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Caregivers Need Relief, Respite from Alzheimer’s Too – Miami Herald

2012 May 14
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Congratulations to Leeza’s Place Program & Outreach Director Bonnie Bonomo of Leeza’s Place at Memorial Hospital Pembroke.  Her support programs for caregivers were recently featured in a article by the Miami Herald Newspaper.

Caregivers need relief, respite from Alzheimer’s, too


Doctors and health experts say it’s important for caregivers of patients with Alzheimer’s disease to take care of themselves. For some, support groups help.


Read more here: http://www.miamiherald.com/2012/05/12/2794501/caregivers-need-relief-respite.html


BY LAURA ISENSEE

Bonnie Bonomo at Leeza's PlaceTom and Margaret Canning have been married for 54 years. It’s a journey that has taken the pair, both natives of Ireland, from dancing in New York City to playing golf in Florida.
Alzheimer’s disease has marked the last decade of their marriage. Margaret, 79, has the disease and Tom, 82, takes care of her and their home in Pembroke Pines.
“We’re at the stage now where we don’t hold conversation. She will ramble on things that don’t have any meaning,” Canning said.
He still loves her and tries to be patient. To help, Canning takes care of himself. Support groups have helped him cope. Sessions on things like anger management have taught him key care-giving skills. And several days a week, Canning takes his wife to an adult center in Pembroke Pines. His wife, still a people-person, enjoys being with others. The time gives Canning a chance to exercise, do grocery shopping and take a break from caregiving.
“If it weren’t for that opportunity, it would be even more stressful,” Canning said.
Doctors and health experts say it’s important for caregivers like Canning to take care of themselves.
“There is a direct correlation between feeling better about yourself and taking care of yourself, the better it is for your patient,” said Bonnie Bonomo, a patient advocate for Leeza’s Place at Memorial Hospital Pembroke. The resource center offers social activities, support groups and educational classes for caregivers.
Said Bonomo: “Take your oxygen first, like in an airplane. It’s the same philosophy. If you’re not standing strong, rooted on the ground on two feet, you can’t possibly take care of someone else.”
Leeza's Place GuestDr. Saneet Kumar, a clinical psychologist with the Memorial Healthcare System, said often people who care for others with chronic illnesses often see their own health decline. They can’t sleep well, they eat fast food, exercise less and miss their doctor appointments. Emotional issues can emerge, such as depression, anxiety and irritability.
For caregivers of Alzheimer’s patients, the situation can grow more complicated, because their loved one may grow agitated and upset without their main caregiver.
“The caregiver feels really tied down to their loved one and they can’t leave. There’s really one person [the patient] feels safe around and for that person, their health starts to decline as well,” Kumar said. “The hardest thing to do for most caregivers is try to delegate responsibility to social services or to other family members.”
He said even an hour a day to run errands, take a walk, or plan a meal can help. He advised if a caregiver feels depressed more days than not in a two-week period, they should seek professional counseling. Exercise can be great medicine for mood, Kumar said, noting a goal would be exercise for 30 minutes to an hour three to four times a week.
Also, caregivers shouldn’t forget to laugh. A funny movie, a joke on the Internet or the comics in the paper can lighten the mood. Even 30 seconds of laughter can help someone cope.
“It can be hard to laugh for someone who’s going through Alzheimer’s disease or dementia. We find laughter is very good medicine and it’s very cheap and you don’t have to leave home to do that,” he said.
Canning counts his blessings. He said the support groups at Leeza’s Place have been a lifeline.
“If it weren’t for the goodness of God, I would be struggling. We all need people,” he said. “I don’t care what your situation is, there’s always a need for people to listen to your story and give you some advice.”

Caring for Elderly Parents Catches Many Unprepared

2012 March 27
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Taken from USA Today

By Christine Dugas, USA TODAY

Last July, Julie Baldocchi’s mother had a massive stroke and was paralyzed. Baldocchi suddenly had to become a family caregiver, something that she wasn’t prepared for.

“I was flying by the seat of my pants,” says Baldocchi, an employment specialist in San Francisco. Both of her parents are 83, and she knew her father couldn’t handle her mother’s care.

The hospital recommended putting her mother in a nursing home. Baldocchi wasn’t willing to do that. But moving her back into her parents’ home created other problems.

Baldocchi, 48, is married and lives about a mile away from her parents. She has a full-time job and has back problems that make it difficult for her to lift her mother. “I couldn’t do it all,” she says. “But I didn’t even know how to find help.”

With help from the Family Caregiver Alliance, she eventually hired a live-in caregiver. “But even if you plan intellectually and legally, you’re never ready for the emotional impact,” Baldocchi says. In the first two months after her mother’s stroke, she lost about 30 pounds as stress mounted.

More than 42 million Americans provide family caregiving for an adult who needs help with daily activities, according to a 2009 survey by the AARP. An additional 61.6 million provided at least some care during the year.

And many are unprepared.

Starting with the paperwork

While many parents lack an advance care directive, it’s the most basic and important step they can take. The directive includes several parts, including: a durable power of attorney, which gives someone legal authority to make financial decisions on another’s behalf; a health care proxy, which is similar to the power of attorney, except it allows someone to make decisions regarding medical treatment; and a living will that outlines instructions for end-of-life care. (For example, parents can say if they want to be kept alive by artificial measures.)

“It’s invaluable for the kids, because it’s hard to make those decisions for a parent,” says Jennifer Cona, an elder-law attorney at Genser Dubow Genser & Cona in Melville, N.Y.

An advance care directive is the first line of defense if a situation arises, says Kathleen Kelly, executive director of the Family Caregiver Alliance, which supports and educates caregivers.

Without an advance directive, the family will have to petition the court to be appointed the parent’s legal guardian, says AgingCare.com.

It’s important for families to talk about long-term care so the adult children know their parents’ preferences, wishes and goals, says Lynn Feinberg, a caregiving expert at AARP. But it’s not an easy conversation.

Elderly parents are sometimes suspicious of their children’s financial motives, says Susan John, a financial planner at Financial Focus in Wolfeboro, N.H. One client asked John to hold a family meeting because they needed an intermediary to talk about financial issues, she says.

And when there are many siblings, the family decisions can become a three-ring circus with much acrimony, says Ann-Margaret Carrozza, an elder-law attorney in Glen Cove, N.Y.

Families who need information and help sorting out disagreements can call on elder-law attorneys, financial planners, geriatric care managers and caregiver support groups. In February, AARP said it will offer its members a new caregiving support service through financial services firm Genworth.

Navigating the long-term care system

Many families are unprepared for quick decisions, especially when they find out that Medicare doesn’t pay for long-term care, Feinberg says.

The median cost of a year in a private room at a nursing home in 2011 was $77,745, according to Genworth. And only those who have spent most of their assets can qualify for Medicaid to pay for the nursing home.

Assisted living is another option. Residents can have their own apartment to maintain some independence. But the facilities generally provide personal care services, such as meals, housekeeping and assistance with activities.

Still, it’s not cheap: The national median cost in 2011 was $39,135, according to Genworth. Assisted living isn’t covered by Medicaid.

If they have a choice, at least 90% of elderly parents prefer to stay at home as long as they can, according to AARP research.

But if the parents can no longer safely live at home, it can be hard for children to move them into an adult care facility.

There may be another option. Sometimes the home can be modified so a parent can stay there. For example, Baldocchi put in a chair lift for her mother. She also arranged for a home caregiver.

The job of family caregivers

Family caregivers take over many responsibilities. One might manage a parent’s finances, while another sibling will take the parent to doctors’ appointments and shopping. Those who move in with a parent take on a significant and sustained burden of care.

Jan Walker moved into her mother’s home in Leesburg, Fla. After her mother, who is 83, had fallen, she wasn’t able to get around as well.

Walker, 55, has three brothers. But she is the only daughter, is divorced and has no children. “I always knew that this was the role that I would have, and I guess my mind was prepared for it,” says Walker, who now is a full-time caregiver and works from home as a tutorial instructor for a digital scrapbooking website.

“When you get into the trenches, it’s literally baptism by fire,” she says. “New things come up. It’s not just about advance planning for finances or medical care. It’s everything,” she says.

Caregivers need to also watch their own health. “There is such a thing as caregiver burnout,” Cona says. Among female caregivers 50 and older, 20% reported symptoms of depression, according to a 2010 study on working caregivers by MetLife.

“It’s a hard job,” Walker says. “But most worthwhile things are hard. She was always there for me when I needed a helping hand. It’s only natural that I be here for her now.”

Leeza’s Place Voted By SeniorHomes.com as Best of the Web

2012 March 16
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Leeza’s Place Voted By SeniorHomes.com as Best of the Web

Leeza's PlaceLeeza’s Place is pleased to announce that it has been selected by SeniorHomes.com as Best of the Web in the Social Media Rockstars – Organizations Category. The company is proud to have received two distinctions in the contest, also winning the People’s Choice award in the Social Media Rockstars – Organizations Category.

“All of us at the Leeza Gibbons Memory Foundation and Leeza’s Place www.LeezasPlace.org are so excited to be named by SeniorHomes.com as “Social Media Rockstars!” said founder and Board Chair Leeza Gibbons.  “Thanks to the judges who selected us in the industry category and thanks to all of you who voted for us as People’s Choice winners!  This honor inspires us to do even more as we offer support for family caregivers facing a difficult journey.  I hope you’ll follow us on Facebook and Twitter and check out our work at www.LeezasPlace.org.  We are proud to receive this recognition and we use it to honor the family caregivers we serve!”

The SeniorHomes.com 2012 Best of the Web contest aims to identify the most valuable resources across the web for seniors, caregivers and industry professionals in numerous categories.   Winners in each of the ten categories were chosen by a panel of leading experts in the senior living industry.
Leeza’s Place was selected as the 2012 Best of the Web winner based upon our website’s number of social media followers, frequency of use, and the quality of resources distributed.  The Social Media Rockstar category was looking for the organizations that stood out in the senior living space for being able to connect with consumers and create a strong following.  The People’s Choice Award was awarded to the nominee that received most public votes.

The Judges had great things to say about Leeza’s Place. Some of the feedback received includes:

Leeza’s Place offers great information and quality resources to its followers.”

Impressive social presence, offering up-to-date information and engaging content to followers. Leeza’s Place is clearly harnessing the power of social media to make meaningful connections”

About Leeza’s Place

Leeza’s Place  (www.leezasplace.org) is the signature program of the Leeza Gibbons Memory Foundation having opened its first doors in 2003 as the manifestation of what TV/Radio Personality Leeza Gibbons “wished we had when we were going through this journey.” Leeza’s Place is offers free support programs to all types of family caregivers. Our programs and services educate, empower and energize. We are a source of strength and purpose connecting caregivers to one another and to the much needed resources within the community.

About SeniorHomes.com
SeniorHomes.com (www.seniorhomes.com) is a free resource for people looking for senior housing or senior care for a loved one or themselves. SeniorHomes.com features expert-written articles and a comprehensive directory of care options. For example, check out our Riverside, CA Assisted Living page for a complete listing of nearly 30 facilities in the immediate area.

Talking With Leeza Gibbons: Providing Support for Alzheimer’s Caregivers

2012 March 12
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What I Wish I’d Known About Time and Alzheimer’s: Television Host Leeza Gibbons

Being the host of “Entertainment Tonight” for ten years taught Leeza Gibbons how to fill time on TV. Being an Alzheimer’s caregiver taught her how to make time count.

Taken from Caring.com

Leeza and Her ParentsMost people know Leeza Gibbons from her ten years as host of the TV tabloid Entertainment Tonight, or her six years on the daytime talk show Leeza. But a growing number are beginning to know her for her efforts on behalf of those dealing with Alzheimer’s disease, which grew out of her own family’s experience.

To anyone familiar with Leeza’s Places, her rest-and-reenergize stations for Alzheimer’s families, the story is familiar: Gibbons’s mother, Gloria Jean, was diagnosed with Alzheimer’s in 1999 — after witnessing her own mother’s long struggle with the disease. Knowing only too well what lay ahead for her, Gloria Jean Dyson Gibbons gathered her family to give them instructions for coping as her disease progressed. She urged her daughter to “tell this story and make it count.”

Leeza Gibbons did more than tell her mother’s story. As Muhammad Ali and Michael J. Fox did for Parkinson’s disease, she began her own organization to raise Alzheimer’s awarenessand provide support for caregivers.

In 2002, she founded the Leeza Gibbons Memory Foundation, dedicated to improving Alzheimer’s care and finding a cure. Its signature program, Leeza’s Place, is a kind of oasis for caregivers and recently diagnosed family members, providing mentors, classes in “confident caregiving,” tai chi and massage, and intergenerational activities to strengthen family bonds. There are also workshops in preserving memories through scrapbooking, a favorite Gibbons pastime (she has written two books about it that are available on the site).

Many people try to keep themselves busy to get their minds off a loved one’s slow death. Gibbons found herself expanding her philanthropic enterprise as her mother’s condition worsened.

“I find that my desire to use my mother’s spirit and energy to help others has grown stronger as she slips further away,” she said earlier this year. In just six years, her group has opened nine Leeza’s Places across the country — in California, Texas, Illinois, New York, and Florida.

In 2005, Gibbons received the annual Public Leadership in Neurology Award from the American Academy of Neurology, and last year she was named to the oversight committee of California’s stem-cell research agency.

Gloria Jean Gibbons died in May 2008, at the age of 72, nine years after her diagnosis. Leeza Gibbons talked to Caring.com about her mother’s relief when she was diagnosed, her instructions to her family, and what Leeza’s Place offers caregivers.

You often emphasize early diagnosis for Alzheimer’s patients. Some families feel that there’s nothing they can do about Alzheimer’s, so why find out sooner? Why do you think an early diagnosis is important?

I believe in early diagnosis for any health challenge. An unnamed enemy has way more power over you than if you name it, claim it, and build a plan to deal with the new reality.

The fact is that with Alzheimer’s disease, the sooner you know, the more effective you can be in planning for your care, the more sane the process will be for your caregivers or loved ones, and the more effective the meds are. The existing medications work best in the early stages. You’re also more likely to be eligible for research studies.

Again, my advice to get diagnosed early comes from my mother’s example. Even though we should have been more educated as a family, we were in a state of denial. It was my mother who gathered us together to show us that she had paid the same household bill three times. She said, “Something is wrong.”

Do you think it was psychologically helpful to her to get the diagnosis?

After she was officially diagnosed, Mom was relieved to have a reason behind her behavior. She shared her diagnosis with her friends, and the expectation level was lowered. So I feel that for those with the disease, it may be more comforting to know that you don’t have to compete at such a high level.

This is an individual call. It’s no secret that we are almost phobic about aging in our culture. Add to that people who need some sort of support — like wheelchairs, crutches, or canes — and we often find barriers to relationships.

Yes, there were some friends who faded away out of fear or frustration, but there were so many people who offered steadfast love throughout my mother’s decline. They will forever boost my faith.

What was it like when you first realized that your mother didn’t recognize you?

I remember being home in my mother’s house in South Carolina, helping her make the bed, and she was watching my every movement closely and trying to mirror what I was doing. Then she stopped and looked at me, and I said, “What’s the matter, Mom?”

She said, “You’re a very nice lady. How do I know you?” And I just smiled and said, “You know me because today I’m your daughter, yesterday I was your daughter, and I’ll always be your daughter.” And she said, “Oh.”

Your mother was diagnosed with Alzheimer’s at about the time her mother died from it. How did she face the disease with such intimate knowledge of what she would experience as it progressed?

I will never forget the day of my granny’s funeral. My mother had just been diagnosed with Alzheimer’s, and she now had to face losing her own mom to the thief of memories. We were worried about how much Mom could really decipher about the death and dying process. But the cruel reality was that she was very lucid as she said good-bye to her mom.

The scene that stands out most in my mind was seeing my granny there in an open casket, finally released from this cruel disease, finally peaceful, and there was my mother looking into her mother’s face. I stood back and thought about my children watching me.

It was an epiphany for me when I realized that the emotion that guided me was stronger thangrief. It was the need to create change. I didn’t know how, I didn’t know when, but somehow I knew that I needed to rewrite the story.

I’ve always found my mother’s courage to be amazing. She truly was a steel magnolia. She faced her disease with all the grace and dignity she could muster day by day. She showed me what living was all about: showing up and doing the best we can.

What do you wish you had known about being an Alzheimer’s caregiver when you were going through the experience?

I wish I had known what a marathon this is. Battling Alzheimer’s disease is an endurance race, the likes of which I could have never imagined.

Although people tried to tell me, I suppose I couldn’t quite appreciate at the time how valuable every day is. Whether someone in the family is suffering from a disease or not, we tend to focus so much on what’s next that we forget to be present for what is now.

Little things become so important. I remember marveling at how Mom was capable of such amazing victories, such brilliant blessings in life. I wish I had known how much I would come to treasure the sight of her heading out the door after she had dressed herself, slip on top of her blouse, two mismatched shoes, and her purse over her shoulder.

How did your family’s caregiving change as her disease progressed?

In the beginning, we focused very much on hope and possibilities with my mother. We focused on what she was capable of and how we could enjoy being together. We laughed a lot, and I think that’s the part of my mom that I miss the most.

She approached this disease with humor, heart, dedication, and determination, but she wasn’t naive. She had, after all, seen her mother die the same slow death. Mom gathered the family around and told all of us the words that were to become incredibly comforting as this disease progressed.

She said, “When I kick and scream and call you names, know that is the disease talking. It’s not me. And when I no longer know that you are my daughters, my son, and my husband, then you have to know that is the time that I no longer want to live with you. Leeza, I know you’re going to want to try to fix it, but I don’t want to live with you or your sister or your brother, and you’re all going to have to help Daddy let me go.”

As a family, we reflected on that often. It saved us from the internal fighting that often occurs where one sibling thinks they know best, or the siblings are trying to move the other parent in a particular direction. We had our marching orders and as difficult as they were, we carried them out.

As Mom’s disease progressed, the caregiving challenge became hardest for my father. There were dignity issues and boundaries that had to be crossed, which are uncomfortable for all families who deal with chronic illness or disability.

I worried about Dad when Mom could no longer express her appreciation or her love but instead lashed out with anger at almost everything. I worried about Dad when Mom would turn around in the kitchen with a spatula in her hand and start swinging at him. I worried about Dad every night when he would go to his room and close the door, knowing we were losing him along with my mother. They were married for 55 years, but Alzheimer’s disease stole 10 of them.

Is that why you made caregiver support such an important part of Leeza’s Place?

It’s because of my family’s experience that we created Leeza’s Place, and that’s why we offer free support services to focus on the caregivers. This isn’t a disease that’s content to have just the diagnosed individual — it wants the whole family, and it can suck you into a deep, dark hole unless you take steps to bolster yourself physically, spiritually, and emotionally.

The art of caregiving often has guilt as its constant companion. At Leeza’s Place, we give caregivers permission to feel whatever they’re experiencing, and then we give them a strategy, an approach, a shoulder to cry on, a heart to lean on, and the faith that they’ll make it through. We know that caregivers often experience so many stress-related challenges that they get sick and die before the ones they are caring for.

“Compassion fatigue” is a very real syndrome, and we’ve seen caregivers afraid and frazzled down to their last nerves. We say you should “take your oxygen first,” meaning: Nourish yourself; keep your body strong; take a break; forgive, forgive, forgive yourself. And that’s the first step toward caring for your loved one.

How do Leeza’s Place mentors fit into this?

Mentors and “befrienders” are the not-so-secret weapons in the army of caregivers at Leeza’s Place. Families who have already walked the path you are now on are uniquely qualified to provide sensitivity, share their experience, and know the resources that can help.

Once you become a part of the Leeza’s Place community, you’re there. You’re a part of the family, and that includes whether your loved goes into a skilled nursing setting or dies. A blanket of support extends in different directions to accommodate whatever reality life throws at you.

Why do you include scrapbooking as an activity at Leeza’s Place?

Scrapbooking has been one of our core curriculums from the beginning. It was designed for people with memory disorders. But as we began to do it with our guests, we realized it’s an empowering process for everyone involved — caregivers and their diagnosed loved ones, the young and the old.

When we take the time to elevate a memory and put it on a page, to write the words of that experience and those feelings, we validate their importance and we cherish the memory over and over. People with memory loss may have trouble remembering yesterday, but when they look at a photograph from 30, 40, or 50 years ago, they can recall every nuance of the scene.

Can you describe the intergenerational approach that you advocate in dealing with Alzheimer’s?

At Leeza’s Place, we do something I love called “memory television.” We invite our guests to gather together mementos, souvenirs, and other items that are reflective of who they are as a family. They can be anything from college letter sweaters to Bat Mitzvah invitations, old photographs to record albums.

We help them build a set, almost like a TV talk-show environment, surrounded by these depictions of their lives. Then family members — from the littlest to the most senior members — gather together and interview each other.

We’ve found that we become so immersed in the day-to-day routines that we often forget to tell our stories. That’s what “memory television” is all about: seniors talking about the old days — a family farm, a first business, immigrating to America — and a chance for the younger members of the family to ask questions in an environment that’s safe and supportive. “Why didn’t you tell me you were sick?” “Why did we move?” In the end, it’s almost like group therapy.