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Love, Guilt & Quagmire

By: Judie Rappaport
Date: April 10, 2013
"Dad desperately wanted to leave the nursing home. Every time I called him, I'd say, 'Dad, I'm going to get you home by Mom’s birthday. I got him home the day before Mom turned 75 and considered that one of my greatest accomplishments. When I found out Mom couldn't get him into bed without help, I laid awake the whole night wondering what the hell I had just done."
Categories: Eldercare 911 Blog

Top 7 Questions (& Answers!) for Alzheimer’s Caregivers

By: Judie Rappaport
Date: July 23, 2012
1. What is the most important step I can take to help me survive as an Alzheimer’s (AD) caregiver? Education, Education, Education. It is impossible to overestimate the benefits of professional guidance for AD caregivers. The fastest road to maintaining your health and your family’s quality of life is to seek help from professionals who are experts in AD behavior and family needs. Begin your education now: • What is Alzheimer’s disease (AD)? AD is a progressive, incurable, neurological disease and the 6th leading cause of death in the U.S. Current treatment options offer hope for slowing the progression of the disease; there are no known cures. • Stay alert for Ageism: The assumption that dementia + old age = Alzheimer’s may prevent treatment for the more than 50 treatable or reversible illnesses that exhibit dementia symptoms. • Insist on Thorough Testing: Nothing is more important than an early, accurate diagnosis which is only available from thorough testing by a Boa
Categories: Eldercare 911 Blog

5 Simple Questions That May Save Your Life

By: Judie Rappaport
Date: June 26, 2012
About five years ago a friend and colleague who is also the most knowledgeable Nurse & Geriatric Care Manager I’ve ever known, said, “Today’s drugs are so powerful that we’re often taking poison in non-lethal doses.” She was reminding me that while we often hear about the potent life-saving benefits of today’s super-drugs, we rarely acknowledge their potential for life altering damage, a.k.a. Adverse Drug Reactions (ADRs). After our discussion, I did some basic research which changed the way I look at medications for my family and clients, and for myself as well. Here are the facts:
Categories: Eldercare 911 Blog

What Happens To Family Caregivers When A Parent Dies?

By: Judie Rappaport
Date: February 21, 2012
Dear Eldercare 911, I changed so much in the years I spent caring for my father. It’s not just that I’m older. That doesn’t thrill me, but I can handle it. My problem is I no longer know who I am—or even who I was. I was devastated and had no enthusiasm for anything for almost a year after Pop died. I’ve never experienced pain like that. I finally got grief counseling and it helped me work through my feelings. I had no idea death could be so complicated. Last week I timidly called an old friend and had lunch with her. It had been years since we spent time together and we were both looking forward to our reunion. It was awful. I know nothing of her ‘normal’ world of shopping, restaurants, and lunches with friends. I haven’t been to the movies in years (I don’t know one show from the other) and my vacation isn’t ‘all set.’ All I know is diapers, doctors, medicines, wheelchairs, and hospitals. When I returned home I realized that my house still ‘smells’ like sickness.
Categories: Eldercare 911 Blog

Be Ready When Mom and Dad Move In With You

By: Judie Rappaport
Date: January 24, 2012
You can go home again — especially if you're Mom and Dad. An increasing number of older Americans are moving back in with their adult children. Since money is often a reason behind that decision, here are some financial guidelines: See if Mom and Dad may be willing to contribute by regularly preparing meals or babysitting the grandchildren. Set clear guidelines.
Categories: Eldercare 911 Blog

Wealth is Not a Barrier to Abuse and Exploitation—it's an invitation If you believe your parent or client is insulated from Abuse and Exploitation,, think again. Studies estimate that more than 2.5 million older people each year are injured, exploited, or otherwise mistreated by someone on whom they depended for care or protection, with 90% of the abuse committed by a perpetrator known to the elderly victim. If you find those estimates horrifying, you'll find reality even more chilling: • For every 1 case of elder abuse, neglect, exploitation, or self-neglect reported to authorities, about five more go unreported. 2 • In the year 2000, estimates put the overall reporting of financial exploitation at only 1 in 25 cases, suggesting that there may be at least 5 million financial abuse victims each year. 3 The numbers are certainly higher today. • Data of domestic elder abuse suggests that only 1 in 14 incidents excluding (excluding self neglect) come to the attention of authorities.
Categories: Eldercare 911 Blog

Now What?...How Forgetful Does Mom Have To Be?

By: Judie Rappaport
Date: November 14, 2011
“Mom (82) lives alone at home. She frequently becomes too confused to remember her favorite TV program, her phone number, or even to eat. I finally got courageous and made her an appointment for Alzheimer’s testing, but now I’m afraid I’ve made a mistake. Yesterday, after 20 minutes of explaining “why” she needed a diagnosis, I said, “Mom, I’ll prove it to you. When you put down a book you’re reading and pick it up to read next day, can you remember the last page you read?” Her answer blew me away, “Hell, no! That’s why I use a bookmark!” Then she said, “See, I don’t need any dumb tests.” Now what?
Categories: Eldercare 911 Blog

Caregiver Stress

By: Judie Rappaport
Date: September 1, 2011
Now what…? “I can’t believe I’m actually deserting Mom, but I can’t take the stress anymore. No matter how many times I say, ‘Mom, I’ll do that’ or ‘Mom, I’ll take that over’ she says, ’I don’t need help.’’ Yesterday I said, “I know you’re sick and in pain.” She yelled back, ‘so what? I’m not an infant! I can do things for myself. It’s your constant interference that’s making me sick.’ She threw me out and told me to not come back until I changed my attitude. Attitude change? I’m 53, not 12! It’s too toxic; whatever happens, she’s on her own.” My vote: I’m with Mom on this one. I’ve always thought “Why do parents refuse help?” is the wrong question. New attitude: We might be more s
Categories: Eldercare 911 Blog

Alzheimer's Help

By: Judie Rappaport
Date: July 14, 2011
“When my kids and I picked up my early-stage Alzheimer’s Dad for our weekly Sunday dinner, we got his usual comment, “What a surprise!” We also got the shock of our lives when he stood up in front of the entire restaurant and scratched his private parts while loudly proclaiming, “Wow, that feels good!” When we told him it wasn’t polite to scratch certain areas in public, he said, ‘Why?’ and did it again a few minutes later. I made it worse by yelling, ‘Dad, why are you embarrassing us?’ He almost cried when he answered, ‘I don’t know.’
Categories: Eldercare 911 Blog

Hiring Home Care Workers

By: Judie Rappaport
Date: June 22, 2011
Now What…? “I asked the agency for a homecare worker to drive Mom to errands and church. Everything went smoothly until my sister visited and asked ‘Did you check her driver’s license?’ I said, ‘I assumed the agency did that.’ The aide admitted she didn’t have a license, couldn’t read English and had no concept of what the road signs meant. The agency’s B.S. response? ‘She told us she had one.’ Now the aide’s gone, Mom wants her back, I’m stuck driving Mom around, and I haven’t slept in weeks thinking of how many times I put Mom’s life at risk.”
Categories: Eldercare 911 Blog