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2/9/2023

WHAT IS CARE MANAGEMENT & HOW DOES IT BENEFIT SENIORS AND THEIR FAMILY?

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Care Management gives peace of mind to seniors and their loved ones. The continuous changes that come with supporting loved ones can be daunting, intimidating and frustrating. How do I go about getting good care? What type of care should I get? Will we get better care in a large assisted living or memory care community, a board and care community or by bringing caregivers into the home? Where do I start? Is there anyone that can help?
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These are all common questions that you hope will lead to the correct solutions for the care needs required. But with limited knowledge of senior care options, it can be hard to know for sure what will be the best choice.

Next Step Senior Care Inc. is here to help and put your worry at ease. We have been around for over 15 years supporting seniors and their families to find the best care options and feel supported during and after that process. Our purpose is to bring ease to your caregiving journey.

What are the benefits of setting up a Family Consultation?

Organizational Care Management offers great benefit to those who are navigating the senior world and the ever changing care needs through the aging process. We can assist you no matter what stage you are in when it comes to the need for care and support. Our Care Management services are individualized to YOUR care needs and wants.
  • We provide guidance by creating a care map in choosing to stay in your home, long-term or deciding to move into a community. These are big decisions.
  • We provide you with vetted and reputable resources and options that will best suit your care needs, budget and lifestyle.
  • We can act as a surrogate family member for those who do not have family close by, to ensure they are getting the care and support needed with your guidance.

When Choosing to Stay Home

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When choosing this option, it is important to prepare those receiving the care and the home itself for caregivers. It will be strange at first to adapt to having someone physically care for them. They have done that for ourselves for so long that this will be a BIG change. Finding the right caregiver(s) is essential in easing this process and making this transition as stress free as possible.
It is vital to also prepare the home itself for safety reasons and bringing people into the home. Start with decluttering, removing rugs and getting rid of all unnecessary things that could be a fall hazard. You want to reduce the probability of an incident as much as you can. Another thing to do is secure all important documents and valuables in a place that caregivers will not be allowed to have access to. Always be on the side of caution.

When Choosing to Move Into a Senior Community

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Care Management Services can be of assistance in this option by bringing companionship, providing one-on-one fitness, doctor appointment scheduling/accompaniment and much more.
Depending on the level of care needed and the type of home, consistent oversight by a care manager will ensure the correct care is being provided and that things are in place and care plans are being updated through the different stages of the aging process.

With our Care Managers in place, we strive to give you peace of mind in knowing that your loved one has a care plan that fits their needs. Having the support in place through this process will give you the time to take care of and make yourself a priority.
When it comes to the care of seniors, it is important to know your options, what best fits your needs, what life looks like in the long run and give you your life back and peace of mind. We will assist you as best we can to guide you along this process and help you feel at ease.

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11/17/2022

Living Well for Your Mind & Body as a     Family Caregiver

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November is Family Caregiver Month and to honor those special individuals who take on this role, we want to provide you with tips and support as you navigate this chapter in your life.

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Taking care of your mental health is one of your greatest assets! It helps you focus, overcome obstacles, accomplish necessary tasks and get along with the people around you.
A substantial body of research shows that family members who provide care to individuals with chronic or disabling conditions are themselves at risk. Emotional, mental, and physical health problems arise from complex caregiving situations and the strains of caring for frail or disabled relatives along with managing our daily lives.

How Stress Hurts

When as a family caregiver you feel like you are always on call and your body stays triggered for too long, lots of possible health problems can develop or worsen. Learning how to manage stress can be a small change with a big positive impact on your physical and mental health.
Stress is a normal part of life. You can feel stress in your body when you have too much to do or when you haven’t slept well. You can also feel stress when you worry about things like your job, money, relationships, or a friend or family member who is struggling with illness or difficult circumstances.
Begin to take the steps to manage and minimize your stress because you are deserving of that.
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When Change is Hard

Faced with the unknown circumstances in your life, know that you are not alone on this journey and that there are support systems to help guide you through. Receiving a diagnosis or watching a loved one experience a decline or setback often triggers grief for both the loved one and the caregiver.
  • Be mindful of your own mental and physical exhaustion. Remember to practice good self-care -physically and mentally. Try to eat nutritious meals, get a good night's sleep, exercise regularly and make time for your own interests and friendships. The better you take care of yourself, the better you can care for your loved one.

Stay Positive!

Recall fond memories from the past, including ways in which your loved one cared for and supported you in the past.  This will increase your ability to be patient and understanding in difficult situations.

Recruit Additional Care Support

Reach out to friends and family for support and educate them about the needs of your senior loved one. Consider sharing with them the specific health issues that your loved one is experiencing. This way, they will be better able to both support you and interact positively with your loved one.
  • Hire family members as care support
  • Medicaid/MediCal has programs that may provide minimal assistance​​
    • Reach out to your Medicaid/MediCal case worker and inquire about the In-Home Support Services Program or the Assisted Living Waiver Program

Take Care of Yourself

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Acknowledge your own feelings, possibly sadness, anger or frustration. These are all valid and justified feelings to have as a family caregiver. Consider joining a caregiver support group or attending individual counseling. Sharing your experience with others and connecting with people who are in the same position can ease the stress that comes with this new reality.

How Next Step Senior Care Inc. Can Assist

Our Care Management services are geared towards the individual and families needs. We can act as a surrogate family member in many ways such as:
  • Equipping families with the necessary preparedness and resources to navigate the senior world
  • Preparing the household and creating guidelines for outside support 
  • Developing a household emergency/disaster plan
  • Caregiver oversight and scheduling
  • Appointment accompaniment
  • One-on-one exercises geared towards the individual
  • Companion support
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​We are here to support you with ways to make their life and yours a little bit sweeter, without adding to the barrage of desserts that are sure to be coming your way over the next 6 weeks.

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10/17/2022

Care Management: How to be Prepared

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Hind Sight is 20-20 - Don't You Wish You Were Prepared?

If you decide that bringing in a professional caregiver is the best option, let's take the steps to prepare.
  1. Have the talk with your loved one about bringing aboard a care support member and how this will benefit them.
  2. Create a list of a few things to look for in an ideal caregiver.
  3. Prepare the home.
  4. Prepare the caregiver on how to best assist and care for your loved one.
This caregiver will be a part of your loved ones day-to-day life and understandably so, you want to make sure you are comfortable allowing this person care for them through this next step.
Having the Talk
Bringing in a caregiver can be very tough on your loved one. This person is going to be a major part of their life so encourage them to be a part of the interview process and let the caregiver know of their likes and dislikes so that they can care for them in a way that fits your loved ones wants and needs.
What to Look for in a Caregiver
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There are certain things that your loved one and you might desire from a caregiver. Having a few ideas of things that your loved one would appreciate in a caregiver. Below are some examples:
  • Bilingual
  • Enjoys playing boardgames
  • Shares a similar personality
  • Tech-savvy
  • Good cook
  • Can assist with exercises
Preparing the Home
Having a well organized home to bring the caregiver into will ease the transition for everyone.
  • Have a designated safe/secure spot for valuable items such as wallets and important documents.
  • Make a list for the caregiver as to where medication is stored, emergency contacts, disaster plan and daily tasks.
  • Declutter - throw out or give away any unnecessary items. Unnecessary items out of the way = lower risk of falling
  • Ensure the house is stocked with everyday supplies such as depends, food, toiletries, etc.
Preparing the Caregiver
Most likely, your loved one already follows a daily routine and they like to stick to that routine. However, now they need assistance through this routine. The caregiver should follow their schedule and assist where needed. You will need to asses your loved to figure out where they need support.
In areas such as:
  • Dressing/bathing
  • Meal prep
  • Transfers (i.e. moving from a bed to a chair)
  • Toileting
  • Exercise
  • Driving to/from appointments

As Care Managers, we at Next Step Senior Care Inc. are here to provide additional support where needed, whether a caregiver is brought in or one is not yet necessary. We put together a care plan that fits your loved ones needs and manage their care along with a caregiver in place. We can assist in areas such as:
  • Scheduling doctor appointments/communicating with the doctor about care needs
  • Provide organizational support and resources
  • Creating/updating the care plan
  • Ensuring the caregiver is caring for your loved one in the best way possible
  • Keeping your loved one in contact with important people in their life
  • Easing the transition into this next step in life

Provided in the link below is some more information about adding a caregiver to your care support team.
Opt-In Choosing the In-Home Care Model

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6/29/2022

CARE MANAGEMENT: PLANNING AHEAD

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​What are the First Steps...

When it comes to our loved ones, we will do anything in our power to make sure they are taken care of. However, it can become very overwhelming navigating both their life's next steps and our own.

Over these next few blogs, we will provide you information on how to be successful in care management and how to begin down the path of success with support as you prepare and plan their care.


Family Consultations

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This is usually the first step when it comes to the care management process. Starting with an in-depth Family Consultation is they key to navigating a peaceful path through the maze of all things senior. We work with all key members to put a plan of action in place with our advance planning support.

This is the time to express your needs and concerns and address the vital parts of your loved ones life that needs attention.

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Our services vary per individual family needs, but may include:​
  • Creating and/or Administering Care Plans (long term plan of actions to guide you as you guide your loved one)
  • Organizational support for daily caregiver duties, accountability and oversight, assistance with scheduling
  • Long-Term Care Insurance policy administration
  • Contingency planning, end of life documents and more
  • Appointment accompaniment
  • Advocacy for needed resources
  • Visits to your loved one and keeping them connected to family and friends


What you can do right now!

Gather the Essential Information About Your Loved One. You, as a part your loved ones care team, need to have in place important account information, financial information and so much more.
  • Mortgages
  • Car loans
  • Credit card balances and promissory notes.
  • Subscription services
  • Money market accounts
  • Mutual fund and brokerage accounts
  • Treasury accounts
  • Utility accounts
Click here to download a copy of our 'Essential Information About Your Loved One'

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5/5/2022

THE IMPORTANCE OF SELF-CARE

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The practice of "self-care" is an important aspect of maintaining a healthy relationship with yourself and EVERYONE around you. Self-care can take on many forms but no matter the form, the focus is on you and what gives your soul room to breathe.
It even encourages us in the bible to maintain this practice...‘You must love your friend in the same way you love yourself.’ Matthew 22:39 Passion Translation
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Many of us are care takers for our loved ones (be they old or young) and are used to taking on too many responsibilities which turns into stress. You are living in a selfless manner by committing yourself to the endless care and support of someone else.
However, you NEED to take the time to take care of YOU by putting on your oxygen mask first (to borrow a line from airline flight attendants safety speech). Self care is a practice...something you continue working on to achieve. Self care can be as simple as taking a moment to BREATHE a deep, long exhale before moving on to your next task. Allowing yourself a moment to use the restroom, get a glass of water, take a few bites of your meal before responding to your next pressing assignment, or scheduling routine massage appointments, outings by yourself with a good friend... It's prioritizing your needs as equivalent to the needs of the loved one you are caring for. You will find that when your basic needs are met you are more equipped to meet the needs of the those around you.
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What does SELF CARE look like for you?

Jane works to prioritize herself by getting up early in the mornings to journal, pray and exercise before her family wakes up each day. Heather likes to be out in nature, whether it's climbing or walking on the beach. Keith enjoys taking his sports car for a spin on sunny days. No matter how you decide to practice self-care, remember that YOU are a priority! In order to be there for others, you need to be there for yourself.

Physical Self-Care

Emotional Self-Care

Spiritual Self-Care

-Prioritize sleep
-Establish a workout routine (Just Move!)
-Eat foods that fuel your body. Indulge occasionally.
-Channel your feelings into creativity
-Work w/a therapist or attend a support group
-Pray/Meditate daily
-Spend time in nature
-Choose compassion

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4/14/2022

THE POWER OF GOOD NEWS

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Good news is all around us yet sometimes we need to work a little harder to not lose sight of it. 
You know that warm feeling you get when listening to a feel good story or watching an inspiring documentary? What if we actively sought out those blissful moments on a day-to-day basis? Those little joys could benefit us a lot more than we may think.

Let's encourage each other to seek out good news, embrace good news and share good news.

Click below to read through some stories that we hope will brighten your day and bring a smile to your face!
50 Good News Stories From Around the World That Will Brighten Your Day
Credit: Reader's Digest

April is Parkinson's Awareness Month

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More than 10 million people worldwide are living with Parkinson's. Parkinson's Disease currently has no known cure but research shows there may be ways to better manage and help prevent the disease.
The GOOD NEWS when it comes to Parkinson's Disease Research and why we should have hope:
  • Healthy exercise habits have been shown to mitigate symptoms and improve everyday life for those living with Parkinson's
  • People with Parkinson's Disease are living longer than ever before
  • We are continually learning new things about this disease that are taking us in the right steps towards improved treatment and a cure

Below are a few ways to gain more knowledge about Parkinson's Disease:


An article from goodnewsnetwork.org details the benefits of exercise:
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"Get Your Body Moving to Put the Brakes on Early Parkinson’s, Study Says"

Goodnewsnetwork.org

Take a listen to this podcast:

"Substantial Matters: Parkinson's Podcast"
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"Host Dan Keller, PhD, interviews Parkinson’s experts to highlight the treatments and techniques that can help you live a better life now, as well as the research that can bring a better tomorrow."
Podcast Info HERE

Check out Rogue in-person or on their website:

"Rogue - Physical Therapy & Wellness"
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"Rogue is a wellness program for people with Parkinson disease located in Orange County, California. Our goal is to give you the tools to live your healthiest and most active lives possible!"
Check out their website HERE

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3/9/2022

TIPS FOR EASING THE STRESS OF MOVING

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​Is a loved one of yours getting ready for a move or has recently moved?

We have some helpful tips to make the most of this new venture.

Moving is a BIG change no matter what your age or life stage you are in.  Classified as one of the top 5 major life stressors, we want to provide you with ideas that can help you be as supportive as possible to your loved ones and help them explore the great opportunities this change can bring.
Whether your loved one is moving into a senior living community or downsizing to a new neighborhood, there are many unique and fun ways to get excited for this change.  Helping them to stay connected with old friends or helping them to make new friends is a worthwhile investment that can provide great returns.  Below we will provide ideas for either transition.  It is important to prepare your loved ones as best you can for this move. Let's discuss how.

Resident Ambassador

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Senior Living Community-
Many Assisted Living Communities have "Resident Ambassadors". These are current residents who orient new residents to the community. This is a great way of making new friends and getting a better idea of what the community offers from the view of an actual resident. This should be one of the first things you set up in the first week of your loved one moving in. Ask the community first if this is something they offer and how you can set this up.
​Neighborhood Move-

If moving into a new neighborhood, help your loved one take the initiative by checking to see if they have a club house, community center or activity programs. Make the time to go with your loved one to check the programs out and if possible attend with them so they feel comfortable meeting new people. BE THE FRIEND - Encourage them to wave to their neighbors as they drive through the neighborhood. Take walks with them around the neighborhood and  greet all you pass by.
“Friendship is born at that moment when one person says to another: ‘What! You too? I thought I was the only one.” — C.S. Lewis"

Activities Director Holds The Key

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Senior Living Community-
​Get in contact with the Activities Director at the community. This individual is in charge of the events, exercise classes and overall community engagement. Start by making them aware of your loved ones hobbies and interests. They will be able to communicate with you some of their activities that they believe would be a good fit for them. With this information, you can either encourage your loved yourself to attend these activities and/or ask the Activity Director if they can work to encourage them. This will be a great way of starting their new move off on a good foot by giving them a taste of the communities offerings.
​Neighborhood Move-
You become the Activities Director - Help your loved one become familiar with their new location by helping them to re-establish their previous routines in their new local. Drive with them as they familiarize themselves with their local offerings - shopping centers, favorite new dining locals.  If they are in need of using alternative transportation options (Uber/Lyft, ACCESS bus/Dial-a-Ride) join them on a few trips so they can feel more comfortable going solo.
Senior Living Community-
Request of the Activity Director if they will set up a special private luncheon for your loved ones old friends. This is a great way for your loved to experience a sense of familiarity, comfort and support, through this BIG transition.  It may also be a great marketing event for the community - can't hurt to ask! 
​Neighborhood Move-
Help your loved one host their long time friends for a breakfast/lunch/dinner in their new setting or arrange to have them meet at a new local eatery.  
"Things are never quite as scary when you've got a friend."-Bill Watterson

Community Outings

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Senior Living Community-
​Ask about the community outings. How often do they occur? Are there a variety of outings? Due to the current world circumstances outings might be limited at this time but it is good to get the information for the future. These trips can be something for your loved one to look forward to and a way for them to connect with other residents. A change of scenery does wonders for the soul and going out as a community creates friendships.
Neighborhood Move-
Most Community/Senior centers host monthly outings to a variety of locations and events. You could also try to connect them in a neighborhood Meet-Up group online that involves their hobby or interest (knitting, fine dining, hiking, pickle-ball...). Service organizations organizations, clubs and volunteer opportunities can also become great vehicles for positive social interactions.

Set a Routine in Place

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TIPS
  • If your loved one is tech savy - encourage them to set up their calender of events, appts and reminders on their phone/ tablet/ computer .  
  • If need be, involve your family in creating a visitation schedule where the grandkids, kids, siblings sign up to visit on day a month and accompany them on an outing.
  • Communities will usually have a calendar of events laid out for the month called a Newsletter. This makes it easy to know what events, outings, activities and meal options are to be expected. The community will usually have their Newsletter online or you can ask that a copy be sent to you so you can stay updated.
  • Activities such as exercise classes, crafts and Bingo usually have set days and times. This makes it easy to start a routine AND keep it in place. If your loved one is independent, you can encourage them to make a schedule on a calendar of the activities they would like to attend. If your loved one is in Assisted Living or Memory Care you can make the Director of Care aware of what activities they like that way they can have their staff encourage or remind them at the time of the activity.

We understand the uncertainties that come with moving and that is why we want to prepare you as best we can. We hope this information will ease the move and give some comfort in this Next Step.

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2/11/2022

HEALTHY CHOICES FOR A WHOLESOME LIFE

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Healthy routines can be difficult to establish. Routines can set us on a path for an overall healthy life or it can leave us set in our ways. We can incorporate healthy choices into our routines that over time can lead to dramatic improvements in our everyday life.
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Ways we can incorporate healthy routines into our day:
  • Take a walk everyday for at least 10 minutes.
  • Drink a glass of water first thing in the morning.
  • Turn off all electronic devices, close your eyes for 5 minutes and focus on one thing you are grateful for.
  • Actively make time to relax physically and mentally.

Preparing Our Feet For The Day

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We recommend doing these exercises first thing in the morning, everyday to prepare our feet for the day ahead. Just like any other part of our body, we need to maintain the strength in our feet especially as we are actively aging.
*These exercises should be done seated.

A Smoothie In The Morning

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Green Ginger Smoothie

Spinach and Granny Smith apples combine to create the delicious green color of this smoothie. Hemp seeds add plant protein and healthy fats.
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Combine 2 cups packed spinach, 1 chopped Granny Smith apple, 3/4 cup coconut water, 1/4 cup lemon juice, 2 Tbsp. hemp seeds, 3 tsp. minced ginger, 1 tsp. raw honey, 1 ½ cup ice cubes. Blend until smooth, serves 2.

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2/2/2022

Unlocking The Joy of Travel and The Outdoors This New Year

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Our theme so far has been to give you ideas on how to interact with your senior loved ones creatively, based on our "new normal". Many of us have been spending more time at home these past two years and could benefit from moments where we feel like we have an escape from the monotony of life these days.
Remember going on trips, near and far, as a means of breaking free from the daily grind?
How long has it been since you watched a nature documentary and felt a sense of serenity?
Does being surrounded by nature calm your mind?
This Newsletter will provide you with some tips on enjoying nature for every age. There are many ways to appreciate the outdoors in unique and healing ways.

Virtual Nature Walk

Choosing to experience moments of peace, calm and a break from the noise of our world is often a difficult choice. I liken it unto making time to pray, or meditate, or journal. It's taking some down time to allow ourselves to take a deep breathe. For those who want to experience this sense of peace in the comfort of their own home we suggest a virtual nature walk. These virtual walks can take you around the world and bring the joy of travel and relaxation straight to you. These videos can bring a sense of ease no matter where you are. Many of these videos can be found online and a great one to start with is linked below.

DIY BIRD FEEDER

Get interactive and creative by making something that will bring the nature to you. This craft is fun for all ages and will have you peaking outside to see what birds are outside your window each day.
We're planning to make these for Valentine's Day with Ava as gifts for the seniors in her life. This will tap into our creativity as well as our love for nature and we can't wait to spread this joy to many!
Click here to for instructions and enjoy!

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Picture credit: ​https://www.goodto.com/

Sensory Outdoor Scavenger Hunt

Next time you do go for a walk, make an adventure out of it. It can be something as simple as noticing a flower that brings you joy or seeing what insects the area attracts. Whatever is doable for your walk, take the time to hone in on your senses. What do you smell? What do you hear? What can you touch? As ordinary as these may sound, focusing on these senses can bring peace and relaxation.
Little Ava loves going to the park and it is so refreshing to look at nature through the eyes of a child. She notices so many things that I would have normally not looked twice at, yet now I am appreciating this with new eyes.
Below is a scavenger hunt to take with you on your next walk.
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Armchair Travels

Watch a travel documentary to a familiar or new vacation destination and order take out that provides the cuisine that complements your travels.
For me (Heather), I enjoy watching 'Somebody Feed Phil' on Netflix. It follows Phil, the creator of the show 'Everybody Love Raymond' around the world, as he discovers delicious cuisines and experiences the culture of each destination. He is an average joe when it comes to food and you can absolutely relate to him as he tries some very adventurous food that the world has to offer. Watching it always makes me hungry so pairing the show with food from that destination makes the show that much more immersive and intriguing.
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Picture credit: ​https://www.powells.com/

We hope these activities bring you a unique sense of calm and peace that only nature and the outdoors can!

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12/13/2021

When is it time to give up the car keys?

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Nothing defines personal freedom and independence in America as does the ability to come and go as you please in your car. One of the main reasons seniors are reluctant to give up driving is that it is one of the few ways they can continue to feel self-sufficient and empowered. The conversation with a loved one about his or her need to stop driving is one of the most difficult discussions you may ever face. The discussion becomes even more difficult when the person still maintains most of his or her faculties, just not those that enable safe driving.  
There is no short answer to this problem, or a one size fits all solution. The admission from mom, dad or your loved one that they no longer feel like a “safe driver” rarely comes from either of their lips.  However, it’s better if it comes in the form of advice from you or someone he or she knows rather than by an order from a judge or the DMV.  
Warning Signals That Say “Stay Off The Road” 
According to the National Institute on Aging, there are several critical indications that a senior may be losing the judgment or ability to drive. 
  • Incompetent driving at night, even if competent during the day 
  • Frequently startled, claiming that cars or pedestrians seem to appear out of nowhere 
  • Drastically reduced peripheral vision, even if 20/20 with corrective lenses 
  • At-fault accidents or more frequent near-crashes or dents and scrapes on the car or on fences, mailboxes, garage doors, and curbs 
  • Struggling to drive at high speed even if he or she drives well locally at slow speeds 
  • Failing to use turn signals or keeping them on without changing lanes 
  • Erratic driving, such as abrupt lane changes, braking or acceleration, hitting curbs, missing turns or scaring pedestrians 
  • Drifting into other lanes or driving on the wrong side of the road 
  • Getting lost frequently, even while driving on familiar roads 
  • Range-of-motion issues, such as failing to look over the shoulder, trouble shifting gears or confusing gas and brake pedals 
  • Trouble reading street signs or navigating directions 
  • Increased traffic tickets or “warnings” by traffic or law enforcement officers 
    
The realities of aging include changes in vision, slowed reflex ability, memory loss and cognitive issues, physical limitations and side effects of prescription medication. The Department of Motor Vehicle (DMV) will not take away a license based on age unless it is determined that one’s mental and/or physical condition or inability to follow traffic laws and rules is compromised.  ​
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Cognitive Functions  
Cognitive function refers to one’s ability to process incoming information. Cognition is your awareness of your surroundings using your perception, reasoning, judgment, intuition, and memory. Any cognitive impairment will negatively affect an individual’s ability to drive safely.  
The following diseases are some of the causes of an individual's cognitive impairment:  
  • Dementia (Alzheimer's disease and other dementia); Brain Tumor; Multiple sclerosis; Parkinson's disease; Seizure disorder (lapse of consciousness condition); Sleep disorders (Narcolepsy, sleep apnea - lapse of consciousness condition); Stroke; Vertigo  
Many cognitive impairments are progressive. Early diagnosis and treatment is vital to ensure that one will be able to drive for as long as possible. If their condition remains mild, they should be able to continue driving. However, once the condition reaches the moderate or severe stages, it is too dangerous for them to continue driving.  
Dementia is one of the most serious cognitive disorders affecting the older population. Dementia is frequently unrecognized and undocumented. Seniors suffering from dementia present a significant challenge to driving safety and individuals with progressive dementia ultimately lose their ability to drive safely.  
Unlike senior drivers with motor function or vision impairments who tend to self-restrict their driving, senior drivers with dementia will continue driving even when it is unsafe for them to do so. It is often up to family members and caregivers to put a stop to the senior's driving and arrange alternative transportation for them.  
 What actions does DMV take on cognitive impairment? 
Link to the CA DMV Website re: Dementia 

  • If you have been referred to DMV or have been diagnosed with mild cognitive impairment, you SHOULD be scheduled for a driver safety reexamination (MOST DOCTORS OFFICES FAIL TO REPORT THIS). The reexamination is conducted in-person by a DMV hearing officer.  
  • You will be required to take a written test and you may also be required to take a vision test.  
  • If you pass the written test and the hearing officer determines that a Supplemental driving test is appropriate, you will be scheduled for one.  
  • If you pass the Supplemental driving test, you will be allowed to continue driving, but you will be scheduled for another reexamination within 6 to 12 months to reassess your driving abilities.  
What actions can be taken after the reexamination?  ​

After your reexamination, the DMV hearing officer may:  
  • Determine that no condition exists that makes you unsafe to drive.  
  • Reexamine your driving ability at a future date.  
  • Tell you that you must comply with your medical regimen and report any changes to DMV.  
  • Tell you that you must submit annual medical reports to DMV on specified dates. 
  • Issue you a limited term driver license. A limited term driver license is one that is issued for a term shorter than a regular term license. This type of license requires you to return to DMV for more frequent reevaluation and/or testing.  
  • Restrict your driving privilege.  
  • Suspend or revoke your driving privilege.  
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HAVING THE TALK 
Here are some strategies to help you talk to seniors sensitively about giving up driving and present them with practical transportation alternatives. 
 
1. Become The Silent Observer – Make the time to determine your loved one’s ability to drive. 
  • ​​​​Ride along: Take several rides with your loved one and observe his or her physical ability in controlling the vehicle, staying within the lane, how turns are handled, their driving speed, ability to scan from left to right, any visual susceptibility to glare, and for any possible confusion in traffic. Observe without creating conflict or distraction, nagging or shaming. At your earliest opportunity, create notes of your experience, you may need to share them with an expert. 
  • Inspect the vehicle regularly: Occasionally check the outside of the car for any possible dents or scrapes. Also examine the parking area/garage for any structural damage. 
  • Advocacy & Escort Service: Accompany your loved one at least once to every medical specialist and service or treatment center and, and have him or her sign a release of confidentiality/HIPPA authorization form naming you as a relative with whom they can share any and all medical and mental information without their violating federal confidentiality laws. This will ensure that you are aware of every one and service involved medically. These steps will guarantee that you can ask questions and express concerns privately as well as invoke professional assistance. 
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2. Set the Stage 
  • Be empathetic - Imagine how you would feel if you were in your parent’s place. Note that they may become defensive, like a wild animal being surrounded by trappers. 
  • Depression or thoughts of suicide can be linked to this – Establish a support system to surround them through this process. 
  • Delete the need to defend - Become aware of conversation patterns and triggers that often turn your discussion into an argument. Choose to stay focused and remain calm. You are truly in their corner.  
  • Work to keep the conversation non-confrontational, honest and between “mature adults,” not “child and parent”, and/or the role reversal of child parenting-parent.  Honor your loved one regardless of whether they deserve respect or not. 
  • You may be too close to the problem. If you have an adult child, spouse or other relative whom your loved one trusts, consider having that individual talk to them about the giving up driving on their own. (Have them read through this guide to equip them for the conversation.) 
 
3. Get The Entire Family On Board – United Front 

  • Be reminded that you are dealing with a mature adult driver.  You are most likely viewed by them as a child.  Do your best to help them keep their role as the “Elder/Parent/Adult/Decision Maker”.  
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4. Get A Plan Put In Place 
  • Transportation Plan – Plan A/Plan B… The Back Up Plan:  
​  a. Having a plan for how your mature adult drivers transportation needs are going to be met (How will I get to the doctors, hairdressers, grocery store…) 
  b. Explore the transportation alternatives in your community. Some transportation options include: 
  • Carpooling with family and friends 
  • Taxi cabs, Uber, Lyft 
  • Shuttle buses or vans 
  • Public buses, trains, and light rails 
  • Local community-based services 
  • Walking 
​  ​c. You may want to begin implementing some of these options as a support system while they are still driving to help them realize that they have options. 

5. Attempt To Talk With Your Loved One:  
a. Conversation Starters – Bring up current/historical events re: driver safety (article re: mature adult drivers in accidents…).  
b. Find out if they think the time is right to stop driving. They may be waiting for you to take the pressure off of them. You may attempt to focus on: 
       i.Liability issues in the event of an accident 
              1. Ask them how they would feel if another mature adult driver had an accident and injured or killed their grandchild. Discuss how the tables could easily be turned and they could be that elderly driver.  How would they feel?  As tough as this question is, it’s really tough love and is a valid concern. 
        ii. Financial savings – insurance, gas, car payment, routine upkeep 
       iii. Medication side effects 
             1. Vision 
             2. Cognition 
             3. Physical Function 

         iv. Their general well-being 
c. You may want to let them know, “We’re concerned…”, “I feel afraid…”, “We care…”, “I get scared…” or “We don’t want you to get hurt or to hurt others…”. 
d. It’s Not A Personal Attack – Use FACTS to remind them that: 
          i. accidents happen regardless of age  
          ii. teenagers, as an age bracket, statistically get into more accidents 
        iii. Mature adult drivers die in auto accidents at a rate higher than other age bracket because, they are more often than not physically inactive. Driving takes  
dexterity, ability and strength in both arms and legs/feet to control the vehicle at all times. 

6. Gaining Outside Counsel, Support And Intervention 
Feel comfortable contacting your loved ones physician(s), accountant, lawyer, barber/hair dresser, clergy or confidant… and share with them your concerns re: your loved ones current driving ability.  You may request that they speak with your loved one regarding their driving ability and also request for them to complete a Request for Reexamination form.  
 
The Physician: Older adults often readily accept recommendations from their physicians. Medical doctors are now being encouraged by the American Medical Association (AMA) to counsel caregivers regarding medical and health conditions, side effects of medications and other concerns.  The AMA also recommends that they counsel the patient directly and even ask for and accept the car keys.  
 a. The optometrist/ophthalmologist: (based on AMA recommendation) an appropriate eye specialist can conduct a meeting w/the mature adult driver, also asking for the keys. 
State Dept of Motor Vehicles (DMV): The DMV will not take away a license regarding your age unless it is determined that your mental and/or physical condition or inability to follow traffic laws and rules is compromised. As a family member you may contact your state DMV and submit a Request for Reexamination form.  
 b. The DMV will not accept an anonymous request.  The only way that a name is to be revealed is if the process is taken through the courts and ordered by a judge. 
        i. Confidentiality:  Each request must be signed for authentication purposes. However, you may request that your name not be revealed to the individual being reported. Confidentiality will be honored to the fullest extent possible; the DMV does not want to harm your relationship with that person. All records received by DMV which report a physical or mental condition are confidential and cannot be made public (CVC §1808.5) unless mandated by law. 
             ii. One of the DMV's major responsibilities is to make sure that potentially unsafe drivers are evaluated and promote traffic safety. The DMV also understands the importance of a driver license and a person's independence. 
 c. Family attorney: The attorney representing the family or mature adult driver can consult with them regarding the risks to their estate in the event of a serious accident. The risks may also cost younger family members their shares if the estate can be sued successfully by a victim or the victims’ family. They may also include reasons why giving up the car keys are an important step. 
 d. Involve the police: To seek counsel of the police may trigger the creation of an official report, even if there is no follow through. That document can be used as a record that can be accessed and/or used if/or when there is an accident or driving violation.  If there is an accident or violation in the future, the police have their established processes for covering, investigating and even making changes that could cause the DMV to require re-testing and even cancellation of a driver’s license. 
  e. Care manager: Hiring a senior specialist who can assist you with creating a plan to transition the mature adult driver and secure that the support systems are in place.  This will allow you to not have to be the bad guy and preserve your existing relationship with the mature adult driver.   

7. DMV Retest/Keeping the Car in Running Condition 
If the DMV requests a mandatory test, OR if their car is in need of maintenance/repair in order for them to continue driving… 
  • DO NOT ASSIST/GUIDE THEM – If they are to retest at the DMV or have their car fixed/checked do not help them navigate their appointment.   
   a. You are strongly encourage to accompany them, but do not lead them through the process.  
  b. Self-efficacy is a necessary skill for every safe driver on the road (Self efficacy is commonly defined as the belief in one's capabilities to achieve a goal or an outcome). If they are capable of completing the entire process on their own (informing the counter person of their need…) and passing the test then they can legally still drive.   

 8. Theraputic Fibs/Trickery 
      When all else fails… 
          -disconnect the battery 
          -put a potato in the tailpipe 

          -swap otherwise identical keys on the keyring 
 
If the situation is critical, you need to act immediately. These are the initial steps that can be taken. A seasoned care manager will have additional strategies in their arsenal of support systems to help you facilitate this process with a greater measure of ease. 
 
Additional Safety Information for Senior Drivers  
The following links provide additional information on driver safety for seniors.  
AAA Foundation for Traffic Safety (American Automobile Association (AAA))  
AARP Driver Safety for Seniors (American Association for Retired Persons (AARP))  
Alzheimer's Association  American Society on Aging  Congress of California Seniors  
Family Conversations with Older Drivers  Mature Driver Improvement Programs  ElderSafety.org  
GrandDriver.info (American Association of Motor Vehicle Administrators (AAMVA))  
Older Driver Safety (American Medical Association (AMA))  
Older Drivers Program (National Transportation Highway Safety Act (NTHSA))  
seniordriving.aaa.com (American Automobile Association (AAA) senior driver website)  

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12/9/2021

DIY Orange Slice Ornaments

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Project Materials

• Large navel oranges
• Tea towel
• Metal roasting/cooling rack
• Baking tray
• Oven
• Chef knife
• Cutting board
•Waxed thread/Twine
•Cinnamon sticks
•Rosemary sprigs
•Wooden beads

DIRECTIONS For Oranges

1. Preheat oven to the very low temperature of 250°F/120°C/100°C with fan. A low temperature will help prevent burning the fruit and allow for more consistent results.
2. Turn each whole orange onto its side and cut into 1/2 inch thick slices. By turning, you will get that classic "orange slice" cross section look. If your oranges have any seeds, remove them before baking.
3. Gently pat orange slices with a tea towel or paper towel to absorb excess juice.
4. Place oranges on a metal roasting rack on top of a baking tray. The two-layer rack and tray setup will allow the oven air to circulate underneath the oranges and prevent sticking.
5. Put slices into the oven for about three hours until the rinds have hardened and the fruit flesh has dried out. Flip your oranges every 30 minutes for a more even bake. The thinner the orange slice, the quicker they will dry out. Slices may still be slightly sticky when they are done.
6. Even though the slices are ready for immediate decorating after baking, it is recommended that you allow your slices to air dry for a couple of days. This will make them more everlasting as they continue to dry out any leftover moisture.

DIRECTIONS For Ornament Assembly

  • Make a hole with a toothpick at the top of two various sized dried orange slices.
  • Run a long piece of the waxed thread/twine through the orange slices. The orange slices should rest in the middle of the twine.
  • Take the end of a rosemary sprig and tie both sides of the twine around the end of the rosemary sprig on top of the two orange slices.
  • Take a cinnamon stick and wrap both sides of the twine tightly and multiple times around the stick and tie off with a knot.
  • Run the two ends of the twine from the cinnamon stick through two wooden beads and tie off with a knot at the top.
  • Enjoy your festive ornament!
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11/15/2021

Festive Holiday Recipe

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One of the best parts of the holiday season is spending time with family and what better way to do that than cooking together. Below is a fresh and delicious holiday appetizer that would be a great addition to Thanksgiving Day. Bond with a parent, grandparent and with grandkids by making this recipe together. Being in the kitchen can bring up a lot of beautiful memories that can be shared with the whole family.
Tag us on facebook so we can see your finished product!

Pomegranate Pistachio Crostini Recipe

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Ingredients:
  • 32 slices French bread baguette (1/4 inch thick)
  • 1 tablespoon butter, melted
  • 4 ounces cream cheese, softened
  • 2 tablespoons orange juice
  • 1 tablespoon honey
  • 1 cup pomegranate seeds
  • 1/2 cup finely chopped pistachios
  • 2 ounces dark chocolate candy bar, grated
Directions:
  1. Preheat oven to 400°. Arrange bread slices on an ungreased baking sheet; brush tops with butter. Bake until lightly toasted, 4-6 minutes. Remove from pan to a wire rack to cool.
  2. Beat cream cheese, orange juice and honey until blended; spread over toasts. Top with remaining ingredients.

Adapted from "Taste of Home

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10/27/2021

Meditative Breathing

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Let's begin...
  • Sit comfortably in a chair or on the floor. ​
  • Close your eyes and focus on the breath. ​
  • Notice the sensations at the tip of your nose, or over the lips as the breath passes in and out. ​
  • Or pay close attention to the rising and falling of the chest. ​
  • Or observe the movement of the belly as the breath comes and goes, ​
  • Tune into the subtle details of each breath. ​
  • Don't control the breath. Don't breathe in any certain way. Don't "do" anything with the breath. Just be an observer. ​
  • Notice that your mind wanders constantly. Pay attention to the constant mental chatter, the internal self-talk, the judging, comparing, associating, remembering, projecting, fantasizing, etc. Notice how busy the mind is, replaying the past, imagining the future. This is the nature of the mind. Don't fight with it. Simply notice it and keep returning your attention to the breath. ​
  • Stay in the present moment, simply looking, listening, and feeling inwardly. Put all of your attention on this breath... and this one... and this one. ​
  • Do nothing else. Experience each in-breath and each out-breath fully, directly, completely, moment to moment. ​
  • Each time you notice that you are thinking or talking to yourself, that your mind has wandered, or that you have "spaced out," simply return your awareness to the next inhale... the next exhale. ​
  • Contemplative Prayer - To keep my mind on my breath, I like to repeat a phrase with every exhale to help center my heart and mind. “Be still & know that I am God.” Or “Transform me by the renewing of my mind. With every inhale & exhale I quietly release the phrase inside of me. I oftentimes shorten the phrase down as I breathe through this practice – “Be still” or “Transform me”.​
  • Practice this for 5 minutes, once or twice each day. Be patient. Don't underestimate the power of this technique. Once you have the ability to focus for 5 minutes, increase to 10 minutes. The results are subtle and cumulative, yet profound, and tremendously rewarding
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2/14/2019

The Power of Love - Seniors Loving Seniors

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Naomi Feil, founder of Validation therapy, shares a breakthrough moment of communication with Gladys Wilson, a woman who was diagnosed with Alzheimer's in 2000 and was virtually non-verbal. Our Next Step staff has been fortunate enough to receive training from Naomi through the Validation Institute.  Our hope is that we are able to share with our families this power of love.  
​More info: www.memorybridge.org

The Jewish Standard
"God's Love: Naomi Feil, a Jewish woman, sings Christian hymns for Gladys, who has Alzheimer's and was unable to speak. Watch what happens at the end, when Mrs. Feil opens her heart and gives Ms. Gladys what she needs so deeply."

#Alzheimers, #SeniorHealth, #MusicTherapy, #Religion, #Judaism, #Christianity, #Godslove, #Validationtherapy

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12/16/2018

Gifts That Keep on Giving

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​Throughout this holiday season there are many gifts that we can give both in monetary ways and gifts of presence, just being with someone .  The true root system of the concept of giving and receiving gifts is closely tied to compassion, love, gratitude and appreciation.  
​When you give someone a gift, no matter how big or small, you convey that you were thinking of them - it’s a type of caring.  As you have opportunity to spend time with friends, family, loved ones and strangers this season, here are several ideas of gifts you can give... regardless of whether they realize, or even acknowledge your endowment of thoughtfulness. 
  • Be in the moment  as you spend time with one another 
  • Enjoy the gift of conversation - allowing someone to share helps them feel acknowledged, seen, heard, or cared for  
  • Reflect on the incredible gift of perspective - the way you see something​
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  • One gift that can be difficult to find, yet never requires wrapping is the gift of time - whether it means doing something with them or something for them on your own
The true gift of giving is how you make someone feel when you express care and deepen connections.  May you choose to give some of these incredible gift to those you love - including you.  

“It’s not how much we give but how much love we put into giving.” — Mother Teresa  

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11/25/2018

Keeping Your Eye's & Ears Wide Open

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Please share our blog on your favorite social media website.  Help us spread the love and support.
Things don't always appear as they seem.  As we enter this holiday season where many of us will spend time with family and friends that we may not have seen since last year, we encourage you to gift your loved ones with some focused attention.  
Click here to download our Checklist to Assess Daily Living Changes and move into the holidays with your ‘Eyes & Ears Wide Open’.

What to LOOK for this Holiday Season

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Be aware of subtle, yet obvious changes in your loved one's emotional well-being. Make note of any signs of irrational fears or anxiety around common lifestyle or household tasks, depression that may include loss of interest in hobbies, sleep patterns, withdrawal from activities with others, lack of basic home maintenance or personal hygiene. ​

Pay attention to their surroundings. Your loved one may have always been a neat freak, or a stickler for paying bills on time and you notice unsafe clutter, an overflowing hamper, piled up mail or late notices from the utility company or bill collectors.  Yes, you desire to give them respect as an adult, but part of that may now come in the form of YOU supporting them with some run-of-the-mill activities of daily living that are no longer easy tasks for them to accomplish.  ​

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Take note or ask about their medication management routine.  Multiple prescriptions alone can be confusing and negative outcomes can result from that confusion. For example, many medications must be taken multiple times a day while others are only once a day. Add this to the usage of multiple pharmacies and expired medications, and your loved one's health may be at risk—a risk that is even higher if multiple physicians are being used. Overdosing and under-dosing are another common result of confusion in drug management.

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Observe the way your loved one moves, and in particular how they walk. A reluctance to walk or obvious pain during movement can be a sign of joint or muscle problems or more serious afflictions. And if unsteady on their feet, they may be at risk of falling, a serious problem that can cause severe injury or worse.  Check to see whether they are maintaining proper foot hygiene.  Medicare covers podiatry visits every 90 days (check their policy for exact coverage).

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Weight loss is one of the obvious signs of declining health. The cause could be based on physical or emotional factors and sometimes medications. Low levels of energy will often result and cause them to no longer be capable of accomplishing some of their basic care needs. Check out what's inside of their refrigerator/freezer.  Check food expiration dates.  See whether their pantry is stocked. Ask them about their daily meal habits.

Notice how much water they consume daily. Dehydration, a serious condition for anyone, is often overlooked in the winter months. Encourage them to drink water and use the restroom frequently during the early parts of the day when they are more alert and often have more energy. This may help them to have less trips during the night.

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Go for a car ride. If they are still driving their own vehicle, ask them to take you out to run an errand.  We suggest to a familiar local and also a non familiar locale that they have to navigate.  Do a safety check of the vehicle - inspect for dents, scratches or even inspect the area where they park the car for damage.

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​Bring your listening ears with you. Choose to not judge, react or criticize their current lifestyle circumstances.  Take your time assessing and talking over what you see with other trusted friends or resources so you will be able to process this strange, new reality and respond appropriately, when the time is right. If you notice sudden odd behavior with your loved one, be sure to seek medical attention.  There may be other areas of concern, specific to your family member. Should this year's holiday visit open your eyes to current and potential problems or negative changes in your parent's physical or emotional state, then it's time to... put a plan of action in place.

Next Step Senior Care Inc.

Our services include:
Care Management - Medical and Organizational  
  • Providing guidance, home management oversight, caregiver oversight, advocacy and support for the senior and his/her family
    • Family Meetings
    • Home Safety Assessments
​Placement Services - CCRC, Assisted Living and Board and Care Community Settings
  • Providing families with FREE support services to verified communities that we would feel comfortable allowing our own parents to live 
​F.I.T. and PWR! Gym - Functional Integrated Training and Parkinson's Wellness Recovery sessions
  • Researched based group and individual sessions that focus on helping individuals regain, maintain and continue gaining strength, stability, body awareness, flexibility, balance, coordination and the confidence to feel "Safe-At-Home" or in all life situations.​
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Call on us, those who've gone before you, to support you through this next season of life.
949-573-8504

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11/21/2018

9 Months or 90 years

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Happy Thanksgiving!  We hope that you will have opportunity to spend time with family and friends throughout this holiday season. When families live far away from one another, the holidays are often the only opportunity that long-distance caregivers and family members have to personally observe their older relatives. Family members who haven't seen their aging loved one since last year may be in for a shock at what they see... and experience a natural desire to close one’s eyes, turn the other way, pretend like everything is as it used to be...

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With pregnancy, one has several months to prepare...longer if you are planning for it. Just a quick mention here that Keith and I are expecting our 1st child, a little girl.  As of this moment I am 7 months pregnant!  ​This is definitely a different journey than when I took on the role of caregiver for my aging mother who was diagnosed with early on-set dementia at the age of 59. My caregiver journey of supporting my mom snuck-up on me in my late 20's and lasted throughout my 30's.  ​

With this pregnancy we are planning and preparing to become yes older, but wiser first-time parents.  We are seeking out support and gleaning the advice of ALL THOSE WHO HAVE GONE BEFORE US (that's pretty much everyone!)  With Keith in his 50's and me in my 40's we recognize the value of seeking counsel and asking for help.  Child rearing is a new life stage for both of us and we hope to travel this new life stage learning from everyone else's triumphs, defeats and lessons learned (hindsight is 20/20).
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The revelation that your aging loved ones are no longer the independent, capable individuals that you have depended on your entire life often hits you unexpectedly. Of course you've known that they will eventually slow down and need some assistance. Hopefully, you are aware that you may be involved with helping them establish support systems that allow them to keep their independence for as long as possible. However, you cannot predict when that truth/REALITY CHECK may surface. You cannot predict, but you can prepare. Just as a pregnancy book and mentors (midwives, doulah's and Lamaze classes) can guide you through the stages towards the babies birth, Next Step Senior Care Inc. is here to be your guide through the stages of life's autumn years.

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Our services include:
 Care Management - Medical and Organizational   
  • Providing guidance, home management oversight, caregiver oversight, advocacy and support for the senior and his/her family
    • Family Meetings
    • Home Safety Assessments
​Placement Services - CCRC, Assisted Living and Board and Care Community Settings
  • Providing families with FREE support services to verified communities that we would feel comfortable allowing our own parents to live 
​F.I.T. and PWR! Gym - Functional Integrated Training and Parkinson's Wellness Recovery sessions
  • Researched based group and individual sessions that focus on helping individuals regain, maintain and continue gaining strength, stability, body awareness, flexibility, balance, coordination and the confidence to feel "Safe-At-Home" or in all life situations.

Call on us, those who've gone before you, to support you through this next season of life.
949-573-8504

Click here to download our Checklist to Assess Daily Living Changes and move into the holidays with your ‘Eyes Wide Open’.

 Giving Thanks For Each of You

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3/20/2018

New Caregiver Ways 2018 - 3 of 3

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#3 ​Admit You Can’t Do It All Yourself

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​​Incorporating the practice of "recharge" and "rest" into each day  ​by... asking for "hh--", "hhh-", "help" is  both powerful and life-giving, regardless of whether you get the support you need the first few times you ask.  (There's a bible verse that reads "And let us not grow weary of doing good..." I cling to these words of truth most days to maintain my sanity.) For many of us the "H-word" is like saying a dirty four letter word, but as care-leaders for our loved ones we've got to have support with our efforts.  A great leader is one who serves the people around them, but also one who strategically delegates = knows how to ask for help.  Trying to get help with supporting your loved one often feels uncomfortable and maybe even makes you feel guilty (Didn't we already discuss guilt in our last blog?).

Sometimes it’s tough to find the help you need. But many times, there are people who sincerely offer to help or local services you could use…but you turn them down out of habit.  Put together a caregiving support team of family, friends, and/or local resources. Why? Because getting help with caregiving can be more of an emotional decision, but at the end of the day it needs to be a practical and rational decision to preserve all - the aging loved one, the primary caregiver and the support team around them.
​The Weisman family has incorporated some successful strategies into their support of their aging loved ones by setting up routine times when the, now adult grandkids, grand neices and nephews were paid to spend time with grandpa as a 'companion' and just hang out for several hours each week.  
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This gave grandma scheduled opportunities to get out and run errands, participate in a church biblestudy,  meet up with a friend for lunch, or piddlepaddle around the house "off-duty". ​ Now that grandpa has passed and grandma is slowly showing signs of decline, the Weisman Care Partner Family Team Extraordinaire now supports grandma with the companion support.

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It's time to get creative with the obstacles that appear as roadblocks to getting caregiving help. Most often, those are the primary caregivers denial that they need help, unhelpful family, or financial issues.  

  • ​Get someone to sit with your older adult while you go out (or take a nap) – ask family, friends, volunteers from local service or religious organizations, or use local respite care programs
  • Get help or relax your standards for time-consuming chores like cleaning or cooking
  • Hire an in-home caregiver for a few hours each week
  • Convince family members to take over on a regular basis
  • Enroll your older adult in an adult day program
  • Ask family or friends to help with your older adult – hands-on care, providing companionship, managing finances, doing research, running errands, doing chores, etc...
  • Hire a  Next Step Senior Care Inc Care Manager to help solve the tough care challenges of getting the right resources in place that brings peace of mind for everyone involved

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One of the great marriage lessons that I've learned in the last two and a half years as a married woman is that "Just because my way is the right-way, doesn't mean we have to do things my way."  As a family caregiver learn to focus on the majors, keeping yourself sane so that you can keep your loved one safe.

​"Let us not become weary in doing good, for at the proper time we will reap a harvest if we do not give up." Galatians 6:9

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2/23/2018

New Caregiver Ways 2018 - 2 of 3

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#2 Take Time For Yourself & Schedule Breaks
Although many caregivers resist the advice to take regular breaks, this will better allow you to sustain caregiving for the long haul without impairing your own health. Embrace a new way of caregiving that is also life-giving by incorporating the practice of "recharge"  and "rest" into each day. 

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Accept That You’ll Feel Guilty
  • Guilt is a normal part of caregiving simply because YOU CARE. It’s never going to disappear. DON"T let this stop you from getting the caregiving help you need. 
  • Besides, how much worse would you feel if you never took any breaks and your health declined to the point where you couldn’t care for your loved one? It doesn’t do them any good if you’re not physically or mentally well enough to be their care-partner.
BREAK IDEAS
  • Take regular mini breaks throughout the day – is an effective way to reduce stress and the best way to maintain your overall health.
  • Convince family members to take over on a regular basis.
  • Do something (anything!) just for you. Everyone needs regular "me" time.
  • Enroll your loved one in an adult day program.
  • Relax your body and get some fresh air with a casual stroll around the block.
  • Hire an in-home caregiver for a few hours each week.
  • Do a 2 minute meditation, breathing exercise, or calming exercise.
  • Get someone to sit with your older adult while you go out (or take a nap) – ask family, friends, volunteers from local service or religious organizations.
  • Improve circulation and reduce stress with an easy 5 minute workout.
  • Escape from reality with a great book, magazine, or an audio-book.
  • Use local respite care programs.
  • Connect with friends – phone calls, video chats, coffee, or a meal.
For support or referrals with any of these ideas, or to create a Care Plan contact us at [email protected] or 949-573-8504.

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1/23/2018

New Caregiver Ways 2018 - #1

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​Incorporating the Practice of "Recharge" and "Rest"
​into Each Day
The secret to surviving long term caregiving is to pace yourself, allowing for your body to rest so that you're recharged to continue caring while your giving.  
Caregiving is a marathon, not a sprint. Being constantly exhausted and stressed may cause significant health issues for the caregiver.  ​​​​Too many family caregivers feel like this. It’s not your fault that you can’t get everything done – you need help! Taking care of an older adult just isn’t something one person can do alone while maintaining your health, humor and sanity.  At Next Step we believe “It Takes a Village” to care for an aging loved one.  Here are some survival tips that we encourage you to embrace for 2018.
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Laugh More!
I love the verse from the bible that reads, “A joyful heart is good medicine, and a broken spirit dries up the bones.”  Some research indicates that the benefits of laughter go well beyond the ever-important fun factor. Laughter may be...
  • a blood-pressure reducer
  • an immune-system booster
  • a stress buster
  • a friend maker
  • portable, immediate and inexpensive therapy
  • a way to recharge the battery of your soul because it creates perspective to remind us of the bigger picture.  

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​Because we’re serious adults with responsibilities and bills and meetings, it’s sometimes hard to REMEMBER to loosen up with a load of laughter now and then (I am preaching to the choir here).  Take note of what makes you laugh and who makes you smile, and spend time doing those things or with those people. Grab a cup of coffee with your fun-loving co-worker. Spend memory-making playtime with the grand kids. Call up your goofy cousin. Social bonds and the benefits of laughter are well worth the effort. For 2018, I am committing to increasing my daily laughter dosage…its just what the doctor ordered!

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1/15/2018

Isn't It Time for a Break?

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 A Tax Break! ​- Here are some tax deduction options that may give you some tax relief.
ATTENTION Family Caregiver! Did you know that s
eniors may be eligible to deduct portions or all of assisted living costs as a medical expense, for Federal income tax purposes, based on the federal Health Insurance Portability and Accountability Act (HIPAA)?

#taxbreak #seniortaxcredits #seniorcarecosts #medicalcosts #dependentcarecredit #taxrelief #taxduction #seniortaxdeduction

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  • Senior Care Costs - All costs related to senior care may be deductible if the senior  is unable to perform (without substantial assistance) at least two activities of daily living (such as eating, bathing, dressing, etc.) or who require substantial supervision to protect the individual from himself or herself because of severe cognitive impairment.
  • Medical Costs - Wondering what qualifies as a medical expense? For the most part, any item or service that is directly related to the individual’s medical care. This includes insurance premiums (health, Medi-care, long-term care insurance), glasses, hearing aids, oxygen, hospital services and many others that you may have not considered.
  • Child and Dependent Care Credit - The person who wasn't physically or mentally able to care for him/herself and lived with you for more than half the year, may be considered your dependent for tax purposes and you may be allowed to itemize their medical costs that have not been reimbursed by insurance.
Dependent Care Qualifiers:
  • The person who wasn't physically or mentally able to care for himself or herself must be claimed as a dependent on your tax return
  • The dependent  must be unable to physically or mentally care for him or herself
  • You must have earned income

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To learn more about these tax breaks click below on these IRS Publication links for additional information:
  • IRS Publication 501: Exemptions, Standard Deductions and Filing Information 
  • IRS Publication 502: Medical and Dental Expenses,
  • IRS Publication 503: Child and Dependent Care Expenses 

This information is not intended as tax advice. Tax rules are complex and can change annually. We encourage you to fully explore this opportunity and seek the advice of your accountant or tax adviser before filing your returns.


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10/20/2017

" Medicare News"  NO Joke—Plan F is going away!

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Anyone turning 65 after January 1st, 2020 cannot sign up for a Medicare Supplement Plan F anymore. It’s going away but don’t be concerned or afraid. You have Coach Tracy! 
​
The G is GREAT. I have another favorite supplement for clients, the N plan. It is NICE with an even lower monthly premium (*$50-60 less than F). N has an annual $183 deductible plus a $20 office copay. Healthy seniors wanting a supplement enjoy saving money. This works for folks who see a Doctor 4-6 times a year. I can save you $800- $2000+. 

The G plan will replace it for folks turning 65 in 2020. Are you in an F plan now or want to change before the deadline? Let’s talk. Getting it means you will be grandfathered in the F plan forever.  
So why did this happen? Insurance companies are businesses. The F plans cost a lot and with no deductible going to Medicare, (and I’m sure for other reasons), it’s going away. The G plan is already here and it’s GREAT. Actually, I like it better than the F. You pay a lower monthly premium plus an annual deductible of $183 (*may increase yearly). Bottom line, don’t worry. 

Contact Coach Tracy to Hear About All the Medicare Plan Updates
Office - 619-202-1622
Cell - 619-944-5450
Email - [email protected]

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10/17/2017

Autumn Sweet Treat

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For the young and the young at heart...
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Apple Pie Ice Cream
1 can frozen 100% apple juice concentrate
1/3 c coconut milk
1 apple, quartered
1/2 vanilla bean or 1 t vanilla extract
1/4 t cinnamon
1 banana
3 c ice cubes

In a blender combine all the ingredients.
Transfer to an ice cream maker and turn on.
It takes about 15-20 minutes to make ice cream in my Cuisinart.
Top w/pecans, raisins or chopped apples. Enjoy!

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9/19/2017

13 of 13 Ways to Boost Your Brain Power - The Ultimate Form of Self-Care

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​Premise:  You Have the Power to Have a Healthier, More Focused,
​Better Functioning Brain...

Practice this form (or any other form that will suit your schedule this week) of self-care daily throughout the next week.
#selfcare #boostyourbrainpower
13. Think Positively (look on the bright side)
Make a point to regularly ask yourself, "What if everything went right instead of wrong?" Positive thinking can actually activate your brain's physical ability to adapt and change. Former President Jimmy Carter, 92, who responded to his recent cancer diagnosis with "optimism, viality and determination," is a great example of this, Emmons says.
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We hope you've enjoyed these last 13 weeks of tips on how you can practice self-care by keeping your brain sharp.  ​Other forms of self-care include...asking for help.  At Next Step we provide non-medical organizational care management support, placements, fitness and resources for everything else. Contact us at 949-573-8504 to have us help you put a 'plan in place' so your mind can be freed up to focus, focus, focus.  

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9/18/2017

12 of 13 Ways to Boost Your Brain Power - The Ultimate Form of Self-Care

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Premise:  You Have the Power to Have a Healthier, More Focused,
​Better Functioning Brain...

Practice this form (or any other form that will suit your schedule this week) of self-care daily throughout the next week.
#selfcare #boostyourbrainpower
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 ​12. Foster your Curiosity
​The word curiosity, as defined by Google is, "a strong desire to know or learn something."  Dr Alter states that "Curious folks have lower rates of dementia."    
Explore your possibilities... Dare to Wonder...Ask, Ask, Ask...

Over the course of the next week we're going to be discussing one more tip on how you can practice self-care by keeping your brain sharp.  ​Other forms of self-care include...asking for help.  At Next Step we provide non-medical organizational care management support, placements, fitness and resources for everything else. Contact us at 949-573-8504 to have us help you put a 'plan in place' so your mind can be freed up to focus, focus, focus.  

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