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Elder CareTips:
Mastering The Eldercare Maze

December 4, 2007

A hearty welcome to all our new readers. We're glad to have you along on this up and down ride!  Remember, there's no such thing as a dumb question, and none of us know what we don't know.

As we go through the year putting together these newsletters there invariably is a lot left on the cutting room floor, either because it's too long, or it doesn't fit the theme of the day. Every now and then it's time to clean the good leftovers out and pass them along. So, today's the day for some bits & bobs:

Add Shingles & Tetanus To The List Of
Medicare-Covered Vaccines

Medicare covers vaccines for preventable diseases that the Centers for Disease Control and Prevention (CDC) has identified as being especially serious for adults over the age of 65 years. Most everyone knows that influenza (flu) and pneumococcus (pneumonia) vaccines are covered. Many people don't know that tetanus and shingles are also included.

The tetanus shot is covered only if it is medically necessary (if you cut your foot on a rusty nail, for example).

Don't Count on Medicare
When You Travel Abroad

If you are planning to travel outside the U.S.A. it is important to know that Medicare does not cover medical care you get outside the United States except if:

You are traveling in Canada on a direct route between Alaska and another U.S. state and you need emergency services;

You are traveling on a cruise ship, and
1. The ship is registered in the U.S. (very few cruise ships are registered in the U.S.A.), and;
2. The ship's doctor is registered with the Coast Guard, and;
3. You receive care while the ship is in U.S. territorial waters (the ship is in a U.S. port or within six hours of arrival at or departure from a U.S. port).

Some Medicare supplemental insurance policies (MediGap policies), provide coverage for foreign travel. Medigap plans C through J cover 80 percent of the cost of emergency care abroad during the first two months of a trip. You will generally  have to pay the cost of care and submit receipts for reimbursement.

If you are in a Medicare private health plan, call your plan administrator to find out if your plan will cover any kind of medical care abroad.

If you will be traveling to a foreign country and want health coverage, talk to your travel agent about purchasing a short-term health insurance policy designed specifically to cover travel. You may be able to find a policy that pays medical providers directly. Also ask whether available policies cover ambulances and emergency flights home.

If you think you're too small to be effective, you've never been in the dark with a mosquito.

Elder CareTip:
Reducing Mealtime Battles


Mealtimes are a problem for many of us. Either our loved ones will barely eat anything, or they rush through a meal and hardly take time to chew and swallow. Either way, it can pose problems. For either kind of eater, try this:

Put a small amount of one kind of food on the plate - no more than three or four bites. When that's gone, take the plate back and put on three or four bites of another food. Then back to the first food, then the second. And so on.

Waiting for more food to be added to the plate will slow down a fast eater. A slow and easily overwhelmed eater will never be faced with "too much" on the plate.

Since many of our seniors don't drink enough, offer water or another beverage each time you re-fill the plate and wait until it's been drunk.

This may mean you're popping up and down like a jack-in-the-box. It's worth it if it makes meals more pleasant.

A Simple, Elegant Holiday Craft
To Do Together
 

Easy as Pie OrnamentsThis is a project you, your children, and your elder can do together. It's easy as pie, and the results are really quite stunning. I can take credit only for finding the instructions while looking for something completely unrelated. Here's how to make these.... Have fun!  

Find Senior Low Vision Services

The American Foundation For The Blind features a national directory of low vision services that can help older adults adjust to vision loss. The directory includes information on support groups, adaptive sports leagues, low vision specialists, and more. It also connects visitors to vision rehabilitation agencies where older adults can learn techniques for performing daily living activities with vision loss. Many of these low vision tips are described in videos and articles that appear on the Web site.

Your Bill of Rights

Was it only 20 years ago that Jo Horne wrote this everlasting list of Caregiver Rights? It was something every caregiver needed to hear then, and it remains so today. We need to re-read and reaffirm these every now and then:

  I have the right to take care of myself. This is not an act of selfishness. It will give me the capability of taking better care of my relative.

  I have the right to seek help from others even though my relative may object. I recognize the limits of my own endurance and strength.

  I have the right to maintain facets of my own life that do not include the person I care for, just as I would if they were healthy.

  I have the right to get angry, be depressed, and to express other difficult feelings occasionally.

  I have the right to reject any attempt by my relative to manipulate me through guilt, anger, or depression.

  I have the right to receive consideration, affection, forgiveness, and acceptance for what I do for my loved for as long as I offer these qualities in return.

  I have the right to take pride in what I am accomplishing and to applaud the courage it has sometimes taken to meet the needs of my relative.

  I have the right to protect my individuality and my right to make a life for myself that will sustain me in the time when my relative no longer needs my full-time help.

  I have the right to expect and demand that as new strides are made in finding resources to aid physically and mentally impaired older persons in our country, similar strides will be made toward aiding and supporting caregivers.

Caregiving: Helping An Aging Loved One, 1987

We all get heavier as we get older because there's a lot more information in our heads.
~ Vlade Divac, NBA player
 

For those who celebrate,
Warm wishes for you at Chanukah.
May you be blessed with joy, good health, peace,
and all the best things in life!

 

   
 


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