Senior Sidekicks
  • Home
    • Vacation & Stand-By Plans
    • About
    • Advocacy
    • FAQ
    • Contact
  • Consultations
    • Consultation Gift Certificate
  • Senior Care Course
    • Parenting Your Parent
  • Blogs & Articles
    • Do You Know Someone In This Situation? - Blog
    • A Senior Moment
    • "A Senior Moment." - Archive
    • Article Portfolio
  • Home
    • Vacation & Stand-By Plans
    • About
    • Advocacy
    • FAQ
    • Contact
  • Consultations
    • Consultation Gift Certificate
  • Senior Care Course
    • Parenting Your Parent
  • Blogs & Articles
    • Do You Know Someone In This Situation? - Blog
    • A Senior Moment
    • "A Senior Moment." - Archive
    • Article Portfolio

Keeping In Touch With Elders In An Era Of No-Touching

4/27/2020

0 Comments

 
Picture

A daughter commented that she had not been able to visit her parent because the facility was “locked down” to prevent the viral spread from Covid.  She could only drop his snacks off at the door.  She worried. No matter how many times she explained, she still couldn’t get him to understand.

Many elders and their adult children face this dilemma.  All facilities are closed to visitation: even when the elder is dying!  The more frail the elder, the less likely they can manage total separation.  Seniors need tangible connections; touch, sight and hearing.   

How do we keep in touch in an era of no-touch?  Families often bring presents to these visits, yet; it’s the present of their presence that elders crave.  So, how do we convey presence when we can’t be present?  

KEEP IT TANGIBLE:  E-cards are nice but a classic greeting card is tangible.Your loved one can hold it or look at it repeatedly. Tuck a greeting card into a bag of groceries or a bunch of flowers.  The facility staff can point to it to remind them that you are keeping in touch.

MAIL CARDS:  It helps support our postal service and your loved one. Getting mail is a big event in care facilities.  It’s not how fancy the card, it’s how often you provide a reminder that you care.

TRY PRINTED PHOTOS: These are more tangible.  Perhaps you got your loved one a cell phone and sent them pictures.  That wasn’t their early experience.  For decades, today’s elders only had the paper option.  When you send a shiny paper photo it resonates.  Photos used to require going to a studio, posing,  and were made for special occasions.  Photos were important.  So printed photos carry an important message from you; “You are important to me”.

Children’s crayon drawings carry the unique, tangible message.  They are especially important if the drawings are labeled with the child’s name, date, and something about the picture.  That way, the staff can point out the picture later, when the elder says they think they’re forgotten.

WHAT’S THEIR FRAME OF MIND: We’ve all had a crash course about pandemics.  Elders may not have paid as much attention to the news.  Some have turned news off altogether.  98+% of today’s elders weren’t alive during that last pandemic in 1918.  It isn’t part of their experience.  They can’t relate to the scale of lock down necessary to contain a pan-demic. Some may have known families who were quarantined when they were children; but they are not familiar with a whole society in quarantine.  
 
So what do you tell them about why you can’t be there?  Start by asking them what they know about today’s news.  If they have been following the news, use their level of information to determine what you share about your being away.
 
If they don’t seem to know; try a simpler explanation: you “have to be away for awhile”.  You’ve taken vacations, trips and returned.  This is just another time away.  Promise only that you will return.  Say that in a card as well as on the phone.  Say it often. “ Someday, some way, we’ll be together”.   That’s what the song says and that’s my prayer for all of us.








0 Comments

Corona Virus-19 Is Not Your Parents' Quarantine.

3/24/2020

0 Comments

 
Picture
Corona Virus-19 is not your parents' quarantine.  Before vaccines, quarantines were a common event.  Your senior may have lived through several of them. with the passage of time, the anxiety and social disruption may have been lost.  All that remains in their minds is that they survived.  I've met some seniors who think this is just another flu.  They believe that, because they've lived this long, they're immune.  It's been a challenge to convince them that this virus has an impact closer to that of the 1918 Spanish flu.  I usually ask them if their parents ever discussed the Spanish Flu.  Then I draw the comparison.

 I've also had to explain that our immune systems change with age. We all know hair turns white/gray with age but not all changes are equally visible.  The senior may not realize that they may succumb to this disease because their immune systems are affected with age.

 I share these points to forewarn caregivers that your senior my see this disease very differently than you do.  What's in your senior's mind?  If the senior doesn't get the message, they will be more likely to get the disease. 

Stay well and set a good example; wash your hands with your senior.

Thanx, 

Sara
0 Comments

Discussions of Stress Need To Cover Caregivers.

12/2/2019

0 Comments

 
Picture
The Strange Psychology of Stress and Burnout, which appeared in BBC WorkLife’s November 17, 2019 post, discusses the relationship of stress to Cortisol; important.  The article described several results or diseases that begin with exposure to prolonged stress.  It also mentioned some situations that can cause stress but left one out; caregiving! Already, 34.9 million people are self-identified caregivers.  In addition, some people are starting to do caregiving and don’t realize they’re in this new role; yet. 

This article shows the photo of a man; yet 66.5% of caregivers are women.  The photo shows multiple phones.  Yes, many caregivers have spent time on the phone to coordinate care for the elder.  However, caregivers face the competition of simultaneously dealing with home, job, and possible child care while doing caregiving!  The focus of the article is on job-related stress.  Caregivers bring their stress to work with them.  Thus, what looks like job burn-out might be a result of simultaneous stressors; job and caregiving.

The remedy described in the article involves changing the perception  of the person under stress; Cognitive Behavioral Therapy and changing jobs or shifting responsibilities.  Sadly, these are not usually available to the family caregiver.  She may not have insurance coverage for therapy.  Group insurance plans may not recognize family caregiving as a stressor worthy of intervention.  How does the working caregiver access therapy?  She has no “off-duty” time.  She goes from the career job over to the home “job”. 

It’s time for all of us to make sure caregivers as SEEN and heard.

0 Comments

What Happens When There’s No One To Care For Our Elders?

8/31/2019

0 Comments

 
Picture
“‘This will be catastrophic’: Maine families face elder boom, worker shortage in preview of nation’s future,” from The Washington Post, could be a description of a dystopian movie: it’s not. This is the state of State of Maine, which is the harbinger of things to come for the rest of these 50 United States.  We need to listen to this alarm.

We’re facing a demographic dilemma: not enough young people to fill all jobs, even those outside of elder care.  We need them now!  Where do we get them?  We can’t hire them because they were never born!  Thus, current workers remain on the job long after it’s safe or appropriate.  Results include accumulated injuries to workers who keep doing injurious jobs. Even the field of healthcare can’t find enough workers or volunteers.

The State of Maine has learned that there is no one available to fill home care jobs.  There is no one to fill care facility jobs either.   Professional fields have the same problem; many of the number of nurses and doctors are now older and there are not enough of them it is  and there’s no one to replace them.

Medicaid pays far less than other employers, drawing the few workers away from elder care. However, simply raising wages won’t help if there are not enough people to hire!

Maine is already experiencing the results, some facilities closed altogether.  Others closed admissions for months due to too few staff.  No vacancies in care facilities means families must place their loved ones wherever they can.  A loved one far away means a l-o-n-g commute to visit.  Younger, disabled people also get caught in this care-crunch.  If no one is available, some adult children try to fill the gap. Those care gaps further pressure the few remaining working adult children.

Keep this number in mind:

*By 2030, 1 in 5 Americans will be over 60.  

*The number of seniors will DOUBLE between 2015 and 2050.  

*The senior population over 85 will TRIPLE in that same period. 
 
**We will need 7.8 MILLION new people to fill these jobs.  Since we didn’t give birth to them; where do we get them?

This isn’t as riveting as a news story as a fire, or a shooting, that’s the problem.  The numbers of affected families are there, but they aren’t collected (aggregated).  This problem is spread everywhere.

We’re in a presidential campaign yet no candidate is talking about this national problem. Why? This demographic dilemma is happening one family at a time: Your family is next.



0 Comments

Why should family caregivers lose wages?

8/19/2019

0 Comments

 
Picture
 The Reuter's article, U.S wages lost to unpaid family care to hit $147 billion by 2050, describes lost wages and pressure on caregivers to switch to part time work or quit all together.  These are definable numbers which the article describes well.  One doesn’t hear enough about these issues and costs in the news media.  I call upon anyone who knows a caregiver to insist on better public discussion on these caregiving issues/ costs/pressures.

I've always worried that caregivers also lost opportunity as well as wages.  They are less likely to be offered new projects at work which can polish one's resume.  They can’t take the lateral move which puts the employee in line to move up in a branch of the organization.  A promotion comes with more demands on time and a different schedule.  How can the working caregiver manage that?  Promotions may mean a move out 0f town; how does a caregiver juggle that?  So less chances to rise in a career.

In addition, caregivers suffer hidden damages to their careers. 
 
Just taking repeated PTO (Paid Time Off) casts a shadow over one's career.  Eventually, PTO runs out.  When PTO runs out, the employee is left with FMLA (Family Medical Leave Act).  That is usually unpaid.  The employed caregiver must consider loss of income along with caregiving pressures.
  
I'm also a member of Society for Human Resource Management (SHRM), and read their daily dispatches.  It appears that employers are more comfortable allowing the employed caregiver a block of time, like a week or two, to handle a health crisis.  Piecemeal time tracking is another matter. There are some tracking systems, however, these seem to be evolving methods. 
 
The employed caregiver may need to use her time in piecemeal form.  Perhaps she takes her lunch time to supervise the elder taking medications.  Her commuting time would be deducted from PTO or FMLA   That's the typical shape of elder caregiving, a mosaic of times and tasks squeezed together throughout the day. 
 
So both the employed caregiver and her employer are both carrying this process.   The caregiver is doing the tasks and the HR manager is handling the administration.  This produces an implicit time cost to the employer.  Why would the caregiver’s boss consider her for special projects, a move, or a promotion?  These would demand more of her time and the employed caregiver doesn't appear to have any time.  In order to develop one's career, one must appear to be ready and willing as well as able.  No employer really knows whether any employee is truly available.  However, a string of PTO/FMLA requests create an image of less availability.  It’s a subtle form of job “loss” that doesn’t show on the paycheck.

Only the US and England have a patchwork-to-none system for dealing with our aging population.  Other European countries have created caregiving support systems.  Why aren’t we looking at them?
 
 



 

0 Comments

Why don’t we recognize and support caregivers?

8/8/2019

0 Comments

 
Picture
According to The Strange Political Silence On Elder Care, the problem is our society has an extraordinary number of caregivers who haven’t formed a  group to push for change. Unlike other groups, such as Mothers Against Drunk Driving (MADD), caregivers should have formed a constituency to insist on changes which better support them; but they haven’t.  Why not?  One surprising finding is that caregivers don’t recognize themselves!  How can our society offer support to a person who denies needing help?  How can we help if they believe they can’t ask?  What is the effect of this lack of coalescing, lack of self-identification and the resulting failure to prepare and plan?

This article describes the possible reasons:
  1. Caregivers help in private, not seen by the public.
  2. There’s no “bad guy” like big banks failing during the financial crisis.  The bad guys become a rallying cry to bring others to a cause.
  3. Many caregivers think they’re the only one; so there is no one to call.
  4.  Many caregivers believe it’s their duty and a “family matter”.
  5. Political support doesn’t divide along party lines; it divides between those who were caregivers –vs- those who never did caregiving.

Senior Sidekicks has stood with caregivers for the past 12 years! The caregiving phase is the newest part of life’s journey. A little over 100 years ago, people didn’t live long enough to reach this stage. Our firm has struggled to get new caregivers and those in the midst of caregiving to accept help. Perhaps this article explains why people, who are otherwise prudent, take such a strange view of caregiving.

Let’s compare and contrast caregiving attitudes with attitudes to other parts of life’s journey:

Your getting married, do you make plans? What kind of a wedding would you have if you didn’t acknowledge you were engaged? How would you bring your lives together in marriage: legal, financial, religious, integrating your families, where to live,  and children?

My parents, like many during WWII, had a hurry-up wedding. They were high school sweethearts, and engaged in college. When my father finished his course work and ROTC, he was shipped to Texas. The university mailed his diploma. My mother took the train to Texas and they were married by a preacher on base. They had 3 weeks of wedded bliss before he shipped out for 3 years!

Mother went home to a fire storm! Both sets of parents were in shock. Mother had not completed her college education; could she go back and finish? Would the all-girls school take her back as a married woman? Neither of my parents had completed paperwork naming her his spouse? Forms and letters took a long time to reach soldiers in the field and even longer to receive replies. Who would be the listed next-of-kin in the event he didn’t come home? She even had to discuss possible burial arrangements!! Who was now responsible to pay for her education? Was she to receive his pay since she was his spouse? Mother described it as a very trying time that she had to face alone because they didn’t plan.

Weddings are as much a family matter as caregiving. A wedding, without planning, causes major stress. Caregiving, without planning and support also causes major stress. Yet, families will tell me they’ll handle it all by themselves: really?

Let’s look at another example:

You’re having a baby! Does that mean you don’t need any help? If you’re expecting do you still need proper medical care, resolve legal matters, insurance, or a larger place to live? We expect that expectant parents need help. We’ve developed the social systems to provide it. Having children brings many resources into the family. There are Family Medical Leave Act (FMLA) for both parents in certain situations. There are prepared childbirth classes, visiting nurses to the home after delivery and new mother’s groups. Relatives come to help the new mother and baby. Everybody sends food!

It’s acceptable to have help for babies, why not for caregivers? The difference is we’ve had babies for millennia; caregivers, less than 100 years.
 
Thus, the family caregiver may or may not receive some defacto help from her church, neighbors, or friends. There’s no visiting nurse system. The caregiver can take FMLA but it’s complicated and doesn’t always cover the type of caregiving the employee needs to give the elder. Many FMLAs don’t pay the employee. Caregiving may mean moving the elder closer to the caregiver, or moving in with the elder. Caregiving may be so demanding that it afflicts the caregiver’s health. The caregiver may be forced to quit the job. A break in the caregiver’s career creates a major financial setback as the caregiver tries to re-enter the workforce. Caregivers often draw on their retirement savings during caregiving.

Other developed countries have seen this writing on the wall and started putting plans in place. Why can’t the US do that? We can, if we act now.

You can do two things:


  1. A WAKE-UP CALL to all persons who are not yet in the caregiving situation.  If you read these blogs, you are already attuned to caregiving.  Lend your voice to the call for caregiver support.

Talk to your neighbors. Ask what your church is doing for caregivers? Ask your employer the same thing. FMLA, by itself, is not an adequate response.) Are you a member of a union; put caregiver support on the bargaining table. We already have mandatory courses in sexual harassment and discrimination.  Make caregiving training the next mandatory course. Are you an employer? If you prepare for tornadoes; prepare for this gray tsunami. By 2030, 1 in 5 Americans will be over age 60

ENTER THE POLITICAL DEBATE ON THE SIDE OF CAREGIVERS: It’s time to insist that the political conversation of this campaign is about  p-r-e-p-a-r-i-n-g for this gray tsunami!  It touches everyone.  It’s not red or blue, it’s GRAY.  Candidates will ask for your vote; tell them to put caregiving in their platform to get your vote!

Caregiving is at least as important as any other policy

0 Comments

Three little words; For, With or To

7/19/2019

0 Comments

 
Picture
I’ve spent most of my career working with seniors and now I’m a senior.  That position allows me to see certain situations with two viewpoints, professional and personal.  A recent incident allowed me to glimpse a common situation families experience with seniors but from the internal viewpoint.  

The typical scenario goes like this; family member does something they think would help the senior.  They do it without discussing it with the senior; just present their contribution. The senior is far from appreciative.  Instead, they are upset, angry, or dismissive.  The family member reports that they feel wounded, or frustrated.  Families say; “I was only trying to help!”  Why didn’t the senior see the value?

Ask yourself; “When I do things for my senior, am I doing it with them or to them?” 

I got to experience this myself.  Recently, I visited my children in New York.  We rented a B&B which turned out to be awful! After confronting the agent and securing a refund, we had a sad dinner.  It was late at night and the children were on their phones looking for lodging.  We trudged to the hotel; I checked in and went to bed.  Unbeknown to me, the children believed the hotel was “dodgy”.  They stayed up to late to book another hotel!  Now, I was on the hook for a bill I knew nothing about!  

I woke up to a call from my daughter-in-law with this news.  I had not yet showered, no breakfast, and now I’ve got to deal with this!  I strenuously objected.  Insight came to me in the shower (which was running very s-l-o-w-l-y).  Three words stood at the center of this conflict: for, with, and to. 

My children thought they were doing something  for me by booking another hotel.  It didn’t feel like that to me.  Is that what’s going on internally when the senior objects?  Does for take away another piece of their autonomy?

They didn’t do it with me.  They kept silent instead of sharing their concerns about the hotel.  They made financial assumptions instead of asking me questions.  Their decision put me in a money bind. 

I felt as though things had been done to me.   Is that what’s going on internally when seniors object?  Are they really mad about the item or the way it came to them?   Do families need to take time to walk the senior through the process (preferably after breakfast) or find some way to engage them?   I believe that for is a good thing, in the combination of with, so it doesn’t feel like to.

P.S. The next hotel had a better shower.
  

 
 

0 Comments

Holiday Visit Guidelines

12/10/2018

0 Comments

 
Picture
As we approach the holidays, we consider visiting elderly relatives or arranging for them to visit us.  While I cannot offer a guarantee of a pleasant visit, here are a few things to keep in mind to avoid some of the pitfalls
 
  1. The best time to visit is the senior’s best time of day. If Great Aunt Liz does not get up until noon, her best time is in the afternoon, not the morning.  Other seniors “sundown” and become more dysfunctional in the late afternoon. 
  2. Mealtimes need to be consistent.  If Grandpa usually eats at noon, expecting him to wait for lunch until 2:00 pm is unrealistic.  Some medications must be taken with meals and preferably at regular times.  It might work to move the holiday dinner to 4:00pm and make it his evening meal.
  3. Some seniors want to lie down once they have eaten.  If that is their habit, is there a quiet place for them to rest in your house?
  4. What medications do they take?  Do they have them along for the visit?  Are there other backup supplies you should bring along; Oxygen tanks, Depends, or blue pads?
  5. Going to a senior care facility may work better from a logistical standpoint. Try to coordinate your visit with the facility’s schedule.  If Grandma is eating lunch she may not focus on her food if you arrive at mid-meal.  On the other hand, some facilities encourage families to come in and share dinner with the resident senior.   Find out the facility policy and arrange your schedule accordingly.  
  6.  Bringing smaller children means bringing a backpack.  This way, they will have activities to occupy them and supplies in case they need a change of clothes.   Provide something they can do with or for the senior while on the visit; like making a picture for Grandma.  Just as you think ahead to fill the back pack, think ahead to fill-in their information.  Let children know ahead of time that some people have conditions (do not use the word “sick”) and they need extra help.  “Sick” implies contagious to small children so find other words.
  7.  Some people are not sure if children should be exposed to a nursing home; why not?   Yes, they will point to things they have not seen and ask questions.  Answer these directly and simply.  Helping children understand the ways equipment helps Grandma prepares them for a world which will have more seniors.    
  8.  More than the information you give, it is the attitude you demonstrate that teaches children this stage is just part of the circle of life not something to dread.  I found it helpful to remind my children that they also could not walk or eat by themselves earlier in their lives.  Do you have a photo of Grandma holding them as babies?  It would be a good idea to show this now to remind them Grandma took care of them.  Show this photo before you visit the facility.

HAPPY HOLIDAYS!

0 Comments

Thanksgiving Is A senior Cyber Weekend

11/28/2018

0 Comments

 
Picture
 When families gathered on Thanksgiving day, some realized that their senior was not the same as last year.  Families often respond by doing internet research.  The internet is a good first step.  However, some sites make outlandish claims.  I saw one that offered a treatment that “cured Alzheimer’s”.  There is no cure and some of these sites  can offer dangerous suggestions. 

Here are a few reputable sites that offer reliable information:

Alzheimer's Association. This site also has a page devoted to explaining the different types of dementia.  It also lists other physical conditions or environmental conditions that can look like dementia.

American Society on Aging.  It can feel encyclopedic in size.  The society has done decades of research and offers reliable information.  It’s a good second step.
 
AARP offers many programs and information for families as well as seniors.  Each state has a chapter with offices in each area.  Look up your state to find help in your area.

And Senior Sidekicks offers a course; Preparing to Parent Your Parent, to prepare families for the practical issues they will face as they become caregivers.  Contact us about teaching this course in your church or at your job. Call
(217) 787-5866 or email us for more information.
 

0 Comments

Has Your Senior Outgrown The House?

10/23/2018

0 Comments

 
Picture
How do you know when this old house is the wrong house now? Seniors who are reluctant to move may refuse to leave. 

One senior refused to leave her old neighborhood even though the neighborhood had changed.  As she left for church one morning, she was shot in the heart by a stray bullet.  Waiting to move until there’s a crisis means the senior loses control of the move.  The senior who was shot was moved by others.  They didn’t know what she had wanted to take with her; she lost some things which made her very sad.

Taking your senior on a decision-making journey helps them to see for themselves that things have changed.  A senior realized a move was necessary when she needed more medical care.  The house by the lake was too far away.  She spent anxious moments waiting for first responders to arrive when she was in need.

A house is not a home, even though some seniors think they’re the same.  One  senior wanted to keep e-v-e-r-y-t-h-i-n-g, including the china hutch.  She measured her new apartment to show it would fit. However, the movers couldn’t get it through the front door.  Perhaps it doesn’t fit after all.  What else won’t “fit”?   We move into a house and we make it a home. 

What’s really important to your senior? It’s probably not the kitchen sink or the screen door. Important things, like photos and mementos, can go anywhere.  These can go to the next housing phase.  Senior  won’t lose the important things: their history. 

One family referred to the next phase of housing as a new “home”.  Their senior dug in her heels and refused to do anything!  The family called for my help.  I asked the senior to define the word “home”.  She described an early 20th century county old age home!  I explained that the last of those had been torn down years ago.  I offered her a different option; her own apartment with indoor mail box and a grounds crew to mow and shovel.  She was willing to learn more.

How has your senior’s old neighborhood changed? Sometimes they need to see it for themselves.  I took my Grandfather out to his front porch. Together we remembered the old neighborhood. He talked about the people who once lived there, the streetcar track, and the horses stabled at the end of the street.  Each time I asked him, “Where are they now?”  At the end he was silent for a moment.  Then he said;”They’re all gone”.  I offered that if all the people and horses had left, maybe it was OK for him to move on as well.  “I like my front porch!” my Grandfather said emphatically.  “You’re right; your next place MUST have a front porch!” I said just as emphatically.  Then my grandfather pointed to the two trees in the front yard.  “I planted those to shade the house”, he said.  “They do a great job”, I told him.  “100 years from now, they’ll stand as a testament to your efforts”.

Referring to changes as; the next phase of life, works better than to call it; giving up your home. One of my clients was forced to move when she was robbed at home, twice! Even so, she was very upset about leaving.  I took her for lunch and a tour of a senior apartment building.  She gazed in awe at the beautiful chandelier in the lobby.  She did a double-take when a uniformed waiter asked for our luncheon order. After lunch, we toured several apartments.  As we drove back to her house I asked her what she thought.  “It looks so nice”,  she said, “When can I move?”

Another senior had been a great gardener.  He was unhappy about leaving his garden.  I contacted a newly-constructed facility and asked about gardening plots.  On our tour, they pointed out future space for residents’ gardens.  The senior explained that the area had too much shade and offered another part of the yard.  Since the plots were not yet set, the staff agreed to consider his idea.  He would be their gardening consultant!  He moved.

Seniors may see a change of housing as a loss of who they used to be; show them how they keep their interests, their memories and mementos. 

 If you would like our 
Free Has Your Senior Outgrown The House? Checklist please check mark your request below, and submit.

    Free Has Your Senior Outgrown The House? Checklist

House Checklist
0 Comments
<<Previous
Forward>>

    Author

     "A Senior Moment" is written by Ms. Sara Lieber, owner of Senior Sidekicks. Ms. Lieber has over 30 years of experience in senior care.


    Archives

    April 2022
    March 2022
    November 2021
    June 2020
    May 2020
    April 2020
    March 2020
    December 2019
    August 2019
    July 2019
    December 2018
    November 2018
    October 2018
    September 2018
    August 2018
    July 2018
    June 2018
    December 2017
    September 2017
    August 2017
    July 2017
    June 2017
    May 2017

    RSS Feed

    Categories

    All
    1918 Spanish Flu
    AARP
    Adult Children
    Age
    Aging Population
    Alocohol
    Alzheimer's Association
    Alzheimr's
    American Society On Aging
    Art
    Bbc
    Bbc Worklife
    Blog
    Bosses
    Campaign
    Care
    Caregivers
    Caregivers Guilt
    Caregiver Shortage
    Caregiving
    Cargiving
    Catastrophic
    CDC
    CDC Guidelines
    Changes
    Children
    Christmas
    Churches
    Classes
    Community
    Consultation
    Consulting
    Coroanavirus
    Coronavirus
    Corona Virus 19
    Corona Virus-19
    Cortisol
    Counselors
    Course
    Covid
    Crazy
    Dementia
    Depressoin
    Designer Drugs
    Downsizing
    Drugs
    Drug Testing
    Elder Boom
    Elderly
    Employer
    Employers
    Employment
    Face Masks
    Faith
    Families
    Family Medical Leave Act
    Fight Or Flight Response
    FLMA
    Flu
    God
    Greeting Cards
    Grief
    Guilt
    Hanukka
    Health Complaints
    Hearing Aids
    Holidays
    Home
    Home Care
    House
    Hr
    Human Rescources
    Illinois
    Immune System
    Isolation
    Legacy
    Mail
    Maine
    Mandate
    Medicaid
    Medical Visit Companion
    Memory
    Memory Loss
    Million
    News
    Next Avenue
    Nursing Home
    Opioid Epidemic
    Opioids
    Organizations
    Paid Time Off
    Pandemic
    Parents
    Pastoral Counselors
    Performance
    Photos
    Planning
    Plans
    Polio
    Post Office
    Preparing To Parent Your Parent Course
    Presidential Campaign 2020
    Psychiatric Disorder
    PTO
    Public Education Program
    Quarantine
    Real Estate
    Realtors
    Realty
    Religious
    Retirement
    Sara Lieber
    Self Care
    Self-care
    Senior Depression
    Senior Population
    Seniors
    Senior Sidekicks
    Sheltering In Place
    Shelter In Place
    Shortage
    SHRM
    Sisters
    Social Distancing
    Social Isolation Task Force
    Solcial Isolation
    Special Occassion Service
    Special Occassion Services
    Springfield
    Stamps
    State Agencies
    Stay-At-Home Orders
    Stress
    Stress Hormone
    Stressors
    Study
    Sugar
    Sundowner
    Symptom
    Symptom Picture
    Symptoms
    Synagogues
    Thanksgiving
    The Aid & Attendance Pension Benefit
    The Older Americans Act
    Two
    United States
    United States Wages
    Unpaid Family Care
    US Mail
    U.S. Wages
    VA
    Vaccines
    Valentine's Day
    Veterans
    Veterans Financial
    Virus
    Visiting Olivia
    Visits
    Worker Shortage
    Worklife
    Young People

Proudly powered by Weebly