Category: Giving Care

Adult Children Become Caregivers

{Play}As parents age and grown-up children take on more responsibilities in managing their care, unforeseen challenges often arise. The roles of parent and child reverse as adult offspring increasingly manage the often complex affairs of their parents.

This change can create tension when family members share more time together, such as at get-togethers and holiday celebrations. Here are four tips on how to best handle these situations, mitigate stress and bring everyone closer.

◆ Keep lines of communication open: Parents may feel uncomfortable talking about the gradual loss of independence that comes with age and advancing medical conditions. Often, the subject is not addressed directly, or avoided altogether, with the parent dismissing offers of help with a curt “I’ll ask for help when I need it” reply. In this case, it’s important to get a close reading on specific areas where help is needed. A refusal of help is also not final and the topic should be revisited regularly as the situation changes.
◆ Be emphatic: Always try to see things from both sides. For parents, loss of mobility and memory issues are not easy to accept after a lifetime of independence. Adult children may attempt, with best interests in mind, to take control of aspects of the parents’ life that they don’t want to relinquish yet. Sometimes it is better to take incremental steps to assist in key areas (driving, shopping, housekeeping chores) and always keep parents apprised on what the plan is going forward. While sometimes a medical emergency may force a decision, it is always good to review options and discuss a plan of action before it occurs.
◆ Don’t be afraid to play the humor card: Forgetfulness and other symptoms of advancing age will give rise to many situations where the humor card can be played without disrespect for parents’ feelings — the lighter side of these moments should be recognized and used to ease the mood. Contrary to expectations, parents are often quite prepared to laugh along and see the funny side of their limitations!
◆ Bring in a third party to be an objective observer: Sometimes a person who is respected and observed as being honest and true, such as a doctor or nurse, can give their insight and provide direction when decisions need to be made. Suggestions of help from a third party could support the decisions needed to keep parents safe and maintain their quality of life, with just a little bit of help here and there. This will make it easier to increase this kind of help as the parents’ capabilities decrease.

Perhaps the most important advice for taking care of aging parents is to encourage their full participation in the discussion and decision-making process. By giving everyone a chance to voice
their opinion, the implementation of care can be fine-tuned so as to respect everyone’s wishes and best interests.

ATTENTION PLUS CARE HOME HEALTHCARE
Accredited by The Joint Commission
1580 Makaloa St., Ste. 1060, Honolulu HI 96814
808-739-2811 | www.attentionplus.com
AGING IN HAWAII EDUCATIONAL OUTREACH PROGRAM
by Attention Plus Care — a program providing resources for seniors and their families, covering different aging topics each month. For class information and upcoming topics, call 808-440-9356.

As parents age and grown-up children take on more responsibilities in managing their care, unforeseen challenges often arise. The roles of parent and child reverse as adult offspring increasingly manage the often complex affairs of their parents. This change can create tension when family members share more time together, such as at get-togethers and holiday…
Affordable Adult Day Care

Often, families don’t know where to turn when a loved one suddenly needs constant care. Insurance and Medicare plans may cover very few long-term care expenses — or none at all. In the past, nursing homes were the only option for care outside of the family home. However, now there are many home- and community-based services that help support aging in place.

In Hawai‘i, adult day care services, home care and respite services are available. One of the most cost-effective options is adult day care. Programs provide eight to 10 hours of supervised care in a group setting facility licensed by the Hawai‘i Department of Health. Participants are engaged in exercises, music, arts and crafts, enabling them to socialize with their peers. This interaction reduces the clients’ loneliness and isolation, and also provides peace of mind and respite for families.

Day care fees range from $65 to $100 per day and include snacks and a meal. Some centers accept long-term care insurance, Medicaid and/or may be contracted with the state Kūpuna Caregiver Assistance Program. To find an adult day care center near your home or work place, contact the Aging and Disability Resource Center (ADRC) at www.hawaiiadrc.org or 808-643-2372 toll-free.

LIVE WELL AT IWILEI by Kahala Nui
888 Iwilwi Road, Ste. 105, Honolulu, HI 96817
808-218-7777 | www.livewellhi.com

Often, families don’t know where to turn when a loved one suddenly needs constant care. Insurance and Medicare plans may cover very few long-term care expenses — or none at all. In the past, nursing homes were the only option for care outside of the family home. However, now there are many home- and community-based…
Dementia: Making Mealtime Easier

Do you have trouble with your person living with dementia (PLWD) during mealtime?

There are many types of dementia; Alzheimer’s disease is the most prevalent. Dementia is ultimately brain failure. As the brain changes, a person’s skills and abilities regress.

The following are four changes you can expect as dementia progresses.

♠ Peripheral vision narrows with age. If you use your hands like a pair of binoculars, you can simulate the field of vision that a PLWD in the early stages may experience. PLWDs may not even be able to see the food on their plate due to this narrowed field of vision.

♠ Fine motor skills diminish over time. This is most prevalent in the middle stages of dementia. Fine motor skills in the hands, feet and mouth are gradually affected by this disease. That is why you may see PLWDs pick up food with their fingers instead of using a utensil. They may also have increased difficulty swallowing food or liquids. If your PLWD is coughing while eating or drinking, consider modifying the consistency of their food and beverages.

♠ Recognition of object linked to purpose diminishes. The PLWD may experience increased confusion and misuse common objects. For example, a PLWD might use a hairbrush to brush his or her teeth rather than their hair. As care partners, we can help our PLWD by using the hand-underhand technique to get them started on a task. Often, the PLWD is able to continue an action after having help starting it.

♠ Challenging behaviors will escalate. As a person goes through the various stages of dementia, he or she may become hypersensitive to touch. It is important to remember that with every interaction, the PLWD is reacting to the way that we approach them. Therefore, care partners need to always approach from the front and use more visual gestures to communicate. If PLWDs feel like you are threatening them, they may react with a fight, flight or fright reaction. If you notice one of these three behaviors, it will be beneficial to back off and rethink your approach.

HAWAII MEMORY FRIENDS LLC
Caregiver Education & Consultation
Mapuana Taamu, Certified PAC Trainer
808-469-5330 | mfriends808@gmail.com
Learn more about dementia at our upcoming 2020 workshops. Contact Hawaii Memory Friends LLC for details.

There are many types of dementia; Alzheimer’s disease is the most prevalent. Dementia is ultimately brain failure. As the brain changes, a person’s skills and abilities regress. The following are four changes you can expect as dementia progresses…
Dementia Activity Ideas

Planning activities for a Person Living With Dementia (PLWD) isn’t easy. I’ve found it challenging to identify activities that peak and maintain the interest of a PLWD. The Positive Approach to Care philosophy states that PLWD need a balance of activities that include leisure, productivity, restoration and self-care.

There are variations of engagement for everyone in any GEMS® state of dementia. GEMS® is a dementia characteristic and ability model. Providing activities that the person is able to do mentally and physically is the key. Personal interests, abilities, opportunities and where they are in the progression of the disease must be considered. Care partners must remember that engagement and interest in an activity is our purpose, not an end product. Here are some examples.

DIAMOND — reluctant to change Diamonds stick to routines and are inflexible. You may need to give more verbal reminders leading up to an activity or event. Activities may include word or jigsaw puzzles; crafting, such as crocheting; sorting items by quantity or function; and household chores, such as washing dishes.

EMERALD — needs to know what’s next Emeralds could benefit greatly from walking. They may also be skillful with household chores, such as folding clothes; sorting items with visible differences, such as color; simplified word puzzles; or other enjoyable crafts. Allow mistakes; your PLWD may not complete the task as you expected, but allow them the gratification of helping.

AMBER — stuck in a moment Ambers are all about sensations and touch. Ambers and Emeralds are wanderers. Ambers are very curious and possess little safety awareness. Consider setting up a few safe places around the house where these wanderers can touch items. A lap mat, activity boards with latches and switches, and other sensory items can be found online.

RUBY — fine motor is slowing down, gross motor strength Rubies are great with gross motor skills that can be best utilized with games such as batting a balloon back and forth, playing catch with a foam ball or cradling a doll. Rubies also enjoy old familiar tunes and may even like to sing along. Sensory items mentioned in the Amber state would also work well.

PEARL — end-stage, difficult to reach but still there A person in the Pearl state is not always easy to be around. At this stage, they are typically bed-bound and non-verbal. However, they are still human beings and take pleasure in being treated as such. Pearls are great listeners, although they may not always respond. They may enjoy listening to music, hearing about your day or family, or a favorite story or poem, and having the grandkids play near them, allowing them to hear the laughter and receive kisses and hugs. For a more intimate experience (with proper training), you might choose to assist with feeding, grooming or incontinence care.

HAWAII MEMORY FRIENDS LLC
Caregiver Education & Consultation
Mapuana Taamu, Certified PAC Trainer
808-469-5330 | mfriends808@gmail.com
Contact Hawaii Memory Friends to learn about GEMS® character models through the caregiver’s workshops: IT’S ALL IN YOUR APPROACH, scheduled at Pohai Nani (October), Kapiolani CC (September, October, November).

Planning activities for a Person Living With Dementia (PLWD) isn’t easy. I’ve found it challenging to identify activities that peak and maintain the interest of a PLWD. The Positive Approach to Care philosophy states that PLWD need a balance of activities that include leisure, productivity, restoration and self-care. There are variations of engagement for everyone…
Senior Exercises for the Mind & Body

Through daily exercise, seniors can combat illnesses such as arthritis and osteoporosis, which can afflict them in their golden years. And as physical health declines, untreated depression can decrease the quality of life.

So seniors must remain, mentally and physically active for optimum health. For example, strength training is useful to combat the loss of muscle mass associated with aging, and helps to maintain flexibility and range of motion.

WALKING has been proven to have extraordinary benefits for memory and the prevention of dementia, for blood circulation and for mood. For physical and mental benefits, walk in a group as a social event. Take a nature hike or plan a trip to a local park, beach, zoo, aquarium, Foster Garden or Bishop Museum.

MENTAL EXERCISES keep your brain active and alert while engaged in life’s pleasures. Play games such as cards, trivia or bingo, or do crossword puzzles or word searches. Read aloud or look through old photo albums. Exercising both the body and brain helps seniors live longer, stronger, healthier lives.

AIEA HEIGHTS & WAIALAE SENIOR LIVING 1 & 2
99-1657 Aiea Heights Drive | 2945 Kalei Drive
808-488-5521 | 808-941-6960
www.aieaheightsseniorliving.com

Through daily exercise, seniors can combat illnesses such as arthritis and osteoporosis, which can afflict them in their golden years. And as physical health declines, untreated depression can decrease the quality of life. So seniors must remain, mentally and physically active for optimum health. For example, strength training is useful to combat the loss of…
Repetitive Questioning in Alzheimer’s

In home care, a question I often get asked is how to care for someone with Alzheimer’s who asks the same questions over and over again. To better understand and manage what’s going on, it helps to first know a bit about Alzheimer’s disease and dementia.

Alzheimer’s is a type of dementia that affects memory, thinking and behavior. It’s a progressive disease, where brain cells deteriorate and eventually a person can’t make sense of the world. When short-term memory is affected, it can lead to repetitive behaviors, like talking or asking about the same things over and over. In essence, your loved one can’t recall having already asked a question because of their memory loss. People with Alzheimer’s may be unsure of what’s around them, where they are or the passage of time, and may not recognize anyone. Altogether, it’s very unsettling and a source of discomfort for them. Understanding how they feel, or describing their own feelings and needs, can also be lost in a person with Alzheimer’s disease.

Affected by these conditions, your loved one isn’t trying to be annoying or repeating questions because they need information. They’re really asking questions because they feel lost, stressed and anxious, and need reassurance. As a caregiver, answering these questions can be difficult and wear out your ability to care for a loved one. To help, caregivers should be prepared with some basic knowledge and awareness of how to respond:

♥ Keep it simple. Use short and simple responses. Reassure with a calm voice and gentle touch. Avoid complex explanations with multiple ideas when asked a question.

♥ Physical. See if there is discomfort, pain or something physical at the root of the cause. For example, infections or side effects from medications can also cause changes in behavior and awareness in older adults.

♥ Be aware of feelings. Know what triggers unpleasant feelings. For example, a lost sense of time can bring on anxious feelings. Try safe, repetitive and soothing activities like sorting or folding familiar items, or dusting and wiping to keep hands and minds calmly occupied. Walks, listening to music and looking at familiar photos or books can be pleasant diversions.

♥ Change the subject. Sometimes changing the subject can shift one’s attention enough to have a calming effect. Asking a simple question can also shift a person’s focus in the same way.

♥ Abilities. Check if you’re asking your loved one to do more than they’re able to. Accept your loved one as they are in the moment and that they are doing the best they can.

Above all, take a deep breath, give your loved one a reassuring hug, and try to see behind the behavior and words repeated. It’s also vital to keep up your own health, and have a support system, including the local Alzheimer’s Association chapter, family, friends and faith groups. Addressing repetitive questioning in Alzheimer’s and dementia can be a trying experience. But with knowledge and awareness, these moments shared with your loved one can be the most precious of gifts.

ATTENTION PLUS CARE HOME HEALTHCARE
Accredited by The Joint Commission
1580 Makaloa St., Ste. 1060, Honolulu, HI 96814
808-739-2811 | www.attentionplus.com
AGING IN HAWAII EDUCATIONAL OUTREACH PROGRAM by Attention Plus Care — a program providing resources for seniors and their families, covering different aging topics each month. For class information and upcoming topics, call 808-440-9356.

In home care, a question I often get asked is how to care for someone with Alzheimer’s who asks the same questions over and over again. To better understand and manage what’s going on, it helps to first know a bit about Alzheimer’s disease and dementia. Alzheimer’s is a type of dementia that affects memory,…
Choosing the Right Home Care Provider

With so many options available, its hard to know if you chose the right home care provider for your loved one. Here are four essential questions to ask when you’re evaluating your home care partner.

1. Is the care plan being followed?

A care plan is specific to your loved one and any deviations could mean they’re not getting the care they require. Changes should be discussed and approved ahead of time.

2. How reliable are they?

Are caregivers on time? Do they consistently provide a high level of care? Reliability and trust are the foundation for a strong partnership; instability can cause unwarranted stress.

3. How well do they communicate?

A good home care provider communicates with everyone involved in the process. Family members, care managers, caregivers and your loved one should all have an active voice.

4. Do they check up on employees?

It’s important for your care provider to be hands-on in managing their employees.

By ensuring that you’ve partnered with the right care provider, you’ll give yourself and your loved one the peace of mind needed to make home care successful for your family.

HOME CARE BY ALTRES MEDICAL
808-591-4930 | homecare@altres.com
www.altreshomecare.com

With so many options available, its hard to know if you chose the right home care provider for your loved one. Here are four essential questions to ask when you’re evaluating your home care partner…
Positive Physical Approach to Dementia Care

People living with dementia (PLWD) need guidance, human connection and a sense of independence. In my professional practice, we use the Positive Physical Approach (PPA). This innovative modality developed by Teepa Snow teaches family caregivers more effective ways to understand and communicate with their loved ones and all people with dementia.

Approach from the front. All humans are visually oriented. Approaching a PLWD from the front at approximately six feet away will give them the time they need to adjust to your presence.

Go slow. Starting at six feet or farther away, begin taking steps toward your PLWD one second apart. As we age, our reflexes and mental processing gradually slow down. Taking this into account, a PLWD needs a few more seconds to process what they see, hear, think and feel.

Call out their name. Sometimes a PLWD can be lucid but other times he or she can forget who you are. The best way to make your entrance is to introduce yourself and ask them for their name. Try saying “Hi, I’m Jane and you are?” They may respond with their first name or simply “I’m your mother.” Either way, you are allowing them to tell you who they are in that moment of time.

“Offer” your hand. Notice that I did not say “take their hand.” The goal is to look like a friend instead of a threat. Instead of approaching with a
quick handshake, maintain the connection. We can accomplish this by switching into a hand under-hand position.

Get to the side. It’s important to remember nonverbal cues and body positioning. Avoid a dominant, confrontational stance by repositioning yourself into a supportive stance. This will relieve agitation and provide a sense of comfort for the PLWD.

Get low. Position yourself at or below the PLWD’s eye level. A more submissive position will allow the PLWD to open up and feel at ease in your presence.

These positive approach techniques taught in caregiving workshops help maintain the dignity of the PLWD by enabling loved ones to perform activities with them rather than being perceived as doing things to them.

HAWAII MEMORY FRIENDS LLC
Caregiver Education & Consultation
Mapuana Taamu, Certified PAC Trainer
808-469-5330 | mfriends808@gmail.com
Caregiver’s workshop: IT’S ALL IN YOUR APPROACH, scheduled at Pohai Nani (August, September, October), Kapiolani CC (September, October, November). Contact Hawaii Memory Friends for time and details.

People living with dementia need guidance, human connection and a sense of independence. In my professional practice, we use the Positive Physical Approach. This innovative modality developed by Teepa Snow teaches family caregivers more effective ways to understand and communicate with their loved ones and all people with dementia.
Caregivers: Remember to Breathe

Almost one-third of the adult U.S. population is currently caregivers for an ill or disabled relative. The majority are female and 60 percent are employed part- or full-time. A 2015 survey conducted by the National Alliance for Caregiving and AARP, Caregiving in the U.S., found approximately 34.2 million Americans provided unpaid care to ages 50 or older in the last 12 months, while 43.5 million provided unpaid care to an adult or child within a 12-month period.

Caregivers need to take time to care of themselves so they stay well enough to care for others. Realize that your own health and well-being could suffer if you don’t take care to be well before tending to others needs.

Types of Respite Care

It may be hard to imagine leaving your loved one in someone else’s care, but taking a break can be one of the best things you do for yourself — as well as the person you’re caring for. Most communities have some type of respite care available, such as:

In-home respite. Healthcare aides come to your home to provide companionship, nursing services or both.

Adult care centers and programs. Some centers provide care for both older adults and young children, and the two groups may spend time together for the benefit of both age groups.

Short-term nursing homes. Some assisted living homes, memory care homes and nursing homes accept people needing care during short stays while caregivers are away. Set reasonable goals and plan accordingly.

Family Leave Act Nearly 60 percent of our nation’s caregivers work outside of the home. If you work outside the home and are a caregiver, you may begin to feel overwhelmed. If you do, you might want to consider taking a leave from your job — especially during times of heightened need or hospice.

Employees covered under the federal Family and Medical Leave Act may be able to take up to 12 weeks of unpaid leave a year to care for relatives. Ask your human resources office about unpaid leave options.

In Hawai‘i, there is financial assistance for family caregivers who work 30 hours a week through the Kupuna Caregivers Program. Contact the Hawaii Aging and Disability Resource Center.

If you are like many caregivers, you might a hard time asking for help. Instead, take advantage of Hawai‘i’s resources for caregivers.

RIGHT AT HOME
In Home Care & Assistance
808-797-2111 | rick@eldercareoahu.com
www.eldercareoahu.com

Almost one-third of the adult U.S. population is currently caregivers for an ill or disabled relative. The majority are female and 60 percent are employed part- or full-time. Caregivers need to take time to care of themselves so they stay well enough to care for others. Realize that your own health and well-being could suffer…
Begin a Journey of Compassion & Hope

Do you know anyone who has cancer? Do you know what to say or do? We know — and we are bringing that skill set to the workplace.

Typically, we all work hard, provide for our families, plan for the future of our children and look forward to retirement someday. However, with one phone call from your doctor, all of that is put on hold, an unplanned journey begins, priorities and perspectives change — and it can all be overwhelming.

Compassion for Cancer Caregivers trains volunteers to step up and step in to provide hope through compassion for coworkers and their families who are battling cancer. Trained volunteers create a network of support among the friends, families, coworkers and church family of the patient and the caregiver. This support network periodically provides small acts of kindness. It could be as simple as delivering a meal, walking the dog, trimming the hedge, driving them to an appointment or just listening to what they are experiencing. This can make a world of difference to the caregiver and the patient.

We know. We, too, have walked the road as both a cancer patient and a caregiver.

Participants learn about the “wall of silence” and how to work through it, about the “elephant in the room” and the worst thing to do about it, about what is helpful to say and do, about the unspoken fears and concerns (both theirs and ours), about the impact of cancer on families with focus on the cancer caregiver and about setting boundaries. Participants will leave each class with something they can do immediately in support of the patient or caregiver.

In addition to training, Compassion for Cancer Caregivers provides compassion kits through the American Cancer Society’s Hope Lodge and the cancer centers at Pali Momi, Kapi‘olani and Queen’s Medical Centers. The kit includes a green zippered tote, a plush fleece blanket, an adult coloring book, coloring pencils and a sharpener, earbuds, a few colorful notebook journals, a note of hope and gratitude, and a brochure. You may visit our website to learn more.

Many forms of kindness and compassion make a tremendous difference in turning a difficult journey into a voyage of faith and hope.

COMPASSION FOR CANCER CAREGIVERS (501(c) 3 nonprofit)
808-754-8088 | cfcchawaii@gmail.com
www.compassionforcancercaregivers.org

Do you know anyone who has cancer? Do you know what to say or do? We know — and we are bringing that skill set to the workplace. Typically, we all work hard, provide for our families, plan for the future of our children and look forward to retirement someday. However, with one phone call…
A Medicare Miracle

I have spent a decade conducting educational workshops and meeting with individuals transitioning to Medicare or already there. I encourage everyone to explore resources at www.socialsecurity.gov and www.medicare.gov to become knowledgeable before services are needed. I also stress the importance of keeping Medicare cards, medication lists, the names of your physicians and any ongoing health conditions on hand. Designating a family member or trusted friend with the information is essential.

Rosa Elliot celebrating her 91st birthday

Recently, I dealt with my mother’s sudden and unexpected illness. When she was rushed to the hospital by ambulance, she was not in good shape; she would not have been able to provide insurance cards or any information. I was not far behind and was able to provide the triage nurse with current insurance cards, a list of her medications, when they were last taken and the name of her primary care physician. Within a few hours, a hospitalist told me
my mom had only four minutes to four hours to live. The physician started a course of antibiotics and fluids and everyone prayed. The intervention changed the course of her condition.

Within 48 hours, my mom was breathing on her own. I then completely devoted myself to the restoration of my mother’s health. I work side by side daily with therapists, social workers and physicians to assist with her care. I am grateful the Medicare program exists and for the opportunity to see how well it works in an emergency situation.

MEDICARE MOMENT WITH MARTHA
A radio program with Martha Khlopin
KHNR-690AM: Sundays 9:30am–10am
808-230-3379 | getmartha@aol.com

I have spent a decade conducting educational workshops and meeting with individuals transitioning to Medicare or already there. I encourage everyone to explore resources at www.socialsecurity.gov and www.medicare.gov to become knowledgeable before services are needed. I also stress the importance of keeping Medicare cards, medication lists, the names of your physicians and any ongoing health…
Advocating for Someone With Cancer
At some point in our lives, most of us will be given the opportunity to care for someone with cancer. Even though our experience with cancer may be limited, we may have learned enough to ask initial questions of the patient after the diagnosis is made, such as:

What kind of cancer and where is it?

What stage is it?

Do you need surgery?

Do you need chemotherapy or radiation?

How will this affect your future plans?

What kind of support groups are available in the community for this kind of cancer?

Answers to these questions may not be available until more information is obtained from a specialist. Referrals to “other doctors” are usually the first step. Specialists could be surgeons, oncologists or treatment physicians focused on the type of cancer. Being an advocate and researching the disease, treatments, causes, support groups and physician can help answer these questions, but this takes time and can be challenging for the family. Resources are available online and there are always friends who have “been through this before.” Sometimes, the patient and family are in such a state of emotional anxiety they don’t know what to do next. That’s when reaching out to another person during this time may help the family cope with this responsibility. Someone who is detached from the shock of the diagnosis can often offer support and bring some serenity to the situation. This could be a family member or friend, or if you are fortunate, someone who is in the medical field. The main message here is to not go through the process on your own but to ask for assistance. An advocate or advocates can help by doing the following:

◆ Know the family history and information about the patient’s background health. This way, the patient will not have to try to remember all of the questions the doctor will ask her/him at the appointment.

◆ Understand what the patient’s objectives are. Life goals and dreams for the future are important for the doctor to consider. Patients may have a hard time explaining these things on their own.

◆ Take notes and organize the information in a folder so the details can be accessed afterward by the patient and family. This may include information about the chemotherapy names, side effects and time frames. Developing a “partnership” attitude allows physicians and patients to work alongside each other to choose the best course of treatment. As an advocate, you can focus on what is being discussed, ask questions on behalf of the patient and allow all involved to have a clear understanding of the plan. Discussions should consider the risks and benefits of all options. There will be critical decisions that need to be made quickly.

The most important part of helping someone through cancer is to be there, hold their hand and give support, no matter the outcome.

ATTENTION PLUS CARE HOME HEALTHCARE
Accredited by The Joint Commission
1580 Makaloa St., Ste. 1060, Honolulu HI 96814
808-739-2811 | www.attentionplus.com
AGING IN HAWAII EDUCATIONAL OUTREACH PROGRAM by Attention Plus Care — a program providing resources for seniors and their families, covering different aging topics each month. For class information and upcoming topics, call 808-440-9356.
At some point in our lives, most of us will be given the opportunity to care for someone with cancer. Even though our experience with cancer may be limited, we may have learned enough to ask initial questions of the patient after the diagnosis is made.