Napa Valley Senior Care, Inc.

Transcription

Born .. .. Age
Napa County 2013
Quality of Life 27
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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
Vallejo, CA 94590
644-6612, 643-1797
1-800-510-2020
www.aaans.org
(See ad on page 33)
for Older Adults
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
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
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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
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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).
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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.
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.
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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.
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Homemakers/Caregivers
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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
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Napa County 2013
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WHAT HOME CARE AGENCIES ARE CHARGING
FOR SERVICES IN NAPA
Caregiver Referral Services
(Ask for Caregiver Referral)
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
for Older Adults
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
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
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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
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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
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FAMILY CAREGIVER
SUPPORT SERVICES cont.
Family Caregiver Support Services
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
Napa and Solano
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
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
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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
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
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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
See ad on page 34)
St. Helena Hospital Home Care
27 Woodland Rd.
967-5770
HOME MODIFICATIONS
HEARING ASSISTANCE
Program (CTAP)
at Ashby BART
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.
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
Mark Singer, M.D.
3334 Sterling Ct.
Napa, CA 94558
365-5151
(See ad on page 35)
IN-HOME SUPPORTIVE SERVICES
for Older Adults
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
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
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
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
)()( )()(
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MEDICARE SERVICES
Partnership HealthPlan
of California
Fairfield, CA 94534
866-249-9933
TTY/TDD 800-226-2140
(See ad on page 17)
MEDICATION MONITORING
(See Caregivers for Hire)
Lifeline
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
Program (CTAP)
at Ashby BART
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)
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
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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
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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
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\
(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
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
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PHONES FOR VISION AND
HEARING IMPAIRED
Program (CTAP)
at Ashby BART
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)
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)
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
3188 Jefferson St.
Napa, CA 94558
224-7780
(See ad on page 30
SPEECH DISABLED
SERVICES & EQUIPMENT
Program (CTAP)
at Ashby BART
Berkeley, CA 94703
1-800-806-1191
(See ad on page 39)
STAIR LIFTS
2615 Alton Lane
Office 707-538-3210
Mobile 707-889-1235
Fax 707-324-8184
(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
Napa, CA  94559
258-9080
1st and 3rd Thursday, 1-3 p.m.,
(See ad on page 48)
Adult Day Health Care
Napa, CA 94558
800-834-1636
The group is not limited to those
dealing with Alzheimer’s disease
although many of the participants
are.
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.,
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
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
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PAID FOR BY A PRIVATE DONATION
41
42 Quality of Life
Born .. .. Age
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Napa County 2013
12/12/2008 2:08:59 PM
SERVICES FOR LOW INCOME SENIORS
Care Management
Care Network, Queen of the Valley
Hospital
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
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
Fairfield, CA 94534
866-249-9933
TTY/TDD 800-226-2100
Williams Automotive
Free Medical Equipment
224-9466
252-6121
TELEPHONES
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
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
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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.
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
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
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.
Napa and Solano
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
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
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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
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
Program (CTAP)
at Ashby BART
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
Napa and Solano
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
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WHEELCHAIR LIFTS
2615 Alton Lane
Office 707-538-3210
Mobile 707-889-1235
Fax 707-324-8184
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
510-333-8509
WOUND CARE
Family Drug
1805 Old Sonoma Rd.
Napa, CA 94559
224-7807
(See ad on page 38)
3188 Jefferson St.
Napa, CA 94558
224-7780
(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
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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
)()( )()(
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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
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
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
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

Napa Valley Senior Care, Inc.

Transcription

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