The Elder Care Cliff Report

Building the Bridge to Transform Americas Elder Care Cliff Through Education, Innovation & Collaborative Initiatives
Save the Date! April 16th-see p. 4 today! National Healthcare Decisions Day

As a token of my appreciation for your interest in this report, I wish to extend to you a gift called The Eldercare Survival Tool Kit. Enjoy it, share some of the gift certificates within the kit or regift it to a dear friend or relative. The value is just over $997.00. See page 4 for details.

Vol. 1. Issue 1 a publication of the CAREgiving Institute founded in 2003 by Stella Nsong, RN, CMC, CDP, LTCP, Author, Speaker & Elder Care Consultant. The Elder Care Report is written and published by Stella Nsong, RN, CMC, CDP, LTCP. One Victoria Square # 302 /Painesville, Ohio 44077 Phone 440-358-1718. Fax 440-358-1716. www.caregivinginstitute.org Facebook https://www.facebook.com/StellaNsongOnline or follow me on Twitter @stellansong

WHEN LOVE IS NOT ENOUGH. WHAT TO DO WHEN YOUR PARENTS ARE LOSING THEIR INDEPENDENCE
by Stella Nsong, RN, CMC, CDP, LTCP, Author, Speaker & Elder Care Consultant (see photo below).

Please join Geriatric Care Manager, Stella Nsong, RN, CMC, CDP, LTCP, and Americans across the country in reminding family members and friends to make their future healthcare decisions known. Everyone should share their wishes and complete their advance directive, because...Your DECISIONS MATTER.

Why You Should Know Where

Stella Nsong, RN is TODAY?

Seminars, workshops, quick help sessions and support group schedules. To register for any of these seminars, please call 440-358-1718. Donation at the door appreciated. PLEASE reserve in advance. Thurs March 28th, 2013. Time: 7:00pm to 8:30pm. Topic: How to Get the Government to Pay Family caregivers Location: S Generation Center Inc. 7750 Plaza Blvd Mentor Ohio 44060 440-942-9933 Mon. April 29th, 2013. Time: 6:30pm.-8:00pm. Topic: Where to find money to pay for respite care. Location: John Henrys Salon 8484 Mayfield Rd Chesterland Ohio 44026 440-688-4150.

In Person Live

s millions of us suddenly find ourselves in the role of caregiver, we are sadly unprepared for this life changing responsibility. There are about 65 million of us who provide care to an aging, blind or disabled relative and we do without any form of compensation and most of us spend 20-40 hours a week providing the needed care. If it were not for us, the U.S health care system would be in a worst financial shape. As a nurse, a geriatric care manager and a dementia practitioner, I have traveled the journey of elder care for almost a quarter of a century and what I have discovered is that Caregiving is the greatest art of love but LOVE is not enough.

hy The Elder Care Cliff Report.

There are approximately 65 million unpaid family caregivers in America. You most likely know one of them, they live in your city, on your street or even next door. They serve with love, courage, never ending patience and perseverance. They have mastered the art of juggling and balancing their multiple roles and responsibilities. Some work 24 hours a day with days blending into weeks, months and even years. Many of them have given up employment to attend to their loved ones causing their own personal financial cliff. Adding salt to injury, most of the unpaid caregivers also have regular jobs and their taxes go to help fund some of the already limited care services for the aged, blind and disabled. Today, these unpaid caregivers provide over 450 billion dollars worth of care to their elderly parents and loved ones. This enormous sum is the cost of care and services that we working and tax paying people in America would otherwise have to pay if these dedicated, courageous, resilient and extremely stressed out unpaid family members where not available or willing to provide the care. Guess what would have happened to Medicare and Medicaid by now if it where not for these family members whom I am going to call the invisible heroes of the US healthcare system. On behalf of all of us who recognize your importance and appreciate your dedication and your sacrifice, I Stella Nsong, RN, would like to use this column to raise awareness of the fact that without these invisible heroes and without a solid plan for the eldercare system, America is facing a Caregiving crisis which I have decided to call the Elder Care Cliff. This is how the Elder Care Cliff Report came about. I invite you to follow me in these discussions and dialogue so together we can be ready for the year 2030 and beyond.

Dial 605-475-4700 then enter access code 440504 and then press the # key and. you will be teleconferencing live with Stella Nsong, RN Tuesday March 26th, 2013 Time: 12:30pm to 1:15pm: Topic: Ask anything Caregiving. Thurs. March 28th , 2013. Time: 12:30pm to 1:15pm. Topic: Do you have your docs in a row? Why having power of attorney documents matter. Call in and hear Stellas story of what is going on since her uncle died without any of the documents in place. Tuesday April 2nd, 2013, Time: 7:30p to 8:30pm. Topic: Caring 4 Caregivers series. How to find good, reliable and affordable care for your loved one.

Live Elder Care Teleconference CALLS with STELLA! USE same dial in number for all CALLS.

You cant do caregiving with just LOVE without losing yourself in the process. To be successful in caregiving, you need love, perseverance, dedication, support and professional help. Time and again, I have seen family members struggle with health challenges of their own, suffer depression, risk their marriages, decline career advancement, or even quit their jobs just to take care of their loved ones. Very often, the family caregiver dies either before or shortly after the person that they are caring for due to stress related disorders associated with Caregiving. It is for these reasons that I wrote this book. Through this book written with gentle humor and compassion, I provide real answers to urgent questions when there is no time to wait. This small, succinct and concise book will take you through a process of what to do when there is no money for care, who you should hire to help you with caregiving, how to make decisions when memory loss has started, how to talk to your parents so they would listen and how to say and when to say it so, that you can help them uphold their dignity and independence as much as it is realistically possible. Towards the end of the book, I will give you actionable steps to developing a care plan with practical solutions that you can use today and right on the spot. When Love is Not Enough The Caregivers Companion: What To Do When You Parents Are Losing Their Independence is NOW available in print at Home Health Care Supply Outlet 440-266-1770 located at 9165 Mentor Avenue Mentor Ohio 44060 for $6.99 or as an ebook on www.caregivinginstitute.org. or www.stellansong.com. for $3.99. To schedule an appointment to speak with me about your loved one, please call 440-358-1718 or call my 24 hour answer line at 440-942-9933 or you may send an email to [email protected].
Lost productivity due to employees needs to address eldercare issues is estimated to cost U.S businesses about $29 billion this year. Companies without eldercare benefits stand to lose $2300 along with a higher health insurance utilization cost per caregiving employee per year..ASK ABOUT CORPORATE SUBSCRIPTIONS. Call 440-358-1718.

Top 10 signs that America is not ready for the eldercare cliff..see if you agree!
By the year 2030, the youngest babyboomers will turn 85. 1 of 2 people aged 85 and older will suffer from Alzheimers disease. Alzheimers disease is the most expensive disease facing America today. There will not be enough people to care for the 85-year-old plus the fastest growing segment of the population. Today, there are about 5 people to provide care for an older adult but by the year 2030, the research is showing that there will be only 3.6 persons and by 2050, there will be only about 2.9 persons available to care for an older adult. The family caregivers hold the US health care system with the 450 billion dollars of free care that they provide each year. The family caregiver now dies either before or shortly after the care recipient. 75% of the family members who are employed are clinically depressed and yet untreated. See the sky rocketing cost of the employers health plan. cont. pg. 2

Tuesday April 9th, 2013,

Time: 12:30pm to 1:15pm. AND Thursday April 11th. 2013 Time: 7:30pm to 8:30pm Decisions Day Preview and the Exceptional Caregiver Giveaway sweepstakes. Do you know an exceptional caregiver? Nominate him/ her for our giveaway and find out what to expect on Health Care Decisions Day April 16th. See pg. 4 for more details and register now!

independent living to 100 years and beyond. Page 2. Private Grants available to Lake County Businesses when Caregiving becomes a work place issue Page 2. REBIRTH Demonstration Study a Success.Shows How to Delay the Need for Assisted Living & Medicaid Enrollment...p. 3 A Cheaper Alternative for Respite Care. Walk-In Senior Care ONLY $4.95 to $7.00/hour p. 3 National Healthcare Decisions Day Event on Tuesday April 16th, 2013, Seats are limited so reserve today. p. 4
In cooperation with Edwards Marketing. and Healthy Referral Newspaper, www.healthyreferral.com 347-6-UR-WELL, the only full size newspaper covering natural health and positive news

Stella 100.Questions, Options, and Considerations to enhance

Whats Inside?

Stella 100!

Enhancing Independent Living To 100 Years and Beyond by Stella Nsong, RN

The Stella 100 column is for questions, options and considerations for everything Caregiving. Use this column to ask Caregiving questions and look for the answers to your questions in the next issue. For Stella Nsong, R.N. is a cer- faster response, please call 440-358tified geriatric care manager 1718 or for immediate assistance and a certified dementia call my 24 hour answer line at practitioner. She has been a 440-942-9933. nurse for more than twenty years and has worked in almost every branch of health care. Over fifteen years ago, she became a business owner and has owned, founded, turned around, licensed and managed private duty agencies, Medicaid/Medicare certified agencies, adult day centers, home medical equipment companies and assisted living facilities. A widely renowned speaker and caregivers coach, she has authored three books on eldercare and she is also a coauthor of the gratitude project. She is the president of the CAREgiving Institute a 501(c)3 organization (located in Painesville, Ohio) whose mission is to transform Americas Caregiving crisis by providing options and resources for today and tomorrows elderly. Stella is also the writer and publisher of the Elder Care Cli Report. In 1990, she won the gold medal for practical nursing in the state of Georgia. In 2010, she was nominated business woman of the year in Chesterland Ohio. In 2012, she was nominated for the Platinum award in Care Management as well as the Professional of Note in Geriatric Medicine. Her books bring much needed basic information to the everyday caregiver to make it easier to carry out their Caregiving responsibilities without losing themselves in the process. She is available to help families and employers with consultation, seminars and Caregiving advice.

The Carson Scholars Fund, Inc. was founded in 1994 to address the education crisis in the United States. When world-renowned Johns

Elder Care Cliff Report Vol 1, 2013 p. 2

Hudec Dental Health Report

a new problem. He cant quite make it to the bathroom so when he stands up to go to the bathroom, there is a trickle of urine from the bedroom to the bathroom. Two weeks ago, he slipped on his own urine and fell and has been in the hospital since. The doctor says he has urinary incontinence and an enlarged prostate. Surgery would be too hard on his body so he will have to wear diapers. I have to decide if he should come home or go to a nursing home because I cant take care of him at home by myself. What kind of help can you give him?

Question: My husband is 87 years old. He has

read a research study about education in the United States, they were alarmed by the findings. The study showed that our nations students ranked #21 out of 22 countries; next to the bottom of the list in science and math. Dr. and Mrs. Carson felt compelled to take action. They believed that if children could be taught early to excel, they would stay motivated and have a higher chance of educational success later in life. The Carson Scholars Fund was built on these principles. www.carsonscholars.org cont. from pg. 1 Why the Elder Care Cliff Report? It cost an employer an average of 2300 per year per employee for loss of productivity associated with Caregiving. America depends on the taxes of these employed caregivers so it can continue to fund the public and community services which are already limited and will be drastically reduced as the healthcare reform takes effect. THE ELDER CARE CLIFF REPORT OFFERS POSSIBLE SOLUTIONS The eldercare cliff report is an online, print and virtual communication platform bringing real time discussions, cutting edge ideas, solutions, innovation, research and education about Americas Caregiving crisis. This report will discuss what caregivers, employers and policy makers need to consider, research, explore and collaborate on so we can survive and thrive through the year 2030 and beyond. To contribute to the report or to begin a discussion please call me at 440-358-1718 or follow me on facebook at https://www. facebook.com/StellaNsongOnline or follow me on twitter @StellaNsong.

Hopkins Pediatric Neurosurgeon Benjamin S. Carson, M.D. and his wife, Candy,

Hudec Dental Reviews

Teeth Whitening-Teeth will naturally darken over time, and things like coffee, tea, tobacco, and medications will speed up the process. Dentist-supervised teeth whitening has been proven the safest and most effective way to eliminate stains and reveal your bright, youthful smile. If youd rather whiten your teeth in the comfort of your own home, we can provide a professional at-home teeth whitening kit. Unlike over-the-counter strips which only cover the front teeth, we will make custom trays that fit over all of your teeth. Just fill the trays with the extra-strength teeth whitening solution we provide and wear them for an hour or two every day. In about two weeks, your teeth will shine eight shades brighter than when you started. Use the trays about once a month to maintain an indefinitely white smile! Clear Correct-For minor crowding and spacing or more severe cases of malocclusion and misalignment, Hudec Dental offers ClearCorrect. ClearCorrect is the simple, effective way to straighten your teeth and achieve your best smile, without the limitations of braces, wires or brackets. With a series of clear, custom, removable aligners, youll be able to gradually straighten your teeth a little bit at a time. Its practically invisible and most people wont even notice youre in treatment. Plus, the aligners are easier to keep clean, providing better control for your dentist and better results for you. Cosmetic Bonding-If you have a chipped, slightly misaligned, or otherwise imperfect tooth that needs cosmetic restoration, we may suggest one-appointment bonding. The dentist can apply liquid composite resin, shaded to blend with your tooths color, to rebuild a pleasing shape to your tooth. After hardening the resin with a curing light, he will artistically sculpt and polish the restoration. In just one visit, you can enjoy a beautiful new smile!

Heres what some satisfied patients have to say Some of these reviews were submitted on other websites. We are not affiliated with or sponsored by these websites. One of the best experiences I have ever had | Review for Hudec Dental Ive been a patient for over 27 years! | Hudec Dental Review / 12/21/12 /Ive been a patient for over 27 years! Thank you so much for taking such good care of my family. When my son from Denver comes home to visit, Hudec Dental is his first stop! Kym

Mention Elder Care Cliff Report When You Call Main office (find a convenient location near you)
3329 Broadview Road Cleveland, OH 44109 Phone: 216.398.8900 /Fax: 216.741.3131 www.hudecdental.com

-A Caring 4 Caregivers volunteer meeting is scheduled for Wednesday April 3rd, 2013
2pm at Jalapeno Loco located at 7289 Mentor Avenue Mentor, Ohio 44060. Light healthy refreshments served. AND you must pre-register by calling 440-358-1718 www.jalapenolocomentor.com (look for future Elder Care seminars at Jalapeno Loco) The phone number to Jalapeno Loco is 440-918-1503

ANSWER: 20 million people in this country suf-

fer from urinary incontinence. Leaking urine or losing bladder control can affect people of all ages and both genders. Incontinence is not a disease. It is a symptom of an underlying problem. We can help you in 4 different ways; provide advice on what to look for when getting incontinence supplies, help you find a reimbursement grant to defray some of your cost of care, give you 1 free hour of a geriatric care management service, locate in home around the clock care for under $10.00 an hour and help you with a home safety evaluation. THE BEST INCONTINENT PRODUCT EVER: There is a brand of disposable undergarment/diaper and incontinence supplies called TRANQUILITY. For my 20 plus years as an elder care consultant it is the only brand that I can guarantee that it does not smell when wet. It controls bacterial growth and reduces the chances of urinary infections. Each undergarment holds almost half a gallon of urine, does not leak and is convenient for a caregiver like you because you do not need to change it frequently and your husband can get better sleep throughout the night. Best of all, it is less expensive than 90% of all other brands including the generic store brands. You can get TRANQUILITY at Home Health Care Supply Outlet 440-266-1770 located across the street from Super Kmart on Mentor Avenue. For hands on help, I would recommend the ASSISTED LIVING AT HOME service offered by Nightingale Home Support & Care. It is around the clock care for under $10.00 per hour. Their number is 440-942-9933. I would also recommend that you call my office for an appointment with a geriatric care manager. We can help you locate grants, plan for long term care and help you become a less stressed out caregiver so that when he comes home, you can have some help and be able to take time off for respite. If you are able, follow me on twitter or like me on face book to get a free copy of my soon to be released book ON RESPITE CARE & WHERE TO FIND MONEY FOR CARE. You may also send me an email to [email protected] . In the subject line, write FREE BOOK and I shall put your name on my list so that you will receive a copy as soon as it is released. Follow me on Facebook https://www.facebook.com/StellaNsongOnline or follow me on Twitter @stellansong

DISCLAIMER: e information provided in the Stella 100 column and e Elder Care Cli Report are for the purpose of increasing awareness of the numerous legal, nancial and medical issues being faced by the elderly and those providing care and assistance to the elderly. Providing care to the elderly requires knowledge of complex and interrelated issues of State laws, federal laws, federal regulations, estate planning laws, and numerous state and federally funded programs. While the column and report is designed to educate, every circumstance is di erent, and no warranty of applicability to any situation, no matter how similar to that found in this column, is made. Before taking any action on behalf of a loved on, or on your own behalf, please consult with an elder care expert to discuss your particular situation.

Private Grants available to Lake County Businesses when Caregiving become a work place issue
The Society for Human Resource Management has described Caregiving as the silent productivity killer. The Metlife study of Employer Costs for Working Caregivers estimated that U.S employers lose approximately 11.4 to 29 billion dollars each year as a result of employee Caregiving that interferes with work responsibilities. Today, that means that it cost an employer approximately $2300 per year due to loss of productivity per employee who is a family caregiver. Approximately 29% of the U.S population is involved in providing care for a chronically ill, disabled or aged family member or loved one. Half of all caregivers for persons aged 50 and over are employed full time and almost 75% of them have had to change jobs or stop working because of the demands of family Caregiving. Most employees who are family caregivers have symptoms of clinical depression that goes untreated. According to the University of Pittsburgh eldercare in the workplace study, the population of people over 65 is expected to increase at a rate of 2.3% but the number of family members available to care for them will only increase at a rate of 0.8%. These trends result in the demand for workplace elder care programs that do more than provide the employees with FMLA benefits, phone numbers and lots of complex and confusing literature from social service organizations. Employees who are caregivers need real help and small businesses need to keep their talent and contain their group health insurance cost. Employers suffer increased healthcare benefit utilization because often, their employees who are family caregivers end up sicker than the person for whom they are caring for. With the rising cost of insurance and the demands of the health care reform, employers with employees who are family caregivers face a huge challenge because 20% of these employees will quit their jobs to provide care full time. The cost of insuring these employees and then replacing them when they quit poses a financial strain on an employer. The CAREgiving Institute extend grants for the development of work place Elder Care Programs to Lake County businesses who qualify. The CAREgiving Institute a 501(c)3 organization based in Painesville Ohio has a new program designed to support the employer and the employee. It is a collaborative initiative between 4 organizations to raise awareness for the need for effective workplace elder care programs that can accomplish a 4 pronged goal; first to educate the employee about the IMPORTANCE of long term care planning. Secondly, to design a back up Caregiving system to help the employee when there is a sudden need for care. Thirdly, to

Save the Date! April 16th-see p. 4 today! National Healthcare Decisions Day
help the employee who is a family caregiver to develop an individualized work life balance program and a self care and wellness program. Lastly to help the employer lower the cost of employee retention, absenteeism and health care benefit utilization as it relates to caregiving. The grant will pay for some professional caregiving related services which will include level of care assessments, care plan development, back up care, adult day care, in home care, assistance with the legal aspects of Caregiving, stress management, relaxation and wellness, as well as support groups and access to hands-on and on-line caregiver training and education. The program will be customized to fit the organizations that qualify based on the size of the Caregiving employee group and shifts that the employees work. This program is a worksite program so employees do not have to travel or lose time from work. The application process is quick and simple. Some organizations may need to cost share or contribute in-kind services to support the program at the end of the grant period. Employers and or employees who are interested in a workplace elder care program should contact the CAREgiving Institute by either calling 440-358-1718 or send an email to [email protected].

REBIRTH Demonstration Study a Success.Shows How to Delay the Need for Assisted Living & Medicaid Enrollment
Columbus Ohio Jan. 2013. Deeply frustrated with the complexity and fragmentation of our health care and long term care services and support systems, nurse entrepreneur Stella Nsong, RN decided to dedicate her expertise and time to help find one possible solution to Ohios ailing Medicaid system. Her interest sparked when she came across several older adults who were losing their independence and needing long term care placement simply because their family caregivers and or guardians did not have enough information or knowledge on how to keep them safe and independent in their homes. It was painful to see a frail widow lose her home because she lost her ability to walk while she was at the rehabilitation facility receiving the therapy that was supposed to help her regain her strength and her independence. Today, Ohio spends 85% of its budget on 15% of its population which is made up of the aged, the blind and the disabled. Every month, Ohio enrolls almost 2000 individuals into its Medicaid system. What would happen if the State of Ohio had a system that could delay or reduce the need for Medicaid enrollment by 100 older adults each month. Imagine if this delay could happen effectively and safely for 12 months for each older adult over the next decade. By the 2030, when the oldest baby boomer will be turning 85, Ohio could possibly have its Medicaid budget well under control. This is how the REBIRTH study came about. REBIRTH stands for Restoring Elder Bio-Medical Independence, Restoring Transformational Health. It is a 12-18 month demonstration study program conducted by the CAREgiving Institute, part of the Independent Living Community of the Woodlands at Eastland in Columbus Ohio. The study has demonstrated how a comprehensive enhanced care management model designed by Stella Nsong (utilizing available community generated solutions and resources, health promotion/ educational activities, informal/family caregiver support, recreational day time services and intermittent home health aide services) will help older Ohioans realize three significant benefits: Lower the level of care thereby delaying the need for institutional or assisted living placement for 12 months. Delay the need for Medicaid funded services and nursing home admissions for at least 12 months. Help the older Ohioan enjoy MORE LIFE out of days than DAYS OUT OF LIFE through finding peace, purpose, hope and happiness in their later years. Older Ohioans between the ages of 62 and 85 who meet the following criteria: Do not require 24 hours supervision or care Are not eligible for Medicaid and are currently not engaged in Medicaid planning techniques in an attempt to divest themselves of their assets to qualify for Medicaid in the future. Require assistance with no more than 4 Activities of Daily Living. Have been hospitalized at least once in the last two years Have been placed on 1-4 new medications in the last two years Have been at risk for institutional or assisted living placement in the last two years.

Elder Care Cliff Report Vol 1, 2013 p. 3

A Cheaper Alternative for

Respite Care...Walk-In Senior Care
Since the downturn of the economy, costs for health care have been on the rise. According to a 2011 market survey of long-term care costs, the national average daily rate for a private room in a nursing home rose 4.4% last year from $229 in 2010 to $239 in 2011. Similarly, the national average monthly base rate in an assisted living community rose 5.6% from $3,293 in 2010 to $3,477 in 2011. These rising costs are frightening to many young caregivers who are trying to find the best way to care for their loved one. If your loved one is suffering from dementia or other chronic diseases such as chronic hypertension, physical disability, cardiovascular disease, diabetes, mental illness and developmental disability, you may want to look into an adult day care program like the WALK-In SENIOR CARE at the S Generation Center. While the costs of adult day care rose along with other health care costs, it still remained the lowest annual rate in 2011 when compared with the annual costs of nursing homes, assisted living communities, and home care. Though daily fees for adult day services vary depending upon the services provided, the national average rate for adult day centers is $61.00 per day (includes 8-10 hours on average) compared to an average rate for home health aides of $19 per hour. Walk-in Senior Care at S Generation Center range in cost from $4.95 to $7.00 per hour. Adult day service centers provide a coordinated program of professional and compassionate services for adults in a community-based group setting. Services are designed to provide social and some health services to adults who need supervised care in a safe place outside the home during the day. They also afford caregivers respite from the demanding responsibilities of caregiving. The adult day service is a growing industry with over 4,600 adult day centers across the United States and more than 260,000 participants. They provide aging and chronically ill adults with a small loving community. The average capacity of an adult day care center is forty adults with a recipient to staff ratio of 6:1. Participation at the Walk-In Senior Care ranges from 7 to 13 people a day with a care recipient to staff ration of 3:1. Walk-In Senior Care is for those family caregivers wishing to keep loved ones who are in chronic care in their own community, at home, and among friends and family for as long as possible. Caring for a loved one can present emotional, physical, and financial tolls that are often too difficult to manage 24/7. Walk-In Senior Care can provide family caregivers a few hours of rest and rejuvenation while your loved one spends their day engaging in social and therapeutic activities. The Walk-In Senior Care center has a bright activity room that is easily accessible for those with wheelchairs and walkers. A caring staff presides over the activities which include restorative therapy, music, board games, crafts, painting, meals and socialization. The center is open from 6am to 6pm Monday to Friday and 8am to 6pm on Saturdays by request. It is sometimes difficult to leave your loved one at a facility that is new to them but give your loved one a chance to try it for a few days as it will take several visits for a new setting and routine to feel comfortable and allow yourself to relax knowing that your loved one is being cared for. There are grants for those who qualify. Stop in and tell us your Caregiving story and we will immediately create a customized care program that will take your stress away. STOP IN OR CALL NOW 440-942-9933. WE CAN START TODAY!.

ONLY $4.95 to $7.00/hour

The National Adult Day Services Association describes adult day centers in this way:

WHO WOULD BENEFITS FROM the R.E.B.I.R.T.H study?

During the course of the study, the participants experienced a gradual and continuous reduction in their level of care (through participating in the wellness programs, engaging in therapy, utilizing less medications and keep mentally stimulated) therefore preserving more of their assets that otherwise would have been spent on a higher level of care. Assets have been preserved as much as possible through the utilization of community based care solutions and other available benefit programs such as the VA aide and attendance pension plan. . All have enhanced and maintain independence to their highest functional ability and one has been able to regain his driving privileges. As a matter of fact, this participant drives himself to dialysis three days a week and has mastered his care and symptom management. Before enrolling in REBIRTH, one of the participants was at the emergency room 2-4 times a month for falls and urinary tract infections. Since her enrollment in the REBIRTH study, she has not been admitted to the hospital and has been to the emergency room once for a swollen leg and once for a fall in the last 15 months. All the participants have access to the comprehensive care management system and up to date wellness, physical, emotional, mental and psychological health check up and follow up services. Fee for the participation in the program ranges from $1690 to $1945.00 per month based on need. The fees covers room and board, all utilities, cable TV, activities, use of the laundry facility, transportation to medical appointments, breakfast and dinner meals and comprehensive care management services. Physician services and all required therapies are billed under Medicare or private insurances. Personal care, some medication management, medication reminders and home making are provided by home health agencies of the participants choice. Participants are required to pay for their medications, extra food outside of the breakfast and dinner meals, snacks, toiletries, laundry detergent, extra laundry services, and any other specialized services that are not covered under the program. THE FUTURE OF REBIRTH. The final results of the study are being compiled and will be made available upon request. So far, nine participants (all who needed level 3 assisted living or nursing home placement) have been able to remain independent, active and well. One participant is doing so well that he is able to regain his car keys, has a very active social life and has offered to become a volunteer for the program. The CAREgiving Institute intends to seek federal funding and sponsorship to expand the program and conduct further research for keeping older Ohioans active and well and out of long term care facilities while helping the Medicaid bottom line. Through the CAREgiving Institute, REBIRTH is facilitated by Stella Nsong, RN, Dr. William Roberts of Doctors House Call, Anta Mcknight, RN, CNP, Dr. Esther Hampton, Shari Baker, RD and Chaplin F. Bernard Harris Jr. For more information call 614-866-2080 or email to [email protected]. or visit us on the internet at www.caregivinginstitute.org.

REBIRTH a success: 9 participants have stayed out of Assisted Living successfully & happily.

WANTED:

To help our INVISIBLE HEROES !

People with Heart, People with Passion.

REBIRTH is very cost effective.

Debbie turned the ringing alarm off. It was 6:00AM and time to get herself ready for the day. Her son would be there soon to help her shower and dress her husband Jim. Her son came every day before work to help because Debbie, at 75 years old and suffering with arthritis, could not lift Jim out of bed or help him to the shower. This has been the daily routine since Jims stroke 3 years ago. When her son leaves for work, Debbie spends the day caring for Jims needs. At the end of the day, the son comes back and they do it all over again, this time getting Jim ready for bed. Debbie is a family caregiver otherwise known at the CAREgiving Institute as an invisible hero. Do you know a few people like Debbie? They live in your city, perhaps on your street or even next door. They serve with courage, perseverance, patience and love. Some give 24 hours a day, with days blending into weeks, months and years. They are family caregivers; heroes quietly caring for loved ones at home. There are over 66 million family caregivers in the United States like Debbie, taking care of someone with Alzheimers or dementia or who have physical inabilities. The overwhelming responsibility can be very difficult and emotionally wearing on the caregiver. Without some type of support the caregiver may end up with his or her own health failing. Very often, the caregiver dies either before or after the person that they are caring for. Stress, guilt, anger, depression and withdrawal from family and friends are some of the emotional feelings that leave these people feeling helpless. According to a study by the Met Life foundation, 75% of caregivers who are employed suffer from clinical depression and they go untreated. Many caregivers give up employment to attend to their loved ones needs, causing financial, family and even marital stress. The CAREgiving Institute has a program called CARING 4 CAREGIVERS. The goal of the program is to help and support family caregivers by making
cont. p.4

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any purchase $75 or more. Cannot be used with other offers and gift certificates. Expires 4/30/13

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Elder Care Cliff Report Vol 1, 2013 p. 4

Protect Your Assets and Your Family From Unnecessary Stress

$25 admission fee waived for the first 75 registered in advance/seats limited register now!
Why Come: Please join Certified Dementia Practitioner, Author & Speaker Stella Nsong, RN, the CAREgiving
Institute, the S Generation Center Inc. and Americans across the country in reminding family members and friends to make their future healthcare decisions known. Everyone should share their wishes and complete their advance directive because DECISIONS MATTER. Special visit by law firm SHRYOCK AND CROOK and
receive Power of Attorney documents for only $75.00, a $375 value!

Mark Your Calendar NOW for April 16!

National Healthcare Decisions Day, Tuesday, April 16th, 2013

When: Time: 11am to 2pm.

Where: S Generation Center located at 7750 plaza blvd., (behind Mens Wearhouse in Mentor avenue) Mentor, Oh 44060.

Register In Advance-$25 fee waived for first 75 registered!

By Phone: 440-942-9933.
You will receive a confirmation number when you pre register. By Email: [email protected]. By Mail: Ohio Care Planning Council. One Victoria Square #302, Painesville Ohio 44077 Use form below for mail in registration

WHAT TO EXPECT AT THE EVENT: Participants will be greeted by a friendly staff member who will confirm the pre registration ticket information and then escort them to the area where their selected seminar is taking place. Those participants who need powers of attorney documents will meet with the attorney and have their documents drafted, signed and notarized on the spot. A complimentary CD containing the documents will be given to those participants. A light lunch, will be provided along with beverages and pastries to satisfy your sweet tooth.
BENEFITS OF ATTENDING THE EVENT. You will receive up to date information about Ohios laws about advance directives. You will get a chance to finally get your powers of attorney documents done for only $75.00. This is a savings of $300.00.
cont. from pg. 3 People with heart and passion available affordable RESPITE CARE, stress management, personal wellness, care management, financial planning and long term care planning. We want caregivers to survive and thrive and we need you to help us help them. Your donation is tax deductible and your support is price less. How CARING 4 CAREGIVERS works: Volunteers help spread the word, supporters donate $50.00 each for which they will receive 2 gift cards valued at $75.00 ($50.00 and $25.00) to a wellness center or spa so that a supporter can take a caregiver like Debbie along for may be a massage, a half hour exercise, a mini facial or just a pedicure. Each $50.00 donation, will provide the following support to an invisible hero like Debbie: A spa or wellness treatment for 2 people

Discover what to Healthcare Decisions Day Event say and how to say it April 16th, 2013, Time: 11am.-2pm. so that your parents will listen to you. Name:___________________________________________ Address:_________________________________________ Discover if long City__________________________State_______Zip_____ term care insurance Phone:___________________________________________ is right for you. Email:____________________________________________ Please check the seminar topic(s) of MOST interest Discover the se- __How to get affordable care. crets of finding af- __Is Long Term Care Insurance Right for You? fordable health care. __Get it done today! Your powers of attorney documents! __Your legal needs: by SHRYOCK AND CROOK Lots of door prizes. __Listen UP: When to Say What so your parents will listen Other_____________________________________________ A free $25.00 gift certificate to a local salon & spa for all attendees.
501(c)3 Organization

1 unit of respite care. 1 copy of the book title: 7 hours of Respite or 24 hours of Dead; How Not to Lose Your Life To Caregiving. 1 copy of the ebook titled: How To Get the Government To Pay Caregivers. 4 hours of care management to be used anytime throughout the year. 4 hours of caregiver coaching to be used anytime throughout the year. BENEFITS of the CARING 4 CAREGIVERS PROGRAM. *Your support will lower stress for the caregiver and provide the much needed respite services. * Your support is tax deductible. * If you are not interested in a spa or wellness program, then support your co workers, employees and neighbors or just

donate because an hour of respite can save a life. * Volunteering helps you give back

To support the program or to serve as a volunteer or a PR intern, please call 440358-1718. A Caring 4 Caregivers volunteer meeting is scheduled for Wednesday April 3rd, 2013 at 2pm at Jalapeno Loco located at 7289 Mentor Avenue Mentor, Ohio 44060. The phone number to Jalapeno Loco is 440-918-1503 AND you must pre-register by calling 440-358-1718.

Elder Care Survival Tool Kit! Value Over $997.00!

As a token of my appreciation for your interest in this report, I wish to extend to you a gift called The Eldercare Survival Kit. Enjoy it, share some of the gift certificates within the kit or regift it to a dear friend or loved one. The value is just over $997.00. Call 440-266-1770 to reserve yours today while supplies last. There are only 85 of them. After your call, give us 24 hours to process your request and you can pick up your kit anytime between 11am and 6pm Monday through Friday at S Generation, 7750 Plaza Blvd Mentor, Ohio 44060. -Stella Nsong, RN, publisher