't likely to feel comfortable if they never see the same person twice, and if caregiving is merely a revolving door of who's available. A resident's transition into a long-term care facility will likely be made smoother by receiving individualized care from a trusted caregiver. Ideally, as you tour a long-term care facility, you'd observe positive interactions between caregivers and residents, such as staff greeting residents by name and staff quickly and cheerfully responding to residents' needs and requests.
We're not done judging other people yet -- on the next page we'll do some more spying.
2: The Other People
While scoping out the environment of the long-term care facility is important, so too ­is observing how people fit into that environment. That means taking a look at the current residents to see if they seem happy and engaged. They should look clean and well-groomed, because this will indicate that someone has taken care of them recently. Are there people moving around, taking part in activities, or are most people staying in their rooms by themselves?
To truly get the vibe of other people, you should visit more than once. Your formal visit, with the facility's tour guide, will obviously be the residence's attempt to show you the best of the best. Stop by at least twice more, unannounced, to see how people behave when tours aren't going on. By checking into common rooms and dining areas at different points in the day, you'll get a sense of what a full 24-hour period might be like in the home.
1: Report Card
While visiting a residence can give you a sense of all that goes well there, you may have to do some digging to find out what goes poorly there. If a facility receives Medicare or Medicaid funding, it is inspected every 15 months by a state surveyor. The surveyor's most recent findings are required to be kept onhand and shown to anyone who asks to see them. On this report, you'll learn what violations have been reported, such as physical abuse or health violations. Some of the violations may be minor, and no facility has a perfect record, but by asking staff members about these shortcomings, you might get a sense of whether they take complaints seriously or whether complaints are routinely blown off.
Another good resource is your state's long-term care ombudsman (some communities also have local ombudsmen). The ombudsman acts as an advocate for long-term care residents and their families and visits facilities regularly. He or she will have a good idea of the issues and problems at certain facilities, as well as a sense of what residences might particularly suit a certain type of person. The ombudsman's services are provided for free.

"Learn About Senior In Home Health Care in South Bend, Indiana Senior Helpers Provides Many services in the South Bend, Indiana area. We provide a full array of Home Care services for seniors and the elderly living in this beautiful area. Our Home Care Services are provided by bonded and insured employees and all employees pass a National Background check. If you need Home Care services in Bremen, Bristol, Cromwell, Elkhart, Goshen, Granger, Howe, Lagrange, Lakeville, Ligonier, Middlebury, Milford, Millersburg, Mishawaka, Nappanee, New Paris, Notre Dame, Osceola, Plymouth, Rome City, Shipshewana, South Bend, Syracuse, Topeka, Wakarusa, Wawaka, Wolcottville, and the surrounding areas we are an excellent choice with impeccable references. Home Health Care for your elderly loved ones is never an easy choice but we can promise we will do our best to make it as painless as possible. From our family to yours we sincerely thank you for considering Senior Helpers of South Bend Home Health Care Company. "