April Header
In This Issue
The Key for Me is to NEVER Ask a Yes or No Question
Hospitalization Can Speed Cognitive Decline in the Elderly
Spring Gardening Tips for Seniors and Their Caregivers
Kudos From Kelly
Providers We Love
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New Staff

Moses Hlongwane  

(thanks Faith)


Trina Gyameah Ampomah


Mervalyn Cohen


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"One cannot think well, love well, sleep well, if one has not dined well" 

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Two Flower Images
Photography courtesy
of Valerie Cipriano 

"It is the province of knowledge to speak, and it is the privilege of wisdom to listen."


~ Oliver Wendell Holmes  


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Here at Always There Home Care, we are grateful you are slowing down to read our newsletter full of items that relate to home care, home health care, aging and eldercare, as well as some useful tips for daily living. Please enjoy in the spirit of community and cooperation in which this newsletter was sent.

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Leaf Featured Article:  The Key for Me
is to NEVER Ask a Yes or No Question

Alzheimer's Reading Room By Bob DeMarco


Here is some excellent insight from contributing reader Claudia.


"After you shower, we'll do (your favorite thing)"...


The key for me is to NEVER ask a yes or no question, such as "Do you want to eat lunch now?"  


I will either say "Let's have some lunch" or "I thought we should eat" or something similar. If they think they are joining you in something that YOU want to do, they are much more agreeable.  


If you put it back on them by asking if they want to, it requires too much thinking and figuring out if they want to do that thing or if they would rather just stay where they are since they are tired anyway.  


You can also give "choices" like "Do you want to eat lunch now or in a few minutes?"  


If it's something they really don't like to do, such as shower, you just assume matter-of-factly that they will be showering and say things like "Here, this is the washcloth for your shower" or "Here are clean socks for after your shower", etc.  


If they say that they aren't showering, repeat what they said back to them "Oh, you aren't showering?" Then they will know that you heard them and you can continue with "After you shower, we'll do (your favorite thing)"...


Superlative thought process. I like it a lot. It's amazing what pretending that the activity desired, is just part of ordinary, normal, routine behavior can do. It's like joining a work in progress, being part of the "natural" fit of life. It can bring security and comfort to those who get confused with the inconsistencies of daily life. I can also help the loneliness and isolation of being "different"' in a world of "normalcy". 


I have found that giving choices only confuses people with dementia even more "Choices" are not choices that you would really give to a non-Alzheimer's sufferer expecting a reasoned answer. "Choices" are not real but just a way of making the person feel like they matter and have a say in their own life and what they do...it makes them feel empowered but as you can see you have already made the important decision that they are eating lunch (or whatever else you have planned for them)...


Try it, it works!


Bob DeMarco, Alzheimers Reading Room 



The Alzheimer's Reading Room is the number one source of life news for the entire Alzheimer's community. The organization's goal is to Educate, sometimes Entertain, and Empower Alzheimer's caregivers and their families worldwide.


We are so grateful that Bob has given us permission to publish their material.


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Classy Lady 


"A girl should be
two things:


~ Coco Chanel  

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Leaf  Hospitalization Can Speed Cognitive Decline in the Elderly


Hospitalization of older people might place them at higher risk for accelerated cognitive decline, according to a recent study.


Rates of decline occurred twice as fast among elderly patients on average after a hospital stay compared with their previous rate of decline and with older people not admitted to a health care facility. Some mental change is considered a normal part of aging, but advanced decline is associated with risk of disability and loss of independence, dementia and death.


"Understanding a link to cognitive decline to something as common as a hospital stay is very important," says lead author Robert Wilson, a neuropsychologist at Rush University Medical Center in Chicago. "Hospitals can be a very risky experience for the elderly and we think people need to understand that."


While other experts on aging have noticed the negative impact hospitals have on some elderly patients, the authors say this is the first study "to measure cognitive function enough times before and after hospitalization to determine the effect of hospitalization on the rate of cognitive change."


The study involved 1,870 people ages 65 and older enrolled in the Chicago Health and Aging Project. Among those, 71% were hospitalized at least once during the study. Researchers administered tests of memory and thinking skills every three years, making an overall measure of cognition skill based on the total of the four scores.


The rate of decline after hospitalization would be "equivalent to being more than 10 years older," Wilson said. The research, published in Neurology, was funded by the National Institutes of Health and National Institute on Aging.


"The hospital can be a bad place to go if you're an older individual," says physician Marie Bernard, deputy director of the National Institute on Aging. . "It should be avoided if possible, but that doesn't mean patients shouldn't see their health care provider. They need to do that."


Read full article...  


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"You must be the change you wish to
see in the


~ Mahatma Gandhi




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Three Flower Images
Photography courtesy of Valerie Cipriano (203.518.1508)

Spring Gardening Tips for

Seniors and Their Caregivers


If you're looking for a fun activity that will get your loved one up and moving throughout the warm weather months, gardening might be a great idea. It's a fun, rewarding pastime that can be made easier for seniors who have trouble getting around. Your relatives will love the look that a few flowers, will lend to their property, and you can help them choose varieties that will bloom all season long. Here are five tips to help you get started.


1. Start out with an herb container garden in the kitchen. When placed on an easily accessible windowsill, these little plants will flourish the more you pinch and pick them. Try using herbs that you or your loved one often use in cooking, like basil, parsley, chives and rosemary.  


2. Instead of annual flowers, you might want to choose perennials. This will ensure that you won't have to plant entirely new plants every year. Instead, you and your loved one will only have to do a bit of maintenance to keep the blooms healthy and beautiful.  


3. Mulch around the plants. If you take the time to mulch around your loved one's plants, you'll be saving him or her a lot of effort that would otherwise go into weeding. Mulch can not only prevent weeds from growing, but it can make plants go for longer periods of time without watering and keep the soil in good condition.


4. Plant vertically whenever possible. If you use an arbor or a trellis, your loved ones won't have to bend over or stoop in order to reach the plants for watering, weeding or pruning.  


5. Purchase the right gardening tools. There are many tools that are designed to make gardening easier for seniors. This includes those with long handles, oversized grips and improved leverage. A lightweight watering can is also a good idea, as well as a hose that's located close to the garden. A comfortable stool or chair can be very useful.


Read full article... 

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Lady with Boy


"It is gratefulness which
makes the
soul great."


  ~ Abraham Joshua Heschel


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Kudos from Kelly

KUDOS from Kelly

 By Kelly McNamara     


Faith Sibiya Nozipho

Faith has come through for us in an amazing way a few times this month. First, she stepped in quickly when a caregiver resigned to take a case. She cared for the client for two weeks until we found a permanent caregiver. She did an outstanding job with F P and was highly regarded by the client as well as her husband and daughter. Shortly after that assignment, she began a case with a new client, FM, and immediately fell into place, using her considerable skills and patience she reserves especially for dementia clients. Always caring and professional, we are so glad to have her aboard. Thanks so much Faith!


Flora Rosa   

Flora is a regular caregiver for I W. When the client was unexpectedly admitted to the hospital after a fall, Flora made a special trip to visit her in the hospital on her birthday, shortly before Easter. She stayed with and comforted her family for several hours during her surgery. A hospitalization, especially an emergency one, can be very troubling to a client. It was both a surprise and a welcome gift for I W and her family. Thanks so much, Flora for going out of your way to comfort a special client and her family during an important time!


All Kudos caregivers will receive a gift card and our gratitude. Many many thanks to all of you for once again extending yourselves to ensure that we are of course.... Always There..!! 

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Duck and Bird Images
Photography courtesy of Valerie Cipriano (203.518.1508)
"Everything should be made as simple as possible, but not simpler."


~ Albert Einstein


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leaf Providers We Love   


We are privileged to have received referrals from and be able to coordinate care with many Assisted Living facilities, rehab facilities, and Medicare Home Care and Hospice agencies. Our growth is in large part due to the trust the staff in these organizations have put in our caregivers.  We are likewise impressed with them and we are committed to referring to them on a regular basis. 


Arbor Rose, Assisted Living, New Britain  

Long a favorite facility of ours, Arbor Rose boasts a wonderful and caring group of staff, activity folks who keep life interesting for residents and a very welcoming environment for our pet therapy program. Our caregivers who are providing service for some residents at Arbor Rose have determined that Arbor Rose serves the best food and has the friendliest and most attentive dining staff of any facility in which they've worked. High praise indeed! Arbor Rose is the perfect environment for those who want to age in place gracefully and well cared for. Thanks to our colleagues at Arbor Rose for their continued support and trust in our caregivers. It is always a pleasure to work with all of you!

Montowese healthcare and Rehabilitation Facility, North Haven, CT   

Conveniently located just outside new haven off I91, Montowese offers the highest quality of Rehabilitative and Medical Care. They are a CARF Accredited Provider, which guarantees the excellence of their program.


Their 120 bed dedicated building provides high-tech, hospital-like medical care to seriously ill patients of all ages.


Their specialties include bariatrics, stroke, post-surgical orthopedics, complex medical conditions, and more.


Their interdisciplinary approach includes doctors, practitioners, therapists and nurses who work in concert with the patient and family to assure optimal recovery and independence.


Seabury Active Living Retirement Community, Bloomfield

One of Connecticut's first retirement communities, Seabury has grown impressively from its original facility. The sprawling campus now boasts several individual residences, from apartments to substantial single homes. Their memory care unit is superb. The surroundings provide lovely views in all seasons. An immense fitness facility, including a large pool promotes continued fitness of older adults. Seabury boasts an impressive participation of its residents in the fitness facility. Seabury also has an innovative Life Care program and Seabury at Home service. Their home care program provides both Medicare as well as home private duty services for the community and surrounding area. It is a privilege to work in co-operation with them.


Emeritus Assisted Living in Glastonbury,
Buckingham Estates 

A truly special community, dedicated entirely to those with memory cares issues; Buckingham/Emeritus has truly distinguished itself in the market. One has only to visit, to see the happy residents and very caring staff and management who have all who received special training in Alzheimer's and other memory care conditions. It is an honor to serve their residents and work with their great staff!


Emeritus also has facilities in Woodbridge, South Windsor, and Rocky Hill.They were recently voted the Best Assisted Living Communities in CT. It is easy to see how they earned this award. All their facilities boast lovely exteriors, inviting interiors, personable, helpful and competent staff, great food, and varying levels of care to meet the specific needs of an aging population.


Miller Memorial Community, Meriden 

Another long-term favorite of ours, Miller boasts extraordinary therapists and nursing staff who work wonders for patients undergoing rehab there. They do such a great job, we are happy to continue to help their patients return to their normal lives at home. Miller boasts an active and effective short-term rehab in addition to high quality long-term care. In addition Miller operates an active outpatient rehab facility for folks who have been discharged to home but miss the folks at Miller and can receive the same quality therapy in an outpatient setting. Our clients continue to visit after discharge, just to see their friends on the staff again!


VNA Healthcare

Established in 1901, VNA Health Care provides home health care, hospice and independent living services to more than 60 towns throughout Greater Hartford and Waterbury communities. They provide a full range of Medicare covered services including nursing therapy and Hone health aides. They also hold wellness clinics throughout the state, meals on wheels, telemonitoring so that their patients health conditions can be monitored remotely thus preventing hospitalizations. They have a wonderful hospice program (with pet therapy!) They also have specialized programs in cardiac care and Geriatric care management. With a century of experience a coverage area that spans the state of CT, and a wonderful caring and professional staff, they are well equipped to meet all your skilled nursing needs at home. The easiest way to inquire about their services is to call 1-800-466-3227.


We take our recommendations of providers very seriously. Please consider our favorites in deciding care for yourself or your family members. We would choose any of them for our loved ones.

 About Always There Home Care

Always There Home Care provides compassionate, dependable and professional one-on-one care for seniors who need assistance in the comfort of their homes or residential care communities.  Services from highly qualified and trained caregivers range from companionship, meal preparation and incidental transportation to personal care, medication management and RN-directed case management. Available 7 days a week, services range from a few hours a day to 24-hour care.

Always There Home Care understands that every situation is unique and creates individualized care plans to help improve a client's quality of life.

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Our caregivers are totally committed, highly qualified and carefully
selected individuals who are personally and thoroughly screened, bonded and
insured. Most are Certified Nurse Assistants or Home Health Aides. Most
importantly our caregivers are dependable and extraordinarily caring of others.
In addition to their previous experience, our caregivers receive continuous training
that includes dementia, hospice care, home safety, nutrition and other topics related
to seniors. These highly qualified and trained caregivers are ready to help you and
your loved ones with a variety of daily activities such as:

Personal care   /  Meal planning and preparation

Transportation to doctor appointments and other errands

Caring companionship   /  Light housekeeping

Medication reminders  /   Information and referral services   

Our personalized, nurse- supervised services are available 7 days a week and can range from a few hours a day to 24 hour and live in care.

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For more information or service needs, call 24 hours a day at: 203-879-6675
or visit www.AlwaysThereHomeCare-CT.com.

We are Always There!

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