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Caregiver Guidelines

Many older adults, including those with dementia, simply need basic grooming, bathing, feeding, home maintenance and chore or comfort care services. These do not qualify as skilled nursing care and, therefore, are not covered by Medicare. This is when your family should consider private home care and adult day care.

Indicators That Are Especially Appropriate for Referrals:

  • Functional and Activities of Daily Living impairment especially in persons over 70.
  • Caregiver and family stress
  • Confusion or memory impairment
  • Depression or loneliness
  • History of frequent falls or marked weakness
  • Incontinence
  • Malnutrition or eating problems
  • Noncompliance to health care plan
  • Repetitive emergency room visits or hospital admissions

Ten Warning Signs of Caregiver Stress

(Passed along to all Caregivers courtesy of the the Alzheimer's Association)
  1. Denial about the disease and its effect on the person who's being diagnosed.
    I know mom's going to get better.
  2. Anger at the person with Alzheimer's or others: that no effective treatments or cures currently exist, and that people don't understand what's going on.
    If he asks me that question one more time I'll scream!
  3. Social withdrawal from friends and activities that once brought pleasure.
    I don't care about getting together with the neighbors anymore.
  4. Anxiety about facing another day and what the future holds.
    What happens when he needs more care that I can provide?
  5. Depression begins to break your spirit and affects your ability to cope.
    I don't care anymore.
  6. Exhaustion makes it nearly impossible to complete necessary daily tasks.
    I'm too tired for this.
  7. Sleeplessness caused by a never-ending list of concerns.
    What happens if she wanders out of the house or falls and hurts herself.
  8. Irritability leads to moodiness and triggers negative responses and reactions.
    Leave me alone!
  9. Lack of concentration makes it difficult to perform familiar tasks.
    I was so busy, I forgot we had an appointment.
  10. Health problems begin to take their toll, both mentally and physically.
    I can't remember the last time I felt good.

Some Things We Do at Paul's Peers Respite Care:

  • Current events and reality conversation
  • Emphasis on maintenance of independence and self esteem
  • Assistance in daily living activities
  • Intergenerational activities with Elizabeth and Wayne Pre-school and
    Union Elementary School, both in Maumee, Ohio.
  • Individual and group activities
  • Supervised arts and crafts
  • Rest periods depending on individual need
  • Continental breakfast and a nutritious lunch
  • Chair exercise led by a Body Recall Specialist associated with St. Luke's Hospital in Maumee, Ohio.

What Paul's Peers Respite Care Needs From The Caregiver

Before the beginning of each month that you want your loved one to attend the respite care program, you are asked to complete the Caregiver Information sheet. This contains a Monthly Briefing for you to acknowledge, the Preferred Days you request that your loved one attend in the upcoming month, and a place to report any Client Changes since the last time you wrote to us about your loved one.