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Wednesday, January 07, 2009

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Elder Care by Carol Bradley Bursack

This page is an extension of the "Minding Our Elders" weekly column in The Forum. Along the side rail, you will find links to support groups, Web sites and events.

Since I can't answer, online or in The Forum, every question sent to me or asked by e-mail, I will choose representative issues.

You, however, are free to discuss caregiving issues that you choose. All we ask is that you respect one another, and the people who are providing services for caregivers.

Carol Bradley Bursack
Forum elder care columnist

Special cross offers comfort

01/04/2009
Dear Carol: My mother, a devout Christian, received a gift I thought you may want to tell your readers about. Mom’s eyes are dim and her fingers gnarled by arthritis.

Ratings not whole ranking when it comes to nursing homes

12/28/2008
Dear Readers: Many of you read the Dec. 20 Forum article about the new Medicare ranking system for nursing homes. I’m sure some of you were surprised and even upset by local ratings.

Savor the joy, forget the guilt

12/21/2008
Dear Readers: This is the time of year when many out-of-town adult children make the trek home to see their aging parents. Lately, after receiving several questions on this issue, I started thinking of my own experience with my folks.

Assistive Technology explained

12/14/2008
Dear Readers: I’ve attended several conferences, both in North Dakota and Minnesota, where I’ve met representatives of the Interagency Program for Assistive Technology.

Site sorts end-of-life wishes

12/07/2008
Dear Readers: A young woman of 32, Rosaria Vandenberg, known to friends and family as Za, was diagnosed with stage IV glioblastoma (a type of brain tumor).

Book offers great advice to caregivers

11/30/2008
Dear Readers: Have you ever visited a doctor with an elder and wondered if that physician knows what it’s like to love someone who must live with such struggles?

Forgiveness offers release from regrets

11/23/2008
Dear Readers: I’ve been thinking lately about forgiveness. It seems forgiveness makes gratitude more accessible. And even in these tough economic times, most of us have much to be grateful for.

Get answers when hiring in-home care

11/09/2008
Dear Readers: I recently attended a workshop where Gail Agnes of Comfort Keepers spoke.

Let snowbird parents fly south for now

11/02/2008
Dear Carol: It’s fall again and my parents are headed south. They’ve done this every winter for nearly 20 years, and have a community in Arizona that is home to them.

Dementia not always a block on right to vote

10/26/2008
Dear Carol: My dad has been diagnosed with early-stage Alzheimer’s. He’s on medication. He still drives and for the most part, is doing well, other than some shortterm memory issues. I’ve had people ask me if I should let him vote in the coming election. He voted in the primary, before his diagnosis, and I don’t see much change now. When do people need to be told they shouldn’t vote? – Kris

Always check medications’ ingredients for lactose

10/19/2008
Dear Readers: Every now and then I get a tip from a reader that is so compelling I must pass it on. This note about medication and lactose intolerance is one of those tips.

Medicare site can be helpful to caregivers

10/12/2008
Dear Readers: Medicare has launched a new site aimed at helping caregivers. I was fortunate enough to be included on a conference call with Kerry Weems, acting administrator for Centers for Medicare & Medicaid, before the Sept. 18 site launch.

Technology can’t replace human touch

10/05/2008
Dear Readers: My e-mail box has lately been bombarded with news releases describing new electronic wonders that will help our aging population. Some of these devices sound interesting, and some are just new twists on old ideas.

Press elders for comments’ true meaning

09/28/2008
Dear Readers: One of the rewards of what I do is that I learn so much from readers. I was talking with Anna, a woman who is both a reader and a friend. She’s been having a tough time because her in-laws, whom she dearly loves, are both having health problems. The whole family has been struggling, as most of us do when faced with the reality of an elder’s final journey.
Study shows projected aging population in Hubbard County.
Aging population

Aging population may struggle to make home repairs

09/25/2008
A Hubbard County comprehensive housing study shows that a high number of single-family homes in the county needs rehabilitation work and the household age is increasing.
Fred Nordstrom celebrated his 80th birthday by biking a remarkable 80 miles. (Jean Ruzicka / Enterprise)
Fred Nordstrom

Inspired by fellow 80-year-old, biker pedals area countryside

09/25/2008
Soon-to-be octogenarian Fred Nordstrom feted his birthday with a feat most extraordinaire - riding his bike 80 miles Monday.

Options can help mother to be active

09/21/2008
Dear Carol: My mom is in her 70s and is alert and fairly healthy. She has arthritis, which causes her quite a bit of pain. I’d like to see her be more active, as I think it would be better for her overall, but she says she doesn’t feel like it.

Agencies advocate discussion

09/14/2008
Dear Readers: In-home care agencies are abundant in the metro area. Some are local only, and others are locally owned franchises. As with all care services, if you are looking for in-home care, ask for references. Also, as with all care options, it never hurts to stop by from time to time, to check on how care is going.

Services are plentiful for seniors

09/07/2008
Dear Carol: My mother is still able to live alone. I know she needs more help than I can give her, as I work full time. I’d like to see her have more company and more activities during the day but am not sure how to go about it. Any ideas? – Roger

Dad’s behavior could be a sign of depression

08/31/2008
Dear Carol: My dad is living in his own home, which he claims is what he wants, but he’s living in squalor.

Sweet-talking nurse’s aides should not sugar-coat

08/24/2008
Dear Carol: My dad had a severe stroke and is in a very good nursing home. He was a military man and always rather rigid. I cringe when aides in the home use terms of endearment like “Hon.”

Useful guide helps elders get organized

08/17/2008
Dear Readers: I’ve had the opportunity to review a new organizer for legal papers such as a will, power of attorney and health directive, along with bank accounts and other information a person’s legal heirs may need, and I’m quite taken with this model.

ND kit offers useful info on long-term care insurance

08/10/2008
Dear Readers: Some of you in North Dakota have received a brochure from the Department of Health and Human Services titled “Own Your Future: Planning for Long-Term Care.”

Web site offers items that can stir memories

08/03/2008
Dear Readers: My sister was told by a colleague that this woman’s mother, who was viewing “The Lawrence Welk Show” on public television, has mentioned something to the effect that “Lawrence Welk looks wonderful. He just doesn’t age!” While most of us know that Welk died in 1992, we also know that his music lives on.

Free coupons help in switch to digital TV

07/27/2008
Dear Carol: My parents still use a TV antenna, and I don’t think they are in need of cable, as they watch only a few programs, mostly local.

Book offers informative glimpse at Alzheimer’s

07/20/2008
Dear Readers: When memory slips become more persistent and we begin to wonder if “something is wrong,” testing for Alzheimer’s is often in the forefront of our thinking. Because of the prevalence of Alzheimer’s in news and research, it’s a natural response.

Frozen dinners work well for elders

07/13/2008
Dear Carol: My dad is a widower in his early 70s. He’s quite healthy and I’d like to keep him that way. He never did cook, and I know he doesn’t eat well.

Donation helps spark memories for farmers

07/06/2008
Dear Readers: We live in a generous community where good ideas have a way of catching fire.

‘Journey’ delightful, rewarding

06/29/2008
Dear Readers: I’ve written about personal joys and sorrows during my many years of caregiving. I’ve also often mentioned that the spiritual side of helping others often got me through difficult circumstances.

Caregiver is surprised by big bill

06/22/2008
Dear Carol: I recently brought my mother to my home after she’d been released from the hospital after major surgery.

We can take comfort in knowing we did our best

06/15/2008
Dear Readers: The time between Mother’s Day and Father’s Day is always introspective for me. Mother’s Day, in my mind, was a special day for my mother and mother-in-law.

Hiring an independent care provider raises issues

06/08/2008
Dear Carol: My dad has vascular dementia and it’s getting hard to leave him alone. We’ve had some in-home care people come in to help, and we’re considering assisted living. However, the daughter of a friend is a certified nursing assistant who is not currently working for any agency. We’ve thought about hiring her to help on a daily basis.

New book addresses memory changes

06/01/2008
Dear Readers: There’s so much good information on memory research (blame it on the boomers), that it’s a challenge keeping up with it all. I watch studies and read books, just to see the new trends.

Groups focus on wishes of ill adults

05/25/2008
Dear Readers: I’d recently read a “Dear Annie” column where an adult daughter wanted to know if there was an organization that grants last wishes to ill adults, similar to organizations that grant wishes to ill children.

Attending a death can teach many lessons

05/18/2008
Dear Readers: One of the most transformative experiences of my own life was sitting with my Uncle Wilkes as he was dying. It was my first experience at a deathbed. My lasting memories of him include the way he kept reaching forward, grabbing at something or someone, as he was letting go of this life.

Take some steps early to cope with Alzheimer’s

05/11/2008
Dear Carol: My mother is in the early stages of Alzheimer’s. I know there are many levels of care in the metro area. How does a person decide what kind of care is needed at what time? – Glen

Words play role in how we act, care for others

05/04/2008
Dear Carol: I read your article on adult day care. You suggested that people call it something else, like “the club,” as “day care” is thought of as something for children. I don’t mean to offend anyone, but does what you call the care service really matter to someone with Alzheimer’s?

Loneliness and dementia may have ties

04/27/2008
Dear Readers: In last week’s column, I promised to tell you more about the book “Could It Be Dementia? Losing Your Mind Doesn’t Mean Losing Your Soul.”

Objects can help bring back memories

04/20/2008
Dear Readers: The RDO Community Responsibility Committee recently donated 28 miniature tractors to Hospice of the Red River Valley. This thoughtful gift is about more than money.

Life story helps keep memories of elders fresh

04/13/2008
Dear Readers: I receive many questions from readers. I also receive many responses about columns I’ve written. However, no response has had such wisdom to share, along with such eloquent delivery, as the one that follows.

Book offers tips to aid care-giving for groups

04/06/2008
Dear Readers: Last Sunday I wrote about the book “Because You Care,” by Kathryn Kilpatrick and Joanna Chernauskas, which is full of tips on helping friends through hard times.

Be specific when you offer favors to friends

03/30/2008
Dear Carol: I’ve got a good friend whose father, once the caregiver of her mother, has now developed Alzheimer’s disease. Her mother is dying from cancer. This is obviously a family in distress, however they are well-versed in how to get professional care and have people coming in from both hospice and in-home care. My question is what do I do as a friend? I want to do something, but everything I think of seems so trivial. – Erica Dear Erica: I can assure you your friends won’t find your efforts trivial.

Be specific when you offer favors to friends

03/30/2008
Dear Carol: I’ve got a good friend whose father, once the caregiver of her mother, has now developed Alzheimer’s disease. Her mother is dying from cancer. This is obviously a family in distress, however they are well-versed in how to get professional care and have people coming in from both hospice and in-home care. My question is what do I do as a friend? I want to do something, but everything I think of seems so trivial. – Erica Dear Erica: I can assure you your friends won’t find your efforts trivial. They obviously have a great deal to handle. Even with the most efficient and caring professionals at their sides, they need their friends. Sometimes all you have to do is ask specifically if they need something.

Caregram helps keep elders, family connected

03/23/2008
Dear Readers: Last September, I wrote about Presto.com, a printer unit and e-mail service that can receive e-mail, photos, magazine articles and other mail that the family chooses to send to their elder.

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Sensitive issues best brought up before crisis

03/16/2008
Dear Carol: My parents are doing well, however they are in their early 70s, and I’m worried about how to bring up sensitive topics like living wills and a power of attorney. How do we start asking about money issues and what they want when they die? It’s hard to bring these things up without sounding like we’re waiting for them to die, which we certainly are not. – Arnie

Books help kids understand their elders’ dementia

03/09/2008
Dear Readers: Many of you have expressed interest in books I’ve written about in past columns. They have all been for adults. Many children, too, enjoy books and can learn about life from them.

Memories come rushing back at oddest times

03/02/2008
Dear Readers: What is it about grocery stores? Jane Ahlin, in her Dec. 23 Forum column, wrote about bursting into tears while grocery shopping because an item she was buying brought back memories of her mother.

Medical decisions do weigh on families

02/24/2008
Dear Carol: My mother is 85 and has been diagnosed with breast cancer. She is quite strong, but she has worsening congestive heart disease.

Third party can help ease driving issue

02/17/2008
Dear Readers: One of the most profound losses of independence an elder must face is the end of his or her privilege to drive. A fortunate few don’t face this loss until their ninth decade. However, the realities of weakening eyes, slowing response times and for some, mental decline, make driving cessation a fact of life for some in their 60s, and for many in their 70s and 80s.

Adding signs in your home aids transition

02/10/2008
Dear Carol: My mother has early- to mid-stage Alzheimer’s disease. She is living with us for now, although she is on a waiting list for the nursing home of our choice.

Book offers hope, advice in dealing with disease

02/03/2008
Dear Readers: Many of you have heard the old adage that life is “10 percent of what happens to you and 90 percent how you deal with it.”

Ask facility about each drug choice

01/27/2008
Dear Readers: The North Dakota Insurance Department sends out an excellent newsletter called the RxConnector. One subject addressed in the January edition references a December article in the Wall Street Journal, titled “Nursing homes struggle to kick drug habit.”
This page is an extension of the "Minding Our Elders" weekly column in The Forum.

January 07, 2009

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January 07, 2009

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CareGuide Assessment
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National Alzheimer's site
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National Association of Area Agencies on Aging
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Care Guide
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Compiled in this section of the Web site are useful agencies, companies and providers to help you and your loved ones. View service providers

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