Caregiver Solutions 2015

BusinessWoman caregiver solutions 2015 www.BusinessWomanPa.com2

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Our proprietary screening process allows usto refer professional, experienced caregivers.We focus on understanding what familieslook for in a professional caregiver.The Griswold Golden Rule: We only refercaregivers we would trust in our own homes.

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www.BusinessWomanPa.com BusinessWoman caregiver solutions 2015 3

Dear Readers,

4 How Employers CanSupport Employees

6 RecreationalActivities Can BeTherapeutic

8 Make Room forMommy (and Daddy)

10 Driving Safely withDementia

12 Services AddressWandering in Thosewith MemoryImpairment

14 Monitoring OlderPennsylvanians

18 Resources

19 Probing for a Solution

20 Across the Miles

22 UnderstandingBalance to HelpPrevent Falls

24 Frequently AskedQuestions

26 Caregiver SupportPrograms

27 Directory of Housing& Care Providers

29 Directory of AncillaryServices

30 Support andInformation

Contents 2015

4 6 12 20

PUBLISHERDonna K. Anderson

EDITORIALVice-President & Managing Editor

Christianne Rupp

EditorMegan Joyce

Contributing WritersClaire Yezbak Fadden

Sylvia D. HeplerJeff HoenshellLynn Lueders

Jim MillerGina Napoli

Lisa M. Petsche

ART DEPARTMENTProduction Coordinator

Renee McWilliams

Production ArtistsJanys Cuffe

Lauren McNallen

SALESAccount Executives

Angie McComsey JacobyAmy Kieffer

Ranee Shaub Miller

Account RepresentativesChristina Cardamone

Robin GambyJennifer Schmalhofer

Sales & Event CoordinatorEileen Culp

EVENTS MANAGER

Kimberly Shaffer

ADMINISTRATIONBusiness Manager

Elizabeth Duvall

Marketing CoordinatorMariah Hammacher

Project CoordinatorLoren Gochnauer

Copyright © 2015 On-Line Publishers, Inc. All rights reserved.All listings and advertisements have been accepted forpublication on the assumption that the information contained inthem is true and accurate and that all merchandise or servicesoffered in the advertisements are available to the customeraccording to the conditions warranted therein. The appearanceof advertisements or products or services does not constitutean endorsement of the particular product or service. On-LinePublishers, Inc. disclaims any and all responsibilities andliability which may be asserted or claimed resulting from orarising out of reliance upon the information and procedurespresented in this guide.

caregiversolutions

2015

On-Line Publishers, Inc.3912 Abel Drive, Columbia, PA 17512

717.285.1350 • fax 717.285.1360www.businesswomanpa.com

Thank you for reading Caregiver Solutions. Important information is included thatcan help anyone who is providing care to a loved one.

Women account for nearly half of the workforce (and 52 percent of women employedare in management, professional, and related occupations) in the United States. Many ofthose working women have children living at home, and women are also thepredominant caregiver to an older loved one. Their lives are full trying to juggle all ofthose responsibilities.

I am a baby boomer, and many of my friends and acquaintances are now caregivers toparents and, sometimes, even to their spouses. I have become increasingly aware of thechallenges they face. Understand, they are not complaining about the circumstancesbecause it is done with love and respect; however, it is a journey that can be filled withbumps in the road, frustration, and stress.

But it’s not just the caregiver who feels the strain. The care receiver is aware of thechanges in their life as well. You’ll read the story of a gentleman I met who is living withParkinson’s disease. Thankfully, he was willing to share his thoughts and feelings inundergoing a new procedure in his quest to find some relief from the tremors. He tellshis story with a humorous edge, but you know he is anxious and worries about what thefuture holds.

You will not only find informative articles, helpful resources, support information,and two full pages of frequently asked questions within these pages, but also a Directoryof Housing & Care Providers and a Directory of Ancillary Services. We hope theinformation provided will answer a few of your questions or point you in a direction thatwill connect you with someone who can assist you.

If there is a topic on your mind, we would be glad to address the issue in next year’sedition, or for more immediate attention, in one of our other publications —BusinessWoman (www.businesswomanpa.com); b magazine for baby boomers(www.bmagazinepa.com); or 50plus Senior News (www.50plusseniornewspa.com).Because, if it’s on your mind, it’s no doubt on someone else’s mind too.

Christianne Rupp, Editor

http://www.businesswomanpa.com

http://www.bmagazinepa.com

http://www.50plusseniornewspa.com

http://www.businesswomanpa.com

http://www.BusinessWomanPa.com

By SYLVIA D. HEPLER

If you think thatcaregiving isn’t a bigworkplace issue today,consider this article as aheads up! RecentGallup research reportsthat Americanbusinesses lose morethan $25 billionannually inproductivity due toabsenteeism amongemployees functioningas caregivers to elderlyrelatives, thechronically ill, and/ordying family members.

Further, largenumbers of employeesgiving care (especially those who have been immersed in it longterm) tend to experience mental and physical health problemssuch as depression, anxiety, substance abuse, high bloodpressure, diabetes, and heart disease. This serious situationwarrants your attention.

What is your company currently doing to manage both theindividual and organizational impact of employee caregiving? Ifyou are the boss, what are you doing? Take a look at the followingtips:

Develop and communicate policies.Think through caregiver challenges, and then write formal,

comprehensive policies around them. Define caregivingresponsibilities and what constitutes family members. Ifapplicable, explain the FMLA law. Give plenty of examples.Decisions on the fly increase liability risks.

Offer flexible schedules.Offer alternatives such as flex time, reduced hours,

telecommuting,working from home,frequent breaks, longerlunches, a compressedschedule, exemptionfrom mandatoryovertime, or a leave ofabsence. A couple ofthese may be easy topull off, and caregiverstaffers receive peace ofmind.

Provide useful

resources.Today, online

literature andcommunity resourcesabound. Make it yourbusiness to learn aboutthem, and don’t

hesitate to connect your caregivers. Supply agency contactdirectories. Refer people to support groups or your EmployeeAssistance Program. Folks equipped to cope deliver moreconsistent results.

Demonstrate empathy.No magic words exist to eliminate caregiver frustration,

fatigue, and fear, but you certainly can show compassion. Onceyou’re aware of a situation, acknowledge it directly. Don’t pretendyou’re clueless about what’s going on. Every week, make a pointto talk with the person. Let her feel your support.

Ask strategic questions.It’s a human tendency to want to tell … tell … tell. Train

yourself to ask meaningful questions such as: “What do you needmost from me right now? What do you need from yourcolleagues? What top three things do you want to accomplishover the next five days? How can you succeed?”

How Employers Can SupportCaregiver Employees


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Share observations.Schedule times to speak privately with

the caregiver employee to share yourobservations about recent behaviors andperformance. Open the door by saying:“You seem distracted lately. I imagine it’sdifficult to concentrate onyour job while you wonderwhat’s happening at home.”Then let the staff personcontinue the conversation.

Renegotiate job

expectations.Together, you and your

caregiving employees mustface reality and determinewhat is possible underchallenging circumstances.Discuss options for taskcompletion amidstseemingly endless doctorvisits, outpatient testappointments, and hospital stays. To getserious buy-in, proactively solicitemployee ideas.

Talk about the topic.If you’ve got staff serving as caregivers

outside of work, initiate openconversations about this topic.Incorporate dialogue during staffmeetings; invite community experts toprovide free lunch ’n’ learns; and/orarrange formal training seminars forsupervisors. When you shine light on thesubject, everybody benefits.

Expect periodic crises.The lives of your caregiver employees

are highly unstable. Intuitively, they knowthe next crisis lies in wait just around thecorner. It’s a matter of time until it erupts.You need to be mindful of this too.Prepare for these emergencies, and figureout how the work still can get done.

Check in regularly.Weekly touch-base phone calls,

emails, or brief meetings can providestructure and support. Thoseconnections allow you to follow up onproject progress and express reasonable

concern for folks whostruggle daily to keeptheir heads above water.

Caregiving is ademanding, intenseexperience. Jugglingextra burdensomeresponsibilities withbusy careers, caregiverslead chaotic,fragmented lives. Don’tbe fooled: As the pool ofolder Americansdoubles over the nexttwo decades, theproblem is going togrow.

Since replacing valuable caregiverstaff who quit is costly, you’d better findcreative ways to work with them. It’s awise investment. You can’t put a price tagon mutual respect, loyalty, good will, andcommitment.

Note: Sylvia is qualified to write thisarticle because she functioned in theprimary caregiver role for her uncle andfather for more than six years whileserving as executive director of a 14-county nonprofit organization. She alsosupervised caregiver staff throughout hercareer.

Sylvia Hepler of Launching Lives LLC is aMechanicsburg-based career developmentspecialist who supports executive andmanager clientele through individual andgroup coaching, teleseminars, workshops,and tangible and downloadable products. Sheis also the author of Learning LeadershipThrough Loss. www.leadershipthroughloss.com

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When we think about recreationalactivities, such as bingo and bowling, wetend to consider their contributionto our well-being primarily in terms oftheir enjoyment value.

While the value of having fun shouldnot be underrated, the potential benefitsof recreational programming extendmuch further. Read on to learn more.

Emotional BenefitsThe opportunity to engage in

meaningful activity can generate positivefeelings not only during the activity, butalso leading up to it.

Regardless of the degree of physical ormental disability a person may have,many recreational activities can beadapted to enable their participation (forexample, seated bowling).

When people who have experienceddisability or a health setback are able toparticipate in previously enjoyedactivities, their sense of identity isreinforced and positive memories arestimulated. Successfully engaging inactivities—especially when they requiresome degree of skill or creativity—alsofosters a sense of competence, enhancingself-esteem.

Organized activities typically arecommunal, and the resulting contactwith people—whether it’s throughcooperation, competition, or workingindividually in the company of others—isvalidating and enriching. Being in groupsettings can also help to maintain orenhance one’s social skills.

Furthermore, sharing experiencescreates a common bond among

participants that decreases feelings ofloneliness and isolation. In some cases,special relationships may develop andextend beyond the recreational setting.

Cognitive BenefitsRecreational activities that involve

creativity (sculpting, for example),strategic thinking (playing cards orboard games, for instance), or learningnew information or skills provide mentalstimulation to participants. Such mentalexercise can help to ward off cognitiveimpairment.

For those with some degree ofimpairment, targeted recreationactivities can help to improve self-expression, sensory awareness, attentionspan, memory, and decision-makingabilities.

Physical BenefitsNot all activities need to have a fitness

focus in order to benefit seniorsphysically. Depending on the particularactivity, physical benefits may includemaintenance or enhancement of one’sendurance and energy level, range ofmotion of joints, eye-hand coordination,fine and gross motor skills, flexibility,and strength.

An increase in activity level may helpto improve appetite, sleep, and moodand, in the case of people with dementia,decrease agitation, anxiety, and otherbehaviors considered challenging (noisemaking and wandering, for example).

In long-term care settings, the desireto participate in activities may motivatesome residents to get up and out of bed

Recreational ActivitiesCan Be Therapeutic

By LISA M. PETSCHE


http://www.6

on a regular basis. Among other things,this can lead to an increase in their sittingtolerance and a decrease in their risk ofdeveloping skin pressure areas (bedsores).

Therapeutic Recreation:

A Growing DisciplineRecreational activities are so vital to

quality of life that trained therapeuticrecreationists are an integral part ofhealthcare teams for seniors inrehabilitation, mental health, daycare, andlong-term care settings.

Therapeutic recreation (TR) staff helpindividuals find ways to reengage in former activities or find newactivities that match their needs, interests, and strengths.Interventions may take place on an individual basis or in a small

or large group. Settings vary from a patient’sroom to a lounge or specialized activityroom to a location in the community.

Activities are designed as a form oftreatment rather than mere diversion. Someexamples of the variety of recreationalactivities that may be offered in anoutpatient or inpatient setting includesensory stimulation, relaxation exercises,bocce, horticulture, music (such as sing-alongs and drumming), movies, pettherapy, intergenerational programming,and outings to cultural events.

Lisa M. Petsche is a social worker and a freelance writer specializing inboomer and senior concerns. She has many years of experience workingin healthcare teams.

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By CLAIRE YEZBAK FADDEN

Many women are adding to theiralready overwhelming tasks of caring fortheir children by becoming caregivers fortheir aging parents, and an increasingnumber are moving Mom and Dad intotheir homes.

In 2008, 6.2 million families lived inintergenerational households. Thatnumber jumped to 7.1million households by 2010.According to the AARP’sPublic Policy Institute, thetwo-year increase markeda faster rate of growth thanthe previous eight yearscombined. And expertsexpect the trend to continue.

The Pew Research Centerreports that by 2030, 18percent of the population willbe over age 65, up from 13percent in 2010.

Because many elderlyparents don’t want to be aburden on their children and are reluctantto give up their independent living, oftenit is the adult son or daughter whoinitiates the move-in conversation. Withfailing health and financial issues at theroot of the move, the decision isfrequently made after an emergencyarises. A stroke, a fall, or some otherphysical crisis convinces the family thatthe senior can no longer live alone.

As much as we love our parents, it can

be both a blessing and a weight on manywomen’s already overscheduled lives tohave one or both of them move into ourhome. It is a good idea to speak with anexperienced counselor ahead of time, suchas a geriatric social worker or geriatriccare manager, to lay the foundation for asmoother transition.

A New Trend?As Americans live longer, many are

embracing an old-world style of intra-family care that was common when we alllived nearby, instead of time zones away.Sybil Rogert grew up with this lifestyle.

“Both of my grandfathers came to livewith us. One when I was about 7 or 8, andthe other when I was 12,” says Rogert. “Sowhen my mother-in-law, Lydia, needed tomove in with us, I was used to the idea. I

assumed that was what you did.”Rogert’s daughters, Holly and Heather,

were 3 and 5 years old when she and herhusband, Allen, converted the sewingroom of their three-bedroom, one-bathhome into a bedroom to accommodate the70-year-old grandmother. What wassupposed to be a temporary situation

turned into a 22-year livingarrangement until Lydia diedat age 92.

If your family’s decidingwhat living arrangement isbest for your parent or parent-in-law, you can minimizesome of the stress byconsidering these pointsbefore the move:

1. Be sure of yourmotivation. Guilt is not thebest reason to bring youraging relative into your home.Consider your relationship

with your parent. If it is toxic, or severemedical and/or psychiatric issues wouldcause too much strain on your family, youmay want to seek out another plan.

2. Think “big tent.” Get your parents,children, and siblings involved. Talkopenly and honestly with everyone andshare your concerns, your expectations,and your doubts.

Make Roomfor Mommy(and Daddy)

Careful planning and candid discussions are must-dos before asking ailing parents to move in

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3. Handling physical restrictions. Earlyon you need to determine how your houseis set up to accommodate your parents’physical needs. Many baby boomers areretooling their homes to incorporatehandicap facilities, wheelchair access, andhandrails. Are you able to make physicaladjustments to your home for the safety ofyour family?

4. An identity crisis. It’s no secret thathaving Mom and Dad move in requiresadjustment on everyone’s part.

“Each party needs to contribute to thehousehold, no matter how small, to blendinto a team,” says author and New Yorkradio host Debbie Mandel. “Rememberthat your elderly parents are experiencingan identity crisis in a youth-orientedsociety. They need to feel respected andnecessary—so put them to work aroundthe house.”

When a parent resides with an adultchild, the dynamics of the relationshipchange, and it can be viewed as a rolereversal. Every relationship in thehousehold is affected, especially themarriage of a couple who is sandwichedbetween parents and children.

“They need to have time for fun andcreativity. Boomers need to carve outpersonal time to reclaim their identity,”says Mandel.

5. A private space for everyone.Addressing this real concern up front isimperative. Will Mom or Dad have theirown bedroom? How will the commonareas of the home be available to them?Aging parents do not want to be a burden,and they want to live as independently aspossible.

6. Keep social commitments intact. Havea conversation with your parents abouteveryone’s expectations.

For example, do your parents have anexisting social life? Do they belong toclubs and meet regularly with friends?How will they get to and from theiractivities?

After the MoveOnce you’ve decided to become the

fulltime caregiver for a live-in, agingparent, it’s critical that you keep realisticexpectations.

“At first it’s real hard to change your lifearound. I was in my late 20s when mymother-in-law came to live with us. Ilearned that families have to continuallymake adjustments,” Rogert recalls.

“But we were so enriched by Lydia andwhat she shared. She was a much bettercook than I was,” she remembers. “Therewas a big upside for the entire family. Forme, I was able to go back to college in theearly years because she was there to helpcare for the girls. I learned so many thingsfrom her.”

Caregivers need to recognize that itmay become difficult to meet all thedemands on their time. Accept the factthat you’re only as good as your mentaland physical health allow you to be. Giveyourself a break by taking advantage offamily and friends who offer to help witherrands. Take time to find out about localservices that offer respite care.

“And, with your doctor’s permission,involve everyone in a fitness program toshed stress and feel empowered—as wellas stay healthier,” Mandel says. “And don’tforget: Humor is free medicine.”

Claire Yezbak Fadden is an award-winningfreelance writer and mother of three sons.Follow her on Twitter @claireflaire.


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Dear Savvy Senior,Is it safe for seniors with dementia to drive, and if so, when

should they stop? My dad has early Alzheimer’s disease but stilldrives himself around town just fine. – Looking Ahead

Dear Looking,While most doctors agree that people with moderate to severe

dementia should not take the wheel, in the early stages, themedical consensus is that driving performance should be thedetermining factor of when to stop driving, not the disease itself.

With that said, it’s also important to realize that as your dad’sdriving skills deteriorate from the disease over time, he mightnot recognize it. So it’s very important that you work closely withhim and his doctor to monitor his driving. Here are some tipsthat can help.

Warning Signs The best way to keep tabs on your dad’s driving is to take

frequent rides with him, watching out for key warning signs. For example: Does he have trouble remembering routes to

familiar places? Does he drive at inappropriate speeds, tailgate,or drift between lanes? Does he react slowly or make poordriving decisions?

Also, has your dad had any fender benders or tickets lately, orhave you noticed any dents or scrapes on his vehicle? These, too,are red flags.

If you need some assessment help, hire a driver rehabilitation

specialist who’s trained to evaluate older drivers. To locate aspecialist, see www.driver-ed.org or www.aota.org/older-driver.

Transition TipsThrough your assessments, if you believe it’s still safe for your

dad to drive, you may want to start recommending some simpleadjustments to ensure his safety, like driving only in daylight andon familiar routes and avoiding busy roads and bad weather.

Also, see if he will sign an Alzheimer’s “driving contract” (seewww.alz.org/driving to print one) that designates someone to tellhim when it’s no longer safe to drive.

In addition, you should also consider getting a GPS vehicletracking system for his car (like www.motosafety.com orwww.mobicopilot.com) to help you keep an eye on him. Thesedevices will let you track exactly where he’s driving and allow youto set up zones and speed limits that will notify you via email ortext message when he exits an area or arrives at a designatedlocation and if he’s driving too fast.

Time to QuitWhen your dad’s driving gets to the point that he can no

longer drive safely, you’ll need to talk to him. It’s actually best tostart having these conversations in the early stages of the disease,before he needs to quit driving, so he can prepare himself.

You also need to have a plan for alternative transportation(including a list of family, friends, and local transportationservices) that will help your dad get around after he stopsdriving.

By JIM MILLER

http://www.driver-ed.org

http://www.aota.org/older-driver

http://www.alz.org/driving

http://www.motosafety.com

http://www.mobicopilot.com

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Aging Parents?We can help.

Call today for a FREEin-home assessment!717-540-HOME (4663)www.HomeCareAssistance.com

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• Flexibility. No contracts or obligations. Working with Home Care Assistanceand our caregivers gives you the flexibility your family needs.

For tips on how to talk to your dad, theHartford Financial Services Group andMIT AgeLab offer a variety of resources atwww.safedrivingforalifetime.com—click on“Dementia and Driving.”

Refuses To QuitIf your dad refuses to quit, you have

several options. First, suggest a visit to hisdoctor, who can give him a medicalevaluation and “prescribe” that he stopsdriving. Older people will often listen totheir doctor before they will listen to theirown family.

If he still refuses, contact your localDepartment of Motor Vehicles (DMV) tosee if they can help. Some states requiredoctors to report new dementia cases to theDMV, who can revoke the person’s license.

If all these fail, consider hiding his keysor just take them away. You could alsodisable his vehicle, park it in anotherlocation so he can’t see it or have access toit, or sell it.

Jim Miller, The Savvy Senior, is a contributor tothe NBC Today show and author of The SavvySenior Book. www.savvysenior.org

Driving performance

should be the

determining factor

of when to stop

driving, not the

disease itself.

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ComfortZone, aprogram available through the

Alzheimer’s Association, allows caregivers to monitor the person with dementia froma secured website and receive alerts when the person leaves a preset safety zone.

Services AddressWandering in

Those withMemory

Impairment

For caregivers of people with memoryissues, keeping their loved one in a safespace—whether it’s their home or a carefacility—is vital to the person’s well-being.But the reality is that six in 10 people withdementia will wander away from that safespace at least once.

Someone with Alzheimer’s disease ordementia may wander as a result ofagitation, confusion, anxiety,overstimulation, or the belief that they aresearching for something. They maybecome disoriented and attempt to relivethe past or revive past habits, such asgoing to work or returning to a familiarneighborhood.

While wandering, the person might notrecall their name or address, making itdifficult for those who encounter theperson to assess their needs and returnthem to safety.

Clay Jacobs, vice president of programsand services for the Alzheimer’sAssociation Greater PA Chapter, saidanyone who has memory problems and isable to walk is at risk for wandering, evenin the early stages of dementia. There arecertain behaviors, however, that are redflags indicating wandering is more likelyto occur.

“It’s important to plan ahead for thistype of situation,” Jacobs said. “Be on thelookout for the following warning signs:[your loved one] returns from a regularwalk or drive later than usual; tries tofulfill former obligations, such as going to

work; has difficulty locating familiarplaces like the bathroom, bedroom, ordining room; or appears lost in a new orchanged environment.”

There are some steps caregivers cantake to reduce the likelihood ofwandering, such as creating a dailyroutine for their loved one, which reduceshis or her anxiety. Identify the times ofday when agitation is highest—these arethe times when wandering is likelier tooccur—and plan activities and exercise forthose times.

“It’s also important to understand howthe stress experienced by families andcaregivers when a person with dementiawanders and becomes lost is significant,”Jacobs added. “Have a plan in placebeforehand so you know what to do incase of emergency.”

Statistics show that 94 percent ofpeople who wander are found within just1.5 miles of their home, so Jacobsrecommends caregivers ask neighbors tocall if they ever see the person withmemory issues alone; keep a recent, close-up photo and updated medicalinformation handy to give to police;provide the person with ID jewelry; andkeep a list of places where the person maywander (former homes or jobs,restaurants, places of worship).

Another interesting note to make iswhether the person with dementia is right-or left-handed, as wandering tends tofollow the direction of the dominant hand.

Once it is determined that a loved oneis missing, caregivers should call 911 andfile a “missing report” for a person withdementia, a “vulnerable adult.” Police willthen begin to search for the individual.

In addition, Jacobs encouragescaregivers to enroll their loved one inMedicAlert® + Alzheimer’s AssociationSafe Return®, a 24-hour, nationwideemergency-response service forindividuals with Alzheimer’s or relateddementia who wander or have a medicalemergency.

When a caregiver calls the emergency-response line to report a missing person, acommunity network will be activated,including local Alzheimer’s Associationchapters and law enforcement agencies,Jacobs said. Critical medical informationwill also be provided to emergencyresponders if needed.

A person enrolled in the program willbe wearing MedicAlert® + Safe Return® IDjewelry, so that whoever locates theindividual can call the toll-free numberlisted on the jewelry. MedicAlert® + SafeReturn® then notifies the listed contacts tomake sure they are returned home.

ComfortZone, another programavailable through the Alzheimer’sAssociation, allows caregivers to monitorthe person with dementia from a securedwebsite and receive alerts when the personleaves a preset safety zone.

“[ComfortZone] provides peace ofmind and allows independence for the

By MEGAN JOYCE

http://www.12

person living with Alzheimer’s,” Jacobssaid. The service includes enrollment inMedicAlert® + Safe Return® as well as 24/7access to a monitoring center.

“Both services can be in placeconcurrently but have different aims,” saidJacobs. “ComfortZone is meant for dailyuse … It can be changed depending on theprogression of the disease and can rangefrom a device placed in a vehicle tosomething directly on the person.”

Another safety option for caregivers inLancaster County is Project Lifesaver®, arapid-response, public safety programprotecting individuals with Alzheimer’s,dementia, and other cognitive challenges.

Project Lifesaver® participants wear apersonalized wristband (a transmitter) ontheir wrist or ankle, which emits atracking signal on an individuallyassigned FM radio frequency, explainedGail Monteleone of the Pilot Club ofLancaster, a community-service club thatworked in conjunction with local policedepartments to bring Project Lifesaver® tothe area.

When a caregiver calls 911 to reportthat someone enrolled in ProjectLifesaver® has wandered, a search teamuses a handheld mobile receiver to locatethe tracking signal of the individual.

According to its website, ProjectLifesaver has more than 1,200participating agencies throughout 47states in the U.S. and in Canada andAustralia.

“The local Pilot Club members realizedthere was a need to have this emergency-response program in the county,”Monteleone said.

The Pilot Club manages much of thebehind-the-scenes work for ProjectLifesaver, such as enrollment, transmittermaintenance, public relations efforts,police training support, and orderingequipment. The club also hostsfundraisers and seeks monetary supportfor the program through donations andgrants.

In Lancaster County, policedepartments currently collaborating withthe Pilot Club to make Project Lifesaveravailable include West HempfieldTownship, West Lampeter Township,Elizabethtown Borough, ColumbiaBorough, Manheim Borough, Mount JoyBorough, Northwest Regional,Susquehanna Regional, MillersvilleBorough, Manor Township, and EastHempfield Township.

Monteleone said that, on average, theindividual who wandered is usually foundwithin 30 minutes of notifying lawenforcement.

“Parents/caregivers of the enrolleesfeel a sense of relief knowing that thissafety net is ‘around’ their family

member,” she said.Services such as these have been created

with a primary goal of returning peoplewith memory issues who have wandered totheir safe spaces and to their caregivers.

But also essential in their design ispeace of mind for those caregivers, whoshould not blame themselves if their lovedone wanders and can instead count on thesupport of these programs to help bringthe person home.

“Wandering can happen, even if youare the most diligent of caregivers,” Jacobssaid.


Service Coordination of South Central Pennsylvania, Inc.(SCSCPA)

141 Broadway, Suite 310 • Hanover, PA 17331(800) 223-0467

Basic services include, but are not limited to:• Health maintenance needs, meals (including

preparation, cleanup, and feeding) • Bathing/personal hygiene

• Transfers in/out of a bed, wheelchair, or motor vehicle• Dressing and grooming

Additional services that may be provided:• Light housekeeping • Laundry assistance • Help with shopping

• Help with reading, writing, and opening/processing mail

By assessing needs, SCSCPA recommends services tostate-funding eligible, physically disabled adults,

helping them live safely and independently in their homes.State waiver-eligible participants under Attendant Care, Act 150, Autism, OBRA,Independence, and Commcare will find that SCSCPA will help you set up a plan

that will maintain your health with agencies who can provide the following:

Project Lifesaver® participants wear apersonalized wristband (transmitter)that emits a tracking signal.


14 BusinessWoman caregiver solutions 2015 www.BusinessWomanPa.com

By GINA NAPOLI

Whether an elder resides in a nursinghome or lives at home with professionalcaregiver assistance, it’s important tocontinually monitor the arrangement.

AllPennsylvaniacounties have afederally mandatedLong-Term CareOmbudsmanProgram tomonitor eldercare.In LancasterCounty alone,eldercareencompasses 196nursing homes,personal carefacilities, adultdaycares, anddomiciliary carehomes fordevelopmentallydisabled adults.

An ombudsman is a paid or volunteeradvocate for consumers’ rights. SheriSnyder, care management/ombudsmansupervisor, Lancaster County Office ofAging, said, “We make unannouncedvisits annually or quarterly. We talk toresidents about their concerns and givethem literature about their rights. If theyraise an issue, we address it on the spot, ifthat’s what they want.”

Protective Services investigates.Investigations can involve abuse, neglect,or financial exploitation. A nationaldatabase holds information on facilitiesand specific cases to help investigators.

Some “watch” items:

Caregiver Screening – Nursing homeshave different procedures. All in-state

applicants are required to get Act 169 of1996 criminal background checks fromthe PA State Police Repository. Out-of-state applicants require an FBI criminalbackground check.

Kevin Nieli, Protective Servicessupervisor, Lancaster County Office ofAging, said, “Caregivers are the mostimportant consideration of all. Be sure tointerview carefully. It is essential to ask forreferences, obtain criminal backgroundchecks, and listen to your gut feelings.”

Caregiver Abuse History – Based onstudies, the caregivers most likely to beabusive have a history of abuse themselves.

This includes substance abuse, domesticabuse, victims of violence, or physically oremotionally exhausted people.

Caregivers who feel good about theirwork and have a historyof positive interactionswith elders tend to beexcellent caregivers. If anelder is combative, thereis increased risk of acaregiver losing patience.

Skin Condition –Examine the elder’s skinfor abnormalities.

“Pressure sores, orbedsores, may be anindication that theperson is not beingrepositioned as required,is not being changedwhen needed, isincontinent, or has

inadequate nutrition or treatment topromote skin healing,” Nieli said.

Also look for bruises, welts, and cuts.

Care Receiver’s Behavior – Look forsigns of stress, combativeness, reactions toa certain caregiver or a roommate, orsexual acting out.

Nutrition – Look at food quality andavailability. Check expiration dates. Alsolook for loss of appetite or unexplainedweight loss.

“When an elder is removed from anabusive situation, the first thing we oftensee is healthy weight gain,” Nieli said.

MonitoringOlder

Pennsylvanians


Smell – Follow your nose. Anoccasional smell happens. If the facilityhas a constant foul odor, this could signal alarger problem. It could mean residents aresitting too long in soiled diapers, improperor infrequent cleaning schedules, or poorventilation.

Home Care Spyware – If you cannotobserve the caregiver, the next best thing iselectronic monitoring. Nanny-cams andwebcams are options. Point a Skypesession toward watch areas, such as awheelchair or a jewelry box.

Facility Staffing Standards – Metricsare recorded on how facilities are run.Examples of popular watch items areproper staffing, trained aides, and staffavailability.

Level of Care – As the elder’s conditionprogresses, it may be necessary to move toa higher level of care.

“Cost is usually a driver for placement,and it can often be incorrectly suited.Some elders need a nursing home whenthey’re in a personal care home,” Nieli said.“Nursing homes cost $8,000 a month, andpersonal care homes cost between $1,500and $3,000 a month.”

Questions – As people age, they tend tobecome more trusting and lose many ofthe defenses they’ve spent a lifetimebuilding.

“You can’t come out and ask, ‘Issomeone taking advantage of you?’” Nielisaid. “You have to be subtle when you steerthe questioning. ‘Has Carrie asked formoney?’ ‘Have you given Carrie jewelry?’”

Records – “When an elder is beingfinancially exploited, the first place welook is the checkbook,” Nieli said. “Eldershave been known to pay for collegetuitions if they hear the right hard-luckstory.

“Under the Older Adults ProtectiveServices Act and a partnership with thedistrict attorney, we can court order orsubpoena bank records.”

Roommates – These can be a blessingor a curse. When a resident can’t speak forhimself, a roommate is often the one toalert an ombudsman to an abuse situation.Some facilities encourage their residentsto form a Neighborhood Watch.

On the flip side, “if a resident becomesagitated when someone specific comesnear, that may be a sign of abuse,” Nielisaid. “This applies to caregivers, too.”

A new component of the OmbudsmanProgram in PA is Pennsylvania’sEmpowered, Educated Residents (PEER).More than 2,100 residents are formallytrained for Neighborhood Watch patrol.The five sessions of training teachresidents how to advocate. They also helpto educate residents, family, and staffabout rights.

“We teach everyone to never hesitate tospeak up when something isn’t right,”Snyder said.

The requirement for ombudsmen tomonitor facilities has been increased toquarterly visitations. For the past 18 years,Pennsylvania programs have used trainedvolunteers to help meet this need.Specially trained volunteers assist withmonitoring visits, serve as residentadvocates, and investigate complaints.Any cases of abuse or neglect are elevatedto Protective Services.

Surveys of facilities:http://www.medicare.gov/nursinghomecompare/search.html

For more information, or to volunteer,contact your county’s Area Agency ofAging.


• Exhibitors •• Health Screenings •

• Seminars •• Entertainment •• Door Prizes •

www.50plusExpoPA.com

Limited SponsorshipOpportunities Available

LANCASTER COUNTY

Sept. 23, 20159 a.m. – 2 p.m.

Spooky Nook Sports2913 Spooky Nook Road

Manheim

19th Annual

YORK COUNTY

Sept. 30, 20159 a.m. – 2 p.m.York Expo CenterMemorial Hall East

334 Carlisle Avenue, York

13th Annual

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Oct. 21, 20159 a.m. – 2 p.m.

Carlisle Expo Center100 K Street, Carlisle

16th Annual

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http://www.medicare.gov/nursinghomecom

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Six conveniently located communities with a continuum of care, a spirit of service and

a legacy of trust…what more could a daughter or son wish for their parents!

If you worry about your parents maintaining their home as they age, living alone, their safety or even their health, a SpiriTrust LutheranTM senior living community can give you more time to enjoy family time and less time worrying about the “what-ifs” in their future. Our communities offer a continuum of care that includes:

• Maintenance-free living in one of our residential communities, • Support with daily activities in one of our personal care or assisted living neighborhoods, • Specialized care in our new Assisted Living Memory Support neighborhood, • Short-term rehabilitation or nursing care in one of our skilled care centers.

Our spirit of caring has enhanced the lives of seniors and earned the trust of thousands. Come discover the SpiriTrust Lutheran difference for yourself.

Formerly LUTHERAN SOCIAL SERVICES OF SOUTH CENTRAL PENNSYLVANIA

888-404-3500 • www.SpiriTrustLutheran.orgCall us to learn more or schedule a personal tour.

Pet Friendly

• The Village at Gettysburg, Gettysburg• The Village at Kelly Drive, York• The Village at Luther Ridge, Chambersburg

• The Village at Shrewsbury, Shrewsbury• The Village at Sprenkle Drive, York• The Village at Utz Terrace, Hanover

http://www.SpiriTrustLutheran.org

As a leader in senior living offerings, SpiriTrust LutheranTM is pleased to announce the exciting new additions of Assisted Living and Assisted Living Memory Support residences to The Village at Sprenkle Drive.

Assisted LivingIf you desire apartment living enhanced with a selection of services and some support with daily living from a dedicated team of caregivers, our new assisted living neighborhood is right for you. Studio or one-bedroom apartments are available, complete with a living room, kitchenette, and private bedroom and bathroom featuring a

European shower. The neighborhood also includes a great room with a fireplace, dining area, computer lab and hobby center.

Assisted Living Memory SupportOur new Oaks Memory Support Program is designed to help diminish anxiety and lessen confusion for individuals with early to mid-stage Alzheimer’s disease or related dementia. Each household of 12 private rooms is served by dementia trained caregivers and shares living space, a protected courtyard, raised garden areas and a country kitchen. Each day residents can interact in group settings or one-on-one as well as engage in therapeutic programming designed specifically for their unique interests and abilities.

To place your name on our interest list or to receive upcoming mailings about our new Memory Support program or Assisted Living apartments, please call 717-764-9994.

New Assisted Living and Memory Support Joins Family of Services at SpiriTrust LutheranTM, The Village at Sprenkle Drive

Opening Fall 2015

1802 Folkemer Circle • York, PA 17404 www.SpiriTrustLutheran.org

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5’-6”x4’-7”FOYER

9’-0”x8’-6”BATHROOM

10’-4”x12’-1”BEDROOM

5’-1”x8’-6”W.I.C.

http://www.SpiriTrustLutheran.org


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Resources

http://www.18


Probing for a SolutionBy JEFF HOENSHELL

“Non-traditional procedures” ...“Alternative therapies.”

Such words often strike an uneasychord for those of us who are used to afriendly old family doctor and a pharmacyon nearly every corner. When you’vegrown up with pills, pills, and more pills,it’s unsettling when someone suggestssomething like brain surgery as analternative to deal with symptoms you’vebeen treating with a familiar assortment ofprescribed medicines.

However, the risk-taker in me wasstrangely excited when a surgicalprocedure to place electrical probesdirectly into the brain might allow me toreduce—or maybe even eliminate—someof the pills I had been taking to cope withthe tremors of Parkinson’s disease.

PD, that degenerative disorder causedmainly by the depletion of the “feel-good” chemical dopamine from thebrain, and which eventually saps allstrength from even the most physicallyfit, had been taking its toll on me forseveral years. And the truth is, I wastired of pills.

More to the point, I was weary of theon-and-off effect of the pills and of theunpredictable side effects some pills werecausing. But most of all, I was tired oftrying to remember to take them at exacttimes throughout the day. Of such things Iam convinced: Herding cats would beeasier.

In my case, at age 49 when firstdiagnosed, I was told right away that I wasevidently a good candidate for deep brainstimulation surgery. Yet to qualify, it hadto be shown over time that traditionalmeds weren’t providing sufficient relief.

So, I had several years of trial and errorwith pills—more “trial” than I cared for,mind you. At first the dopamine agonists Itook almost turned me into a shopaholic.

Those were replaced by traditionalcarbidopa/levodopa, which worked, butoften between doses I shook too badly toget the pill cap open! Eventually, a patchversion was added to my regimen,although I was sure the red splotches weregoing to be permanent.

Now, in all fairness, the meds weremostly working, but it wasn’t exactlysmooth sailing. And I even think myneurologist was growing weary when hefinally admitted, “It’s time for the surgery,wouldn’t you say?”

I was never so agreeable in all my life. Ihad already been imagining that it mightbuy me at least five years of tremorless-ness. And five years, I reasoned, would atleast put me closer to retirement. And bythen, I begrudged, I probably would betaking pills for umpteen other ailments,anyway.

In preparation for this truly alternativesurgery, I had read almost everythingpossible and had watched numerousvideos, so I felt quite ready for theunconventional and somewhat gruesomethoughts of what the surgery entailed.

To that my daughter encouraged mewith, “How many others can check that offtheir bucket list?”

I’m grateful—and amazed—to say it allcame and went without a hitch. Of course,I slept through the majority of it. I waseven more amazed at how little pain Iexperienced after.

But what topped it all was how almostimmediately the electrical current broughtthe renegade tremors to a halt. One daymy limbs shook like crazed cartoon

characters; the next day, calm as could be.(Cue the angelic voices.)

In all seriousness, at first it was like adream that I hoped would never end. Thetremors were essentially gone. Plus, theyhad also been causing general musclefatigue, making the most commonactivities feel like a herculean effort. Andfor the first time I awoke without thatfeeling of being thoroughly drained fromthe previous day’s labors.

Instead I wake every day with two littlebumps on my head (hidden by what littlehair remains), wires snaking down behindmy ear, and a box like a pacemaker tuckedinto my chest, reminding me that I’m awalking miracle. (Angelic voices, taketwo.)

The inventor of such a device has mydeepest admiration. And with the plan toget a new battery pack in another twoor three years, I’m good to go for quitesome time.

While the change was indeedprofound, I also knew that in no waydid this procedure stop the disease.

This was just an alternative treatment,which I’ve had to remind myself often.

Plus, my reading strongly indicated thatit could take upward of nine months to getthe settings on the stimulator regulated towork best for me.

So, the other dream crasher has beenthat this is not a one-size-fits-all device. Infact, at this writing, I’m just past 12months down the road of regularstimulator adjustments with myneurologist, and let’s just say my newestadventure is more of a hunt to find thebest setting. For me. But then, risk takersare also mostly optimists, aren’t they? So Iremain hopeful.

Consequently, I consider myself a trulyfortunate man. It’s a discouraging disease,for sure. But I’ve got a trustworthy doctor,a loving family, caring friends, and a greatsupport team. Blessings of God all around.

But I especially kick up my heels andwant to strike up the band over the simplefact that I’m now taking ... fewer pills!And if you ask me, I’d just as soon keep itthat way.

In preparationfor this truly

alternative surgery,I had read almost

everythingpossible …


Across the MilesCut your stress in long-distance carefor an older relative

By LISA M. PETSCHE

Even at the best of times, caregiving involves a certain amountof stress, but often the anxiety is compounded when there aremany miles between the caregiver and care receiver.

Worries about a faraway relative’s physical, mental, andemotional health and safety can be overwhelming at times. Youmay wonder if plans you’ve set up are being implementedproperly, or if you’ll get a call that there’s a crisis.

You may also feel guilty that you can’t be there on a daily basisto see how your relative is doing and provide assistance. Youmight wonder if you should be making more sacrifices — such asmoving closer or inviting the person to live with you.

Then there are the financial costs: the many long-distancetelephone calls, travel expenses and wear and tear on your car,and perhaps the cost of hiring a companion or personal supportworker because you can’t be there yourself. If employed, you mayhave to take time off from work to deal with crises.

Despite these challenges, there are many ways to maintainpeace of mind while providing long-distance care:

• Make it easy for people to get in touch with you. Get a cellphone or answering machine.

• Set up a regular time to call your relative.

• Find someone local who can check in daily withyour relative. This could be a reliable neighbor or relative

or even a volunteer from a telephone reassurance service.

• Keep important phone numbers handy, including thoseof your relative’s neighbors, close friends, family physician,

local pharmacy, and any home healthcare providers. Makesure all of these people also have your name and contact

information, and encourage them to call you with any concerns.

• Shop around for a good long-distance savings plan forlandlines. Cell phone providers offer unlimited calling plans,which may put your mind at ease knowing that you can callanytime and talk as long as either of you wish.

• Maintain a file of key information, such as your relative’smedical conditions and surgical history, an up-to-datemedications list, a list of physicians and medical specialists,banking institutions and other financial contacts, and contactinfo for a lawyer and clergy.


http://www.20


Home CareCleaners

CompanionsNurses

Respite Care

610-647-9840 SurreyServices.orgA non profit organization serving the community for 34 years.

Also include your relative’s daily or weekly schedule andupcoming appointments.

• Investigate all available resources in your relative’scommunity, which might include: personal emergency responsesystems; letter carrier or utility company alert services; accessibletransportation; home health services; and alternative housingoptions.

Sources for that information include Caregiver Solutions;Resource Directory for the Caregivers, Aging, and Disabled; and50plus Living—all can be viewed online at www.onlinepub.com—or contact your area agency of aging (see pg. 29).

When you visit:

• Pay close attention to your relative’s physical condition,mental functioning, and mood. Contact his or her primaryphysician if you have concerns.

• Perform a home safety assessment and do what you can toremove hazards. Visit a medical supply store and check out themany products that might make daily activities easier and saferfor your loved one.

• If you have other family members in the area, arrange ameeting to discuss your relative’s needs and determine who canprovide help.

• Plan to stay with your relative long enough that you’re notrushed. That way you’ll have ample time not only to attendmeetings, investigate local resources, and run errands, but also toenjoy your relative’s company.

Lisa M. Petsche is a social worker and a freelance writer specializing inboomer and senior concerns. She has personal and professionalexperience with eldercare.S

http://www.onlinepub.com%E2%80%94


22

Understanding

to Help Prevent Falls

By LYNN LUEDERS

All too often we think aging and falling go handin hand. The days of carefree play are behind, andaging bodies may not be able to do what once wasaccomplished with ease.

However, aging alone does not equal falling.The predictable changes that occur at certain agescreate balance challenges, but falling should not beconsidered part of typical aging or an inevitableevent.

Balance is the ability to have equal distributionof weight over a base of support to maintainupright posture. Having good or poor balance isthe result of a large combination of behavioral,environmental, and physical factors. Each personhas a unique set of circumstances and conditionsthat creates his or her unique ability to balance.

Behavioral factors involve the hundreds ofchoices made daily. Using a cane or walker asprescribed by a physician is a tough pill to swallowfor many. Doing activities that once were easilyaccomplished 40 years ago may not be suitabletoday. Wearing inappropriate footwear or carryingtoo many groceries are all choices that couldnegatively affect balance and increase the risk offalling.

Our living spaces can greatly impact our fallrisk. Living in a three-floor home is different fromliving in a one-floor apartment. Having handrailsand grab bars where needed will greatly assist yourloved one in maintaining balance. Little or noclutter and eliminating areas rugs can reduce theirrisk of falls as well.

Moving through our world successfully requiresconstant observation, allowing quick decision-making and appropriate action. Physical balanceinvolves the sensory system, cognitive system, andmotor system.

Sensory SystemVision: Sensory input from eyes is critical in

assessing the world around and making reasonabledecisions about how to move.

Inner ear (vestibular system): Fluid in thesemicircular canals of the inner ear help the bodydetect motion and determine if it is moving or ifthe world around is moving (equilibrium).

B a l an ce

BusinessWoman caregiver solutions 2015 www.BusinessWomanPa.com

B a l an ce


Touch (proprioception):Information from sensoryreceptors in skin, muscles, and joints isconstantly sent to the brain to determinewhere our body is in space (spatialorientation).

Cognitive SystemMemory storage: remembering what to

do in a given situation

Attention: focusing and taking insurroundings

Intelligence: forming an appropriateresponse

Information gathered by the sensorysystem and passed to the cognitive systemthen travels to our muscles (motorsystem) for an appropriate response. If allother systems are working well but there islack of muscular strength to perform anactivity (such as getting up out of a chairor walking to the car), then balance will beimpacted and increase the risk of falling.

Understanding all that goes into goodor poor balance will help you understandyour care receiver’s balance ability.Examining each balance concern or fallprovides clues to the underlying cause. Ifthe cause can be determined, appropriateinterventions can be put in place andfuture falls can ideally be prevented.

In searching for the cause, examine thewhat, where, when, and how of eachbalance concern or fall:

What – Ask your loved one whathappened just before she became wobbly orexperienced a fall. Was she dizzy? Did herlegs become weak? Was she seeing clearly?

Where – Is she wobbly or does she fall inthe same area often? What is in that area—bad lighting, area rugs, change in elevation,clutter? Is your loved one off balance athome or away from home more often?

When – Is there a time that she is offbalance or falls more often? Does sheexperience trouble at night or first thing

when getting out of bed? Does she feelwobbly after taking medications? Is theend of the day a more difficult time forher to move around?

How – Examine the actual fall. Did shefall forward, backward, or to the side? Didshe bump into anything? Did someonebump into her? Was she moving, turning,or standing still?

Sharing the information, once it isgathered, is the tough part for many.Speaking with a care receiver’s healthcareprovider, physical therapist, or pharmacist

about balanceissues or a fall can

be the first step to developing aplan to improve balance and reduce

her risk of falling. There are many possible interventions

or solutions to balance concerns, such asreviewing medications, increasingphysical activity, having a visionexamination, and completing a homesafety check.

Help your loved one remain as activeand independent as long as possible andreduce their risk for falls.

Lynn Lueders is the program director ofLancaster Moravian Church Adult DayServices Center. She is a former wellnessdirector specializing in education and trainingfor balance and fall prevention of older adults.www.LancasterMoravian.org

www.BusinessWomanPa.com BusinessWoman caregiver solutions 2015 23www.BusinessWomanPa.com BusinessWoman caregiver solutions 2015 23

when it is no longerpossible or practical

to live at homew e w e l c o m e p e o p l e o f a l l f a i t h s

w w w. j e w i s h h o m e h a r r i s b u r g . o r g

the jewish homeskilled nursing and rehabilitation

717.657.0700

the residencea senior living community

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What services are available from

Pennsylvania Area Agencies on Aging? Area Agencies on Aging, county- or

multi-county-based agencies that partnerwith the Department of Aging, provide awide range of services, such as assessmentof need, care management, in-homeservices, transportation, protectiveservices, adult daycare, legal services,healthcare counseling, and senior centers.

Services may vary from county tocounty, so it is wise to call your localOffice of Aging for particular services orprograms.

What is the Pennsylvania Caregiver

Support Program? Previously called The Family Caregiver

Support Program, the PennsylvaniaCaregiver Support Program’s major focusis to reinforce the care being given topeople over the age of 60 or adults withchronic dementia.

The package of benefits begins with anassessment to determine what benefits bestmeet your needs and the needs of theperson receiving care. Then you willchoose an option from availablesupportive services. Other benefits couldalso include counseling, education, andfinancial information.

Is there someplace I can get help with

drug bills for someone in my care?Many senior citizens with low incomes

are eligible for assistance with payment fortheir prescribed medications throughPACE/PACENET programs.

Who is eligible for PACE?To be eligible for PACE, you must be 65

years of age or older and a Pennsylvaniaresident for at least 90 consecutive daysprior to the date of application, and youcannot be enrolled in the Department ofPublic Welfare’s Medicaid prescriptionbenefit.

Social Security Medicare Part Bpremiums are now excluded from income.

For a single person, your total incomemust be $14,500 or less. For a marriedcouple, your combined total income mustbe $17,700 or less.

Prescriptions: co-pay for generic, $6;co-pay for single-source brand, $9.

Who is eligible for PACENET?To be eligible for PACENET, the

qualifications are the same as PACE.However, the total income for a single

person can be between $14,500 and$23,500. A couple’s combined total incomecan be between $17,700 and $31,500.

Prescriptions: co-pay for generic, $8;co-pay for single-source brand, $15.Monthly $40 deductible.

Call your local Area on Aging office forforms or more information.

What is PACE Plus Medicare?Under PACE Plus Medicare,

PACE/PACENET coverage issupplemented by federal Medicare Part Dprescription coverage—offering olderPennsylvanians the best benefits of bothprograms. Older adults continue to receivethe same prescription benefits while, inmany cases, saving more money.

Is there other assistance for

prescription drugs if the person in your

care doesn’t qualify for the above

programs? If you are uninsured or underinsured,

over age 18, and do not currently haveMedicaid or PACE coverage, PA PAP willhelp you to apply for prescriptionassistance through various programs. Formore information, call 800.955.0989.

Is there a way to comparison shop for

prescription drugs?On the Pennsylvania Prescription Price

Finder website (www.parxpricefinder.com),a consumer can comparison shop for thebest medication prices for commonly usedmedications. The website includes prices,pharmacy location and store hours, where

to find low-cost generics, and drugeducation materials.

What are some of the most important

documents a caregiver should have in

place?The most common legal documents

that every caregiver should have are:

A will – It should say what your lovedone wants to do with his or her property,including how and when the assets will bedistributed.

Advanced healthcare directive – Thisoffers the assurance that your loved one’sdecisions regarding his or her futuremedical care will reflect their values andwishes.

Durable power of attorney forhealthcare – This gives you, the caregiver,the right to make healthcare decisions. Ittakes effect when a loved one becomesmentally incapacitated and is unable tomake his/her own healthcare decisions.Your agent must act consistently with yourdesires as stated in the document.

Durable power of attorney forfinances – This allows a caregiver tomanage their loved one’s finances andtakes effect when a loved one becomesincapacitated and no longer able to pay thebills, file tax returns, manage investments,and make other important financialdecisions.

HIPAA authorization – The HealthInformation Portability and AccountabilityAct (HIPAA) keeps health informationand records private. Your loved one mustauthorize in writing that you may receivetheir health information. Otherwise, theirdoctors aren’t obligated to share any detailsabout their health with you, the caregiver.

You will need to have a copy from eachdoctor’s office. Sign it at the office andthen keep a copy for yourself and theperson you’re caring for. Of course, thedoctor’s office will also have a copy.


Frequently Asked Questions

http://www.parxpricefinder.com

http://www.24


What is the APPRISE Program and

where can I get more information?The APPRISE Program is a free

program operated by the Area Agencies onAging to provide health-insurancecounseling and assistance toPennsylvanians age 60 and over. They canhelp you understand Medicare benefits byexplaining Medicare, MedicareSupplemental Insurance, Medicaid, andlong-term care insurance.

They can explain the Medicare appealsprocess, help you select a Medigapinsurance policy, explain the Medicareprescription Part D benefit, and explainfinancial assistance programs. Call800.783.7067 or your local Area Agencyon Aging for more information. Theservices are free of charge.

I heard that communities must now be

licensed as a personal care home or an

assisted living residence. Is that true?Yes, that is correct. At the beginning of

2011, personal care and assisted living canno longer be interchangeable terms.Specific requirements must be met, andcommunities (including retirementcommunities and CCRCs that offer thoseservices) must be licensed as one or theother, although they can meetrequirements and be licensed for both.

Do home care agencies need licenses

too?Yes, home care agencies (HCAs) and

home care registries (HCRs) must now belicensed by the Department of Health toprovide home care services, medical andnonmedical.

What is respite care?Respite care provides relief from your

caregiving responsibilities on a short-termbasis, which could be for a day or two oreven up to a month. Care may range frompersonal to nursing care.

Are there services offered on a daily

basis that will provide social interaction

and possibly medical oversight for my

loved one?Adult day services centers operate for

part of a 24-hour day and offer aninteractive, safe, supervised environmentfor older adults and adults with adementia-related disease, Parkinson’sdisease, or other organic brain syndrome.

Adult day services centers offer acommunity-based alternative toinstitutionalization and provide a reliablesource of support and respite forcaregivers.

Are there caregiving tax breaks I can

take advantage of?You may be able to claim your loved

one as a dependent on your tax return.With changes occurring in the healthcarelaws, it is advisable to check with your taxpreparer to find out what you qualify for,such as medical deductions and adependent-care credit.

What is the waiver program offered

through the Pennsylvania Department

of Aging?There are several waivers available

through the Pennsylvania Departments ofAging for people aged 60 and older whomeet the eligibility requirements andincome limits.

Under the program, home- andcommunity-based long-term care servicescan be provided as alternatives to nursingcare. Services are funded through a specialwaiver of certain Medicaid restrictions,allowing payments typically used fornursing-home care to be used for home-care services.

The consumer is able to choose whichlocal organization or company/agency willprovide the services. All service providersare certified by the PennsylvaniaDepartment of Public Welfare to ensurethat they meet Medicaid standards.

Some services/benefits that individuals

can be approved for are:• Adult daily living services (adult daycare)• Attendant care (personal care)• Community transition services (moving

assistance)• Companion services (escort)• Counseling• Environmental accessibility

modifications (home and/or vehicle)• Financial management services • Home health services • Home medical equipment and supplies • Meal delivery (hot or prepared)• Non-medical transportation• Personal emergency response (PER)

system • Respite care services (temporary

caregiver relief) See page 26 to see an overview of

waivers and programs offered.

What are my obligations as a caregiver?As the caregiver, you should make sure

your loved one is in a safe and healthyenvironment, whether that is their home,your home, or a nursing home. He or sheshould be protected from any type ofabuse—physical, mental, or financial.Some documents that you should have inplace are listed on the facing page.

Respite care may be offered through alocal retirement community, throughhome care services, and through a state-funded program, such as adult daycareprograms. Respite care offers you theability to rest, relax, and regroup,confident that your loved one is in thehands of trained and qualifiedprofessionals.

Are there any other online sources for

additional information?Yes. Visit www.heretohelp.pa.gov. There

is an abundance of information to befound at Here to Help on the PAGovernment Portal.

http://www.heretohelp.pa.gov


Caregiver must reside in the samehousehold as care receiver.

Caregiver must be related to the carereceiver.

Household income of care receiver isused to determine eligibility.

Care receiver must require assistancewith two or more ADLs.

Maximum amount of monthlyreimbursement for caregiverexpenses (depending onreimbursement rate chart) is:

Maximum amount ofreimbursement for homemodification/assistive devices(depending on reimbursementrate/cost-sharing chart andavailability of funding) is:

Information to caregivers includesadvice on how to access: individualcounseling, locations of localsupport groups, and caregivertraining to assist caregivers inmaking decisions to solve problemsrelated to their caregiving role.

Caregiver must provide daily hands-on caregiving to care receiver.

*A primary caregiver is the “one identified adult familymember or other individual who has assumed theprimary responsibility for the provision of care needed tomaintain the physical or mental health of a care receiverand who does not receive financial compensation for thecare provided.”

For specific program information, please contact yourlocal Area Agency on Aging.

• Assessment of caregiver and care recipient needs

• Counseling on coping skills

• Respite care

• Training in caregiving skills

• Home chore caregiving skills

• Financial assistance to purchase supplies or services

• One-time grant for home adaptations

• Benefits counseling on services available through local,state, and federal programs

• Referrals to family support or disease-specificorganizations such as Children of Aging Parents or theAlzheimer’s Disease & Related Disorders Association

• Assistance in completing benefits and insurance forms

Benefits & Services for Caregivers

Eligibility

State FederalNo** No

No No

Yes Yes

No (1) Yes (2)

$200 $300

$2,000 $2,000

Yes Yes

Yes Yes

Assessment Criteria(Federal and State)

If you are age 18 or older and the primary caregiver* ofa functionally dependent person who is age 60 or older,you may be eligible for assistance.

If you are age 18 or older and the primary caregiver* ofa relative who is age 18 to 59 with dementia, you may beeligible for assistance.

If you are age 55 or older and the primary caregiver* ofa relative who is age 18 or younger and lives with you, youmay be eligible for assistance.

There are approximately 52 million Americans serving as caregivers ofolder adults. Adult family caregivers caring for someone 50+ years of agenumber 43.5 million, and 14.9 million care for someone who hasAlzheimer’s disease or other dementia.

Americans are living longer, and as the population ages, the number ofcaregivers will also continue to rise in the coming years.

Caregivers are an essential element in our healthcare system,accounting for about $450 billion worth of unpaid labor in the U.S. in2009. Undoubtedly, that amount is even greater today.

Caregiving already has become the new norm for many, as we findourselves helping loved ones who are disabled, frail, or suffering fromAlzheimer’s disease, Parkinson’s disease, and kidney and liver diseases,

which have been on the rise. Daughters are more likely to provide basic care (i.e., help with

dressing, feeding, and bathing), while sons are more likely to providefinancial assistance. A number of studies have shown that womencaregivers are more likely than men to suffer from high stress due tocaregiving.

The major focus of Caregiver Support Programs is to reinforce thecare being given to people over the age of 60 or adults with chronicdementia. To determine what your particular needs are, both the caregiverand receiver, the package of benefits begins with an assessment.

You could also take advantage of other benefits available such ascounseling, education, and financial information.

Caregiver Support Programs

**Unless care receiver is 19-59 years of age with dementia or other disability.

http://www.26

Albright LIFE 717.381.4320

Serving Lebanon, Lancaster, www.albrightlife.org

and Coatesville, Chester County

All Hands Home Care 717.737.7905

1300 Market Street, Suite 5 [email protected]

Lemoyne, PA 17043 www.allhandshomecare.com

Bethany Village 717.766.0279

325 Wesley Drive [email protected]

Mechanicsburg, PA 17055 www.bethanyvillage.org

Bethany Village is a not-for-profit retirement community.

Numerous residential options are available as well as assisted

living, memory support, and skilled nursing services.

See ad page 11

Bethany Village at Home 717.591.8332

5225 Wilson Lane [email protected]

Mechanicsburg, PA 17055 www.bethanyvillageathome.org

We offer customized personal care, companionship, and

transportation services to fit your needs. Care is given with the

respect and dignity seniors deserve while maximizing their

independence.

Calvary Fellowship Homes 717.393.0711

502 Elizabeth Drive [email protected]

Lancaster, PA 17601 www.calvaryhomes.org

Calvary Fellowship Homes is a highly-rated Christian non-

profit continuing care retirement community featuring

residential living, personal care, memory care, skilled nursing,

and therapy services. Medicaid approved.

Griswold Home Care

Cumberland County 717.839.5727

6 West Main Street [email protected]

Shiremanstown, PA 17011 www.griswoldhomecare.com

Dauphin County 717.234.4009

4815 Jonestown Road, Suite 201 [email protected]

Harrisburg, PA 17109 www.griswoldhomecare.com

Lebanon County 717.279.0702

200 Schneider Drive, Suite 3 [email protected]

Lebanon, PA 17046 www.griswoldhomecare.com

See ad page 2

Home Care Assistance 717.540.4663

2304 Linglestown Road www.homecareassistanceharrisburgpa.com

Harrisburg, PA 17110

Alzheimer and dementia specialists; experts in live-in care;

high-caliber, experienced, and certified caregivers providing

compassionate and balanced care.

See ad page 11

Homeland Center 717.221.7902

1901 North Fifth Street [email protected]

Harrisburg, PA 17102 www.homelandcenter.org

Homeland Center, a continuing care retirement community,

offers beautiful personal care suites, skilled nursing, hospice,

rehabilitation, and dementia care, all delivered by highly

competent and compassionate staff.

See ad on the back page

Homeland Hospice 717.221.7890

2300 Vartan Way, Suite 115 [email protected]

Harrisburg, PA 17110 www.homelandhospice.org

Homeland Hospice, a community outreach of Homeland

Center, provides the highest level of care and support at the end

stages of life while serving as a compassionate resource for

families.

See ad on the back page

The Campus of the Jewish Home 717.657.0700

of Greater Harrisburg [email protected]

4000 Linglestown Road www.jewishhomeharrisburg.org


See ad page 23

Messiah Lifeways 717.591.7225

100 Mount Allen Drive [email protected]

Mechanicsburg, PA 17055 www.messiahlifeways.org

Messiah Lifeways offers more options for caregivers and the

ones they love, including: support groups, workshops, free

coaching, adult day, at-home services, and respite.

See ad page 7

Pleasant Acres Nursing & Rehab Center 717.840.7100

Elm Spring Residence [email protected]

118 Pleasant Acres Road www.yorkcountypa.gov

York, PA 17402

Skilled nursing and rehab services for short-term rehab and

long-term skilled care. Also offering hospice services,

independent living units, a ventilator care unit, as well as a

specialized dementia unit.


Directory oF Housing & care ProviDers

independent residences

personal care Home

assisted living residence

dementia units

nursing care community

reHabilitation Facility

respite

adult day center

Home care services

Hospice care

color Key For Directory oFcaregiving ProviDers

(Continued next page)

http://www.albrightlife.org


http://www.allhandshomecare.com


http://www.bethanyvillage.org


http://www.bethanyvillageathome.org


http://www.calvaryhomes.org


http://www.griswoldhomecare.com





http://www.homecareassistanceharrisburgpa.com


http://www.homelandcenter.org


http://www.homelandhospice.org


http://www.jewishhomeharrisburg.org


http://www.messiahlifeways.org


http://www.yorkcountypa.gov


Riddle Village 610.891.3700

1048 West Baltimore Pike www.riddlevillage.org

Media, PA 19063

Comprehensive Lifecare program with ideal Main Line

location adjacent to Riddle Hospital. Multiple dining venues,

expansive fitness area with indoor pool, and underground

parking garage.

Specialty Home Care 717.533.4400

1251 East Chocolate Avenue [email protected]

Hershey, PA 17033 www.specialtyhomecare.com

Up to 24/7 personal care, homemaker, and transportation

services provided at home. Experienced, compassionate

caregivers are why we are known as Hershey’s premier

homecare company!

SpiriTrust Lutheran 717.854.3971

1050 Pennsylvania Avenue [email protected]

York, PA 17404 www.spiritrustlutheran.org

For 60 years, SpiriTrust Lutheran has been providing seniors

throughout York, Adams, and Franklin counties with homes and

services designed to meet their needs. See our ad and listings

for locations and contact information.

See ads pages 16–17

SpiriTrust Lutheran, 717.334.6204

The Village at Gettysburg [email protected]

1075 Old Harrisburg Road www.spiritrustlutheran.org

Gettysburg, PA 17325



The Village at Kelly Drive [email protected]

750 Kelly Drive www.spiritrustlutheran.org

York, PA 17404



The Village at Luther Ridge [email protected]

2736 Luther Drive www.spiritrustlutheran.org

Chambersburg, PA 17202



The Village at Shrewsbury [email protected]

800 Bollinger Drive www.spiritrustlutheran.org

Shrewsbury, PA 17361



The Village at Sprenkle Drive [email protected]

1802 Folkemer Circle www.spiritrustlutheran.org

York, PA 17404



The Village at Utz Terrace [email protected]

2100 Utz Terrace www.spiritrustlutheran.org

Hanover, PA 17331


Surrey Services for Seniors 610.647.6404

60 Surrey Way [email protected]

Devon, PA 19333 www.surreyservices.org

Surrey is a non-profit organization serving the community for

34 years. Surrey’s services include transportation, in-home

services, home health care, personal assistance, house cleaning,

companionship, geriatric care management, and downsizing.

See ad page 21

Visiting Angels Living Assistance Services

Hanover 717.630.0067

104 Carlisle Street, Suite 1 [email protected]

Hanover, PA 17331 www.visitingangels.com

Lancaster 717.393.3450

2141 Oregon Pike, 2nd Floor [email protected]

Lancaster, PA 17601 www.visitingangels.com

York 717.751.2488

1840 East Market Street [email protected]

York, PA 17402 www.visitingangels.com

See ad page 5

Visiting Angels 717.652.8899

4607 Locust Lane 717.737.8899

Harrisburg, PA 17109 [email protected]

www.visitingangels.com


Directory oF Housing & care ProviDers

independent residences

personal care Home

assisted living residence

dementia units

nursing care community

reHabilitation Facility

respite

adult day center

Home care services

Hospice care

color Key For Directory oF

caregiving ProviDers

http://www.riddlevillage.org


http://www.specialtyhomecare.com


http://www.spiritrustlutheran.org














http://www.surreyservices.org


http://www.visitingangels.com







http://www.28


Home Health Care may be provided in a residentialsetting or as ancillary services wherever you call home.May be medical home health or non-medical servicessuch as light housekeeping, transportation to doctorvisits, shopping, respite, and more.Hospice Care is for families living and coping with alife-limiting illness. Hospice provides professionaltreatment of pain and symptom management withsupport and counseling.Respite Care provides normal care-giving opportunitieson a short-term basis. May range from personal tonursing care, at home or in a care community.

Adult Day Centers offer programs in facilities orindependent organizations for hourly or daily adultsupervision.Nursing/Rehab Facilities offer skilled or intermediatelevels of care. Intermediate Care Facilities are forindividuals who can move around the facility on theirown initiative, even in a wheelchair, and are not bedbound. Skilled Nursing Facilities are for patients whorequire 24-hour nursing supervision, many of whomare confined to bed for some portion of the day.Assisted Living Residences (ALR) are designed toprovide housing and supportive services to allowresidents to “age in place.” As of January 2011,licensure requirements for ALRs became effective.

Personal Care Homes offer food, shelter, and personalassistance or supervision. They are ideal for people whodo not require the services of a long-term care facilitybut need help with transferring in and out of a bed,toileting, personal hygiene, and other activities of dailyliving. CCRCs are communities offering a variety of livingoptions in addition to comprehensive medical andnursing services.Retirement Communities and 55+ Adult Communitiesare planned for active individuals who are able to carefor their own basic needs but want to live with other50+ mature adults.

Care Options

Chester County Area Agency on Aging 610.344.6350

Cumberland County Aging and

Community Services 717.240.6110

Dauphin County Area Agency on Aging 717.780.6130

Lancaster County Office of Aging 717.299.7979

Lebanon County Area Agency on Aging 717.273.9262

York County Area Agency on Aging 717.771.9610

www.p4a.org

Your local offices of aging act as advocates for Pennsylvania’s

seniors—promoting their continued physical, social, and

economic self-sufficiency.

Service Coordination of South Central PA 800.223.0467

141 Broadway, Suite 310 [email protected]

Hanover, PA 17331 www.scscpa.org

By assessing needs, SCSCPA recommends services to state-

funding eligible, physically disabled adults, helping them live

safely and independently in their homes.

See ad page 13

Penn-Mar Human Services 717.235.8068

10709 Susquehanna Trail [email protected]

Glen Rock, PA 17327 www.penn-mar.org

Providing advanced training and education for its direct-care

staff who deliver exceptional support and care for individuals

with intellectual disabilities.

Surrey Services for Seniors 610.647.6404

60 Surrey Way [email protected]

Devon, PA 19333 www.surreyservices.org

Surrey is a non-profit organization serving the community for 34

years. Surrey’s services include transportation, in-home services,

home health care, personal assistance, house cleaning,

companionship, geriatric care management, and downsizing.

See ad page 21

Accessibility Solutions 360 888.837.6818

Serving Eastern & [email protected]

Central PA www.4myaccess.com

Since 2003, specializing in all aspects of home safety —

bathrooms, small space design, wet rooms, lifts, ramps, and

more! Licensed and insured. PA Medicaid provider. PA LIC 3672

Amramp 717.745.7267

Serving all of [email protected]

Central PA www.amramp.com

See ad page 9

Nikolaus & Hohenadel, LLP 717.299.3726

Barbara Reist Dillon, Wanda S. Whare [email protected]

212 North Queen Street [email protected]

Lancaster, PA 17603 www.n-hlaw.com

Areas of expertise include: elder law; wills, powers of attorney,

living wills, and medical powers of attorney; estate settlement.

Offices in Lancaster, Columbia, and Quarryville.

Ablemart.com 844.346.2253

Solutions for [email protected]

Independent Living www.ablemart.com

Offering unique ADL products with a purpose, as well as

accessible bathing solutions. View our ever-expanding line of

DME products. If we don’t have what you need, let us know!

Caregiver promo code: CARE2015

Amramp 717.745.7267

Serving all of [email protected]

Central PA www.amramp.com

See ad page 9

area agencies on aging Home moDiFications

legal

DeveloPmental Disabilities meDical equiPment

geriatric care services

comPlementary assistance

Directory oF ancillary services


http://www.scscpa.org


http://www.penn-mar.org


http://www.surreyservices.org

http://www.p4a.org


http://www.4myaccess.com





http://www.n-hlaw.com


http://www.ablemart.com





Support and InformationAll About Visionwww.allaboutvision.org

Alzheimer’s Disease Education andReferral Center

800.438.4380www.alzheimers.org

American Cancer Society Response Line800.227.2345www.cancer.org

American Diabetes Association800.254.9255www.diabetes.org

American Speech Language-HearingAssociation

800.638.8255www.asha.org

American Urological Association410.689.3700 or 866.746.4282www.auanet.org

Arthritis Foundation Information800.283.7800www.arthritis.org

BenefitsCheckUp571.527.3900www.benefitscheckup.org

CareCentralwww.carecentral.com

Caregiver Action Network202.454.3970www.caregiveraction.org

Caregiver Media Group800.829.2734www.caregiver.com

Children of Aging Parents239.594.3222www.agingcare.com

Christopher & Dana ReeveParalysis Foundation

800.225.0292www.christopherreeve.org

Crohn’s and Colitis Foundation of America, Inc.

800.932.2423www.ccfa.org

Eldercare Locator800.677.1116www.eldercare.gov

Epilepsy Foundation of America800.332.1000www.epilepsy.com

EyeCare America877.887.6327www.eyecareamerica.org

Family Caregiver Alliance800.445.8106www.caregiver.org

Guide Dog Foundation for the Blind800.548.4337www.guidedog.org

Medicare & Centers for Medicaid Services800.633.4227www.cms.gov

Medicare Rights800.333.4114www.medicarerights.org

Medicare Telephone Hotline800.633.4227www.medicare.gov

National Alliance for Caregiving301.718.8444www.caregiving.org

National Council on Alcoholism &Drug Dependence, Inc.

212.269.7797www.ncadd.org

National Health Information Center240.453.8282www.health.gov/nhic

National Institute on AgingInformation Center

800.222.2225www.nia.nih.gov

National Institute of Mental HealthInformation Line

866.615.6464www.nimh.nih.gov

National Insurance Institute212.346.5500www.cancerandcareers.org/resources

National Library Service for the Blind& Physically Handicapped

202.707.5100www.loc.gov/nls

National Parkinson Foundation, Inc.800.473.4636www.parkinson.org

Needy Meds800.503.6897www.needymeds.org

Office of Minority Health Resource Center800.444.6472www.minorityhealth.hhs.gov

PACE/PACENET800.225.7223www.aging.state.pa.us/aging

Pennsylvania Department of Public Welfare800.692.7462www.dpw.state.pa.us

Rural Information Center Health Service800.633.7701www.nal.usda.gov/ric

RxAssist401.729.3284www.rxassist.org

Shriners Hospital for Children Referral Line800.237.5055www.shrinershospitalsforchildren.org

Simon Foundation for Continence800.237.4666www.simonfoundation.org

http://www.allaboutvision.org

http://www.alzheimers.org

http://www.cancer.org

http://www.diabetes.org

http://www.asha.org

http://www.auanet.org

http://www.arthritis.org

http://www.benefitscheckup.org

http://www.carecentral.com

http://www.caregiveraction.org

http://www.caregiver.com

http://www.agingcare.com

http://www.christopherreeve.org

http://www.ccfa.org

http://www.eldercare.gov

http://www.epilepsy.com

http://www.eyecareamerica.org

http://www.caregiver.org

http://www.guidedog.org

http://www.cms.gov

http://www.medicarerights.org

http://www.medicare.gov

http://www.caregiving.org

http://www.ncadd.org

http://www.health.gov/nhic

http://www.nia.nih.gov

http://www.nimh.nih.gov

http://www.cancerandcareers.org/resources

http://www.loc.gov/nls

http://www.parkinson.org

http://www.needymeds.org

http://www.minorityhealth.hhs.gov

http://www.aging.state.pa.us/aging

http://www.dpw.state.pa.us

http://www.nal.usda.gov/ric

http://www.rxassist.org

http://www.shrinershospitalsforchildren.org

http://www.simonfoundation.org

http://www.30


responding to the needs ofAmericans 60 and over

responding to the needs ofAmericans 60 and over

www . p 4 a . o r g

contact your local agency for assistance (See page 29.)

AdvocAcy. Action. Answers on Aging.

19th EditionNow Available!

Your guide to choosing the right livingand care options for you or a loved one.

Call today for your free copy!(717) 285-1350

Online at www.onlinepub.comand in print.

• Active adult and residential living

• Independent and retirement living communities

• Assisted living residences and personal care homes

• Nursing and healthcare services

• Home care, companions, and hospice care providers

• Supplemental services

http://www.onlinepub.com

http://www.p


n Provider and leader of quality healthcare in

Central PA for more than 147 years.

n 50 renovated Personal Care Suites.

n Applications being accepted for a limited number.

n Skilled Nursing Care Unit accommodates 95,

including a 24-bed Alzheimer’s Unit.

717-221-7902

1901 North Fifth Street


www.homelandcenter.org

n Exemplary personalized care that enables patients

and families to live each day as fully as possible.

n Focused on pain relief, comfort, and support for

patients and families.

n Providing hospice care in Adams, Cumberland,

Dauphin, Franklin, Juniata, Lancaster, Lebanon,

Perry, Schuylkill, and York counties.

n Call us for details on our full array of services.

717-221-7890

2300 Vartan Way, Suite 115


www.homelandhospice.org

http://www.homelandcenter.org

http://www.homelandhospice.org

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