ABC Home Care Services, Inc.

1. presents ABC Home Care Services, Inc. Elder Living Options

2. Overview • Are you affected? • How to determine who needs assistance? • How to discuss the situation with your parent(s)? • What are your options? • Question and Answer session

3. Are you affected? • Nearly 25 % of U.S. households are involved in caring for an elderly family member, spending an average of 20 hours/week. • 72% of caregivers are women, mostly wives and adult daughters. • Nearly 65% of those caregivers are employed outside of their care giving role. • If you are a woman, expect to spend 17+ years raising your children, and 18 years for your parent(s). • Nearly 60% of caregivers have or will suffer from depression. • Long distance caregivers miss nearly 15 million days of work each year. • 80 % of caregivers provide unpaid assistance seven days a week. • Long term family care giving takes a significant toll on workers. • Lost productivity • Absenteeism • Interruptions • Replacing employees due to elder care. • Cost American businesses over $11.4 billion annually.

4. How to determine who needs assistance? • Is there inadequate nutritional intake? • Is there spoiled food in the refrigerator? • Are there multiple packages of the same type of food or staple? • Is there a loss of desire or interest in cooking and/or eating? • Are there recent behavior changes? • Is there mail piled up or unopened? • Is their home as clean and neat as it used to be? • Is your loved one more irritable or otherwise moody, teary or sad?

5. How to determine who needs assistance? • Are there memory issues? • Are medications being taken too often or not often enough? • Are foods left cooking on the stove? • Are doctors appointments not being made or forgotten? • Are there issues that are repeatedly being discussed? • Have the neighbors discussed their concerns regarding your loved one? • Is there a sudden increase in the loss of close friends or family members? • Are there safety issues? • Do they forget or refuse to use their walker or cane? • Is there a recent change in dietary intake? • Have they had at least one fall in the past three months? • Are there noticeable dents or other damages to their vehicle? • Are they concerned about having their affairs in order?

6. How to discuss the situation with your parent(s)? • First ask your parent(s) what are their wishes? • Discuss with your parent(s) what your perceived safety risks are for them. • Review with them their activities of daily living to determine what they may need assistance with in their home. • Are all of their needs being met? Or are they being ignored or bandaged? • What is your parent(s) current method of transportation? Is it appropriate?

7. How to discuss the situation with your parent(s)? • Is your parent(s) nutritional needs being met? Is there a sudden gain or loss in weight? • Is the home able to be maintained properly? • What financial resources do they have available to them to provide for their care? • Is there long term care insurance? • What are their desires for life sustaining measures? • Do they possibly qualify for any government assistance?

8. What are your options? • Remain at home. • Emergency response systems. • Meals-on-wheels. • Adult day care. • Public transportation (Dial-a-ride). • Companion care/home caregiver • ABC Home Care Services, Inc.

9. Home Care/Companion Care • Allows for independent living in the comfort of the senior’s home. • Provides assistance with bathing, dressing, meals, and other activities of daily living. • Provides for assistance with transportation, bill paying, appointments, and companionship. • Services range from a few hours a day to 24 hours a day, depending on the client’s/family’s needs.

10. Independent Living Communities • Cater to seniors who are very independent with few medical problems. • Fully equipped private apartments • Frequently there are numerous social activities to choose from for entertainment. • May be located on a Continuing Care Retirement Community.

11. Assisted Living • Designed for seniors who may no longer be able to provide independent, safe care for themselves, but may not require the services of a Nursing Home. • Provides assistance with medications, activities of daily living, meals and housekeeping. • Individual apartment life-style. • Most offer scheduled activities and limited transportation. • Some offer Memory Care Units. • Skilled nursing is available 24 hours a day for safety.

12. Nursing Homes • Also known as Skilled Nursing Facilities, SNFs or SNiFs. • Provide services from licensed nurses, 24 hours per day for those requiring a higher level of care. • Short-term rehabilitation services are also available. • Rooms are typically shared. • Meals are served in a central dining room.

13. Personal Care Homes • Typically private homes that serve residents who live together and receive care from care givers who live at the same facility. • Provides assistance with activities of daily living, such as bathing, dressing, and eating. • Rooms are both private and shared depending on the home. • Varied types of social activities are also offered.

14. How to choose which is right? • Review information from your discussion with your parent(s). • Talk to clergy, friends/neighbors, other family members regarding their choices and recommendations and experience. • Visit facilities and ask questions? Talk to the staff and residents regarding how they feel about the facility. • If looking at home care, ask about how they screen their employees, training, staffing ratios, rates and minimums. • How are the meals at the facility? Ask if you can go to dinner, instead of lunch? Do they accommodate special diets? • Always ask questions? If you are concerned about a facility, there are always others out there to see. Do not give up. Help is available.

16. Questions and Answers??? ABC Home Care Services, Inc.