Therapy Dogs for Alzheimer’s Patients

Posted in Alzheimer's Disease, Assisted Living, Assisted Living Facilities, Assisted Living Safety, care at home, Caregiver, Elder Care, Elderly Care at 11:34 pm by admin

For patients and families struggling with Alzheimer’s disease in an assisted living facility or at home, life can be immensely stressful. Not only is there the emotional strain of losing memories and relational connections, there is the new problem of sudden, unexpected, and totally inexplicable outbursts. As one Alzheimer’s expert said, “When you’ve seen one case of Alzheimer’s Disease, you’ve seen one case of Alzheimer’s Disease.” In other words, the disease is unpredictable, making emotional outbursts all the more jarring. And while the family suffers from these uncomfortable moments, the senior in their care is obviously struggling more. After all, something is bothering them and unsettling them.

Fortunately, the emotionally complex and “jumpy” nature of Alzheimer’s Disease can be tamed–or at least calmed–in some cases, by something very non-medical: pets.

Before I go into specifics here, I want to draw a parallel between seniors with Alzheimer’s and children. Both groups are unable to care for themselves. The world does not make sense to either of them. Both can be drawn into their own world by the most trivial things… And both of them seem the world through “new” eyes. So it should be no surprise that senior adults with memory ailments respond so similarly to pets as children do.

But don’t take our word for it. Check out this quote from an expert at the Mayo Clinic:

“A pet is a medication without side effects that has so many benefits. I can’t always explain it myself, but for years now I’ve seen how instances of having a pet is like an effective drug. It really does help people.”
Dr. Edward Creagan

Oncologist at Mayo Clinic, Rochester, MN
Quoted from DeltaSociety.org

Dr. Creagan is not alone in his perspective. Doctors and experts all over the country have noticed and written on the benefits of animals on a person’s blood pressure, stress levels, and overall sense of health and well being.

Therapy dogs, of course, help millions of seniors and disabled Americans every year. This includes seeing eye dogs, and dogs to protect the mentally challenged: people with downs syndrome, autism, and all manner of ailments that would cause a person to be more vulnerable to injury and attack. And more recently, medical professionals have begun to use therapy dogs for Alzheimer’s patients, with positive results. Many patients have a noticeable decrease in aggression, a lift in social skills, and on overall reprieve from depression that so often plagues them.

So, how can this work, exactly? Several ways. The first is for caregivers who care for a loved one at home. If the family dog or cat is still alive and still well-behaved, make sure grandma gets lots of interaction with her if the two have any kind of rapport. But these criteria will not match most people’s circumstances. So for those who sometimes put their loved one in respite care or adult day care, ask about pet therapy. Many of these facilities are employing the assistance of animal professionals for several hours per day. These can include people from the Society to Prevent Cruelty to Animals (SPCA). The nice thing about going through these types of groups is that the animals are generally going to be very well trained.

A well trained animal can be just the thing that an Alzheimer’s patient needs. Many patients come alive the minute they see their new “best friend.” Even those who are not prone to any kind of speech or purposeful expressions light up when the dog enters the room. Are they, at some subconscious level, remembering pets they used to have over the long course of their life? Perhaps they are. We will never know. But I suspect it is something simpler. I suspect that there is some instinct that is created into these animals. An instinct to protect and care for people. This is why therapy dogs work so well in so many environments. And this is also why they can put up with so much abuse (especially from kids! I could tell you stories…).

But I will leave the psychology to medical experts. I don’t know why so many seniors seem to react well to pet therapy, especially seniors who are suffering from one of the most baffling ailments out there. But they do. Many of them do! And if your loved one is suffering from any form of dementia, and all the loneliness that comes with it, you might want to look into the possibilities of pet therapy. Here is one place to start . For more info on assisted living facilities from Oregon to Florida, visit our homepage and being your search!


Should You Bring Grandma Home for the Holidays?

Posted in Assisted Living, Assisted Living Facilities, Assisted Living Safety, care at home, Dimentia at 4:45 pm by admin

Christmas time and the surrounding holidays are supposed to be easy opportunities for families to be together, reminiscing about the old days and making new memories. But for many seniors who live alone in an assisted living or skilled nursing facility, this season can be the most depressing of all. Families who have loved ones in elderly care homes, then face a serious question: should we bring your parents or grandparents home for the holidays?

For many, this is an easy answer: yes. Why leave your parent alone and sad when you live close enough to bring her into your living room? It seems downright delinquent and selfish to leave her there. And indeed, they are right. It can seem that way. But certainly, not every family ought to bring their aging loved ones home for any length of time. Especially the holidays.

Carol Abaya of NewJerseyNewsroom.com took on this issue, advising families not to do it if the visit would induce more stress. to some, this might sound harsh, but I think she is right. Especially if there are physical dependency issues. Would it really be right to bring someone home if you are not able to adequately, or honorably, deal with these complications?

Abaya lists some questions to consider before making this decision. If your loved one gets easily confused, or is incontinent, for example, you should probably not do it. And if the drive from the nursing home is too long, it will likely not be worth it, either.

Here is the thing. If you as a family member are making a decision to do something nice, but you are doing it because you simply cannot live with yourself if you didn’t, that should be a red flag. The better question is this: Will bringing my loved one home be a blessing to her and the rest of the family? If you are unsure of the answer, be careful that you do not rush into a decision.

If you decide not to bring her home, that does not mean you have to ignore her, and it does not mean she must have a miserable Christmas. There are ways that you and the family can still make her holidays happy, even while she is in there.

Abaya recommends a couple of basic ideas, like visiting her, going to a scheduled lunch or dinner and making a video. I say, you should take it a step further. Make her feel like she is a part of the festivities even though she cannot be there. Visit her, yes. But bring her some of the Christmas cookies you had the night before. Have the kids come with you, and have her open a present from them. And remember to call her, too, during the events that she will miss. Let her hear the festivities, or even see them, if she is able to video chat.

The point is this: when grandma is in good health and good spirits, it is awesome to bring her home for the holidays. Sometimes, however, grandma would be more comfortable staying put where people know how to take care of her personal (sometimes very private) elder care needs. If that is the case, it is much better to bring a party to her, rather than bringing her home for the party.

For more info on assisted living options, use the box at the top of this page.


Volunteer Services Helping Seniors in the Dallas area

Posted in Alzheimer's Disease, Assisted Living, Assisted Living Referral Service, care at home, Dimentia, Elder Care, elderly and education, Elderly Care, Senior Citizen at 8:45 pm by admin

For many Dallas/Fort Worth senior residence, the difference between staying independent enough to live at home or needing to move into an elderly care facility may lie squarly on the shoulders of volunteers from their own community.

There are a plethera of service organizations that specifically target home-bound seniors living in the Dallas/Fortworth metroplex. Services offered vary by organization and depend on the number of qualified volunteers available, but may include transportation, housekeeping assistance, meal preparation and delivery, light maintenance, friendly visits or phone calls, respite care (particularly for seniors suffering from Alzheimer’s or dementia),

People Helping People
People Helping People offers assistance to Dallas seniors age 62+ helping homeowners with minor exterior home repairs that improve the safety of the home including replacing rotted wood, scraping and painting, installing handrails, replacing ramps, steps, and porches.

Faith in Action
NSEAM Living at Home/Block Nurse Program
(817) 338-2958 ext. 15
Volunteers from this Fort Worth-based organization offer Tarrant county seniors assistance with bill paying, light household chores, friendly visits or phone calls, meal preparation, shopping, transportation, personal and respite care.

Catholic Charities of Dallas
Phone: (214) 826-8330
Catholic Charities has three locations serving Dallas residents age 60 and over. Volunteers at the three Dallas locations provide hot meals, health screenings, social events, community activities, and assistance.

Meals on Wheels
Collin County Committee on Aging (CCCoA)
CCCoA is a private nonprofit organization serving Collin County seniors by delivering about hot meals for lunch and dinner weekdays, and weekends. They also offer congregate lunches at six senior centers located in Farmersville, McKinney, Plano, Bart Peddicord Community Center, Princeton, Allen

CCCoA volunteers also provide transportation to seniors, caregiver support, benefits counseling, and case management services.

Are you or the senior you love feeling overwhelmed with housework and meal preparation? Losing track of which bill is due when? Got a fix-it list that’s been neglected? Need a ride to the doctor’s office? Could benefit from respite care? Need a grocery-getter? A friendly visit or phone call? Pick up the phone and call one of the above organizations; there are volunteers ready to help you stay as independent at home as possible.

If you’re looking for TX assisted living facilities in the Dallas, Fort Worth area, enter the city and state or zip code in the box at the top of this page as well as the type of housing you’re looking for. A list of facilities in that area will pop up on the next page.

Preventing Senior Falls

Posted in arthritis, Assisted Living, care at home, Caregiver, Elder Care, Elderly Care, Home Health Care, Senior Citizen at 9:54 am by admin

Possibly one of the most preventable yet sometimes life-threatening incidents seniors face is falling down. Brittle bones, unstable balance, slower reaction time all contribute to the hazardous nature of an incident that in the younger years was not such a big deal. For many seniors, a simple fall can be a big time set back for even an active senior. Healing usually takes longer and other complications can arise when you are immobilized.

My own active Grandmother took a fall in her favorite restaurant, broke her hip, and ended up wasting away in a nursing home where she was exposed to a secondary infection that weakened her dramatically and ultimately ended her life. While not every fall ends in severe injury or death, any serious fall takes its toll on a senior’s health. Something to consider especially since many senior falls are preventable.

Providing Steadying Support
The answer to preventing falls may be as simple as using a cane for walking to help stabilize your balance or even just taking the arm of someone steadier on their feet. Many seniors balk at the idea of using a cane. It took some convincing to talk my own father into using such a support device. It wasn’t until we found one that suited his sense of style and individuality, that he finally warmed up to the idea. No cane-like walking device would do; he chose a six-foot, hand-carved walking staff with built-in flute on the top end. Whatever floats your boat, right? It provide just enough support to keep him steady. Having to shift to a walker later on was a harder sell, but he liked the idea of a walker that converted into a seat. Again, the dual purpose device appealed, and it gave him a place to get the rest he needed to stay steadier on his feet. Walkers designed with a personalized pocket storage system might do the trick for someone else.

Making the pathways smooth and clear
One of the biggest causes of falls often lies in the senior’s own home. Steps, uneven ground, obstructed pathways, and loose throw rugs are often the biggest culprits of senior falls. Replacing steps with ramps or adding grab bars and hand rails can make a huge difference in safety. Putting in smooth pathways in outside areas further reduces falling risks. Removing throw rugs and thick carpets and replacing them with rubber mats, or no carpeting at all is a quick fix. Making clear paths through the house is an absolute must. Removing stacks of stuff, low decor, and rickety furniture that will not safely offer support if grabbed will hugely reduce the senior’s risk of falling. Adding proper lighting such as motion sensor lights or night lights particularly for nighttime trips to the bathroom or kitchen will also go a long way to keeping seniors on their feet.

Caution when out and about
In the hustle and bustle, seniors often forget physical limitations and caution when they’re out and about. Having someone along to ofter a steadying arm and watch for wet floor signs, uneven ground, slick surfaces, traffic, or obstructions maybe the best excuse ever for making most outings a social event with a friend or family member. Remembering that senior reaction time might be a bit slower than it used to be might be added motivation for caution when venturing out into the fast lane of the grocery store or busy sidewalk.

Taking these few simple steps to preventing senior falls may be one of the simplest yet worthwhile things you can do for yourself or the senior you love. It is family elderly care, and it is worth your while.

If you need TX assisted living, or senior housing in any other state, submit your area information in the box at the top of this page.


Assisted Living Help for Veterans

Posted in Assisted Living, Assisted Living Facilities, care at home, Caregiver, elderly and education, Elderly Care, Elderly Diseases, Senior Citizen, Taking Care of a Loved One, Texas Elderly Care Services at 12:15 pm by admin

It’s November 11th today: Veteran’s Day! Today, we honor our loved ones who served to protect our nation through many years of wars, and conflicts, and those who stood on a wall to defend our freedom. In a land where every group out there is asking for more funding, these military veterans are the ones who deserve our highest attention. Since they pout their lives on the line for us, the least we can do is make sure they have the ability to live as comfortably as possible, and have full abilities to take advantage of opportunities, just like the rest of us.

Many Veterans are now becoming senior citizens. The baby boom generation includes millions of military veterans who are now retired, or planning to retire very soon. These brave men and women, many of whom fought during the Vietnam War, one of the most difficult struggles of the last century, are now wondering what should come next. Should they stay at home, or move into an elderly care facility where their medical needs are watched over, and they are relieved of the daily responsibilities that come with living in your own home. The cost of Assisted Living, however, often seems prohibitive. So many seniors who would love to move into an Assisted Living community, end up passing it up.

Fortunately, there is help for these veteran seniors. A little known Pension fund that can be a massive benefit to these men and women. The “Improved Pension” Benefit of the Veterans Administration includes a benefit for Aid and Attendance. How much aid is available? Alot. A single veteran can receive as much as $1632 per month, and a married couple up to $1949 per month. Even surviving spouses can benefit from this. They can receive $1055 per month.

This benefit is not for those who want to move into a luxurious retirement home. It is for veterans who need medical help in a skilled nursing facility or an assisted living community and cannot afford it. The medical problems do not have to be strictly related to their service, however. And it would also cover other types of caregiving, such as home care expenses for those who still want to live in the comfort of their familiar surroundings.

Consider how much this benefit could help. Most TX Assisted Living facilities can cost between $2500 and $400 per month (although he benefit is national, of course, not just for Texans). For a married couple, this is a lot of money. However, the Improved Pension benefit can affectively cut this amount in half, making it actually doable.

Are you a military veteran who wants to retire in an Assisted Living environment? Could you use this type of financial assistance? Visit VeteranAid.org to read more about the Improved Pension benefit for Aid and Assistance, and find out if you apply. Make sure you read through the application process, as it explains in detail what documents to prepare and submit. Also, if you need to find an Assisted Living facility in Texas or any other state, use the “Find Senior Housing” tool at the top of this page.

One final word to you or your loved as you look into this benefit: Thank you. For everything.


Top 5 Convenience Built-ins for Seniors Who Have Arthritis

Posted in care at home, Elder Care, Elderly Care at 12:40 am by admin

Are you concerned about the health and safety of your loved one at home? Have you considered updating the home to make it more suitable and safer? Consider a few innovative design features that will greatly improve safety and make the home more accessible. These features empower many seniors who experience physical limitations to remain independent and comfortable in their own homes. Here are our top five favorite design features for seniors who have arthritis:

1. Motion sensor lights
These movement-activated lights should be installed not only outside to light the way between the car and the front door, but also in key interior places. These lights can prevent dangerous falls when installed on stairways, in closets, and in hallways.

2. Motion sensor faucets
These faucets are becoming common place in most public restrooms as a more hygienic way to wash, but for anyone with limited dexterity or arthritis pain, these faucets are far better than fighting with hard-to-turn knobs. Plus, these faucets are temperature controlled eliminating the potential for scalding that traditional faucets hold. Grandkids and Grandpa alike will appreciate the ease of keeping their hands clean with this innovative feature brought into the home.

3. Remote controlled cabinet locks
With so many grandparents helping to care for their grandchildren, many seniors are finding themselves caught between wanting to keep medicines and cleaning agents out of reach and needing to be able to access them easily. These remote controlled cabinet locks can protect grandkids, without the hassle of fumbling with plastic cabinet locks, an impossibility with arthritis. Remote switches can be installed up high out of reach of children, but where an adult can reach them easily.

4. Bathroom close to the entryway
Many falls occur when seniors are rushing to make it to the bathroom on time. Installing a bathroom near the most-used entrance can greatly reduce these risks.

5. Track gliding drawers
Installing track gliding drawers and shelves in the kitchen and bathroom that open easily eliminates the need for bending and reaching to the back of cupboards. Easy-to-grasp handles and drawer pulls are also an easy improvement that will make life easier and the kitchen and bathroom more accessible.

From an elderly care standpoint, any of these 5 features will greatly improve the home setting for a senior with arthritis or limited dexterity. For many, making your home your castle simply means making your home open, accessible, and comfortable for all who live in it!


Residential Care: A New Trend in Elder Care

Posted in Assisted Living, care at home, Caregiver, dementia, Elder Care, Elderly Care, Home Health Care at 11:47 am by admin

We have written a lot of articles on this site about the many different forms that elderly care can take. In the past twenty years, the assisted living model has gained incredible momentum and popularity, partly because nursing homes did not fit every senior. It wasn’t a good fit.

Today, there is a new form of elder care that is gaining traction quickly all around the country for the same reason: the traditional assisted living model does not fit everybody. That model includes a large number of seniors living in a complex of some sort, and spending lots of time together. But what if your loved one is not one for crowds? What if he or she is shy? How can this possibly be a good fit? That is where residential senior homes come in to save the day.

What is Residential Care?

Residential care homes represent a new wave in elder care, ant they provide all that traditional assisted living provides in terms of care, but they give it in a family type setting. What could be more natural for a person who has spent his whole life in a residential home?

How does it work? It is pretty simple, really. It starts when a person or a family decides to open up their home to seniors who need full time care. The caregivers often include a registered nurse, but not always. These caregivers can help the resident with whatever needs he or she has: nutrition, laundry, mobility, you name it.

Caregivers have to be licensed by the state, of course, in order to run a residential senior home. But it still pays for you to do your homework and get references if you want to put your loved one in this type of setting. Prices will nearly always be cheaper than a traditional assisted living environment, thankfully, because some of the more expensive amenities will not be there. There is no cafeteria or ball room… no community garden, and no knitting classes. All of those are things that appeal to many seniors, but they also completely turn off others.

If your loved one needs specialized care for Alzheimer’s or dementia, make sure you look into that, because some residential caregivers specialize in memory care. Just be prepared to pay a lot more money for this. Memory care requires a constant level of oversight that most seniors simply do not need. But the point is this: the kinds of care in residential living will depend on the caregiver. So if your loved one has some sort of unique medical needs, make sure you look around, and you can probably find someone who will be able to meet that need in this setting.

Does Medicare cover residential care? Sometimes. But some caregivers ask families to pay without medicare, at least for the first couple years of care.


The Benefits of Adult Day Care

Posted in Adult Day Care, Assisted Living, care at home, Caregiver, Elder Care, Elderly Care, Home Health Care, Nursing home at 11:21 am by admin

In the last article, we talked about the feelings of guilt and fear that come with choosing a nursing home for our parents. It is a tough decision to put your loved one in a full time elder care facility, not just because of the things we think could happen (neglect, abuse, etc.), but because we can’t shake that feeling that we ought to be the ones caring for them. After all, they took care of us, didn’t they?

The problem is not a lack of love in most cases. The problem is that, while many of us really would like to care for our parents at home, we have full time jobs. We have kids that need to be shuttled to basketball practice. We are constantly on the go. And if your parents need supervision because of medical problems, you realize that you cannot offer that. Not full time anyway. Your parents might be retired, but you, on the other hand, are swamped.

I want to present another option to you that you maybe have not thought about before, although we have written on it in the past: adult day care. Now, adult day care is a pretty new phenomenon in the elder care industry, but you can bet it will be growing in the coming years. Here’s how it works: Suppose your mother lives with you in your house. You can help her with her medications at night. You can cook for her, do her laundry, help her stay active. The grandkids can spend time with her and lift her spirits… And then you can go to bed. In the morning, as you are packing up the kids for school, packing your bag for the gym, and sorting out the grocery list, you can bring your mom with you.

After you drop the kids off, you can take your mom to her other caregivers: the adult day care center staff. These care centers are sometimes attached to full time nursing homes or assisted living facilities, but not always. They are often next to parks, or else they have open outdoor leisure spaces, and they will have nurses right there on staff, should you need them.

The staff of the adult day care will make sure your mom is cared for. They will feed her, hang out with her, let her spend time with other seniors who are in the same position as she is. And they will make sure she doesn’t wander off (an important fact for those dealing with Alzheimer’s especially.)

The benefits of adult day care are vast:

  1. It’s cheaper! Because your mom is not living there, she does not need a bedroom. Which means she does not need a bathroom. Which means she does not need to pay rent. She is living at your house, remember? And that is alot cheaper than paying out massive checks every month to a full time Nursing Home or Assisted Living facility.
  2. She still gets to be a part of your life
  3. The Grandkids can spend time with her
  4. You don’t have to worry about her being lonely
  5. Your life does not have to end
  6. You have other caregivers that you can compare notes with, including nurses
  7. Your mom can socialize with people her age every day
  8. She feels valued!

If you love your parent, and if you desire to care for her, but cannot do it full time, you should look into the prospect of adult day care. I have a feeling you will all be glad you did.


Respite Care Services

Posted in care at home, Elder Care, Elderly Care, Home Health Care, Nursing home alternative, Senior Citizen, Taking Care of a Loved One at 1:06 am by admin

Caregivers take on a challenging task when they decide to care for a loved one who has Alzheimer’s or dementia. As the disease progresses, caregivers and family members are often overwhelmed by the changes that often happen in their loved one. The emotional and physical strain of caring for someone you love with these progressively increasing memory and physical challenges can make continuing care at home as sole caregiver difficult or even impossible. Because of tendencies to wander or forget safety precautions, many Alzheimer’s or dementia patients are unable to be left alone for any length of time.
These caregivers providing full-time care for their loved ones who have Alzheimer’s and dementia are extremely vulnerable to burnout. The good news? There are services available to provide respite care. Respite care centers often specialize in providing short-term care for patients with Alzheimer’s or dementia to relieve their caregivers. Respite care services are often used when care is needed for longer than a day or during weekend days and evening hours when an Adult Day Care Center is closed.
Many caregivers are hesitant to take advantage or Respite Care because they feel uncomfortable placing their loved one in a strangers care, or removing them from their familiar home surroundings. While these concerns are understandable, respite care could very well be the only way some caregivers will be able to continue to care for their loved one for as long as possible. Respite Care Centers are staffed with professionals. Often visiting the Respite Center and meeting staff members can alleviate these concerns.

These centers provide caregivers a much-needed respite which can prevent burnout and at the same time give your loved one quality care by professionals who will ensure their safety. Taking advantage of Respite Care could prevent caregiver burnout and extend the length of time you are able to care for your loved one in the comfort of your own home.


Choosing the Right Wheelchair for You

Posted in care at home, Elder Care, Elderly Care, Home Health Care, Senior Citizen at 12:58 am by admin

Most people trust their doctors to give them just the right kind of prescription for medications, but most doctors and patients don’t give wheelchair selection a second thought. Many insurances require a doctor’s prescription in order for wheelchairs or other mobility aids to be covered by insurance. Often the doctors prescription note reads “Wheelchair.” Often patients end up with whatever insurance is willing to pay for whether or not the device suits their needs or lifestyle. There are a vast variety of wheelchairs and other walking support devices designed to fit different body types, physical limitations, and personal preferences. With a little foresight and some professional input, you can select just the right wheel chair that will make your life easier and more comfortable.
Think about it. How much time will you spend in the wheel chair daily? Would a pressure-relieving cushion or other padded accessories and adjustable back settings make you more comfortable for long-term use?

What activities would you want to be able to participate in from your wheelchair? Racer-style wheelchairs are specially designed for speed. Do you need a motorized wheelchair to get around the house or around town?
Where will you be using your wheelchair? A wheel chair used primarily in the home will look different than one you will need to transport frequently. If you need a wheelchair most often while on the go, you may prefer a lighter, more compact and foldable wheelchair. Regular use on rough terrain may call for thicker tires.

What physical limitations or challenges do you have and what accessories would make your life easier? Break extensions, swivel seating, electric wheelchair, joystick steering, and other accessories may be necessary to accommodate physical limitations. Specialized chairs suited exactly to your physical needs can promote independence and comfort. Wheelchairs are designed to either provide full mobility support or significant assistance, it’s crucial to find one that is just right for you.

Since most General Practitioners are not experts in physical medicine, it would be a good idea to seek some advice on the proper wheelchair from another more specialized professional involved in your care such as a physical or occupational therapist. Another option would be to visit a local wheelchair clinic which are usually staffed by trained professionals such as Occupational Therapists, Physical Therapists, and Rehabilitation Technology specialists.

Once you’ve decided which chair will best suit your needs, you may need to revisit your regular doctor to obtain a specified prescription in order for insurance to cover the equipment. If you will be spending a significant amount of time in the chair, or if you require more specialized accessories and fittings, the expense is usually higher. Most insurance companies will require a detailed prescription from your physician to provide coverage for additional accessories or customization.
Choosing a wheelchair is like choosing a car or mattress; take the time to find the one that suits your needs and lifestyle. Not all insurances require you to consult with a rehabilitation professional, but it is highly advisable. These professionals will ask questions about your needs, daily activities, and preferences, allow you to “test drive” several chairs with accessories to find your perfect fit. Getting a professional evaluation is worth the time in energy if you end up with the right wheelchair that will give you the freedom, comfort, and independence you desire.

For more helpful tips on eldercare issues, visit the homepage.

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