Source: SeriousIllness.org

We usually associate the word “vaccine” with children. But vaccines play an important role in disease prevention for seniors, too. Because aging weakens the immune system, even common infections can cause serious problems for those over age 65.
The annual flu shot

The flu takes a heavy toll on aging bodies. Hospitalization rates for seniors surge during flu season. Really, what we call “the flu” is a constantly changing virus. Because there’s a new type circulating each winter, an annual shot is essential. That is true for your aging relative, but also recommended for any adult caring for a frail elder. For greatest effect, get the shot sometime in the October to December time frame.

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For more information about Hospice & Palliative CareCenter, visit http://www.hospicecarecenter.org!

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Money matters are often intensely private. And no one wants to infringe on a family member’s independence. Yet it is through (sometimes expensive) financial mishaps that you may learn of changes in your parent’s memory and thinking.

Signs of a problem

Diseases that affect memory also tend to impair arithmetic skills and reasoning. That’s why money trouble can suggest the onset of dementia. Be alert for the following changes:

- Difficulty counting change or balancing a checkbook
- Frequent late payment of bills
- Confusion about banking transactions
- Unusual or repetitive purchases
- Accusations that others are stealing from them
- Investing in sweepstakes or other “get rich quick” schemes

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For more information about Hospice & Palliative CareCenter, visit http://www.hospicecarecenter.org!

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A durable power of attorney is your written authorization for someone to act for you in many financial and legal matters. This document will serve you best if it provides a broad range of authority, so be very careful in choosing your representative. And always consult an estate planning attorney on the proper creation and use of this powerful and trusted position.

	Request our free guide on what you need to ensure a complete and up-to-date estate plan.

You may authorize your power of attorney to:

• Pay for your support and care.
• Borrow money.
• Complete bank transactions.
• Manage property.
• Handle legal claims.
• Gain entry to safe-deposit boxes.
• Prepare and file tax returns.
• Deal with insurance and retirement benefits.
• Exercise stockholder rights.
• Contract for services.
• Make gifts to family and charitable organizations.
• Collect Social Security and other benefits.
• Exercise rights of the creator or beneficiary of a trust.

For more estate and gift planning information, contact Ellen Coble at 336-331-1312 or ellen.coble@hospicecarecenter.org.

For more information about Hospice & Palliative CareCenter, visit http://www.hospicecarecenter.org!

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In addition to providing hospice care, your gifts support needed programs available to our entire community. Most of these programs are available at no cost to anyone in the community. Your contributions support these programs, including:

- Grief counseling to anyone in the community who has lost a loved one

- Advance Care Planning so that end-of-life care choices will be known and legally documented

- Residential hospice care at the Kate B. Reynolds Hospice Home for those who cannot be cared for in their own residence

- Education of healthcare professionals in the important areas of end-of-life care and pain or symptom control

- Complementary therapies designed to help patients and families experience the best possible quality of life

For more information on contributing to Hospice & Palliative CareCenter, please contact one of the following staff members at 336-768-3972 or 1-888-876-3663.

For more information about Hospice & Palliative CareCenter, visit http://www.hospicecarecenter.org!

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One of every three older women is dealing with urinary incontinence. And one of every six older men. If your loved one has this problem, he or she is likely not talking about it. Not talking to you. Not talking to the doctor.

She may be embarrassed. Or he may assume nothing can be done.

In fact, urinary incontinence is a medical problem with many treatment options. Untreated, urinary incontinence is associated with

• social isolation. Fear of accidents often leads to withdrawal from activities outside the home.

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For more information about Hospice & Palliative CareCenter, visit http://www.hospicecarecenter.org!

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How a family uses its money usually starts with the care of family members, addressing basic needs such as the mortgage, medical costs and tuition bills.

What a family decides to do with its money after basic needs have been met can cover an array of venues. If you do choose to contribute to charitable causes, you will be pleased to know that you can give in ways that not only benefit the causes you love, but you and your family as well.

Three Ways to Make All the Difference
One—Annual gifts ensure that we will be able to provide much-needed patient services every year.
Two—A sizable gift to Hospice & Palliative CareCenter this year lets us use those funds to support immediate projects.

	Learn of the many ways you can minimize your taxes and maximize your gift to Hospice & Palliative CareCenter in our free guide.

Three—A gift in your will or trust demonstrates your commitment to improving health care in our community.

Please contact Ellen Coble at 336-331-1312 or ellen.coble@hospicecarecenter.org to learn more about the different ways to support Hospice & Palliative CareCenter.

For more information about Hospice & Palliative CareCenter, visit http://www.hospicecarecenter.org!

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This is not a unique story. It’s told over and over. Many of the details and most of the emotions are shared by thousands who choose quality end-of-life care at Hospice & Palliative CareCenter.

The power in Madlon Glenn’s story lies in the very fact that it is not unique. It is the same story. It is a story of caring, compassion and comfort.

Madlon’s Story
Madlon’s mother, Hawley Chambers, suffered a serious injury in January 2008. At first, her family was hopeful that she would survive, but after two months and two unsuccessful surgeries, they called Hospice.

“The Hospice nurse gently broke the news to us that our mother would never recover,” Madlon says. After accepting the care and support from Hospice, the family’s story of pain and despair became one of peaceful acceptance.

“Hospice knew what to do for her and for us,” Madlon says. “They were always so kind. And we were grateful for the option of having around-the-clock care at the Hospice Home.”

When Madlon and her brother, Thornton “Butch” Chambers, visited their mother at the Hospice Home for the first time, they were amazed to see her looking so well. “She was sitting up for the first time in two months, her hair was fixed and she’d had a manicure,” Madlon says.

But the intense level of care Mrs. Chambers enjoyed during her time at Hospice went deeper than a beauty makeover. “She was frightened in the hospital but not at Hospice,” her daughter says. “She was never alone and she seemed more relaxed. She was at peace.”

With Hospice’s help, Mrs. Chambers’ family members found their own peace. As Madlon tells the story, “Hospice makes the patient’s last days mean something and prepares the family to let go.”

For more information about Hospice & Palliative CareCenter, visit http://www.hospicecarecenter.org!

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Source: SeriousIllness.org

You may be entitled to claim your relative as a dependent. This requires that:

- The individual’s income was less than $3,650 in 2010. “Income” includes Social Security and pension benefits. Also, proceeds from investments or withdrawals from retirement savings plans.

- You paid more than 50% of your relative’s support. He or she does not have to live with you. Support expenses include food, clothing, housing, and medical care. Also, transportation, recreation, and other essentials. If he or she lived with you, include fair rental value for your family member’s share of the lodging.

Many relatives qualify. Your parents and siblings. Other family relatives, step relatives, and in-laws. Or anyone who lived with you all year.

If others paid some support expenses, a deduction is still possible. But only one person can claim it. And everyone who shared expenses must sign a multiple support agreement.

You may be able to deduct medical expenses.

• This includes expenses paid for yourself, your spouse, or a dependent relative. Or for a relative who would have qualified as a dependent but had too much income or filed a joint return.
• The expenses must add to more than 7.5% of your adjusted gross income (AGI). For example, if your AGI is $40,000, the first $3,000 of expenses doesn’t count.

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For more information about Hospice & Palliative CareCenter, contact Ann Gauthreaux, public relations director, at 336-768-3972, or see Hospice’s website at http://www.hospicecarecenter.org!

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From: SeriousIllness.org

Happiness is universally desired. But do you know how to increase your happiness? In his book, Stumbling on Happiness, Harvard professor Daniel Gilbert explains that it’s not about big goals or events. The better house, the extra-long vacation, don’t really make us much happier.

Instead, happiness is closer at hand. It evolves from our day-to-day experience. Little achievements, a shift in attitude, a pleasant activity, all add up to more cheer. The sum total of little victories results in a better overall feeling about life.

The Caregiving Happiness Project is currently exploring how family caregivers can create happiness despite ongoing stress.

You can participate in this study! The project supplies a monthly theme and an online support community. Themes include simple ideas such as “space,” “quiet,” and “learn.” For example, here’s how two participants interpreted November’s theme of “let go”:

• One woman challenged her belief that “uncomfortable behavior in dementia is never accepted.” When company visited, she reminded herself to “let go.” She relaxed about her mother’s behavior. And she found that “it was okay; her challenges were accepted.”
• Another participant decided to “let go” of old family photos. As she took the albums apart, she found pleasure in sending packets of pictures to other relatives to enjoy.

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For more information about Hospice & Palliative CareCenter, contact Ann Gauthreaux, public relations director, at 336-768-3972, or see Hospice’s website at http://www.hospicecarecenter.org!

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The changes to Medicare for 2011 provide your loved one with several free prevention services. The idea is to catch major health problems early by lowering the cost for screenings.

The changes apply to everyone with Parts A and B. If your family member has a Medicare Advantage Plan, check with the plan itself about benefits for 2011.

Following is a sample of the services to be covered. Most are offered at no cost. Some require payment of 20% of the approved Medicare fee. Important: To get these savings, your family member must use a doctor who has signed on with Medicare.

• Yearly wellness exam. An annual visit to look at current health issues. This is also a time to discuss personal risk factors and steps for preventing disease. Patients new to Medicare are entitled to a more extensive “welcome” exam within their first year of signing up.
• Bone density screening. Bone mass evaluation every 24 months for persons at risk for brittle bones.
• Cancer screening. Four types of tests are covered for colon or rectal cancer. For women, there are yearly mammograms. Plus, there is coverage for Pap smears, pelvic exams, and a physical breast exam every 24 months. For men, PSA tests and physical exams for prostate cancer are provided yearly (with a 20% fee).
• Diabetes screening. Provided twice a year for at-risk individuals (with a 20% fee).
• Flu/pneumonia prevention. Flu shots are covered annually. Anti-pneumonia shots are also covered and typically last a lifetime.

Prescription costs may also go down for your family member in 2011. If he or she reaches the “donut hole” coverage gap, the cost of brand-name drugs will drop 50%.

For more information about Hospice & Palliative CareCenter, contact Ann Gauthreaux, public relations director, at 336-768-3972, or see Hospice’s website at http://www.hospicecarecenter.org!

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