Napa Valley Senior Care, Inc.
Transcription
Napa Valley Senior Care, Inc.
Born .. .. Age Napa County 2013 Quality of Life 27 to )()( )()( PDFLogo.indd 1 COUNSELING SERVICES (See also Caregiver Support Groups) Area Agency on Aging Serving Napa and Solano 400 Contra Costa St. Vallejo, CA 94590 644-6612, 643-1797 1-800-510-2020 www.aaans.org (See ad on page 33) Comprehensive Services for Older Adults 900 Coombs St., #257 Napa, CA 94558 253-4625 Family Services of Napa Valley Sliding fee scale counseling 709 Franklin St. Napa, Ca 94558 255-0966 12/12/2008 2:08:59 PM Healthy Minds / Healthy Aging Free support for older adults. Inhome counseling available. 251-2058. HICAP Medicare & Long Term Care Insurance Counseling 1-800-434-0222 ELDER ABUSE ADVOCACY Elder Abuse Hotline: 258-8000 Area Agency on Aging Serving Napa and Solano 400 Contra Costa St. Vallejo, CA 94590 644-6612, 643-1797 1-800-510-2020 www.aaans.org (See ad on page 33) Comprehensive Services for Older Adults 900 Coombs St., #257 Napa, CA 94558 253-4625 or 800-496-9455 EMERGENCY RESPONSE SYSTEMS Napa County’s District Attorney Office of Elder Abuse Unit Bryon Tong, D.A. 931 Parkway Mall Napa, CA 94558 299-1414 Napa Long Term Care Ombudsman 1443 Main St., Suite 125D Napa, CA 94558 255-4236 (See ad on page 41) Paul M. Hoff Zeller, Hoff & Zeller 929 Randolph St. Napa, CA 94559 252-6633 (See ad on page 9) Lifeline Queen of the Valley Hospital 257-4130 (See ad on page 36) FAMILY CAREGIVER SUPPORT SERVICES The American Cancer Society 1031 Jefferson St. Napa 94559 Office: 255-5911, option 3 24 hr: 1-800-ACS-2345 www.cancer.org (live support) Information for families helping loved ones cope with cancer. Continued on Page 33 Napa Valley Senior Care, Inc. For more information about our in-home care services and our residential care facilities, or to schedule a free in-home consultation, please call: Kits Roa Licensee/Administrator 707/265-8652 or 510/333-8509 Email: [email protected] www.napavalleyseniorcare.com “Providing the Finest in Personal Care” BOARD & CARE FACILITIES IN-HOME CARE & ASSISTANCE • Private & Semi-private, attractive & comfortable rooms • Ambulatory and Non-ambulatory • Trained & compassionate staff • Respite Care, Dementia Care, Hospice Care • • • • • • • Personal Care & Assistance Laundry & Light Housekeeping Assistance with Medication Meal Preparation Companionship Errands & Shopping Transportation to Medical/Dental Appointments Two great locations in the heart of Napa Valley: • All Staff Criminal Background Wine Country Senior’s Villa (RCFE#286801534) Checked & Trained in First Aid Vintage House (RCFE#286802049) Wine Country Senior’s Villa: 3552 Jefferson St, Napa Vintage House: 2541 Vintage St., Napa 28 Quality of Life Born .. .. Age to )()( )()( PDFLogo.indd 1 Napa County 2013 12/12/2008 2:08:59 PM WHAT HOME CARE AGENCIES ARE CHARGING FOR SERVICES IN NAPA Abba In Home Care Services 1055 Azuar Dr. Vallejo, CA 707-704-6489 Getting help at home is usually the first thing that people think about when chores and/or personal care is becoming difficult or impossible. Housekeepers, gardeners and occasional handymen are the easiest for most of us to consider because they don’t carry the psychological burden of no longer being able to do for ourselves. Caregivers can be resisted because of cost, fear of loss of independence, autonomy and privacy, or just due to stubbornness and personal will. While most prefer a family member or prior knowledge of the caregiver, this may not always be possible. Family members might have good intentions, and while promises are made, commitments may be more difficult to keep. It’s may not be the best thing to have a family member, friend or neighbor as a caregiver. The most reliable solution is hiring outside assistance with a regular schedule. This way, family members remain as family and others can be counted on to do the hands-on work. There are many choices in help at home. If looking to hire privately, there’s a caregiver referral service out of the Area Agency on Aging. Discharge planners, hospices, social workers also know of people who might want to work privately. If hired privately, the hours worked and wages paid are between you and the employee. You are also liable for worker’s compensation and IRS withholding. Here’s a brief rundown on the types of agencies in Napa County. NAPA COUNTY HOME HEALTH AGENCIES These agencies provide services that are 100% covered by Medicare, Med-cal or private health insurance. This service must be ordered by a doctor. However, you still have a personal choice of agency. Requirements to qualify for care are: 1: Homebound, 2. Need for skilled care. Skilled care means that you need a nurse, a physical, speech or occupational therapist. This is also a time and visit limited services. Some aide service can be available, if there’s a skilled need. This is a service NOT Abba In Home Care offers in-home, non-medical caregiver services. All employees are bonded, insured and will work flexible hours, either live in or hourly. Rates start at $22 an hour, and $220 for 24-hour live in. Also offers board and care home placements without charge. Serves Contra Costa, Marin, Napa, Solano, Sonoma, Yolo and Sacramento Counties. www.abbahomehealth.com or email [email protected] covered by Long Term Care Insurance. Born To Age doesn’t list these prices because the costs are directly reimbursed by Medicare. You are not billed for services. St. Helena Hospital Home Health Care 27 Woodland Rd. St. Helena, CA 94574 967-5770 PRIVATE DUTY HOME CARE AGENCIES These agencies provide both skilled and non-skilled care. The services might be covered by long term care insurance, other insurances, and private pay. The agency is the employer. Caregivers are hired, screened and paid for by the agency. If the caregiver is ill or unable to work, a substitute caregiver is available. The agency pays payroll taxes, worker’s compensation, and maintains liability coverage. The agency also determines what the caregiver can and can’t do. There is often a minimum number of hours for services. Care provided by these agencies can include: skilled care, personal care, transportation/errands, meal preparation, medication reminders, light housekeeping, laundry, etc. Shifts can be hourly, live-in or sleepover. ApexCare 2220 Boynton Ave., Suite A Fairfield, CA 94533 877-916-9111 www.apexcare.com ApexCare provides both home care and care home placement services. No minimums. A one hour shift is $40, two hours: $61-70, three hours, $55-76, and 4-11 hours are $18.50 to $24 an hour. A 12 hour shift is $174-216, and 24 hours is $212-255. Caregivers are thoroughly screened including a complete background check, employment history, verification of education, training and work experience, written reference letters, photo ID and Social Security verification, TB clearance, DMV report and auto insurance verification. Free in home assessments. Also provides Care Home Referrals Assist On-Call, LLC Senior Care Services Non-Medical In-Home Care 2600 Brown Street Napa, CA 94558 707-506-5680 Assist On-Call offers companionship and home care services. Partners with family to provide the services specific to needs. Caregivers undergo extensive hiring and training process, which includes behavioral assessment/ interview, criminal background and driving records check, reference check, TB testing, and mandatory training sessions. Caregivers are available on a flexible few hours a day, up to 24 hours-seven days a week - live-in basis, including weekends and holidays. Hourly care starts at $16 per hour, 24 hour care starts at $210. Live-in care basis negotiable. Free assessment and home safety evaluation. Hearts that Matter 68 Coombs St., Suite Napa, CA 94558 252-7569 Contact: Kim or Charmaine This nonmedical home care referral agency provides companions, housekeepers and nursing assistants. Rates range from $18 - 22 per hour for a four-hour shift. 24-hour rate is negotiable, but starts at $300. They can provide rides, and care for people with Alzheimer’s . Will accept long term care insurance. Caregivers are bonded, criminal background checked, fingerprinted, CPR certified and credentialed. Hired Hands Homecare 1754 Second Street Napa, CA 94559 707-265-6400 Contact: V. Lynn Cox Hired Hands Homecare is a family owned and operated, full service homecare company, providing a wide range of caregiving services for over 17 years. All Caregivers are our employees, and are thoroughly screened, insured, and bonded. Caregivers available on a flexible hourly, overnight, and live-in basis. Hourly care starts @ $24.00 per hour, and 24 hour care starts at $310. Serving the entire North Bay, with office in Marin, Sonoma, & Napa counties. Complimentary case management, needs assessment, and home safety evaluation provided at no cost. Members of the National Private Duty Association (NPDA), the California Association for Health Services at Home (CAHSAH) and the Better Business Bureau (BBB). Napa County 2013 Born .. .. Age to Quality of Life 29 )()( )()( PDFLogo.indd 1 12/12/2008 2:08:59 PM WHAT HOME CARE AGENCIES ARE CHARGING FOR SERVICES IN NAPA Home Instead Senior Care 33433 Broadway, Suite B-1 American Canyon, CA 94503 552-2266 Provides service in Napa, Solano and Sonoma Counties. This is a private duty home care agency. Employees screened for criminal and driving records, as well as TB tested. Ongoing training is provided to all employees. Provide 24-hour phone support for after hour emergencies. Rates range from $20 - $25 per hour, $330 per day for live in. Love & Joy Senior Care Services Solano and Napa: 342-5613 Provides service in Napa and Solano Counties This is a private duty, non-medical home care and care home placement agency. Caregivers have been carefully chosen, bonded, insured and background checked. Provide services for Dementia/ Alzheimer’s Care, personal care, transportation, companionship and hospice care. Rates range from $18-23 per hour, $240-350 per day for 24-hour live in. Napa Valley Senior Care, Inc. 2541 Vintage St., Napa, CA 226-3055, 510-333-8509 This is a private duty, nonmedical home care agency. Rates: $18-25/hour. Minimum 4-hour shift. $200-280 for 24hour care. All caregivers area criminal background checked, (FBI and Department of Justice), TB-tested, receive first aid and CPR and medication assistance training. Bonded and trained in caring for elderly. Wheelchair transportation available. Visiting Angels 1827 Clay St. Napa, Ca 94559 (707) 528-0222 www.visitingangels.com/santarosa [email protected] Minimum. 2011 rates: Live in/24-hour, $14.50 per hour, Overnight (sleep) $17.50 per hour. Hourly 4-12 hours, $24-$25 per hour. “Angel Visit”: 2 hour $30 per hour, 3 hours $27 per hour. Visiting Angels provides personalized non-medical services, and only hires professionally experienced caregivers. Visiting Angels is a fully bonded and insured agency, directed by a Licensed Clinical Social Worker, and Case Managed by a Licensed Vocational Nurse. All caregivers are thoroughly background checked and drug screened. Agency conducts caregiver supervisory visits and regular client check-ins. Available 24/7. Free in-home assessments and safety checks. No Your Home...Nursing Services 3158 Jefferson St. Napa, CA 94558 707-642-4711 (Vallejo/Benicia) 707-428-5733 (Fairfield/Vacaville) 707-224-7780 (Napa) 707-963-4913 (UpValley 530-753-7478 (Yolo County) www.yourhomenursing.com A state licensed, family owned, local, private duty home care agency providing home health services in Solano, Napa, Yolo Counties, and the Sonoma area. Continued on Page 30 Born .. .. Age Napa County 2013 to 30 Quality of Life )()( )()( PDFLogo.indd 1 12/12/2008 2:08:59 PM WHAT HOME CARE AGENCIES ARE CHARGING FOR SERVICES IN NAPA Services are all-inclusive–everything from housekeeping to Skilled Nursing. No hourly minimum, no extra charge for nights or weekends, can start services the moment needed. Free RN assessment to develop care plan, a home safety evaluation , and home re-visits to ensure quality of care and caregivers. Care is always managed by an RN. Telephone assistance for family available 24/7. Will assist with insurance billing. Recently added: “Alzheimer’s Whisperers” (a loving and gentle approach). All caregivers are screened, bonded, insured, and have complete background checks. Many caregivers have been with the agency over 5 years. Nurses make weekly “re-visits” to the homes in all communities, to ensure quality of care and caregivers, with all caregivers being CPR/First Aid Certified. Rates start at $22.50 to $26.50 per hour. Live-in services at $350, and sleepovers at $250. Experienced wiht Alsheimer’s/Dementia, Cancer, Strokes, Fractures of all types, Parkinson’s, and simply frail family members. Accepts private pay, credit cards, accepted by all insurances and are vendors with the Veteran’s Administration. Caregivers available for Worldwide Travel, also can provide care for pets, and can support family members at Special Family Events. HOME CARE REFERRAL AGENCIES These agencies provide non-medical caregivers/companions to help with personal care, transportation, meals, baths, light housekeeping, etc. They provide many of the same services as private home care agencies, however, the caregiver is not an employee of the agency…the caregiver is an independent contractor. The agency finds and screens the caregiver. The client has the option of interviewing or letting the agency match the appropriate caregiver. The agency assists in negotiating the rate between the client and caregiver, including agency fee. Caregiver earnings are reported to the IRS. Substitute caregivers are available. Acclaim Professional Healthcare 4340 Redwood Hwy, Suite A14 San Rafael, A 94903 Marin 415-479-5125 San Francisco 415-752-5246 A Subsidiary of Acclaim Homecare, Inc. www.acclaimhomecare.com Acclaim Professional Healthcare provides employee based private duty services which include assistance with all activities of daily living, medication reminders, meal planning and preparation, light housekeeping and laundry, companion care as well as respite care, transportation to medical appointmentsand therapies. Additionally provides medication programs and individualized care plans.Caregivers are monitored by experienced geriatric care manager. Acclaim Professional Healthcare has hourly, live-in and sleepover services Rates are dependent on services required. Minimum of 2 hours@ $55.00. Hourly starts at 24.00 to 26.00 per hour. Live in rates start at $265.00.Overnites start at $175.00. Assessments are provided prior to start of cares. No agency fees, no charge for the initial consultation. 24 hour paging service to respond to critical situations. KEEPING YOU AT HOME SErD N E ) C I L E HomeCare T fo rd a d STeA n ts the sta nse that se ssment g Asse Needs) n i s r u N d e l lth kil S y ome Hea r H a r t u n o Y e te a to evalu Complim d/trained te a c u d e s at’ lic (The only e th (It’s a nurs Our Agen cy is Prou Certified A d to Anno unce We’v lzheimer’s W e Become hisperers ...a Loving a n d G entle App Caring for roach to Alzheimer ’s/Demen tia Patient s All Care Managed by an RN! (Your Assurance of Quality) U, out YO “It’s ab ur Home, th, Yo being in comfort, warm at’s And th there’s where personal life. help... n ur and yo our services ca hat keeps t e w r ho g the ca appy, and in id v o r ,h by p re...safe ome.” you the ble in Your H wner O ta comfor Camie Bianchi, -- Homemakers/Caregivers to Nursing Services Locally Owned Since 1989 Accepted by Most Insurances 642-4711 Benicia/Vallejo Home Care at Its Very Best! In Your Home...the Moment You Need Us! www.yourhomenursing.com 224-7780 963-4913 Napa Valley 428-5733 Vacaville/Fairfield 530-753-7478 Yolo County Born .. .. Age Napa County 2013 Quality of Life 31 to )()( )()( PDFLogo.indd 1 12/12/2008 2:08:59 PM WHAT HOME CARE AGENCIES ARE CHARGING FOR SERVICES IN NAPA Caregiver Referral Services (Ask for Caregiver Referral) Area Agency on Aging Serving Napa and Solano 644-6612 This agency maintains a list of people who work as companions, housekeepers, handymen, gardeners and odd jobbers. You’ll be given several names to call, and you make the choice of hire. It’s a free service. Hourly rates are negotiable for each person, and usually range between $15-$20 an hour. Cora’s Home Companion Care 3478 Shelter Creek Napa, CA 255-6260 363-2220 This is a non medical home companion providing personal care in your home. Rates, $15-20 an hour Minimum, four-hour shift. Live-in care $190-$250, depends on level of care and needs of patient. In-Home Supportive Services Napa County Comprehensive Services for Older Adults 900 Coombs St., #257 Napa, CA 94558 253-4625 A county-funded service, primarily for people needing assistance to stay at home, yet are unable to afford to privately pay for care. The rate and number of hours that one is eligible for services is determined by a county social worker. In order to qualify for this service, a person must also qualify for Medi-Cal and SSI. This agency also maintains a caregiver registry. Because not all Caregiving companies are created equal. Saying Goodbye to a Lifetime of Things Ever hear the word, "downsizing?" That's what happens when you move from a home to a 900 square foot apartment in a retirement home. Or, when you decide to start cleaning out the clutter in your life. Most of us can't "see" our own clutter. The piles of magazines, mail, books and other "will get around to when I have more time," items, are as much a part of the everyday landscape as the microwave, couch and kitchen table. cleaning out a closet can bring up memories of times when each piece of clothing was worn. Cupboards of dishes, garage tools, paints and cleaners, linens–we have gathered so much over time, now is the time to let it all go. There are experts, people who are trained to work with seniors and their families, in helping with downsizing and moving. They can make an enormous difference for a smooth transition. Most of us can't "see" our own clutter. The piles of magazines, mail, books and other "will get around to when I have more time," items, are as much a part of the everyday landscape as the microwave, couch and kitchen table. It's usually a move that motivates a clearing and getting rid of things that are no longer necessary–like the three sets of dishes, or clothing that doesn't fit anymore. Drawers, closets, cupboards, underneath beds, behind doors, there are all sorts of places in our homes to hide things and then forget that we ever had or needed them, and then suddenly be faced with a move forcing us to look at this reality and then do something, quickly, about it. The emotional dilemma of downsizing and getting rid of things can be overwhelming for many of us. Just I know, I once had a professional organizer work with me in my office. She saw what I didn't. For example, my seven phone directories, or that my piles of papers were useless information gathering dust. We filled four garbage bags of stuff I no longer needed. I couldn't believe it, especially since I had cleaned up and thrown out things in anticipation of her visit. Professional organizers are an excellent resource in helping family clean up, downsize, de-clutter and organize. Napa Family Pet Sitters • We deliver full-service, non-medical caregiving • Our caregivers are our employees, screened, insured, bonded, and rigorously trained • We handle all employer responsibilities— wages, taxes, and Workers’ Comp • Family-owned and operated since 1994 Security, Peace of Mind... The Hired Hands difference. N A PA S O N OM A www.HiredHandsHomecare.com HIRED HANDS HOMECARE publication: MA RIN 707-265-6400 707-575-4700 415-884-4343 We provide in YOUR HOME HOME pet sitting pet services, walking, exercise,walking, cat We provide in YOUR sitting services, box scooping & changing, Pet Taxi (R/T to Vet or Groomers), potty breaks exercise, cat box scooping & changing, Pet Taxi (R/T to Vet or for dogs and minimum 30-minute visits. Specialize in Senior Pet Care Groomers), potty breaks for dogs and minimum 30-minute and Pet Enrichment. Can accept last minute needs and long-term care. visits. Specialize in Senior Pet Care and Pet Enrichment. Can accept last minute needs and long-term care. 707-738-4342 www.NapaFamilyPetSitters.com Licensed and Bonded Ask about our 15% Senior discount 707-738-4342 www.NapaFamilyPetSitters.com Licensed and Bonded Ask about our 15% Senior discount 11-08-12 Born to Age Guide 707-738-4342 www.NapaFamilyPetSitter.com 32 Quality of Life Born .. .. Age to )()( )()( PDFLogo.indd 1 O ne of the reasons I no longer visit my mother is that she becomes overwhelmed at the thought of having to clear out one of the five bedrooms in the house so I can sleep on a bed. Throughout her life, she has been a "collector" of possibilities–hoping one day that one of her many projects or ideas would amount to something more than filling up more space in her 3,000 square foot home. Estimates are that more than 10,000 books, at least five complete sets of dishes, over 2,000 picture frames, and countless pieces of paper are clogging up the future to my mother's relationships with her family. She locks doors to rooms that are packed from the floor to ceiling so all her stuff won't be so obvious to anyone entering her home. And, nothing can be thrown out. Not even that calendar from 1978–because the kitten photo on March is something that someone might want one day. My mother once bought out the contents of a Hallmark store that was closing– they gave her a deal that she couldn't turn down. And, one day, she hoped to open her own store. All those knick knacks are still in boxes somewhere in her basement. The basement also holds the entire history of our family, including my grandparent's things. I don't know how many bags of clothing, but if polyester ever comes back in style, we will become millionaires. The hoarding is no longer a funny family story. It's a reality that keeps mother from living a full and happy life. She sorts through boxes, and her own past, on a daily basis. There's nothing that can be thrown out, and she will never change. For me, that is very sad. According to a recent lecture I attended on "Hoarding Behaviors and the Elderly," I learned that my mom isn't a hoarder because she went through the depression, or was a child in World War II. In fact, poverty and deprivation does not seem to be a factor in hoarding, at all. So, what does cause hoarding? According to Harriet Lehman, Ph.D. , director of Napa County's Comprehensive Services for Older Adults, Hoarding will be classified as a 12/12/2008 2:08:59 PM Hoarding is a Family Issue psychiatric disorder in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders. They aren't sure what "causes" hoarding, but it is usually associated with other conditions such as depression, social phobia, anxiety disorder, PTSD, substance abuse, panic disorder, eating disorders, bipolar and other phobias. It also tends to run in families. Lehman estimates that "85% of people who hoard have a relative who is a packrat." My mom isn't crazy or insane, she's more prone to anxiety than most, and now, seems to be depressed. She's also forgetting things more and more, and sometimes can't track well through a conversation. But, we never connected all this with her hoarding stuff. In fact, she only started this after age 50, when we all left home and she was alone, retired, and in a very big house. More men than women are hoarders. About half of hoarders start becoming so between ages 11-20. Less than 1% become hoarders after age 50, and usually that's due to a stressful life event. Hoarders have trouble with making decisions, categorizing information, attention and information processing. They're also afraid of making the wrong decision. Older hoarders also have a high likelihood of having a dementia. "Some people with Alzheimer's Disease might also be hoarders, they are often misplacing or hiding things that then forgetting where they are "spending agitated times rummaging Napa County 2013 through belongings looking for lost or stolen items," said Lehman, who also heads the Hoarding Intervention Team in Napa County. of the house and donated them to the library for the book sale–only to have mother try to buy them all back the following week. Hoarders need professional assistance in dealing with their condition. Cleaning up with a hoarder, according to Lehman, "is slow and requires patience. Take care of the dangerous stuff first. Try to replace the need to by with other pleasurable activities and social interactions." My sister visited my mother this past winter, and tried to clear a path into the laundry room for a new dryer. Mother hovered over every move, making sure that everything was packed into boxes and nothing was thrown out. My sister was frustrated, the clearing out took almost five straight days, interspersed with countless hours where mom just had to go lay down from all the stress. The best way to work with our mother, according to Lehman, would be to work one area, one item, at a time. "Simply cleaning and organizing/ discarding possessions without consent is extremely traumatic," said Lehman. "Hoarders should be involved and supported in the decision making in letting go of possessions. Involuntary cleanouts are temporary and traumatic." Which brings up the memory on how my sister snuck about 1,000 books out The lesson we learned was that a forced clean out doesn't work. The best way to work with people who hoard is "Cognitive Behavioral Treatment." This is a therapeutic process of recognizing, challenging and ultimately changing patterns of faulty thinking. And, treatment for hoarding behaviors takes a long time, according to Lehman. Self help groups, and "clutter buddies,"are also helpful. My sister returns next month to help mother clean out another room. This one will be with a bed, so that we can all visit more often and have a place to sleep. We're hoping that it works, if not–well, back to square one. In Solano County, if you have problems with hoarding, or, would like some assistance, please call: Area Agency on Aging Prevention and Early Access Program for Seniors. 644-6612 ARE YOU A HOARDER OR A CLUTTERER? Can you sleep in your bed? Can you prepare meals in your kitchen? Can you take a bath? Do you like the feeling of acquiring things–regardless of whether they're expensive or free? Do you have difficulty discarding things you no longer use? Are living or working spaces so cluttered that it is difficult to find things or use space for intended purpose? Is your "collecting" interfering with everyday functioning or your relationships, causing your loved ones distress? Born .. .. Age Napa County 2013 Quality of Life 33 to )()( )()( PDFLogo.indd 1 FAMILY CAREGIVER SUPPORT SERVICES cont. Area Agency on Aging Serving Napa and Solano Family Caregiver Support Services 400 Contra Costa St. Vallejo, CA 94590 644-6612, 643-1797 1-800-510-2020 www.aaans.org (See ad on page 33) Yvonne Baginski, Caregiver Consultant P.O. Box 6863 Napa, CA 94558 226-7127 (See ad on page 8) Redwood Caregiver Resource Center 1-800-834-1636 FOOD ASSISTANCE 12/12/2008 2:08:59 PM FRIENDLY VISITORS The Volunteer Center of Napa County, Inc. 1820 Jefferson St. Napa, CA 94559 252-6222 GUIDE DOGS FOR THE BLIND Guide Dogs for the Blind, Inc. 350 Los Ranchitos Road San Rafael, CA 94903 1-800-295-4050 HARD OF HEARING SERVICES & EQUIPMENT California Telephone Access Program (CTAP) Inside Ed Roberts Campus at Ashby BART 3075 Adeline, Suite 260 Berkeley, CA 94703 1-800-806-1191 (See ad on page 39) (See low income services page 41) ONE AGENCY SO MANY WAYS TO HELP HEALTH CARE SUPPLIES HEALTH ASSESSMENTS Area Agency on Aging Serving Napa and Solano 400 Contra Costa St. Vallejo, CA 94590 644-6612, 643-1797 1-800-510-2020 www.aaans.org (See ad on page 33) HEALTH CARE House Calls of Napa Valley Mark Singer, M.D. 3334 Sterling Ct. Napa, CA 94558 365-5151 (See ad on page 35) Partnership HealthPlan of California 360 Campus Lane, Suite 100 Fairfield, CA 94534 866-249-9933 or 863-4400 TTY/TDD 800-226-2140 (See ad on page 17) Access Services: ➤ Information & Assistance ➤ Caregiver Referral ➤ Case Management ➤ Outreach MSSP: Family Drug 1805 Old Sonoma Rd. Napa, CA 94559 224-7807 (See ad on page 38) Piner’s Medical Supply 907 Trancas St. Napa, CA 94558 224-7921 (See ad on Inside Front Cover) HEARING AIDS Precision Hearing Aid Center 1st Custom Hearing Aid Lindsay Groff 3179 Solano Ave. Napa, CA 255-6383 Continued on Page 35 AREA AGENCY ON AGING www.aaans.org 1-800-510-2020 Information & Assistance (Toll-Free) 707-643-1797 Information & Assistance (Direct) 707-644-6612 Administration ➤ Medi-Cal Waiver Program to help older adults stay in their homes. Family Caregiver Support Program/Grandparents Raising Grandchildren: ➤ Providing assistance to caregivers of older adults and grandparents raising grandchildren Healthy Minds Healthy Aging Program: ➤ Gatekeeper Education Program: Mental Health stigma reduction and early detection training. ➤ Navigator/Case Management/Comprehensive Psychosocial Assessment: Free case management and brief therapeutic counseling for people age 60 and older facing the challenges of isolation, loss, and depression, connecting with mental and physical health services, and getting access to resources such as food, transportation, etc. Latino Outreach: ➤ Providing outreach and resources to the aging Latino community and their caregivers to promote health and wellness. Chronic Disease Self Management Program: ➤ This is an evidence based program bringing trained community volunteers together to educate seniors and help build self-confidence and self-efficacy to help manage their health and maintain active lives. AREA AGENCY ON AGING SERVING NAPA AND SOLANO Assistance, Advocacy, Answers on Aging StopFalls Napa Valley: ➤ Providing information for older adults and caregivers on physical well-being, improving home safety, and individual evaluation to reduce the risk of falling. Born .. We specialize in the fitting of .. Age Napa County 2013 to 34 )()( )()( the World’s Most Advanced Digital Hearing Aids! PDFLogo.indd 1 12/12/2008 2:08:59 PM W orking within the communities of Napa, St. Helena and Lake County since 1983, Microtone Audiology, Inc. provides a variety of hearing healthcare services including: Gail Amornpongchai, AuD Doctor of Audiology Brian Duguay, AuD Doctor of Audiology Joel Duguay, HIS Hearing Instrument Specialist ur main goal is to improve the quality of life for individuals with all degrees of hearing loss. By recognizing their communication needs and concerns, our mission is to help our patients re-connect with those they love with better hearing. We are dedicated to providing our patients with personalized and professional hearing health care. O . . . . . Prescriptive Fitting of Premier Digital Hearing Instruments Diagnostic hearing assessments and rehabilitation Education and counseling about hearing loss for individuals of all ages Balance/Dizziness assessments Tinnitus (Ringing in the Ears) Management and Sound Therapy Microtone Audiology, Inc. is Napa’s Premier Hearing Care Center featuring licensed Doctors of Audiology. As Napa’s oldest continuously-owned hearing healthcare practice, we have helped thousands regain the gift of hearing! We bill your insurance for you! Kaiser members welcome! We offer benefits to many Union plans and other Health Care plans. One of our many patient testimonials... “As a physician, I have long been committed to the healing arts. But as a hearing impaired individual, I am oh so keenly aware that Microtone goes far beyond the adage‘do no harm’ and transforms this sacred philosophical mandate to “do as much good as possible.” Microtone Audiology merges state-of-the-art advanced hearing technology with personal attention and staff dedicated to quality service. It is not just that you want people to have improved hearing. Microtone understands that the ability to hear well is a wondrous gift. You firmly believe that impaired hearing should be restored to the highest level possible and you have the skills to make it so. Simply, you are an exemplary group of ‘hearing healers’ who are dedicated to assisting each patient in listening to the sounds of joy that help make life truly lived. Leonard M. Zunin, MD, Psychiatrist, author of Contact: The First Four Minutes, The Art of Condolence, FEMA – Management of Post Disaster Stress, and editor of Finding Clarity. Former Assistant to the CA Director of Mental Health and Senior Psychiatric Consultant to CA Special Investigations Unit and U.S. State Department. (Read more on our website on the testimonials tab) CALL TODAY TO SCHEDULE A PERSONAL CONSULTATION (707) 927-1537 Mention this ad and receive $250 off One Hearing Instrument* or $500 off Two Hearing Instruments* 3 Convenient Locations! 895 Trancas Street Napa, CA 94558 (Located inside The Eye Care Center) 3230 Beard Road Suite 2 Napa, CA 94558 1485 Main Street Suite 101 St. Helena, CA 94574 Email: [email protected] Visit us on the Web at www.microtonehearing.com Follow us/Like us on Facebook at www.facebook.com/MicrotoneAudiology *Discounts taken off our retail price list, good for all makes and models. Born .. .. Age Napa County 2013 to )()( )()( PDFLogo.indd 1 HEARING AIDS cont. HOME-DELIVERED MEALS MicroTone Audiology, Inc. 707-927-1537 Meals on Wheels 253-6111 or 1-800-788-0124 895 Trancas Street Napa, CA 94558 (Located inside The Eye Care Center) HOME HEALTH CARE SERVICES 3230 Beard Road, Suite 2 Napa, CA 94558 1485 Main Street, Suite 101 St. Helena, CA 94574 See ad on page 34) St. Helena Hospital Home Care 27 Woodland Rd. St. Helena, CA 94574 967-5770 HOME MODIFICATIONS HEARING ASSISTANCE California Telephone Access Program (CTAP) Inside Ed Roberts Campus at Ashby BART 3075 Adeline, Suite 260 Berkeley, CA 94703 1-800-806-1191 (See ad on page 39) HEARING DOG TRAINING SPCA’S Learning Center 243 Alabama St. San Francisco, CA 415-554-3020 HEARING IMPAIRED ADVOCACY Hearing Loss Association of Napa Valley Meets at Napa Senior Center 3rd Wednesday of each month, 1:00 p.m. Sept.-June 226-9870 Lift & Accessibility Solutions 2615 Alton Lane Santa Rosa, CA 95403 Office 707-538-3210 Mobile 707-889-1235 Fax 707-324-8184 www.jonathansson.com Lift & Accessibility Solutions is an elevator contracting firm that modifies homes to improve accessibility and mobility for the elderly and disabled. (See ad on page 39) Stop Falls Napa Valley 255-5328 Works to prevent falls among older adults. Provides education about fall prevention; promotes physical activity to improve balance and mobility; conducts fall risk assessments and follow-up; provides home safety assessments and improved access to affordable home modification, and advocates for change. House Calls of Napa Valley Mark Stephen Singer, MD Home Care Physician Traveling from home to home like the “Country Doc” of yesteryear, serving infirm persons who find it difficult to travel to an office on a regular basis. (707) 365-5151 Serving Private Residences, Assisted Care and Board-and-Care Facilities Boarded Internal Medicine and Emergency Medicine Diplomat American Academy of Home Care Physicians No Managed Care, Please Quality of Life 35 12/12/2008 2:08:59 PM HOME VISITING PHYSICIAN House Calls of Napa Valley Mark Singer, M.D. 3334 Sterling Ct. Napa, CA 94558 365-5151 (See ad on page 35) IN-HOME SUPPORTIVE SERVICES Comprehensive Services for Older Adults 900 Coombs St., #257 Napa, CA 94558 259-8359 MASSAGE SERVICES Your Home…Nursing Services 3188 Jefferson St. Napa, CA 94558 224-7780 (See ad on page 30) MEDICAL ALARMS Lifeline Queen of the Valley Hospital 257-4130 (See ad on page 36) MEDICAL CANNABIS (Home Deliveries) Harborside Health Center 1840 Embarcadero Oakland, CA 94606 510-533-0146 Harborsidehealthcenter.com (See ad on page 37) MEDICAL CANNABIS PHYSICIAN EVALUATIONS Compassionate Health Options 620 Contra Costa Blvd, #211301 Georgia St. Suite 125 Vallejo, CA 94590 707-558-0420 741 5th Street Santa Rosa, CA 95404 707-568-0420 (See ad on page 35) MEDICAL EQUIPMENT Free Wheelchairs, commodes, canes, shower chairs and other equipment can be borrowed from the American Red Cross, Napa Office at 1790 Third St. and, in St. Helena at 1474 Oak Ave. Also available at Williams Transmission and Repair, 224-9466, or 252-6121 in Napa. Want to donate used equipment? Call 226-7127. Born To Age provides equipment to low-income seniors throughout the Bay Area Family Drug 1805 Old Sonoma Rd. Napa, CA 94559 224-7807 (See ad on page 38) Piner’s Medical Supplies 907 Trancas St. Napa, CA 94558 224-7921 (See ad on Inside Front Cover) COMPASSIONATE HEALTH OPTIONS Providing Compassionate Care and Medical Marijuana Evaluations Since 2004 • Led by Dr. Hanya Barth • Real Care - Real Doctors • 24/7 Safe Verification • Totally Confidential Quality ID Cards Weʼll Match Any Local Price 1 (707) 568-0420 www.GREEN215.com Santa Rosa / Oakland / Vallejo / Concord Born .. .. Age )()( )()( PDFLogo.indd 1 MEDICARE SERVICES Partnership HealthPlan of California 360 Campus Lane, Suite 100 Fairfield, CA 94534 866-249-9933 TTY/TDD 800-226-2140 (See ad on page 17) MEDICATION MONITORING (See Caregivers for Hire) Lifeline Queen of the Valley Hospital 257-4130 (See ad on page 36) Napa County 2013 to 36 Quality of Life MEMORY CARE (See Alzheimer’s) Camino Alto Residence Club 105 Power Dr. Vallejo, Ca 94589 643-7617 www.camino-alto.com (See ad on page 21) MENTAL HEALTH SCREENING Healthy Minds/Healthy Aging 3448 Villa Lane, Suite 102 Napa, CA 94558 251-2058 www.healthyminds-aging-napa.org 12/12/2008 2:08:59 PM MENTAL HEALTH SERVICES (See Counseling Services on page 22) MOBILITY DISABLED SERVICES AND EQUIPMENT California Telephone Access Program (CTAP) Inside Ed Roberts Campus at Ashby BART 3075 Adeline, Suite 260 Berkeley, CA 94703 1-800-806-1191 (See ad on page 39) MOVE ASSISTANCE Changing Spaces P.O. Box 121 Napa, CA 94559 287-5258 NURSING HOMES Golden Living Center of Napa 705 Trancas Street Napa, CA 94558 707-255-6060 (See ad on page 40) Continued on Page 38 We hear you even before you call. The Lifeline Medical Alert Service offered by the Queen of the Valley For more than 25 years, the Queen has provided quick access to help at the press of a button. Lifeline’s AutoAlert Pendant calls for help if it detects a fall, even when you can’t. Our unique “Intelligent Alarm” feature continuously monitors and automatically responds if you can’t get up from a fall. Lifeline helps seniors live with more dignity and confidence in their own homes by providing a discreet, “always-on,” link to emergency response services. If you or someone you love treasures independence, Lifeline will provide the peace of mind that comes from knowing help is always close at hand. www.thequeen.org AD 4.75x3.92 QueenValley.indd 1 Mention thi FREE Ins s ad for tallat (a $70 valu ion e!) For more information on the Queen’s Lifeline Alarms, please call 707-257-4130. AutoAlert does not detect 100% of falls. If able, users should always push their button when they need help. Button signal range may vary due to environmental factors. 10/31/12 4:12 PM Born .. .. AgeLearn the Facts Napa County 2013 to )()( )()( PDFLogo.indd 1 12/12/2008 2:08:59 PM Join the Senior Support Group at Harborside Health Center in Oakland. (510) 533-0146 6:15pm – 7:45pm Did you know... • Cannabis (marijuana) has been used as a medicine for over 3,000 years Sue Simon Taylor edical ca is m Medical “Marijuana” for Seniors n nab Senior Wellness Advocate Sue Taylor is nationally known as a senior wellness advocate. Sue holds a master’s degree in education, and bachelor’s degrees in social science and divinity. She Medical cannabis provides relief for all of these conditions: • • • • • • chronic pain arthritis loss of appetite low libido muscle spasms severe skin disorders (like psoriasis and eczema) alternative to pharmaceuticals and is committed to providing seniors information that will allow them to make an educated choice about their wellness. For more information, visit her website at: www.SueSimonTaylor.com cannabis without smoking • It can relieve pain, insomnia, anxiety, skin conditions, and much more Did you know it’s legal? Ask your doctor about medical cannabis. wellness at your door NEW! FREE Delivery! (888) 99-Harborside Topical forms of non-psychoactive medical cannabis: spray, lotion & salve. 1840 Embarcadero, Oakland, CA 94606 • (510) 533-0146 harborsidehealthcenter.com 2106 Ringwood Ave, San Jose, CA 95131 • (408) 321-8424 10AM – 8PM • 7 days/week 37 Born .. .. Age )()( )()( PDFLogo.indd 1 NURSING HOMES cont. 12/12/2008 2:08:59 PM NURSING HOME COMPLAINTS / LITIGATION Napa Valley Care Center 3275 Villa Lane Napa, CA 94559 257-0931 (See ad on Back Cover) California Advocates for Nursing Home Reform 650 Harrison St. San Francisco, Ca 94107 1-800-474-1116 www.cahnr.org Piner’s Nursing Home 1800 Pueblo Ave. Napa, CA 94558 224-7925 (See ad on Inside Front Cover) OXYGEN EQUIPMENT Napa Long Term Care Ombudsman 1443 Main St., #125 Napa, CA 94559 255-4236 Transitions Palliative Care 414 South Jefferson St. Napa, CA 94559 254-4161 PET SITTING Napa Valley Pet Sitting Deb Brunner The Ombudsman Program maintains files of state surveys (which include deficiencies and citations) on each local facility. (See ad on page 41) 707-738-4342\ www.NapaFamilyPetSitters.com (See ad on page 31) amily Drug One Stop Shopping forAll Your Pharmacy & Home Health Care Products. Ostomy Blood Pressure Supplies Lymphedema Products Incontinence Splints & Braces Wound Care Canes & Crutches Certified Orthotic and Compression Fitters on Staff Serving the Napa’s Health Care needs since 1952 FIRST ST. OLD SONOMA RD. G RU D ILY FAM JEFFERSON Mon. thru Fri. 9:30am-6:00pm Sat. 9:30am-5:00pm Closed Sunday ST. Delivery Available N IMOLA AVE. 1805 Old Sonoma Road Napa, California 94559 Family Drug 1805 Old Sonoma Rd. Napa, CA 94559 224-7807 (See ad on page 38) Raley’s 217 Soscol Avenue Napa CA 94559 707-224-7897 611 Trancas Street Napa CA 94558 707-224-8583 Walgreens 1685 Trancas Street Napa, CA 94558 (707) 257-1154 A Helping Hand... A Caring Heart (707) 224-7807 Diabetic Supplies • Compression Hosiery • Therapeutic Shoes • Bath Aids • Shower Chairs • Lift Chairs • Walkers & Rollators • PHARMACIES Piner’s Medical Supply 907 Trancas St. Napa, CA 94558 224-7921 (See ad on Inside Front Cover) PALLIATIVE CARE Online resource for all information made public about local nursing homes. The Meadows of Napa Valley Skilled Nursing and Rehabilitation Center 1900 Atrium Parkway Napa, CA 94559 310-7486 www.retirement.org/Napa Not-for-Profit Community (See ad on Inside Back Cover) • • • • • • • Napa County 2013 to 38 Quality of Life P.O. Box 5593 Vallejo, CA 94591-0593 Phone: 707.644.4469 Fax: 707.558.9524 • Consulting • Care Management • Housing Options • Free Placement Services 707-644-4469 We help seniors and families find the resources and options to enhance, sustain and improve their quality of life. We lovingly assist with daily life needs. We help you find what you need to live a rewarding life. Born .. .. Age Quality of Life 39 to )()( )()( PDFLogo.indd 1 PHONES FOR VISION AND HEARING IMPAIRED California Telephone Access Program (CTAP) Inside Ed Roberts Campus at Ashby BART 3075 Adeline, Suite 260 Berkeley, CA 94703 1-800-806-1191 (See ad on page 39) PLACEMENT SERVICES (This service helps seniors find home care, assisted living, or independent housing. Fee paid by facility or homecare agency.) Abba In-Home Care Services 707-704-6489 (See ad on page 26) Love & Joy Senior Services 342-5613 www.loveandjoyseniorcare.com (See ad on page 9) Senior Care Authority 19201 Sonoma Highway, #155 Sonoma, CA 95476 939-8744 (See ad on page 9) Senior Consulting Services 644-4469 (See ad on page 38) Your Home…Nursing Services 3188 Jefferson St. Napa, CA 94558 224-7780 www.yourhomenursingsvs.com (See ad on page 30) RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (See price comparison on page 22 and Board & Care Homes ) RESPITE CARE IN-HOME (See Caregivers for Hire, Page 19) RESPITE CARE OUT OF HOME Residential Care Facilities often have rooms available for one and two week stays to provide families with respite or time off for vacations. Fees may apply. Call for more information. Aegis of Napa 2100 Redwood Rd. Napa, CA 94558 266-6868 (See ad on page 23) Area Agency on Aging Serving Napa and Solano 400 Contra Costa St. Vallejo, CA 94590 644-6612, 643-1797 1-800-510-2020 www.aaans.org (See ad on page 33) 12/12/2008 2:08:59 PM Napa Valley Hospice and Adult Day Services 414 S. Jefferson St. Napa, CA 94559 258-9080 (See ad on page 48) SHOPPING/ERRAND SERVICES Cora Home Companion Care 3478 Shelter Creek Dr. Napa, CA 94558 255-6260 363-2220 (See ad on page 9) Home Instead Senior Care 3433 Broadway, Suite B-1 American Canyon, CA 94503 252-3322 www.homeinstead.com/521 (See ad on page 29) Napa Valley Personal Assistant On-call help, when you need it. Insured, bonded and licensed Napa Valley Caregiver Permit Laura Meister , 707-287-3362 Your Home…Nursing Services 3188 Jefferson St. Napa, CA 94558 224-7780 www.yourhomenursingsvs.com (See ad on page 30 SPEECH DISABLED SERVICES & EQUIPMENT California Telephone Access Program (CTAP) Inside Ed Roberts Campus at Ashby BART 3075 Adeline, Suite 260 Berkeley, CA 94703 1-800-806-1191 (See ad on page 39) STAIR LIFTS Lift & Accessibility Solutions 2615 Alton Lane Santa Rosa, CA 95403 Office 707-538-3210 Mobile 707-889-1235 Fax 707-324-8184 www.jonathansson.com (See ad on page 39) FREE SPECIALIZED TELEPHONES For all eligible Californians Camino Alto Residence Club 105 Power Dr. Vallejo, Ca 94589 643-7617 www.camino-alto.com (See ad on page 21) Now it’s easier to hear, dial, and make calls. APPLY NOW FOR YOUR FREE PHONE. Call 1-800-806-1191 Visit www.CaliforniaPhones.org Web chat available. Or stop by one of our Service Centers: Berkeley Inside the Ed Roberts Campus, above the Ashby BART station 3075 Adeline Street, Suite 260 Sacramento 1300 Ethan Way, Suite 105 Please confirm location and hours of operation online or call. AMPLIFIED BIG BUTTON SPEECH ASSIST PICTURE DIAL PORTABLE California Telephone Access Program, a program of the California Public Utilities Commission Deaf and Disabled Telecommunications Program © 2012 California Public Utilities Commission ATP-263 Napa County 2013 Born .. .. Age to 40 Quality of Life )()( )()( PDFLogo.indd 1 SUPPORT GROUPS Alzheimer’s Support Groups Napa Valley Hospice and Adult Day Services Early State Memory Loss Participants and Caregivers 4th Tuesday of each month, 5:30-7:30 p.m., potluck 414 S. Jefferson St. Napa, CA 94559 258-9080 1st and 3rd Thursday, 1-3 p.m., (See ad on page 48) Adult Day Health Care 414 S. Jefferson St. Napa, CA 94558 800-834-1636 The group is not limited to those dealing with Alzheimer’s disease although many of the participants are. Area Agency on Aging Serving Napa and Solano 400 Contra Costa St. Vallejo, CA 94590 644-6612, 643-1797 1-800-510-2020 www.aaans.org (See ad on page 33) Attitudinal Healing International Peer support for healing attitudes as a result of illness, loss, needed support, financial fears, relationships and other life challenges. Based on the work of Gerald Jampolsky, M.D. Meets Thursdays, 5:30-7:30 p.m., Queen of the Valley Wellness Center 3421 Villa Lane Info: Lynne Law, 815-1108 or Nancy Wilson, 815-1157 Better Breathers Meets 2nd Friday of each month, 2-3:30 p.m., 3448 Villa Lane, Suite 102 Jenny Bard, 527-5864 or [email protected] Napa County 2013 12/12/2008 2:08:59 PM Cancer Support Groups The American Cancer Society 1031 Jefferson St. Napa 94559 Office: 255-5911, option 3 24 hr: 1-800-ACS-2345 (live support) www.cancer.org/csn Free local support, on-line secured chat room and discussion board, and telephone support classes. Bosom Buddies Meets 4th Tuesdays, 10-11:30 a.m. 3448 Villa Lane Contact Angie Mueller, 251-2012 Cancer Support Group Wednesdays, 4-5:30 p.m 3448 Villa Lane, Napa For info, call: 257-4047 American Cancer Society Reach for Recovery Breast cancer survivors provide one-on-one support and information to help individuals cope with breast cancer. To schedule a visit: 1-800ACS-2345 Look Good…Feel Better A free makeover program for women addressing the appearance side of treatment. 1-800-ACS-2345 WIG Program: Free wigs, hats and scarves to women who have lost their hair to cancer treatments. 1-800-ACS-2345 FREE conference calls For cancer patients and their loved ones to learn ways to navigate the cancer experience. 1-800-ACS-2345 224-3481 Prostate Cancer Support Group Meets 1st Tuesday of each month, 7:00 - 8:30 p.m. Queen of the Valley Hospital, Main Conference Room Contact ACS 800-277-2345 Continued on Page 43 Your pathway to independence Experience the Golden Difference Golden Living provides you with short-term, targeted rehab services and skilled nursing care before you return home after illness or surgery. Our goal is to help you restore your strength and confidence so you can get back to enjoying life. To find out more, give us a call today! Golden LivingCenter – Santa Rosa 4650 Hoen Ave. • Santa Rosa, CA 95405 707-546-0471 Golden LivingCenter – Petaluma 101 Monroe St. • Petaluma, CA 94954 707-763-4109 Golden LivingCenter – London House Sonoma 678 2nd St. West • Sonoma, CA 95476 707-938-1096 Golden LivingCenter - Napa 705 Trancas St. • Napa, CA 94558 707-255-6060 therapy services provided by Golden LivingCenters welcome all persons in need of their services and do not discriminate on the basis of age, disability, race, color, national origin, ancestry, religion, sex, or source of payment. GLS-03872-09 XP www.goldenlivingcenters.com Napa County 2013 Born .. .. Age to )()( )()( PDFLogo.indd 1 12/12/2008 2:08:59 PM PAID FOR BY A PRIVATE DONATION 41 42 Quality of Life Born .. .. Age to )()( )()( PDFLogo.indd 1 Napa County 2013 12/12/2008 2:08:59 PM SERVICES FOR LOW INCOME SENIORS Care Management Care Network, Queen of the Valley Hospital 3448 Villa Lane, Suite 102 Napa, CA 94558 251-2000 The CARE Network provides home visits by nurses and social workers and offers comprehensive support for lowincome people with illnesses such as cancer, HIV/AIDs and congestive heart failure Multipurpose Senior Services Program (MSSP) 644-6612 This program helps pay for services to keep people out of nursing homes and living in their own homes. Must be over age 65, and must have or be eligible for Medi-Cal, and certified or certifiable for nursing home placement. MSSP funds can pay for adult day care, physical or assistive devices in the home, chore services and personal assistance. Napa Valley Hospice and Adult Day Services 414 S. Jefferson Napa, CA 94559 258-9080 Medical, emotional and spiritual support services offered to terminally ill people and their families in home, residential care or nursing home settings. Direct billing to Medicare, Medi-Cal or private insurance. Benefits cove equipment. Must be referred by physician and have a six month or less prognosis. Comprehensive Services for Older Adults 900 Coombs St., Napa, CA 94558 253-4625 Psychiatric Case Management for people over age 62 suffering from mental illness and/or Alzheimer’s Disease. CareGivers Chore Services (In Home Supportive Services) 900 Coombs St., #257 Napa, CA 94559 For people who are low income, aged, blind or disabled. Must be on MediCal. Provide funds to hire caregivers to do household tasks, shopping and minor care support. An intake social worker comes out to your home and makes an assessment on what you can do for yourself, and what you need for someone else to do in order for you to remain safely at home. Hours of care need and paid for by IHHS is authorized by a social worker. Brown Bag 253-6128 Redwood Caregiver Resource Center 141 Stony Circle, Suite 200 Santa Rosa, CA 1-800-834-1636 The Volunteer Center of Napa Valley 1820 Jefferson St. Napa, CA 94558 252-6222 This agency can provide up to $300 a month, or $3,600 a year to help pay for caregiver respite. Funds can be used for in-home care, or adult day center care. Housing Area Agency on Aging Napa Solano 644-6612 The Area Agency on Aging maintains a registry (list of names and phone numbers) of caregivers available for private hire on an hourly or live-in basis. Arrangements for hire are made between the caregiver and person hiring. Caregivers on registry list are not employees of the Area Agency on Aging. Caregiver Referral Registery This program provides funds for respite care for the caregiver. Up to two days a week, up to 90 days, this program will pay for a caregiver contracted through a local agency to come into the home for respite. They also pay for wheelchair ramps, grab bars and other home modifications. COUNSELING SERVICES Healthy Minds / Healthy Aging Offers free support for older adults, including someone to listen, help with emotional and cognitive concerns, connect to srsources, counseling in-home. Free services in Spanish or English. 707-251-2058. Food Meals on Wheels 254-6111 or 1-800-788-0124 Home delivered meals available to homebound or convalescing seniors and their caregivers. Also available to disabled adults under age 60. Donation. Meals are delivered M-F Monthly food distribution to low income seniors Home Repairs See pages 10 and 22 for rate information on low income apartments, retirement communities and assisted living. INSURANCE Partnership Health Plan of California 360 Campus Lane, Suite 100 Fairfield, CA 94534 866-249-9933 TTY/TDD 800-226-2100 Williams Automotive Free Medical Equipment 224-9466 252-6121 TELEPHONES California Telephone Access 1-800-806-1191 FREE telephones for people of low vision, hard of hearing, mobility, speech and cognitively impaired. Must have physician signature on form. Transportation (See transportation listings page 33 Don’t Flush Your Medicine Down the Drain! Legal Services Legal Aid of Napa Valley 1001 Second St., Suite 335 Napa, CA 94558 259-0579 Free legal services on a limited basis. Redwood Caregiver Resource Center 141 Stony Circle, Suite 200 Santa Rosa, CA 95401 800-834-1636 Personal consultations with attorneys experienced in estate and financial matters, conservatorships, powers of attorney and eligibility for government programs and other benefits. MEDICAL EQUIPMENT American Red Cross Free loans of medical equipment, wheelchairs, walkers, crutches, canes and commodes. Napa: 1790 Third St., Napa St. Helena: 1474 Oak, St. Helena Don’t flush medications down the toilet, or even throw them in the trash. Hold unto your medications until there’s a medication drive in your city. Any medications thrown or flushed away, eventually make it into our water system and are harmful to wildlife and environment. Because of drought and public use, we are seeing water levels drop and the concentrations of pharmaceuticals on the rise. While medications are impacting frogs, fish and all kinds of wildlife, eventually, they make it back into the water we drink. The most sophisticated water treatment facility isn’t capable of removing all traces of drugs from the water. In Napa County, the follolwing locations accept medication: Clinic Ole - Napa 1141 Oear Tree Lane Napa, CA 94558 257-1770 (See Family Caregiver Support Program, Area Agency on Aging, provides funds for grab bars, wheelchair ramps, etc.) St. Helena 811 Main St. Stl Helena CA 963-0931 Born to Age 226-7127 Calistoga: 911 Washington St. 709-2300 Napa County 2013 Born .. .. Age to Quality of Life 43 )()( )()( PDFLogo.indd 1 SUPPORT GROUPS cont. Caregivers Support Group Every Wednesday, 6-8 p.m. Napa Valley Adult Services, 414 Jefferson St. Caregiver Support Group with Respite First Thursday, 1-3 p.m. Napa Valley Adult Services 414 Jefferson St. Diabetes Wellness Support Group 2nd Wednesday, 6-7 p.m. Queen of the Valley Hospital Wellness Center Arlene, 252-4411, Ext. 2391 Food Addicts in Recovery Mondays, 7-8:30 p.m. Queen of the Valley Medical Center Jane 254-7699 [email protected] Fibromyalgia Chronic Fatigue Syndrome Call for times and meetings Napa Valley College Building 800 Room 831 Rebecca Thompson, 224-9039 Hearing Support Group 3rd Wednesday of each month, 1 p.m. Napa Senior Center 1500 Jefferson St., Napa LGBT Senior Support Group Meets the First Tues. of each month Call Gary Shepard for time and location: 583-2330 Napalgbtqproject.org Lyme Disease Support Group First Tues., 6:30 p.m. potluck Best Western Inn Conference Room Imola and Soscol Lupe Herrera: 257-8531 [email protected] Mood Disorders Support Group Mondays, 7-9 p.m. Clinic Ole 1411 Pear Tree Lane, Napa Multiple Sclerosis Support Group Napa, 2nd Friday, 2:30-4:30 p.m. Kaiser Permanente Conference Room 3285 Claremont, Napa Penelope, 265-9680 Ostomy Support Group 2nd Tuesday every other month, 3:30 p.m. December, February, April, June Queen of the Valley Hospital Kathy Winston, 252-4411, ext. 2810 Stop Smoking Support Group Free ongoing classes and a support group can help you quit. At various locations in Napa in Spanish and English, on different nights of the week. Call to register. Free. Info: [email protected] or 253-6100, ext. 132. Stroke Survivors Group Second Tuesday of each month, 3 p.m. Queen of the Valley Medical Center Community Outreach 3448 Villa Lane, Suite 102 Napa, CA Kate Candland: 252-4411 ext 2819 [email protected] Weight Watchers Mondays 5:45 p.m., Wednesdays 12:30 p.m. Fridays 9 a.m., Saturdays 8 a.m. and 9:30 a.m. Foothill Christian Fellowship 2898 Laurel St., Napa For information, call 800-651-6000 TRANSPORTATION & ESCORT SERVICES American Cancer Society 1031 Jefferson St. Napa, CA 94559 255-5911, press 3 1-800-ACS-2345, press 3 www.cancer.org Volunteer drivers assist cancer patients with transportation to and from treatment facilities. Limited out of county transportation. Travel reimbursement assistance for people in need. Assistance with out of county lodging during cancer treatment. Area Agency on Aging Serving Napa and Solano 400 Contra Costa St. Vallejo, CA 94590 644-6612, 643-1797 1-800-510-2020 www.aaans.org (See ad on page 33) Continued on Page 44 12/12/2008 2:08:59 PM Hearts That Matter 68 Coombs St., A-9 Napa, CA 94558 252-7569 Van rides with wheelchair access. Reasonable rates. (See ad on page 3) Molly’s Angels Free rides to medical appointments 1200 Second St., #255 Napa, CA 94559 224-8971 Taxi Scrip 1151 Pearl St. Napa, CA 94558 255-7631 Eligible persons must live in Napa, Yountville or within portions of the County (call for verification), and be 65 or older or disabled of any age. Registration is required, call for a packet. May purchase up to 3 booklets of tickets monthly. Booklet valued at $20 at a cost of $10 each. Booklets may be purchased by U.S. Mail or at the VINE Transit Center (1151 Pearl St. in Napa) or at Napa Senior Center (1500 Jefferson St.) VINE Transit 625 Burnell St., Napa, CA 94559 707/251-2800 or 800/696-6443 www.ridethevine.com Local Fixed Routes 1 to 8 operate within the City of Napa, Monday to Saturday. Regional Route 10 and 11 operate in Napa Valley from Calistoga to the Vallejo Ferry, Monday to Sunday. VINE Route 29 Commuter Express operates Monday to Friday, between Napa County and Vallejo Ferry Building and the BART El Cerrito Del Norte station. The VINE 25 Napa-Sonoma Express operates Monday-Friday. The VINE 20 Napa-Fairfield Express will begin service in the spring of 2013. Customer Service Office is open M-F from 7:30 am to 5:30 pm, and 10 am to 2 pm on Saturday. All buses are wheelchair accessible. Call for hours of operation and transit schedule information. Transit Ambassador Program 707-259-8631 www.ridethevine.com For many seniors who may not have been on the bus in decades, the VINE’s Transit Ambassador Program provides a travel buddy to teach folks everything they need to know to ride the bus. In addition, a transit ambassador will actually ride around town on the bus with the senior until they feel comfortable traveling alone. The service is offered free of charge, and participants receive a 31 day bus pass. VINE Go Paratransit Service Napa – 707/252-2600 Up Valley – 707/963-4222 American Canyon – 707/556-8221 www.ridethevine.com Door-to-door paratransit service in Napa Valley for ADA (Americans with Disabilities Act) eligible individuals who are unable to use regular bus service. Riders must complete an eligibility application and process to determine their ability to ride a regular bus. Reservations are required and may be made on the same day, to 7 days in advance. VINE GO provides door-to-door transportation to anywhere in the VINE service area, for any purpose, during the same days and hours of operation as the regular VINE bus service. The fare is $3.00-6.00 per ride depending on distance travelled. VINE Go will not provide service to individuals whose transportation needs can be met by other local public transit services. American Canyon Transit 707/557-7557 www.ridethevine.com American Canyon Transit (ACT) is a deviated, fixed route service with two routes on weekdays. Door-to-door deviations from the published route are permitted for seniors during Core Service hours of 10 a.m. to 4 p.m. Seniors (age 65 and older) may make same day deviated requests by calling 557-7557. The cost is 50 cents to ride the route, or $1.00 for a deviated pickup and drop off. Buses are wheelchair accessible. Born .. .. Age 44 Quality of Life to )()( )()( PDFLogo.indd 1 Veterans Benefits to Pay for Long Term Care ost veterans and surviving spouses M who are in need of assisted living or in-home care, can qualify for the "Aid and Attendance" Benefit offered by the Veteran's Administration. The benefit can pay up to $2,019 per month to a married veteran, and a single or widowed veteran can receive up to $1,703 per month. Unmarried surviving spouses can received up to $1,094 a month. All of these benefits are tax free. Under this program, money is awarded based on need and there are certain income and asset requirements. The veteran or spouse applying must show that while assistance may not be needed with everything, there is help needed with bathing, dressing/ undressing, medications, transferring or other care on a daily basis. This is the type of care provided in assisted living, or by an in-home care companion. Assets cannot be excessive, as determined by the VA on a case by case basis. lot area. There is no set limit on how much net worth a surviving spouse and his or her children can have, but net worth cannot be excessive. The decision as to whether a claimant’s net worth is excessive depends on the facts of each individual case. All net worth should be reported and VA will determine if a claimant’s assets are of a sufficient amount that the claimant could live off these assets for a reasonable period of time. The veteran must have served one day during a period of war and had at least 90 days of active duty. Eligibility must be proven by filing the proper Veteran's Application for Pension or Compensation (Form 21-534 for surviving spouse) (Form 21-526 veteran). This application will require a copy of the the DD214 (discharge papers), a medical evaluation from the physician, current medical isues, net worth limitations, net income and out-ofpocket medical expenses. 12/12/2008 2:08:59 PM TRANSPORTATION & ESCORT SERVICES cont. Calistoga Shuttle 707/963-4229 www.ridethevine.com Calistoga Shuttle is an on-demand, door-to-door, transit service within city limits. No advanced reservations are required. Buses are wheelchair accessible. The cost is $1 per ride. Call 963-4229 for a pickup. Hours: Monday-Thursday, 7 a.m. to 9 p.m., Friday, 7 a.m. to 11 p.m., Saturday, 8:15 a.m. to 11 p.m., Sunday, 11 a.m. to 9 p.m. St. Helena Shuttle 707/963-3007 www.ridethevine.com The St. Helena Shuttle is a deviated fixed route service within the Citiy of St. Helena which also provides 3 round trips daily to St. Helena Approval takes about six months, but Hospital. Service is available only within St. Helena city limits, and not the VA is supposed to give priority east of Silverado Trail. The service to any application for benefits by a is free for seniors who ride the route, veteran over age 70. If the benefit or 50 cents for the deviated pickup. is approved, the money awarded is Make same day pickups by calling: retroactive to date of application. 963-3007. Hours of operations: Monday-Friday, 7:45 a.m. to 5 p.m. For more information, contact the Napa County Veteran’s AdministraWhat about Net Worth? Net worth Yountville Trolley means the net value of the assets of the tion, 900 Coombs St., Suite 257. 707/944-1234 surviving spouse and his or her children. 253-4558. Design Benefits/Medi707/312-1509 Request Line Cal Consultants will also help with It includes such assets as bank applying for benefits. 707-795-2282. www.ridethevine.com accounts, stocks, bonds, mutual funds, Website information is available at: some annuities and trust funds and The Yountville Trolley is a deviated www.veteransaid.org. any property other than the surviving fixed route service in the Town of spouse’s residence and a reasonable Yountville. Free to seniors. For a deviated, door-to-door pickup, call 312-1509. Hours of operation, Monday-Saturday, 10 a.m. to 11 p.m.; Sunday, 10 a.m. to 7 p.m. VA AID & ATTENDANCE or MEDI-CAL... Which Government Program Can Best Help Your Loved One Pay for Long Term Care? ❖ Wartime Veterans & Surviving Spouses can receive $13,000 to $31,000 Tax Free Annual Pension to pay for In-Home Care or Assisted Living Care ❖ Most Nursing Home Residents Can Qualify for Medi-Cal IF You Act Before California Laws Change Soon! ❖ We Understand The Complicated Rules for Both Programs You Get Results! ❖ Better Business Bureau A+ Rating Call DESIGN BENEFITS for a FREE Consultation: 1-800-728-6646 Websites: www.designbenefits.info www.warvetbenefits.org Email: [email protected] Napa County 2013 Queen’s Carriage 252-4411, Ext: 2011 Provides transportation to and from the hospital, outpatient services and Clinic Ole. When possible, will pick up seniors visiting hospitalized spouses. Operates 8 a.m. to 4:30 p.m. Serves south to American Canyon, north to Yountville. VETERAN’S SERVICES Design Benefits Medi-Cal Consulting Will help qualify and prepare forms for VA Aids and Attendance Benefit 795-2282, 800-728-6646 (See ad on page 44) Napa Veteran’s’ Services 900 Coombs St., Suite 257 253-4558 VISUALLY IMPAIRED SERVICES Books for the Blind and Physically Handicapped 900 N St. Sacramento, CA 95814 1-800-952-5666 California Telephone Access Program (CTAP) Inside Ed Roberts Campus at Ashby BART 3075 Adeline, Suite 260 Berkeley, CA 94703 1-800-806-1191 (See ad on page 39) Earle Baum Center for the Blind 523-3222 Guide Dogs for the Blind, Inc. 350 Los Ranchitos Road San Rafael, CA 94903 800-295-4050 Support Group for the Visually Impaired Via Telephone every Tuesday from 1:30 to 2:30 p.m. 1-800-592-9052 WELLNESS CHECKS Area Agency on Aging Serving Napa and Solano 400 Contra Costa St. Vallejo, CA 94590 644-6612, 643-1797 1-800-510-2020 www.aaans.org (See ad on page 33) Born .. .. Age Napa County 2013 to Quality of Life 45 )()( )()( PDFLogo.indd 1 WHEELCHAIR LIFTS Lift & Accessibility Solutions 2615 Alton Lane Santa Rosa, CA 95403 Office 707-538-3210 Mobile 707-889-1235 Fax 707-324-8184 www.jonathansson.com Lift & Accessibility Solutions is an elevator contracting firm that modifies homes to improve accessibility and mobility for the elderly and disabled. (See ad on page 39) WHEELCHAIR TRANSPORTATION Napa Valley Senior Care, Inc. 510-333-8509 WOUND CARE Family Drug 1805 Old Sonoma Rd. Napa, CA 94559 224-7807 (See ad on page 38) Your Home…Nursing Services 3188 Jefferson St. Napa, CA 94558 224-7780 www.yourhomenursingsvs.com (See ad on page 30) How to Argue With Siblings About Your Aging Parents L ots of Boomer-aged siblings find themselves fighting about their aging parents. Should Mom be allowed to stay in her home even though she’s really not safe living alone? How about the driving issue? Does one parent have Alzheimer’s or some other dementia and some siblings are in denial about it? These are common areas of disagreement in families that can tear apart relationships if you are not mindful of how you fight. You can’t stop your brothers or sisters from having a different way of seeing your parent’s situation, but you can change the way you approach the conversation with them. Getting along, agreeing to disagree and other struggles are manageable if you know how. YES! Please contact me for advertising in the Born to Age 2014 Napa County Directory Name:________________________________________________ Address:______________________________________________ Phone number:_________________________________________ Any comments on this directory? ___________________________ _____________________________________________________ _____________________________________________________ Suggestions for next year?________________________________ _____________________________________________________ _____________________________________________________ Send to: Born to Age P.O. Box 6863 Napa, CA 95581 707-226-7127 www.borntoage.com 12/12/2008 2:08:59 PM In some ways it’s like the fair fighting rules for married people or couples. There are things you can do and things you should never do. The most destructive things we do when we are in a conflict with siblings can’t be undone. Emotionally loaded subjects can bring out the worst in families. If you are aware of fighting fair, you have a better chance of still being on speaking terms with siblings after your parents pass on. Some of the worst mistakes are the same for any fight: they are verbally violent and cause harm that may last long after the fight ends. The basics of fair fighting are the equivalent of not “hitting below the belt”. They include setting up a few ground rules. We use them at AgingParents.com when we have to work with sibling warfare in a family meeting by phone or in person, sitting at a table. The subject of parents in declining health brings up a lot of feelings, good or not, about the parent and each person’s relationship with the parent. It also brings up a lot about the siblings relationships with each other, sometimes things never discussed before. Things can get explosive. Here are ground rules we always ask people to follow to keep it civil, though some can’t seem to restrain themselves from doing otherwise. These rules do help everyone actually communicate while struggling with a load of emotions rising to the surface about Mom or Dad. 1. No name calling, no swearing and cursing, and no shouting at each other. These are all forms of verbal violence and they can cause hurt you never imagined and may not mean to cause. Restrain yourself and see if everyone can agree to do the same. 2. Define among you what you’re going to talk about ahead of the conversation and stick to it. It will reduce the magnitude of the disagreement and keep the door closed, for now, on other volatile subjects. Make a list or agenda if you need to. It can help. 3. Agree to avoid bringing up the past, especially about decades old hurts. If you focus on what Mom or Dad needs, things will go a lot better. Stick to the problem with your parent that caused this conversation in the first place. 4. Don’t start sentences with “You”. Statements like “You can’t be bothered!” or “You don’t care about anyone else.” don’t get anyone anywhere in a fight. They tend to make the other sibling defensive and it gets worse from there. 5. No interrupting. You need to listen to the sibling who is talking. It helps to have a leader in the conversation to keep this rule in force. If there isn’t one, you can remind others that we agreed to not interrupt each other. 6. Don’t clam up, no matter how angry you get in a fight with a sibling,. Be honest about your feelings and keep your message about what you want to do clear. Take a breath or take a break, but come back and be straight about what is bothering you. 7. Ask your sibling what he or she needs. It sounds simple, but this rarely happens. You can find out a lot about how to resolve your disagreements if you ask more questions of those who are involved in the fight with you. If a sibling is angry with you because there is something he or she is not getting, perhaps they’ll admit it and you can do something about it. 8. Avoid absolute statements like “you never contribute a dime” or “I always know you’ll disappear when there’s work to do”. If you try another tack such as “I’m feeling overwhelmed by the work of taking care of Dad and I would like you to come next month and give me a break” is going to work a lot better than the “always’, “never” extreme statements. No matter how your relationships have been with siblings in the past, we can all do better when an aging parent conflict comes up. The rules of fair fighting work. Try discussing them, passing them around or testing the waters with siblings by bringing up the idea before any meeting at which you anticipate an argument. It might be a big relief to you when things go better than ever. Carolyn Rosenblatt, R.N., J.D. AgingParents.com 46 Quality of Life Born .. .. Age to )()( )()( PDFLogo.indd 1 12/12/2008 2:08:59 PM W family members or friends providing care. This service is for people with very low income...usually receiving SSI, and must be on Medi-Cal, as well as Medicare. It is a county run program. Information for IHSS qualification is at 707-784-8259. hat are the options open to me, and how will the government pay for it? The government does not usually pay for custodial care at home. Custodial care, means that if a person needs help with bathing, housekeeping, food preparation and/or medication monitoring mostly, they will have to pay for it out of pocket. Medicare only pays for skilled medical care, that is usually provided by therapists, nurses and social workers, intermittently. B. Long Term Care Medi-Cal. The basic requirements to qualify for Medi-Cal are that you are in a nursing home, at least 65 year old, (or blind or disabled), and medical/nursing bills exceed your income, and your countable assets do not exceed $2,000. You must also be a U.S. citizen, or lawful permanent resident of California. A partial list of exempt (noncountable) assets include: a home, houseboat, mobile home and multi-unit dwelling if you live in one of the units some time before entering a nursing home; household goods and personal effects– wedding, engagement rings and heirloom jewelry, one car, burial plots, prepaid burial plan, and some annuity or pension plans if payments of principal and interest are being made. Ways to Finance Long Term Care Medicare does not pay for assisted living, board and care nor custodial home care. There are also eligibility requirements for paying nursing home care, incluidng a limit of coverage based on utilizataion of days, and skilled care. So, for the first 30-90 days of nursing home a person may be covered under Medicare, but this often changes to no coverage once the person is stabilized and in custodial, long term care. Home Care costs about $23-25 an hour (see page 28-32) for costs and minimums, and most agencies require a 4-hour daily minimum. A board and care can run between $2,500 to $4,000 for semi-private and/or private room, and assisted living can run between $3,500-$5,500 a month. So, if a loved one needs home care, or placement into a board and care home, or assisted living facility, here are the options available. 1. Private pay. Many people pay for services out of savings and retirement accounts. Assets are spent on services, based on ability to pay. If a home is owned, a reverse mortgage might be an additional source of funds for this type of care. A reverse mortgage is available for seniors only. Another option is a home equity line of credit, or selling the home to a trusted friend/family member and leasing it back. 2. The Veteran's Aid and Attendance Benefit. This can supplement private pay, but one must prove eligibility for services. (see page 37 for details). This benefit is retroactive from time of application, and can take up to one year to determine eligibility and payment. This benefit can help pay for home care, or assisted living care. It does not pay for rent or lodging expenses, but is restricted to medical and care services. 3. Long Term Care Insurance. Read the policy very carefully. Some only cover nursing home or assisted living care. Or, provide a daily limit that covers only a portion of the care. some policies sold in the 1990s are basically useless today, unless a person wants to go straight to live in a nursing home. If you have a policy purchased before 2010, review it carefully to make sure it is actually going to provide funding for the services you might prefer. Policy review is available without charge from advocates from the Health Insurance Counseling and Advocacy Program (HICAP). Call 1-800-434-0222 to make an appointment for a review of your policy. 4. Medi-Cal: There are two type of Medi-Cal available to Californians: A. Medi-Cal for low income seniors/ and people with disabilities. If on Medicare/Medi-Cal and additional assistance is needed with activities of daily living at home, one might be eligible for In-Home Supportive Assistance (IHSS). This program pays for an alloted number of hours of care at home, dependent on an assessment by a social worker. Payment for services can also be made to eligible Napa County 2013 It is a good idea to speak with a Medi-Cal planning expert to determine planning and eligibility for Medi-Cal. Medi-Cal does not pay for room and board at any assisted living or board and care home. It also does not pay for private home care. And, finally, the big question: What Happens When We Run Out of Money? Sometimes families pitch in funding on a month-to-month basis to supplement care. For example, the monthly SSI stipend may not provide enough money for a board and care home, so the children or other friends add money, as needed. Or, when the well runs dry, Medi-Cal eligibility and nursing home placement for long term care becomes one reality that may need to be faced. There are very few options available for low income seniors. Patching together services, family support and spending down assets seems to be the path followed most often. Questions about any of the above, including referrals to other resources, are available at Born To Age, 707-226-7127. If You’ve Ever Worked in the U.S. Atomic Industry Compensation and medical benefits to current or former civilian employees who’ve worked at certain government or privately owned medical facilities where atomic weapons were produced or tested, are now available from the Energy Employees Occupational Illness Compensation Program in Livermore. Lump sum benefits of up to $150,000, to qualified claimants, are available if claimants worked in a covered facility and developed radiogenic cancer, beryllium disease or silicosis. Qualified survivors of these deceased workers may also be eligible for compensation. While the amount of compensation may vary, most employees found to have a work related illnedss will receive a federal payment and medical benefits for the treatment of the covered condition. If you have worked, or know of someone who’s worked at a designated Department of Energy facility, Please call, 866-606-6302 or 925-606-6302, for more information. Napa County 2013 Born .. .. Age to )()( )()( PDFLogo.indd 1 lderly patients should not be taking some of the psychoactive drugs they are now routinely prescribed, warns both the California Association of Nursing Home Reform (CANHR) and a leading expert in Alzheimer's and dementia, Jeffery Berlant, M.D., Ph.D of Kentfield. The risk of death, increased confusion, toxicity and even more anxiety are so significant, that CANHR has issued a report with the statement that the FDA has issued a a black box warning, a dire warning, that antipsychotic drugs can cause elders with dementia to die. 12/12/2008 2:08:59 PM dementia patient benefit from Haldol. There is no evidence that it works." E PSYCHOACTIVE DRUGS: EXPERTS WARN OF MISUSE WITH THE ELDERLY Risperdal (risperidone), is one such drug, and is not approved for the treatment of patients with dementiarelated psychosis, according to the CANHR report. Other psychoactive drugs commonly used on elderly patients include Seroquel, Ativan, Haldol, Zyprexa and Valium. According to the report, "Psychoactive drugs have positive uses, such as treating depression. However, many nursing homes routinely use psychoactive drugs as a substitute for needed care and a form of chemical restraint. A chemical restraint is any drug used for discipline or convenience, and not required to treat medical symptoms. Berlant, who recently spoke before the Marin County Section on Aging, calls it a form of patient management, or Sleep Therapy. The patient is sedated to the point of oblivion, so that they're no longer a behavioral problem. They're just simply not there." Sedating, according to Berlant, may be the easiest way to get a patient under control if they are agitated or assaultive, but it is not an acceptable long term solution. Some of these medications cause further problems with delusions and agitation, actually worsening the dementia. Ativan and Lorazapam, he said, "contain agents that predictably put them to sleep, but also an increase delirium and confusion, and people actually get worse because they can no longer process information." "These medicines," he warns, "have to be used judiciously and very carefully." Adding, "Never, in my 32 years of practicing medicine have I seen a Quality of Life 47 Berlant added that drugging patients into oblivion can also be an ethical dilemma: "Is it better to keep people in oblivion, or should they still be able to be aware of the tragedy of the human condition? I think they should be aware. " Many primary doctors who are prescribing these medications, aren"t getting the message that this isn't in the best interest of their patients, agrees Berland. Use of these drugs is also encouraged by some nursing homes, and assisted living facilities as a method of keeping certain behaviors under control. Instead, Berlant recommends doing something that studies have found to work: increased social contact and oneon-one interactions. Ignoring people, or leaving them alone for most of the day (except for meals), often brings up the agitation and frustration. "Patients left alone will act up to get attention," he points out. The CANHR report also states that the best way to stop unnecessary drugging is improving response to behavioral symptoms of dementia. The local Alzheimer's Assocation, for example, often holds training, and has many books and fact sheets that can assist. In Napa County, call: 573-1210 24-Hour Helpline: 800-272-3900 QUESTIONS TO ASK WHEN PSYCHOACTIVE DRUGS ARE PROPOSED: 1. What specific symptoms or behaviors are being treated? 2. Have all possible causes been ruled out (pain, dehydration, infection, sleep disruptions) 3. Has the doctor recently examined the patient to determine the need for the drug? 4. What alternative treatments have been tried, what options are available? 5. What are risks and side effects of drug? 6. Has the FDA issued a black box warning for this drug? 7. Has the FDA approved the drug for this purpose? 8. How will side effects be monitored, who will do it? 9. Will the drug interact with other medications? 10. Is the proposed drug duplicating other current medications? 11. Will the lowest possible dose be startd? Toxic Medicine: What You Should Know to Fight the Misuse of Psychoactive Drugs in California Nursing Homes Please go to the CANHR website and download the guide: www.canhr.org 12. When and how often will the need for the drug be reassessed? The CANHR report is available online at: www. canhr.org 48 Final Wishes Born .. .. Age Napa County 2013 to )()( )()( PDFLogo.indd 1 12/12/2008 2:08:59 PM Tulocay 411 Coombsville Rd. Napa, CA 94559 252-4727 BODY DONATION UC San Francisco Willed Body Program Department of Anatomy School of Medicine, AC-14 San Francisco, CA 415-476-1981 ESTATE ADMINISTRATION Jim Nord P.O. Box 690 Napa, CA 94558 255-5429 (See ad on page 9) CEMETERY Tulocay 411 Coombsville Rd. Napa, CA 94559 252-4727 Pacific Fiduciary Services P.O. Box 2947 Suisun City, CA 94585 Phone: (707) 426-0926 Thomas J. Kiernan, CLPF Email: [email protected] CREMATION SERVICES Final Wishes: Index to Articles Transitions for Palliative Care: .........................................................49 Consumer Protection Price Survey on Death Arrangements - Napa County..................................................50 Acacia Cremation and Burial Society 925-775-4462 or 877-916-4779 www.acaciasociety.com Affordable cremation, burial and scattering services FD 2046 and FD 2103 Private Professional Fiduciary as trustee, personal representative, attorney-in-fact and conservator. (See ad on page 9) Napa Valley Hospice Adult Day Services Compassion. Dignity. Connection. 707- 258-9080 s www.nvhads.org Napa County 2013 Born .. .. Age to Final Wishes 49 )()( )()( PDFLogo.indd 1 little help is available. And, any home care is paid for out of pocket. Transitions, however, provided them additional support and resources so that Steve had professional guidance, and a little more emotional help for the rough spots of caring for his wife all the time. Loretta, once an active social worker and martial arts instructor, is now only able to move her eyes from right to left. She can no longer even blink. Transitions for Palliative Care W Not able to swallow or speak, Loretta’s eyes move over an alphabet card when she can focus in on a letter as Steve patiently asks, “a, b, or c” and waits for an eye movement for acknowledgement. Bit by bit, they can form a word and he waves his arms to the left or right for a yes or no answer. hen Steve Silvagni of Napa needed more help in caring for his wife, Loretta, he started asking around to find out what was available. With a diagnosis of progressive Lou Gehrig’s Disease, Loretta, age 62, had struggled for eight years with what started as a hoarse voice and neck pain, to an eventual total paralysis. Now, she’s fed by a tube going into her stomach and breathes through a tube extending out of her throat. Today, she is on life support machines, not in a hospital, but in her own living room. And, with these technological advances, can live this way for an indeterminate time. “We had a computer set up where she could blink for the letters, but blinking no longer works. Now, she stares at a box on the letter, and if she stares long enough, it changes color,” he says, explaining the Steve was caring for her, all alone, until about a year ago, when he phoned a hospice nurse saying, “Help, I don’t know how much longer I can do this on my own.” technology of their conversations. “Eventually, she’ll be totally locked in her body and not able to communicate at all.” Because Loretta was on life saving machines, she didn’t qualify for hospice services, which are essentially available only for people with a six month prognosis. And, she wasn’t in the process of dying. “I was getting exhausted, tired, frustrated and feeling like I was out on a limb,” he says. Luckily for the Silvagni’s, Napa Valley Hospice & Adult Day Services had just opened a brand new program, Transitions, which is specifically targeted to provide Palliative Care for people who need support through serious illness, chronic, long term conditions, but are not ready for hospice. Some receive home health care as well, which is paid for by Medicare, private insurances and Medi-Cal. Since Loretta is not dying, nor in need of skilled nursing care or therapies, she fell into a category where 12/12/2008 2:08:59 PM A spiritual care provider has also visited the family. And, a volunteer visits for a couple of hours a week. When Loretta asks for water, Steve has to find out whether she wants it with her food, or on a washcloth to cool down her face. He talks loudly over the whirring of the fan, and machine noise from the ventilator. “Her mind is fine,” he says, “she’s all there in her mind. Totally intact.” “We’ve also had conversations about what would happen if Steve was no longer here, or able to provide care,” says Fontana. “I’ve had to find nursing homes that would take a person on a ventilator, and they weren’t found here in Napa County.” Fontana has over 50 cases she manages and, she points out, that while all fit under the Palliative Care umbrella, each person is unique in what support and resources are needed. Steve was caring for her, all alone, until about a year ago, when he phoned a hospice nurse saying, “Help, I don’t know how much longer I can do this on my own.” Transitions nurse Angela Fontana, R.N, taught him how to monitor Loretta’s stomach to prevent overfeeding, how to manage her skin care, and explained what may happen when the time comes to remove Loretta from her life sustaining machines. “Basically,” says Fontana, “we provided a lot of emotional support, and we also suggested new things for pain and symptom management.” They were also hooked up with a home visiting physician who recently visited to administer a flu shot. Fontana visits once a month and phones in on a weekly basis. Mostly, too, she’s there to talk about many of the end of life questions that come up between the Silvagnis and family members. “Each one is different. So, what Transitions promotes is symptom management, education and end of life support.” There is also no charge for her services since the program is supported by grants and donations. This year a nominal sliding fee scale will be available for those that are able to contribute for the services. No one will be turned away if unable to pay. The program will also continue to be funded through grants and donations too. Business is expanding so quickly, that a second nurse was recently hired. “Sometimes there’s not a lot you can do, but having someone who understands the situation, and be the shoulder to lean on can make a difference,” says Silvagni, who retired from this teaching job to be a fulltime caregiver. “Five years ago, Loretta was given six months to live, and she’s still with us now.” Recently Loretta was diagnosed with a slow growing breast cancer and Steve sees the irony. Not pursuing aggressive treatment, the doctors agree that the Lou Gehrig’s will probably progress faster than the cancer. “When she came home after the diagnosis, she typed on her computer, ‘Oh well, another terminal disease,’” says Steve. “She has a great sense of humor.” Anyone can make a referral to the Transitions Program. If you have a serious illness (chronic, long term illness or condition) and can use some additional support, call 255-9080. When to Ask Your Doctor for Palliative Care [[ If you have a progressive, advanced illness, such as: Multiple Sclerosis, Cancer, Lou Gehrig's Disease, Congestive Heart Failure, COPD, etc. [[ If you have multiple diseases with complex and significant symptoms. [[ If you have multiple emergency room visits or hospitalizations in a year. [[ If you or family are uncertain regarding goals of care. [[ If you need additional support in end-of-life decision making. Palliative care is NOT Hospice Care. You can be receiving curative treatment, home heatlh care, or other in home services. Born .. .. Age Napa County 2013 to 50 Final Wishes )()( )()( PDFLogo.indd 1 FUNERAL SERVICES PRE-PLANNING ARRANGEMENTS Acacia Cremation and Burial Society 925-775-4462 or 877-916-4779 www.acaciasociety.com Affordable cremation, burial and scattering services FD2046 and FD2103 Tulocay 411 Coombsville Rd. Napa, CA 94559 252-4727 12/12/2008 2:08:59 PM GRIEF SUPPORT GROUPS ORGAN DONATIONS Hospice of Napa Valley 414 S. Jefferson St., Napa, CA 258-9080 “Tea and Comfort” Tuesdays, 4:00-5:30 p.m. “Coffee and Conversation” for Men only Fridays, 9:30-11 a.m. Napa Grief Support Thursdays, 4-5:30 p.m. Loss of a Loved One to Suicide Wednesdays, 4-5:30 p.m. (See ad on page 48) (See body donation) HOSPICE California Transplant Donor Network 1611 Telegraph Ave., Suite 600 Oakland, CA 94612 888-570-9400 PALLIATIVE CARE Transitions Palliative Care 414 South Jefferson St. Napa, CA 94559 254-4161 Napa Valley Hospice and Adult Day Services 414 S. Jefferson St. Napa, CA 94559 258-9080 (See ad on page 48) TRUST / PROBATE ADMINISTRATION Jim Nord P.O. Box 690 Napa, CA 255-5429 (See ad on page 9) Pacific Fiduciary Services P.O. Box 2947 Suisun City, CA 94585 Phone: (707) 426-0926 Thomas J. Kiernan, CLPF Email: [email protected] Private Professional Fiduciary as trustee, personal representative, attorney-in-fact and conservator. (See ad on page 9) Paul M. Hoff Zeller, Hoff & Zeller 929 Randolph St. Napa, CA 94559 252-6633 (See ad on page 11) Consumer Protection Price Survey on Death Arrangements - Napa County Direct Cremation Crematory Fee Containers 3-Day Storage Deposition Permit $11 Death Cert. $16 Total Cost of Direct Cremation Direct Burial Lowest Listed Casket 3-Day Storage Deposition Permit $11 Death Cert. $16 Total Cost of Direct Burial $1280 Included Included Included $14 $1294 $1295 $990 Included $14 $2504 $1195 Included Included Included $14 $1309 $1690 Cardboard container included Included $14 $1704 Claffey & Rota Funeral Home $1095 Included Included Included $14 $1209 $1200 $495 Included $14 $1709 Morrison's Funeral Chapel $1995 Included $145 (lowest listed) Included $14 $2054 $3090 Included Included $14 $3104 Napa Valley Memorial Park Mortuary $1540 Included $45 Included $14 $1599 $1565 $295 Included $14 $1879 Acacia Cremation & Burial Society $749 Included Included Included Permit included Death cert $14 $763 $1540 Included Included Included $1540 Treadway & Wigger Funeral Chapel Tulocay Cemetery (Non -profit) We welcome comparisons In updating this survey for 2013, Born to Age only compared the prices for either a direct cremation or immediate/direct burial. Each of the mortuaries have extensive price lists of all their package deals, and must disclose the charges for everything involved in planning a funeral. Anyone can request a price list at anytime. Local mortuaries charge a range of prices for the similar services. Compare prices. Prices can change and cannot be guaranteed from this chart. Before you start looking around, decide exactly what you'd like in terms of final arrangements. Not everyone wants a direct cremation or burial. But, know that the mortuaries do have price lists for everything,from caskets, to mementos, and even jewelry. What Direct Cremation usually includes: 1. An alternative container (usually a cardboard container) 2. Removal of the body within the mortuary service area and transportation to the crematorium. (usually within 7-35 miles). 3. A 3-day storage fee. 4. Obtaining required permits. 5. Cost of using a crematory. Prepared August 2012 by Born to Age. All prices were taken from general price lists. What Direct Burial usually includes 1. Obtaining necessary permits. 2. Removal of the body within the mortuary's local service area (usually within 7-35 miles from a facility) and transportation to a local cemetery. 3. A 3-day storage fee Born ..to.. Age We Have Retirement Napa County 2013 OPTIONS )()( )()( PDFLogo.indd 1 12/12/2008 2:08:59 PM Neighbor to Neighbor 51 Born .. .. Age Napa County 2013 24 HOUR SKILLED NURSING to 52 )()( )()( PDFLogo.indd 1 Therapy services N apa Valley Care Center is a premier skilled nursing facility that offers short-term rehabilitation and advanced medical care for patients • Hip/knee fracture rehabilitation • Joint replacement • Stroke rehabilitation • Post cardiac surgery With our use of advanced reporting tools and modern equipment, our • Post general surgery patients experience a seamless delivery of rehabilitation and medical • Swallowing disorders services, leading to the best possible outcome and a speedy recovery Skilled nursing services IV/antibiotic therapy • Pain management • Restorative nursing and dining programs • Diabetic management • Wound care treatment • Respiratory management • Hospice and respite care for yourself our commitment to excellence. e n of th Quee Hospital Valley as Tranc St. ane • We invite you to stop by anytime for a personalized tour. Experience Villa L Personalized care plans longer term care for residents whose stay is more indefinite. t. son S • whose stay ranges from a few days up to several weeks. We also offer Jeffer 12-1703 12/12/2008 2:08:59 PM tel (707) 257-0931 fax (707) 258-5526 www.NapaValleyCareCenter.com