Changes to Medicare Advantage Coming in 2019 That’ll Make Caregivers Smile

Oftentimes, hearing about CMS policy changes on the news can make you wary. But this year the news regarding upcoming changes to Medicare Advantage policy is both welcome and exciting! For the first time, non-skilled in-home care services will be allowed as a supplemental benefit for Medicare Advantage (MA) plans. That means services provided by in-home care providers (like the talented folks who work for AmeriBest Home Care) could be covered by a host of different Medicare Advantage plans, beginning in 2019.

This is a very big deal for in-home care providers and the people that rely on them. Never before has CMS allowed supplemental benefits to include daily maintenance provided by non-skilled, in-home providers under Medicare Advantage plans. Yet in the announcement made in April, CMS declared that they are re-thinking and expanding the definition of what “primarily health-related” means as it relates to supplemental benefits. Where previously “primarily health-related” pertained to care given only by skilled nurse staff or other health care providers, the new policy will extend to encompass daily maintenance care supplied by non-skilled caregivers. “Under the new definition, the agency will allow supplemental benefits if they compensate for physical impairments, diminish the impact of injuries or health conditions, and/or reduce avoidable emergency room utilization,” a CMS representative announced.

The policy change is welcome news for Medicare Advantage users, a population that is rapidly growing. In fact, according to CMS data, nearly one-third of Medicare beneficiaries in 2015 were participants in Medicare Advantage, a figure that is projected to continue growing over the coming years. Payors also seem to be embracing the change, expressing a willingness and eagerness to cover non-skilled care if it means keeping people out of hospitals and emergency rooms.

Tracy Moorehead, a CEO of industry group ElevatingHome, spoke on the issue at the Home Health Association’s National Leadership Conference in March. “[Home Health Providers] have greater flexibility than the fee-for-service providers do. They don’t have a homebound requirement in many cases. So they are tasked with full capitation, where they have an amount they are provided to care for a patient and they will do whatever they need to make sure that patient doesn’t cost them more money than necessary. And if that includes private duty services, then I’m sure a plan is more than ready to pay for that.” Indeed, as the population of dual-eligible patients qualifying for both Medicare and Medicaid expands, plans have increased incentive to cover personal services in response to keep costs low and prohibit unnecessary hospital visits. While Humana, UnitedHealthcare, and Aetna were some of the first to adopt this new move towards embracing home health (establishing the relationship even before CMS’s policy change announcement), other insurance providers are beginning to follow suit.

Upon full policy implementation in 2019, Medicare Advantage plans en masse should be willing, eager, and excited about supplemental benefits that extend to non-skilled caregivers. And for the thousands of Medicare Advantage users that have turned to AmeriBest Home Care for loving and thoughtful provision of in-home care, this is great news. As we continue to provide exceptional care to our clients and exceptional training and support to our employees, Medicare Advantage’s embrace of our services as part of supplemental benefits only proves the indelible value and importance of our work in people’s lives.

Skilled Nursing in the Comfort of Home Through Philadelphia Home Care Provider Ameribest Home Care

Let highly-skilled, highly-qualified care providers help you towards independence in the comfort of YOUR home, not a nursing home!

Illness, injury, and hospital stays can leave you feeling incapable and in need of assistance just to get through your regular activities of daily living. But you don’t want to surrender your independence and the comfort of your own home to transition to life in a nursing home. Nursing homes can be expensive and can leave you feeling uncomfortable and out of place in an unfamiliar environment that’s not your own. Fortunately, you have options!

At AmeriBest Home Care, we believe that keeping you in your own home is pivotal as you move back towards independence. That’s why we provide only the best skilled nursing home health services in Philadelphia. Our nurses are ready, willing, and prepared to help you get back to life and health as you once knew it in the comfort of your very own home. We provide the highest quality of care every day to our clients who need assistance in managing their chronic or acute conditions, in an effort to keep them independent, health, and avoid unnecessary and costly hospitalizations. Our registered nurse serves as the primary central contact-us and conducts your care plan within a multi-disciplinary service management realm, meaning you get well-rounded, thoughtful care that’s been planned out with your individual needs in mind.

AmeriBest Home Care employs experienced, licensed registered nurses who are compassionate and competent. Our nurses are thoroughly trained are our experts in handling an assortment of various health conditions and patient scenarios. Our staff are also required to pass multiple background checks and consistently undergo vigorous competency and skills assessments, so you know that only the best of the best are attending to your health care needs. Further, all practices are evidenced-based and follow concrete protocols in conjunction with physician orders.

What can skilled nursing in my own home offer me?

With skilled nursing through Ameribest Home Care, you’ll receive all of the excellent healthcare and guidance that you would in a nursing home, without the extreme cost and the need to move to a new environment that’s not your own. Our thoughtful, researched health care plans are established with you in mind, and include:

  • Comprehensive health assessments
  • Continuous care planning and case management with physician and other disciplines.
  • Patient and caregiver education
  • Disease management programs
  • CHF Program
  • Wound Care Program
  • Diabetes program
  • COPD programs
  • Medication management and education
  • Pain management and education
  • Patient safety and fall prevention
  • And more.

If you need it, we at Ameribest Home Care can provide it. So, are you ready to experience highly-trained, highly-qualified, and caring home care in the comfort of your own home? Give us a call at 1-800-HOMECARE or (215) 925-3313 to find out how you can receive the very best care in your own home. Our nurses are ready to come help you return to independence and achieve your healthiest lifestyle on YOUR turf, without the need for a nursing home.

 

 

Provide Philadelphia Home Care to Your Loved One in the Comfort of Their Home

Ready to provide caring and capable Home Health to a loved one in the comfort of their very own home? Ameribest Home Care can help you!

Illness, injury, and hospital stays can leave many in need of assistance when completing activities of daily life. And while it’s most comfortable to receive that assistance at home and at the hands of someone you genuinely love and trust, no one wants to feel like they’ve become a burden to their children, relatives, or friends. That’s where AmeriBest Home Care comes in. We provide you with the appropriate training and skill set so that you can become a knowledgeable, capable, and caring personal caregiver to the friend or loved one who is in need. That means your mother, father, aunt or uncle, close friend or distant relative can receive quality and thoughtful care from you in the comfort of their very own home! Our home and community-based services (or Home Waiver Services) are available to those covered by MA (Medicaid/ medical assistance), and enable your loved one to remain in a community setting rather than being admitted to a nursing facility while they receive care from someone they love and trust the most: you!

Smiling elderly man in a wheelchair and friendly caregiver in a

 

Well-Paying Philadelphia Home Care That You Provide to Your Loved One… Tell Me More!

Once you’ve been thoroughly trained by the skilled and capable staff at Ameribest Home Care, you’ll be fully equipped and able to assist your close friend or loved one in all aspects of their regular daily living. The two of you can decide together what their plan of care will look like. Services can include:

  • Meal preparation
  • Light housekeeping – to meet individual health needs
  • Shopping
  • Laundry
  • Bathing
  • Dressing
  • Medication management
  • Appointment scheduling
  • Securing transportation
  • Supervised walks
  • And so much more…

With care in the comfort of their own home that’s provided by someone they genuinely love and trust, your loved one’s health care plan will truly cater to their individual needs. So, how does your loved one qualify? Eligibility requirements are minimal; all they need to qualify is:

  • A medically-verified long-term condition or disability (where long-term means a condition that will last for longer than 6 months)
  • A monthly income of less than $2,163
  • No more than $8,000 of countable resources (including savings, checking, stocks, bonds, and other liquid assets or investments)

Further, if your loved one owns their own home, please mention this fact to our staff: it may affect their application for the waiver program.

So, are you ready for the person you love the most to receive professional, thoughtful, and well-qualified home care from an utterly caring caregiver that they know and trust? Call Ameribest Home Care, or fill out an inquiry form at our website www.ameribesthomecare.com, to find out how you and a loved one can partner together in pursuit of their healthy, guided living. It’s time for health care that’s truly comfortable, provided in the familiar space of home, and at the hands of a trusted loved one. At Ameribest Home Care, we’re answering the call for the comfortable home health care your loved one deserves.

Diabetes & Mental Health

“Is mental health pretty low on your list of priorities for managing diabetes? This may change your mind.
Mental health affects so many aspects of daily life—how you think and feel, handle stress, relate to others, and make choices. You can see how having a mental health problem could make it harder to stick to your diabetes care plan.

The Mind-Body Connection

Thoughts, feelings, beliefs, and attitudes can affect how healthy your body is. Untreated mental health issues can make diabetes worse, and problems with diabetes can make mental health issues worse. But fortunately if one gets better, the other tends to get better, too.”

Read more here: https://www.cdc.gov/diabetes/library/features/mental-health.html

📞 (215) 925-3313

#Ameribest #wearehereforyou #wearehiring #homecare#TakeCareofEachOther #homehealthcare #WaiverProgram#ElderCarePhiladelphia #CareforLovedOne #Homecarenurse#Choosecaregiver #PhysicalTherapy #OccupationalTherapy #SkilledNursing

Skin Cancer Awareness

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“Plan your sun protection using these tips—

-Seek shade, especially during late morning through mid-afternoon.
-Wear clothing that covers your arms and legs.
-Wear a hat with a wide brim that shades your face, head, ears, and neck.
-Wear sunglasses that block both UVA and UVB rays.
-Use sunscreen with SPF 15 or higher and both UVA and UVB (broad spectrum) protection.
-Remember to reapply sunscreen at least every 2 hours and after swimming, sweating, or toweling off.”

Protect Yourself with Vaccination

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“Protect yourself by getting vaccinated. There are many important reasons to get vaccinated. Talk to your doctor to make sure you are up to date on the vaccines that are right for you. Did you know that vaccines are not just for kids? Grown-ups need them throughout their lives too! Many adults in the U.S. are not aware of the vaccines they may need and are not taking advantage of the best protection from several serious, sometimes deadly diseases. Talk to your doctor to make sure you are up to date on the recommended vaccines. Here are some important reasons to vaccinate!”
Read more here: https://www.cdc.gov/features/adultvaccinations/index.html
Contact Ameribest for all of your home health care needs.
📞 (215) 925-3313
#Ameribest #wearehereforyou #wearehiring #homecare #TakeCareofEachOther #homehealthcare #WaiverProgram #ElderCarePhiladelphia #CareforLovedOne #Homecarenurse #Choosecaregiver #PhysicalTherapy #OccupationalTherapy #SkilledNursing

World Sickle Cell Day

“This World Sickle Cell Day (observed every year on June 19), the Centers for Disease Control and Prevention (CDC) is raising awareness around sickle cell disease and ‘transition.’
Transition is the process of young people with sickle cell disease (SCD), a genetic blood disorder, learning to become more responsible for their health and transferring their health care to an adult healthcare provider. Learn about transitioning care with SCD, read tips to prepare for it, and find more resources to help manage transition.”
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Read more here: https://www.cdc.gov/features/sickle-cell-transition/index.html
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Contact Ameribest for all of your home health care needs.
📞 (215) 925-3313
#Ameribest #wearehereforyou #wearehiring #homecare #TakeCareofEachOther #homehealthcare #WaiverProgram #ElderCarePhiladelphia #CareforLovedOne #Homecarenurse #Choosecaregiver #PhysicalTherapy #OccupationalTherapy #SkilledNursing

Are You at Risk for Lupus?

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Are You at Risk for Lupus?
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Systemic lupus erythematosus, or SLE, is the most common and serious type of lupus and can affect people of all ages, including children. However, women of childbearing age—15 to 44 years—have the highest risk. SLE affects women far more than men (estimates range from 4 to 12 women for every 1 man).
African Americans, Hispanics, Asians, and American Indians/Alaska Natives have higher rates of SLE than whites. African American women have the highest rate, according to recent studies supported by CDC.”
Read more here: https://www.cdc.gov/features/lupus-awareness/index.html
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Contact Ameribest for all of your home health care needs.
📞 (215) 925-3313
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#Ameribest #wearehereforyou #wearehiring #homecare #TakeCareofEachOther #homehealthcare #WaiverProgram #ElderCarePhiladelphia #CareforLovedOne #Homecarenurse #Choosecaregiver #PhysicalTherapy #OccupationalTherapy #SkilledNursing

3 Ways to Respond to Caregiver Criticism

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It can be difficult and hurtful when somebody criticizes you in general. This is especially true if it is someone you know well and is perhaps even your caretaker. If you have recently been the subject of criticism from a caretaker, then here are some tips about absorbing the criticism and responding.
Here are three different ways you can consider responding to the criticism you have faced with. They are likely to help you to respond in a way that is calm and objective, instead of responding based on your emotions.

Acknowledge what the person has said, and then ask for their advice.

If someone has been critical towards you, they are likely trying to help, especially if they are a member of your family. It can sometimes be difficult to express yourself in a way that doesn’t offend someone, especially if it is something of a sensitive subject. As such, try to give the person who has been critical towards you the benefit of the doubt.
One thing you can try is to accept the criticism, and then ask your family member or caregiver what they would suggest you do instead. This is a great way to avoid conflict, and you may be able to benefit from the advice or suggestions they have. If someone has your best interest at heart, then their criticism could be very well listening to. It can also be a great way to change the nature and the tone of the conversation you are having, making it far more constructive and beneficial to both parties.
Once you have listened to the suggestions of the person you are talking to, you can then try to explain your behavior. If you can talk about the process behind what you have decided to do and your reasoning, then it may be easier for the other person to understand, and you can, therefore, avoid some or all of the conflict.

Repeat what the person has said back to them, to show them how it made you feel.

In the heat of the moment, it can be a bit difficult to control exactly what we’re saying, or how it comes across. The person who has been critical towards you probably didn’t mean for it to be critical, and they may not have realized the potential impact of what they said. This is why it can be helpful to repeat what the other person has said to you to show them how it might feel when someone says it to them.
If you choose to respond this way, try to speak in a way that is calm and objective. Make it clear that you are doing this because you are offended or hurt, and that you would appreciate for the other person to consider the way they speak to you and how they word what they are going to say when they talk to you.
It is also really helpful to talk about yourself and how the criticism has made you feel. This often helps avoid making the other person in the conversation feel that you are criticizing them in turn. Rather, you make it easier for them to see how their words have made you feel, but you are not doing it critically.

Stand up for yourself politely but respectfully.

Sometimes the best thing to do is to simply stand up for yourself and speak openly and honestly. If you don’t feel there is any way around this, then explain objectively that you do not feel that you are in the wrong.
Depending on the context and the type of relationship that you have with the other person, you may also feel that you want to tell them that you would prefer that they not be so critical.

Three Effective Ways to Respond to Criticism from Caregivers

It can be difficult and hurtful when you are criticized by someone you trust, especially if you spend a lot of time with and trust. This is perhaps even truer if the criticism comes from one or your caregivers. We trust caregivers to take care of us and have an intimate relationship with them, so conflict with such a person can be difficult and awkward to tackle.
However, conflict arises in all relationships. You must have a healthy and constructive way to respond to criticism that may have hurt your feelings or the relationship between you and your caregiver. This is the best way to keep your relationship healthy and allow it to move forward. Fixating on criticism or negative experiences between yourself and another person is not going to help you have a positive or healthy bond.
This can certainly be easier said than done, though. It is natural to respond defensively to perceived criticism, though this isn’t usually the most constructive approach. As such, we go into three different strategies you can use to respond when facing criticism from a caregiver.

1. Stand Up for What You Think

Sometimes you simply have to stand up for what you believe in. While it is easier to let criticism slide, it isn’t always the best thing for you. If you genuinely and deeply feel that you have faced criticism that is unfair or ungrounded, you may want to consider standing up for yourself instead of simply accepting it. This can be especially true of criticism you might face that is grounded on personality or things you can’t change. It may also be that you face criticism for something you deeply believe in and feel based in reality.
Ensure that when you respond to criticism, you do so calmly and respectfully. If you do choose to stand up for yourself, you may find that doing so is more likely to cause conflict between yourself and your caregiver than it might to simply accept what they have said. This is why you must remain calm and try to avoid using language that can be inflammatory. While you are within your right to stand up for yourself, it might not help you upset your caregiver.

2. Acknowledge the Criticism, and Ask Your Caregiver for Guidance

If your caregiver has criticized you in some way, they are likely trying to be helpful. It might have come across in a way that hurt your feelings, but it is unlikely that this was your caregiver’s intention. This is why it may be worthwhile considering what they said. If you do so, you can show your caregiver that you respect their opinion and their feedback. Also, you may find the advice to be helpful or constructive.
By first acknowledging the criticism, you can show your caregiver that you respect their opinion and take them seriously. Try to do so calmly and confidently, even if what they said has hurt your feelings. You may find that taking their criticism on board can help you in the long run, so you should consider taking it onboard. Then when you ask for their advice, try to do so in an open-ended way, instead of being passive-aggressive.
Not only can you avoid conflict this way, but you may also find the advice to be genuinely helpful. You can consider it at the very least- if you later find that their advice or criticism was not the right thing for you, then at least you have given what they’ve said a chance. If you find that what they said ends up being helpful, that is also great for both you and the relationship you have with your caregiver.

3. Repeat Back What the Person Said to You

Sometimes people word themselves the wrong way when they feel strongly about something. This can cause them to come across the wrong way. For example, they may have been trying to help you, but what they say is simply harsh and hurtful. If you feel that this was the case and repeat back what they said word-for-word, they may realize that they were too hard on you and reconsidered what they said.

How to Respond to Caregiver Criticism – Three Different Strategies

Your relationship with your caregiver may be one of the closest relationships that you have. This is why it can be especially hurtful if your caregiver is critical towards you. We trust our caregivers to perform a range of different important tasks in our lives, and their role cannot be overstated. If you experience that your caregiver has been critical towards you, then try to take it with a grain of salt. They likely did not say it to hurt your feelings.
Suppose you have experienced criticism from a caregiver. In that case, there are some ways you can respond that is constructive and does not have to damage the relationship you have with your caregiver. Just because they have said something that hurts your feelings, does not mean your relationship has to conflict.
We think there are three great ways you can respond to criticism from a caregiver, which we have listed below. Hopefully, you find them helpful and constructive and allow you to navigate your relationship with your caregiver healthily and functionally.

1. Repeat the criticism, and Ask the Other Person How it Might Affect Them

You may find that your caregiver did not mean to be critical or hurtful, but that they simply did not word what they said the best way that they could have. It can be tricky to word yourself delicately when you have something critical to say, especially when you feel very strongly about what you are saying. Try to keep this in mind if your caregiver has been critical towards you or said something that has hurt your feelings. It is unlikely that they said so in a way that was meant to be hurtful.
However, you can try repeating what your caregiver said back to them calmly and coolly. If they have expressed themselves very harshly, they can likely realize this once they hear what they said. This can be helpful for them because they can see that they may need to be careful about how they express themselves in the future and that they may need to be mindful of how critical they are.

2. Accept the criticism you Have Received, and Ask for Advice

You may find that the criticism you have received from your caregiver is helpful or developmental, though it may feel hurtful at the time. This is why we recommend that you consider what your caregiver has said before you respond, and how that advice may potentially help you in your day-to-day life. If you feel that it could help you in some way, then you might like to try asking your caregiver for advice for the future.
This is also a great way to show your caregiver that you respect and value their thoughts and opinions. It can help your relationship remain helpful and healthy. Even if it is hurtful, your caregiver is certainly within their right to be critical towards you, especially if they are trying to help.
By asking for advice, you can likely also see where your caregiver was coming from when they decided to criticize you. It is unlikely that they said it simply to hurt your feelings or to criticize you for the sake of it. If you give them a chance to elaborate, you can avoid any conflict that may arise from a simple misunderstanding.

3. Calmly Defend Your Point of View

If you truly feel that you were not deserving of the criticism that you faced, then you may want to stand up for what you feel or believe. Make sure to try to do this in a way that is calm and not based on your emotions. If you can rationally defend your behavior or views, then you may help your caregiver see where you were coming from.

Travel for Alzheimer’s Patients

Millions of Americans take to the roadways and to the sky during the holidays to head to relatives’ homes. But for caregivers traveling with a loved one with Alzheimer’s, there tend to be common trouble spots that arise. With a little preparation, you can focus on creating holiday memories rather than unexpected snafus.

#1: Flying

  • Realize that even someone with early dementia shouldn’t travel alone.
  • Stay together in the airport at all times.
  • Remain calm and don’t rush the person in security lines. Some airports offer family-friendly lanes — they’re not just for people traveling with children.
  • Schedule flights early in the day, when the person may be in the best spirits and you’re less likely to be marooned overnight in case of bad weather or other delays. It’s worth the extra price to fly nonstop. Allow plenty of time for connections.
  • Don’t place medication in checked bags. Your carry-on should also contain everything the person would need if luggage is lost or a flight is delayed overnight: pajamas, toiletry items, change of clothing, medical contact-us information, and legal papers (power of attorney, insurance).
  • Pack snacks and provide water, since dehydration is a risk for seniors. Use the bathroom just before the flight to help avoid the need for the person to do so on the airplane.
  • Bring something for the person to do with his hands: a puzzle book, a photo album, knitting, a textured rubbery ball to hold, playing cards.
  • Carry a blanket and small pillow for comfort’s sake, as they may not be available on the flight.

#2: Car Trips

It’s ideal to skip a long journey by car, but when a car trip is necessary, avoid traveling on peak days.
  • Stop often, but stay with the person at gas stations and restaurants. New places invite confusion.
  • Play the person’s favorite music in the car, or find a radio station playing holiday classics.
  • If you must stay in a hotel, remain with the person at all times. Get one large room with two beds rather than separate or adjoining rooms.

#3: Frenzy at Home

  • Preserve, as much as possible, the person’s daily routine regarding times for meals, exercise, activities, and so on.
  • Don’t think you have to make the holiday exactly as it always was. Emphasize a few favorite traditions and let go of the rest.
  • Adapt longstanding traditions to the person’s present abilities. If Mom always decorated the tree, help her attach ornaments rather than completely taking the job over. If Dad carved the turkey, let him sit in his customary seat but bring the bird to the table already sliced, and let him help fill plates.
  • Keep the person’s hands busy while you handle holiday chores. Some ideas: decorating sugar cookies, kneading dough, stirring a pot, sorting through a box of unbreakable ornaments, stringing popcorn or cranberries, looking at Christmas cards.
  • Safety-proof: Avoid candles (fire hazard), artificial fruit (a choking hazard if mistaken for real), gingerbread houses (if made of inedible items), blinking lights (disorienting), garlands that obscure railings on stairs.
  • Take advantage of the powerful sensory memories of this time of year. Whether it’s playing in the background or sung in the form of carols or hymns, holiday music taps into deep emotional memories and usually brings a great deal of pleasure to someone with dementia. Expose the person to familiar holiday smells, such as clove-studded oranges, evergreens, cinnamon, and peppermint.
  • Reminisce by bringing out photo albums or telling old family stories. But don’t make it feel like a quiz by asking, “Do you remember…?” Just start the story.

#4: Parties

  • Invite small groups to visit the person at home. A few friends at a time may be more manageable — and therefore more enjoyable — than one large party.
  • If you’re hosting, keep the gathering small. Make it a brunch or luncheon if sundown syndrome is a risk.
  • If you’re a caregiver invited to a party, consider having someone stay at home with the person who has dementia rather than bringing her with you. You both may enjoy this arrangement better.
  • Designate someone to stay at the person’s side throughout an event to provide a continuous, calming presence and to prevent wandering. Noise and new faces can overwhelm.
  • Introduce those who approach the person with dementia, no matter how close a friend or relative they may be: “And here’s your niece, Susan!” Don’t draw attention to the fact that they were introduced just ten minutes earlier.
  • Invite the person with Alzheimer’s or dementia to join activities such as opening gifts or watching a sports game — but don’t insist that he participate.
  • Withdraw as needed to a quiet corner or room where the person can feel relaxed and safe, away from loud kids or a cocktail-party crowd. Walk outside, weather permitting.
  • Monitor the person’s intake of alcohol, as he may not be able to remember and track it himself.
  • Watch for cues that the person has had enough: increased impatience or fretfulness, pulling at clothes, withdrawal. Don’t wait until he’s overtired.

#5: Shopping

  • Avoid shopping just for tradition’s sake. A drive to look at holiday lights is less likely to confuse and upset than a visit to a crowded shopping mall.
  • If you shop, do so early in the day when it’s less crowded.
  • Visit one store, not a whole mall-full at once. Another reason to avoid malls: The vast parking lots can be disorienting.
  • If you plan on making lots of purchases, it’s easy to become distracted, so consider bringing a third person along who can stay with and focus on the person who has dementia.