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Senior Resource Guide 2023

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New Unit at Memorial Hermann Southwest Hospital Provides

Personalized, Specialty Care for Houston Seniors Active seniors 65+ may benefit from the new Acute Care for Elders (ACE) unit at Memorial Hermann Southwest Hospital designed to help older patients get back on their feet more quickly after a hospitalization.

What is the ACE Unit?

The ACE unit cares for normally active older adults ages 65+ who become ill and need shortterm care. Conditions managed on the unit include pneumonia, heart failure, chronic obstructive pulmonary disease (COPD), uncontrolled high blood pressure, diabetes, etc. Patients admitted to the ACE unit should be able to actively participate in their care and communicate their health care goals. Patients are cared for by a team of hospitalists, nurses, case managers, social workers, physical and occupational therapists, dietitians and pharmacists, specially trained to care for seniors. Hospitalists consult specialists within the hospital.

To learn more about the ACE unit at Memorial Hermann Southwest, visit

memorialhermann.org/southwest

What types of care and services are provided?

When a patient is admitted to the unit, the team creates a customized plan of care to help the patient recover and return home as quickly as possible. Besides mobility activities, each patient meets with pharmacists, physical therapists and dietitians to learn about fall prevention, medication management, nutrition, wellness and ways to stay healthy and active after leaving the hospital. When it’s time for the patient to go home, the team’s case managers and social workers help connect the patient and their family to community resources while the team’s hospitalists follow up with the patient’s primary care physician. Memorial Hermann Southwest has been recognized by the Institute for Healthcare Improvement as an Age-Friendly Health System participant and is committed to the “4Ms” of age-friendly care: What Matters, Medication, Mentation and Mobility.


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CAREGIVING journey Rosalynn Carter says there are only four kinds of people in the world:

• Those who have been caregivers

• Those who are currently caregivers • Those who will be caregivers • Those who will need caregivers

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aregiving has a way of creeping up on us. As family, friends and neighbors, we all want to be there for our loved ones when they need us. Very few of us see ourselves as a “caregiver,” and most of the time we haven’t had any training on how to be a caregiver, or an understanding of the depth the role requires. For the majority, it takes a “trigger event” such as a fall, hospital admittance or diagnosis of a health condition before there’s full realization of the situation and what plans/actions need to take place. The Senior Resource Guide is designed and geared towards the unique needs of the modern caregiver. We’re here to help take the guesswork out of this challenging role by providing support and knowledge-based information at your fingertips when you need it—both in print and online. As you journey through different stages in your caregiving quest, our hope is that you’ll be able to use the Guide to help create space for flexibility and make well-informed decisions. At the end of the day, feeling good about your care and efforts, as well as seeing your caregiving experience as a positive expansion and transformation, will help you and your loved one live more fully. In the words of our Founder, here’s to your quest!


TRANSITION AND REFLECTION “What do I do now that they’re no longer here? How can I honor my journey? How have I grown?”

• The Post Caregiver Tasks (see pg. 152)

LATE PHASE FINDING BALANCE “I’m needing to recharge but there’s not enough time.”

• Overcoming the Overload: Coping with Caregiving Curveballs (see pg. 82)

FINAL PLANNING “How do I make sure they’re taken care of and their wishes are met?”

• Understanding Hospice (see pg. 144)

SHIFTING PRIORITIES “I know this is what’s going on and need to give it attention.”

INCREASING DEMANDS “This is getting bigger and needs more of my attention.”

MAJOR TRIGGER EVENTS “What are our next steps now that this event has happened?”

• Questions to Ask During Hospital Discharge (see pg. 111)

• Home Care versus Home Health Care (see pg. 72)

IDENTIFYING YOUR ROLE “I’m not sure if I’m doing enough.”

• Caregiving Confessions: The Truth Behind Our Thoughts and Emotions (see pg. 22)

MID PHASE

PLANNING AND PREPARING

• ADLs, IADLs, and Aging: Assessing Daily Living Skills (see pg. 30)

EARLY PHASE

• Getting Connected With Help (see pg. 26) • Do you Need Power of Attorney? (see pg. 48)

5 \\ SENIOR RESOURCE GUIDE

DETECTING CHANGES “Is this part of normal aging?”

“What’s causing these changes, and what can I do?”


CONTENTS \\

GENERAL INFO \\ 4

The Caregiving Journey

10

Our Legacy

11

The Senior Resource Guide Team

EARLY PHASE \\

28

THE PLAN

28

16

THE ROLE

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16

The Power of Accepting Help: Why Family Caregivers Refuse It and How to Ease Into It

22

Caregiving Confessions: The Truth Behind Our Thoughts and Emotions

26

Get Connected

Why it’s Essential to Research Senior Living Facilities

30 ADLs, IADLs, and Aging: Assessing Daily Living Skills 33

Assisted Living Pros (see also pg. 1)

34

Creating a Care Plan

36

What Level of Care is Right

38

What’s an Adult Day Center


52

40 Ombudsmen are Here to Help

42

CONVERSATIONS

INITIAL MEDICAL CARE

52

Understanding Medicare: Parts, Plans and Meeting Your Needs

57

Legacy Community Health (see also back cover)

58

WellMed

60

Doctor’s Appointments: Your Role as the Caregiver

LEGAL + FINANCIAL

62

Mobile Care

48

65

Get a Better Understanding of Your Loved One’s Prescriptions

42

44

Mastering Dementia Communication: Strategies for Meaningful Phone Calls The Road Ahead: Tips for Starting the Conversation About Aging Care Arrangements

48

Do You Need Power of Attorney?

50 Shielding Vulnerable Seniors from Financial Scams

68

DAILY CARE

68

How to Choose a Home Care Company

72

Home Care VS Home Health Care

74

Home Care Comparison Chart

76

How to Handle Abuse Accusations

7 \\ SENIOR RESOURCE GUIDE

MID PHASE \\


CONTENTS \\

82

94

82

MEMORY + DEMENTIA

SELF CARE

85

Overcoming the Overload: Coping with Caregiving Curveballs Platinum Senior Care (see also pg. 3)

88

Zesty Zen Zone Recipe

89

10-Minute Energizing Breakfast Recipe

90

DIET + WELLNESS

94

Memory Loss and Seniors: How to Handle Not Being Recognized

100 Caring for a Loved One with Dementia: Tips for Building a Meaningful Relationship 102 Beyond Dementia: Other Reasons for Memory Loss in Seniors

90 Easy Ways to Schedule Daily Movement

106

93

NEW STEPS

Sneaky Superfood Sweetness

106 Care Transitions

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108 Stay One Step Ahead: Key Questions to Ask When Your Loved One Experiences a Fall 111

Questions to Ask During Hospital Discharge


113 Memorial Hermann Southwest (see also inside front cover) 114 How to Encourage a Loved One to Consider Senior Living 117 How Can a Senior Living Community Help You Live Your Best Life?

119

SENIOR LIVING

119 Anthology of Tanglewood (see also inside back cover)

128 Senior Living Communities 132 Assisted Living Made Simple: What You Need to Know 137 Questions to Ask When Considering Skilled Care 139 Momentum Skilled Services (see also pg. 2) 140 What’s Skilled Care and Where Do I Start? 142 How to Identify the Right Memory Care Options

120 Age-Proof Your Home: How to Make it Safe and Accessible for Seniors 126 Types of Residential Care for Seniors

144 Understanding Hospice

152 The Post Caregiver Tasks

148 Hospice Options

158 Celebrating Important Dates After Losing a Loved One

150 Questions to Ask When Choosing a Hospice Program

9 \\ SENIOR RESOURCE GUIDE

LATE PHASE \\


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