A Full Service Commitment to Quality
Home Health Care Equipment and Supplies
Browse through our resources, tips and help for caregivers.
Learn about some of the most common health issues. Please feel free to read the information we have collected.
Some of this information includes risks, tips, explanations, and prevention tips for patients and caregivers.
Did you ever wish you could just pick up the phone and call someone
who would take stock of your situation, help you access the right
services, counsel you and your family to help resolve some of your
differences, then monitor your progress with an eye toward channeling
your energy and abilities as effectively as possible? If your answer is
“yes,” you’re not alone. Having the help of a care coordinator (often
called a care manager) could make all of our lives easier and less
lonesome, and help us be more capable family caregivers. While most of
us may not have access to a care coordinator, we can all learn how to
think and act like one, thereby reaping numerous benefits for our loved
ones and ourselves.
What Is Care Coordination?
Although every case is different, the care coordination approach usually involves:
an assessment of your abilities and needs is not necessarily a standard
part of the process, but it should be. A complete view of the situation
cannot be gained without one. An objective analysis of your health,
emotional state, other commitments, etc., are key elements in
determining how much you can and cannot do yourself, and what type of
outside support is needed to ensure your loved one’s health and safety.
Become Your Own Care Coordinator
By learning and applying at least some of the care coordination
techniques and ideas that follow, you’ll be in a much better position
to develop an organized course of action that will, hopefully, make you
feel more confident and in control — a goal well worth working toward.
Educate yourself on
the nature of the disease or disability with which you’re dealing.
Reliable information is available from the health agency that deals
with your loved one’s condition and the National Institutes of Health.
When using the Internet, stick with well-known medical sites.
Understanding what is happening to your care recipient will provide you
with the core knowledge you need to go forward. It will also make you a
better advocate when talking with healthcare professionals.
Write down your observations of the present situation including:
assessment will help you come to a realistic view of the situation. It
will let you know the questions to which you need answers. It can be a
handy baseline for charting your caregiving journey and reminding you
just how much you’ve learned along the way.
Hold a family conference.
At least everyone in the immediate family should be told what’s going
on. A meeting can set the stage for divvying up responsibilities so
that there are fewer misunderstandings down the road when lots of help
may be needed. A member of the clergy, a professional care coordinator,
or even a trusted friend can serve as an impartial moderator. A family
meeting is a good way to let everyone know they can play a role, even
if they are a thousand miles away. It can help you, the primary family
caregiver, from bearing the brunt of all the work all of the time.
Keep good records of
emergency numbers, doctors, daily medications, special diets, back-up
people, and other pertinent information relating to your loved one’s
care. Update as necessary. This record will be invaluable if something
happens to you, or if you need to make a trip to the ER. If you can
maintain a computer-based record, that will make updating all that much
easier and it might even allow you to provide the medical team with
direct access to the information.
Join a support group,
or find another caregiver with whom to converse. In addition to
emotional support, you’ll likely pick up practical tips as well.
Professionals network with each other all the time to get emotional
support and find answers to problems or situations they face. Why
shouldn’t family caregivers?
Start advance planning for difficult decisions
that may lie ahead. It’s never too early to discuss wills, advance
directives, and powers of attorney, but there comes a time when it is
too late. It is also vital that you and your loved one think through
what to do if you should be incapacitated, or, worse, die first. It can
Develop a care team to help out
during emergencies, or over time if your situation is very difficult.
In an ideal world there will be lots of people who want to help. More
likely you’ll be able to find one or two people to call on in an
emergency or to help with small chores. The critical thing is to be
willing to tell others what you need and to accept their help.
Establish a family regimen.
When things are difficult to begin with, keeping a straightforward
daily routine can be a stabilizer, especially for people who find
change upsetting and confusing.
Approach some of your hardest caregiving duties like a professional.
It’s extraordinarily difficult to separate your family role from your
caregiving role, to lock your emotions up in a box while you focus on
practical chores and decisions. But it is not impossible to gain some
distance some of the time. It requires an almost single-minded approach
to getting the job at hand done as efficiently and effectively as
possible. It takes practice, but is definitely worth the effort.
©National Family Caregivers Association | www.nfcacares.org | Phone: 800/896-3650
Review this list of questions as you are planning and preparing for any interaction with the health care system (e.g., doctor visit, trip to the emergency room, hospital discharge planning
session, etc.) The questions are organized by category. Select the questions that best fit your
needs. Feel free to add your own.
About Medical Care in General
About Medical Tests and Procedures
About How the Doctor’s Office Works
Regarding the Costs of Medical Care
Regarding Discharge Planning
As part of the discharge planning process, many issues related to the patient’s care need to be
resolved. As soon as you know your loved one is going to be admitted to the hospital, find
out who is in charge of the discharge process and arrange a meeting to gather specific answers
to the following questions.
Seating & Mobility As a caregiver, you need to
be very understanding to the individual's needs. This is a very hard
time as they are being told they need to start living their life in a
different manor than they had done so previously. It will be most
beneficial to educate them, either with a professional, or through a
support group. By becoming involved in different activities with others
in the same condition, the individual will be able to make the
transition much easier. As far as the actual device, you will want to
make sure that the individual is fully capable of performing all the
operations of the mobility device and can do so in a comfortable
manner. Areas to pay close attention to include an adjustable backrest,
a suspension system, a fore-and-aft track adjustment, an up-and-down
seat adjustment, an armrest and/or footrest, and lumbar region support.
How do you care for your mobility device? The most important areas that you need to pay attention to are referred to as the 3 B’s…Bad batteries, bent wheel rims and failed bearings. If
you notice something that doesn’t seem right, but it isn’t all too
annoying, you should still get it looked at right away. This could
prevent a more severe accident from happening. So as the saying goes
“it’s better to be safe than sorry”.
When a wheelchair is
purchased, you will want to make sure that all the correct adjustments
and modifications are made. This needs to be done by a professional and
should take up to a couple of hours if done correctly. As long as the
proper measures are taken initially, the work of maintaining the device
will be substantially easier.
Before you pick up the phone to speak to a claims representative, you need to gather some
information. Be prepared to give the person you talk with:
When you start the conversation, ask for the name and telephone extension of the individual
who is handling your phone call. If you need to call again, you will want to try to speak with
the same person. Keep in mind that billing office personnel and insurance claims representatives
are there to serve you. You are the customer. Be assertive. You should expect to:
Here are some tips for communicating effectively with people who work in the health insurance system.
Excerpted from Communicating Effectively with Healthcare Providers
©National Family Caregivers Association | www.nfcacares.org | Phone: 800/896-3650
It's always wise to find out what your county and state have to
offer in the way of services, even if you think you won't qualify for
them. Check the blue pages of your phone book for the numbers, or go on
line. Counties and states all have web sites. Type the name of your
state or county and state into any major search engine i.e. Iowa, or
Montgomery County, PA. Navigate from there to locate the Department of
Health and Human Services and the specific office most relevant to your
needs, such as office on disabilities, elder affairs, or maternal and
Other good sources of information include your local hospital or
clinic (social work department), area adult day centers, social service
and faith-based agencies, and/or the local chapter of the health agency
that focuses on your loved one's condition. It is by no means certain
that any of these will offer caregiver support services, but they are
good places to check, and they are good sources for information about
services to directly support your loved one.
caregiver is anyone who provides help to another person in need.
Usually, the person receiving care has a condition such as dementia,
cancer, or brain injury and needs help with basic daily tasks.
Caregivers help with many things such as:
who are not paid to provide care are known as informal caregivers or
family caregivers. The most common type of informal caregiving
relationship is an adult child caring for an elderly parent. Other
types of caregiving relationships include:
Americans will be informal caregivers at some point during their lives.
During any given year, there are more than 44 million Americans (21% of
the adult population) who provide unpaid care to an elderly or disabled
person 18 years or older. Altogether, informal caregivers provide 80
percent of the long-term care in the United States.
Fifty-nine percent of informal caregivers have jobs in addition to
caring for another person. Because of time spent caregiving, more than
half of employed women caregivers have made changes at work, such as
going in late, leaving early, or working fewer hours.
Caregiver stress is the emotional and physical strain of caregiving. It can take many forms. For instance, you may feel:
stress appears to affect women more than men. About 75 percent of
caregivers who report feeling very strained emotionally, physically, or
financially are women.
Although caregiving can
be challenging, it is important to note that it can also have its
rewards. It can give you a feeling of giving back to a loved one. It
can also make you feel needed and can lead to a stronger relationship
with the person receiving care. About half of caregivers report that:
most caregivers are in good health, it is not uncommon for caregivers
to have serious health problems. Research shows that caregivers:
research study found that elderly people who felt stressed while taking
care of their disabled spouses were 63 percent more likely to die
within 4 years than caregivers who were not feeling stressed.
of the reason that caregivers often have health problems is that they
are less likely to take good care of themselves. For instance, women
caregivers, compared with women who are not caregivers, are less likely
Also, caregivers report that, compared with the time before they became caregivers, they are less likely to:
Caregiving may be putting too much stress on you if you have any of the following symptoms:
to a counselor, psychologist, or other mental health professional right
away if your stress leads you to physically or emotionally harm the
person you are caring for.
begin with, never dismiss your feelings as "just stress." Caregiver
stress can lead to serious health problems and you should take steps to
reduce it as much as you can.
that people who take an active, problem-solving approach to caregiving
issues are less likely to feel stressed than those who react by
worrying or feeling helpless. For instance, someone with dementia may
ask the same question over and over again, such as, "Where is Mary?" A
positive way of dealing with this would be to say, "Mary is not here
right now," and then distract the person. You could say, "Let's start
getting lunch ready," or involve the person in simple tasks, such as
Some hospitals offer classes
that can teach you how to care for someone with the disease that your
loved one is facing. To find these classes, ask your doctor, contact an
organization that focuses on this disease, or call your local Area
Agency on Aging (see below). Other good sources of caregiving
Here are some more tips for reducing stress:
you work outside the home and are feeling overwhelmed, consider taking
a break from your job. Employees covered under the federal Family and
Medical Leave Act may be able to take up to 12 weeks of unpaid leave
per year to care for relatives. Ask your human resources office about
options for unpaid leave.
Caregiving services include:
some time off from caregiving can reduce stress. "Respite care"
provides substitute caregiving to give the regular caregiver a
much-needed break. Below are the various types of respite services that
There are devices that you can buy that can help you make sure that your loved one is safe. Below are some examples:
researchers are developing technologies to allow doctors and nurses to
examine and treat patients from locations different than the patient's.
This new field is called telemedicine. It uses a communication system,
like the Internet or two-way television, to collect medical information
and provide instructions to the caregiver and patient. Telemedicine
will be most useful in rural areas where few doctors are available.
Some states already have limited telemedicine programs in operation.
your local Area Agency on Aging (AAA) to learn about caregiving
services where you live. AAAs are usually listed in the city or county
government sections of the telephone directory under "Aging" or "Health
and Human Services." The National Eldercare Locator, a service of the
U.S. Administration on Aging, can also help you find your local AAA.
You might also want to consult with an eldercare specialist, a
professional who specializes in aging-related issues. An eldercare
specialist assists older adults and their family members by assessing
their needs and identifying the best services and devices available to
meet those needs. To find an eldercare specialist in your area, ask
your doctor or local AAA.
Medicaid, and private insurance companies will cover some of the costs
of home health care. Other costs you will have to pay for yourself.
costs of home care depends on what services you use. Non-medical
workers like housekeepers are much less expensive than nurses or
physical therapists. Also, some home care agencies are less expensive
To find out if you are eligible for Medicare home health care services, read the free publication Medicare and Home Health Care (Publication No. CMS-10969), available at https://www.medicare.gov/Pubs/pdf/10969.pdf.
You can also call your Regional Home Health Intermediary. To find the
phone number, go to the Contacts Database of the Centers for Medicare
& Medicaid Services at: http://www.cms.hhs.gov/apps/contacts. You can also call 1-800-MEDICARE (1-800-633-4227).
qualify for Medicaid, you must have a low income and few other assets.
To find out if you qualify for Medicaid, call your State Medical
Assistance Office. To find the phone number, go to the Contacts
Database of the Centers for Medicare & Medicaid Services at: http://www.cms.hhs.gov/apps/contacts. You can also call 1-800-MEDICARE (1-800-633-4227).
Medicare and Medicaid, there is another federal program, called the
National Family Caregiver Support Program, that helps states provide
services for family caregivers. To be eligible for the program, a
Each state offers different amounts and types of services. These include:
To access services under the National Family Caregiver Support Program, contact your local Area Agency on Aging.
Sources: Office on Women's Health in the Department of Health and Human Services.
ACE Medical Inc.
:: All rights reserved ::
:: Site Map
Created and Powered by VGM Forbin* Designed according to National Institute on Aging guidelines for senior-friendly Web
94-910 Moloalo St
Phone: (808) 678-3600
Toll-Free: (866) 678-3601
Fax: (808) 678-3604