Tuesday, February 28, 2012

South Carolina Agape Senior Director of Dementia Programs




In other blogs we have talked about how dementia is not a disease but a diagnosis.If you get a diagnosis of dementia: ask what disease, medication, or infection might be causing it.Now that you have a diagnosis of dementia it does not mean you can’t continue to care for yourself depending on what is causing the dementia. Choosing a good geriatric physician that specializes in memory care is a great place to start.
Some of the other items you will want to consider are:
What to do when driving capacities are diminished:
How will you know? Pick someone now to ride with you and check your driving habits at least once a month. You may not know if it is safe or unsafe to drive due to diminished memory.It is difficult to give up driving but the person with dementia puts themselves at risk as well as others.You may be able to live with yourself being hurt but if you hurt someone else it is hard for the person with dementia and both families
Have an open discussion about medical decisions:
It is a difficult discussion to have, but a good one, with someone you want to make decisions for you if you should become incapacitated. For Example: Would you like a feeding tube or not?
Also discuss special requests:
Talk about any request that you may have. Even simple needs, like cream rubbed on your arms.
Identify someone to handle financial requirements:
If the diagnosis is Alzheimer’s or a like dementia the ability to handle financial affairs becomes difficult quickly.Families will find junk mail in with the bills, there may be many magazine subscriptions that appear because the person with dementia cannot tell which is a real bill or an ad for a magazine.
Make sure all the legal bases are covered:
While a person with Alzheimer’s or similar dementia can still answer questions and make decisions, a health care power of attorney should be selected and paper work completed.It is also advisable to have financial power of attorney documentation completed at this time.These forms cannot be used by the recognized power of attorney until the person with Alzheimer’s or like dementia is no longer able to make decisions for themselves. You can find this paperwork and additional information on line. If everything is not filled out correctly it will be costly.It is best to locate an Elder law attorney to help with filling this paperwork out.
Agapé Senior’s mission is to provide integrated health services to meet the needs of senior adults in a faith-based atmosphere. The company’s philosophy is based upon its commitment to provide the best quality care possible for members of our senior adult community. We are committed to participating actively in and around the communities we serve.Call us at 800-411- 2427. Columbia, Forest Acres, Lexington, Irmo, Rock Hill, Laurens, Conway, Garden City, West Columbia

 Ask Agape for Senior Solutions
 
Adelle Stanley
803-730-1220
Director of Dementia Programs
Agape Senior Services
Of all the things in life that matter, Family, Friends and Faith are the most important. Treasure these and you will always be rich.

Monday, February 27, 2012

Advice from South Carolina Agape Senior Director of Dementia Programs, Adelle Stanley


I have decided to forgo my usual information-only blog this week because of what I experienced today.
Today I am sitting waiting for my husband as he has a stress test.  The waiting room is filled with people both patients and those waiting for them.  Each of us waiting for the patient (I dislike that word, it is so impersonal), we all have been told, "You can’t go back with them, that it will take about two hours and then they can come back out for a break".  So they have just told me I can’t go back with my husband of 39 years.  I have followed him around the world in the military, he followed me into the labor and delivery room of our three children, we have seen each other through a lot but they control the threshold of the door.   So I come back and sit down to wait.

There are two reasons this has clutched my spirit this morning.  The first, :we are sometimes keepers of the door or “threshold” for the person with dementia.  That will be my next blog to address next week.  The second: I see a couple that is sitting and waiting, I would assume they have been married even longer than Howard and I.  The wife answers questions and smiles.  She hands the husband a magazine. 

He says “I’m hungry”

She says “we will get something to eat later”

He asks “why are we here?” 

She smiles and says “you have an appointment with the doctor today and this is the doctor’s office”

I have suspected before now that he had dementia but now I am sure. She has been so involved with him since their arrival. She has made sure he is with her, that he doesn’t walk too far away, and keeping an eye on him like she would a child, but being very respectful.  I don’t think she is aware that she will not be able to go back with him.

They have just called his name; she gets up to go with him. 

They look at her and say, “You’ll have to wait out here, it will be about two hours and then he will have a break”. 

She starts to say something and they say, “You have a seat and he’ll be back later” 

I want to step in, but it is not my place at this time.  Maybe he will be ok but two hours without the one person a dementia patient depends on is a very long time, especially if they are put in a situation where they have people “barking orders” at them. I have a feeling the person that just told her that, will be back before the two hours are up.  This day may be more rewarding than I first thought.

The wife goes and sits down with a worried look on her face and her body language is that of someone that has been defeated.  I wonder why sometimes at Dr. Offices, they think they know everything about everyone. Why can’t they simply take the time to listen, or why don’t we know how to be a better advocate for our loved ones?

Twenty minutes go by and yes, there appears the person that gave the order that she could not go back with him. She is now telling the dear woman that the test cannot be completed because he is not able to follow directions.  The husband is upset and agitated, and the wife looks like she could cry.  My heart sinks as once again something that I feel could have gone a lot better…has turned out to be a disaster. 

One of the ways we can be an advocate for our loved ones is to talk with the physician.  Ask the physician making the appointment to make sure that they let the staff know that our loved one has dementia.  Let them know if at all possible to allow you to go back with your loved one.  Our loved ones “speak” a different language and we understand it.  They would not send a child back without the parent, why do they insist on a dementia patient going back without their loved one or caregiver?

Please give me a call if you would like to have a class in your area to know how to better deal with situations like this, or send me an e-mail.  The classes are free and very informative.

I began holding a physician’s conference five years ago to educate all types of physicians about ways to better impact families with Alzheimer’s and like dementia.  The University of South Carolina joined me in the effort two years ago.  The problem I faced is that some, alright a lot, of doctors do not seem to think that there is anything they can do with the dementia patient, so they will not attend the conference…I need your help to change that.

Be advocates for your loved ones.  Tell their physician(s) about the conference and tell them how important it is that they know what they can do.  Let them know how to get in touch with me.  I will go to their office to present an in-service for them and their staff whenever they would like. We need to rally around our loved ones and make this easier for them and also easier for the physicians and staff that help care for them.

Thank you for listening and making a difference in your loved one's life. 

Agapé Senior’s mission is to provide integrated health services to meet the needs of senior adults in a faith-based atmosphere. The company’s philosophy is based upon its commitment to provide the best quality care possible for members of our senior adult community. We are committed to participating actively in and around the communities we serve.Call us at 800-411- 2427. Columbia, Forest Acres, Lexington, Irmo, Rock Hill, Laurens, Conway, Garden City, West Columbia
Ask Agape for Senior Solutions





Adelle Stanley
803-730-1220
astanley@agapesenior.com
http://www.askagape.com/
Director of Dementia Programs
Agape Senior Services                                                                                  
Of all the things in life that matter, Family, Friends and Faith are the most important. Treasure these and you will always be rich.


Wednesday, February 22, 2012

An Important Note from Our Agape Senior Director of Dementia Programs, Adelle Stanley


I have decided to forgo my usual information-only blog this week because of what I experienced today.

Today I am sitting waiting for my husband as he has a stress test.  The waiting room is filled with people both patients and those waiting for them.  Each of us waiting for the patient (I dislike that word, it is so impersonal), we all have been told, "You can’t go back with them, that it will take about two (2) hours and then they can come back out for a break".  So they have just told me I can’t go back with my husband of thirty nine (39) years.  I have followed him around the world in the military, he followed me into the labor and delivery room of our three children, we have seen each other through a lot but they control the thresh hold of the door.   So I come back and sit down to wait.

There are two reasons this has clutched my spirit this morning.  The first: we are sometimes keepers of the door or “thresh hold” for the person with dementia.  That will be my next blog to address next week.  The second: I see a couple that is sitting and waiting, I would assume they have been married even longer than Howard and I.  The wife answers questions and smiles.  She hands the husband a magazine. 

He says “I’m hungry”

She says “we will get something to eat later”

He asks “why are we here?” 

She smiles and says “you have an appointment with the doctor today and this is the doctor’s office”

I have suspected before now that he had dementia but now I am sure.  She has been so involved with him since their arrival. She has made sure he is with her, that he doesn’t walk too far away, and keeping an eye on him like she would a child, but being very respectful.  I don’t think she is aware that she will not be able to go back with him.

They have just called his name; she gets up to go with him. 

They look at her and say, “You’ll have to wait out here, it will be about two (2) hours and then he will have a break”. 

She starts to say something and they say, “You have a seat and he’ll be back later” 

I want to step in, but it is not my place at this time.  Maybe he will be ok but two (2) hours with out the one person a dementia patient depends on is a very long time,especially if they are put in a situation where they have people “barking orders” at them. I have a feeling the person that just told her that, will be back before the 2 hours are up.  This day may be more rewarding than I first thought.

The wife goes and sits down with a worried look on her face and her body language is that of someone that has been defeated.  I wonder why sometimes at Dr. Offices, they think they know everything about everyone. Why can’t they simply take the time to listen, or why don’t we know how to be a better advocate for our loved ones?
Twenty minutes go by and yes, there appears the person that gave the order that she could not go back with him. She is now telling the dear woman that the test cannot be completed because he is not able to follow directions.  The husband is upset and agitated, and the wife looks like she could cry.  My heart sinks as once again something that I feel could have gone a lot better…has turned out to be a disaster. 

One of the ways we can be an advocate for our loved ones is to talk with the physician.  Ask the physician making the appointment to make sure that they let the staff know that our loved one has dementia.  Let them know if at all possible to allow you to go back with your loved one.  Our loved ones “speak” a different language and we understand it.  They would not send a child back without the parent, why do they insist on a dementia patient going back without their loved one or caregiver?

Please give me a call if you would like to have a class in your area to know how to better deal with situations like this, or send me an e-mail.  The classes are free and very informative.

I began holding a physician’s conference five (5) years ago to educate all types of physicians about ways to better impact families with Alzheimer’s and like dementias.  The University of South Carolina joined me in the effort two (2) years ago.  The problem I faced is that some, ok a lot, of doctors do not seem to think that there is anything they can do with the dementia patient, so they will not attend the conference…I need your help to change that.

Be advocates for your loved ones.  Tell their physician(s) about the conference and tell them how important it is that they know what they can do.  Let them know how to get in touch with me.  I will go to their office to presentan in-service for them and their staff whenever they would like. We need to rally around our loved ones and make this easier for them and also easier for the physician(s) and staff that help care for them.

Thank you for listening and making a difference in your loved one's life. 

Adelle Stanley
803-730-1220
astanley@agapesenior.com
http/www.askagape.com/
Director of Dementia Programs
Agape Senior Services                                                                                  
Of all the things in life that matter, Family, Friends and Faith are the most important. Treasure these and you will always be rich.


Thursday, February 16, 2012

Important Advice from Agape Senior's Director of Dementia Programs


In other blogs we have talked about how dementia is not a disease but a diagnosis. If you get a diagnosis of dementia: ask what disease, medication, or infection might be causing it. Now that you have a diagnosis of dementia it does not mean you can’t continue to care for yourself depending on what is causing the dementia. Choosing a good geriatric physician that specializes in memory care is a great place to start.


Some of the other items you will want to consider are:


What to do when driving capacities are diminished: How will you know? Pick someone now to ride with you and check your driving habits at least once a month. You may not know if it is safe or unsafe to drive due to diminished memory. It is difficult to give up driving but the person with dementia puts themselves at risk as well as others. You may be able to live with yourself being hurt but if you hurt someone else it is hard for the person with dementia and both families


Have an open discussion about medical decisions: It is a difficult discussion to have, but a good one, with someone you want to make decisions for you if you should become incapacitated. For Example: Would you like a feeding tube or not?


Also discuss special requests: Talk about any request that you may have. Even simple needs, like cream rubbed on your arms.


Identify someone to handle financial requirements: If the diagnosis is Alzheimer’s or a like dementia the ability to handle financial affairs becomes difficult quickly. Families will find junk mail in with the bills, there may be many magazine subscriptions that appear because the person with dementia cannot tell which is a real bill or an ad for a magazine.


Make sure all the legal bases are covered: While a person with Alzheimer’s or similar dementia can still answer questions and make decisions, a health care power of attorney should be selected and paper work completed. It is also advisable to have financial power of attorney documentation completed at this time. These forms cannot be used by the recognized power of attorney until the person with Alzheimer’s or like dementia is no longer able to make decisions for themselves. You can find this paperwork and additional information on line. If everything is not filled out correctly it will be costly. It is best to locate an Elder law attorney to help with filling this paperwork out.


Adelle Stanley

803-730-1220

Director of Dementia Programs

Agape Senior Services
Of all the things in life that matter, Family, Friends and Faith are the most important. Treasure these and you will always be rich.

Thursday, February 9, 2012

South Carolina Senior Care CEO Finds Better Way

     

    "I saw terrible things: people neglected by their families, living in bug-infested homes, suffering from poor care," he said. "I told my wife, 'There's got to be a better way.' That's what inspired me to get into this business."

Agapé Senior’s mission is to provide integrated health services to meet the needs of senior adults in a faith-based atmosphere. The company’s philosophy is based upon its commitment to provide the best quality care possible for members of our senior adult community. We are committed to participating actively in and around the communities we serve. Call us at 800 - 411- 2427. Columbia, Forest Acres, Lexington, Irmo, Rock Hill, Laurens, Conway, Garden City, West Columbia
Ask Agape for senior solutions