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Moving on after the loss of a spose

Angel On My Shoulder founder, Carol Freeborn RN, BSN, CCM, is having a free monthly support group for families providing care for their loved ones in the home the First Wednesday of Each Month, 5:00pm - 6:00pm.

This Wednesday, March 1st, we will be discussing moving on after the loss of a spouse.  

Angel On My Shoulder's goal is for families and loved ones achieve peace of mind. This event is free and open to the public.

First Wednesday of Each Month, 5:00pm - 6:00pm

Saint Mary's Episcopal Church - in the Church Office next to the Church
428 Park Avenue
Laguna Beach, CA 92651-2337

Care planning assists to prevent complications which hasten the disease process of Dementia including Alzheimer's. Case managers are aware of local resources and support for family. Our case managers are Dementia Care Specialists who create and customize care planning for your loved one. The Orange County Alzheimer's Association refers patients to Angel on my shoulder for just such care planning.

Care planning can control costs and improve quality of life for the millions of American's with Alzheimer's disease.

"New research demonstrates that diagnosis, treatment and care planning may lower costs, increase survival and reduce the burden of Alzheimer's disease on individuals, families and the health care system." - Morning Consult

In accordance with these findings, Congress recognizes the positive impact to the economy, and added the Health Outcomes, Planning, and Education for Alzheimer's Act in 2017 budget to support Alzheimer's research at the Nation Institute of Health.

The Hope for Alzheimer's Act is also proposed to congress, and would require Medicare to pay for care planning sessions for patients and their caregivers. Other measures of the act would likely lead to early diagnosis and treatment, saving more than $692 million in federal spending and improving quality of life for Alzheimer's patients and their families.

Read the full article at https://morningconsult.com/opinions/research-speaks-will-congress-listen-fight-alzheimers-disease/?WT.mc_id=enews2016_08_25&utm_source=enews-aff-17&utm_medium=email&utm_campaign=enews-2016-08-25

Support group event

Angel On My Shoulder founder, Carol Freeborn RN, BSN, CCM, is having a free monthly support group for families providing care for their loved ones in the home the First Wednesday of Each Month, 5:00pm - 6:00pm.

This Wednesday, April 6th, we will be discussing the different stages of memory loss and  the common changes that occur. Our hope is the group will learn about some ideas which can help you be prepare for the changes.  

For more information, please explore Coping with Memory Loss from the Alzheimer's Society.

Angel On My Shoulder's goal is for families and loved ones achieve peace of mind. This event is free and open to the public.

First Wednesday of Each Month, 5:00pm - 6:00pm

Saint Mary's Episcopal Church - in the Church Office next to the Church
428 Park Avenue
Laguna Beach, CA 92651-2337

Preparing for the Holidays

Angel On My Shoulder founder, Carol Freeborn RN, BSN, CCM, is having a free monthly support group for families providing care for their loved ones in the home the First Wednesday of Each Month, 5:00pm - 6:00pm.

The meetings over the next two months will be about preparing the holidays. We'll discuss managing expectations, and coping with the changes in traditions.

Medicare preventive services are available to their loved one with no co-pay, such as annual wellness visits, immunizations, and some cancer screenings. Case managers at Angel on my Shoulder can help you find and navigate these resources.

For more information, please explore The Friendly Visitors Program from the Council on Aging.

Angel On My Shoulder's goal is for families and loved ones achieve peace of mind. This event is free and open to the public.

First Wednesday of Each Month, 5:00pm - 6:00pm

Saint Mary's Episcopal Church - in the Church Office next to the Church
428 Park Avenue
Laguna Beach, CA 92651-2337

Support Group

Angel On My Shoulder founder, Carol Freeborn RN, BSN, CCM, is having a free monthly support group for families providing care for their loved ones in the home the First Wednesday of Each Month, 5:00pm - 6:00pm.

This Wednesday, September 2nd, in response to some of our newest members, we'll be answering any questions you have about caregiving. Our clients and families often have questions about Medicare benefits and resources for people caring for their loved ones. There are many resources available on Medicare.gov/caregivers and provide insights about choosing a drug plan, selecting a hospital, finding local support and care options, and more.

Medicare preventive services are available to their loved one with no co-pay, such as annual wellness visits, immunizations, and some cancer screenings. Case managers at Angel on my Shoulder can help you find and navigate these resources.

For more information, please explore The Friendly Visitors Program from the Council on Aging.

Angel On My Shoulder's goal is for families and loved ones achieve peace of mind. This event is free and open to the public.

First Wednesday of Each Month, 5:00pm - 6:00pm

Saint Mary's Episcopal Church - in the Church Office next to the Church
428 Park Avenue
Laguna Beach, CA 92651-2337

Support Group

Angel On My Shoulder founder, Carol Freeborn RN, BSN, CCM, is having a free monthly support group for families providing care for their loved ones in the home the First Wednesday of Each Month, 5:00pm - 6:00pm.

This Wednesday, August 5th, we'll explore the community resources available for family members and loved ones. We'll also discuss vacation planning, and the importance of taking care of oneself. A short vacation from the responsibilities of care giving and associated stress can be helpful to both you and the person you care for.

Handouts will be provided. Angel On My Shoulder's goal is for families and loved ones achieve peace of mind.

This event is free and open to the public.

First Wednesday of Each Month, 5:00pm - 6:00pm

Saint Mary's Episcopal Church - in the Church Office next to the Church
428 Park Avenue
Laguna Beach, CA 92651-2337

Doctor and patient discussing treatment

Angel On My Shoulder provides consultation services to several memory care facilities in the Southern California area. The following letter was written to one of these:

To: XXXXXXXX

From: Carol Freeborn RN BSN CCM

The following is information regarding durable medical equipment for clients with Medicare as their primary insurance, effective 7-31-2013.

Medicare is phasing in a new Competitive Bidding Program in some areas of the country. This program changes the amount Medicare pays suppliers for certain durable medical equipment (DME), prosthetics, orthotics, and supplies, and changes who can supply these items.

The Competitive Bidding Program replaces the outdated prices Medicare has been paying with lower, more accurate prices. Under this program, suppliers submit bids to provide certain medical equipment and supplies at a lower price than what Medicare now pays for these items. Medicare uses these bids to set the amount it pays for those equipment and supplies under the Competitive Bidding Program. Qualified, accredited suppliers with winning bids are chosen as Medicare contract suppliers.

Medicare may only help pay for these equipment and supplies if they're provided by contract suppliers. Contract suppliers can't charge you more than the 20% coinsurance and any unmet yearly deductible for any equipment or supplies included in the Competitive Bidding Program.

What this means is if you do not use the company assigned to your zip code,  Medicare will not pay for home medical equipment such as Oxygen, wheelchairs, scooters. 

— Excerpt from medicare.gov

You can find the name of the company which services your area, and additional information at: http://www.medicare.gov/what-medicare-covers/part-b/competitive-bidding-program-areas.html.

Most zip codes in South Orange county are serviced by Lincare, Inc. out of Orange, CA. Linecare, Inc 7154-637-7570, Fax 888-696-7100.

Your physician will need to send a prescription and his/her notes stating why you need the equipment. Such as,

My patient needs a standard wheelchair with elevating leg rest (need to be specific as to type) because of reduced mobility due severe scoliosis and dependent edema. 

Both the Physician’s NPI number, Physician’s note, and prescription needs to be faxed to the provider.

If you have any questions or need help navigating Medicare further, please feel free to call us at (888) 391‑4043 or use our contact form.

How to pay for caregivers + signs of heat stroke: Support Group

Angel On My Shoulder founder, Carol Freeborn RN, BSN, CCM, is having a free monthly support group for families providing care for their loved ones in the home the First Wednesday of Each Month, 5:00pm - 6:00pm.

This Wednesday, July 1st, we'll explore how to pay for caregiving in the home, and review the signs of heat stroke. This is especially critical as the summer months kick in.

Handouts will be provided. Angel On My Shoulder's goal is for families and loved ones achieve peace of mind.

This event is free and open to the public.

First Wednesday of Each Month, 5:00pm - 6:00pm

Saint Mary's Episcopal Church - in the Church Office next to the Church
428 Park Avenue
Laguna Beach, CA 92651-2337

Individuals at the support group

Angel On My Shoulder founder, Carol Freeborn RN, BSN, CCM, is having a free monthly support group for families providing care for their loved ones in the home the First Wednesday of Each Month, 5:00pm - 6:00pm.

This month we'll explore healthy aging through diet, exercise, mental activity (purpose) and social engagement.

Handouts will be provided. Angel On My Shoulder's goal is for families and loved ones achieve peace of mind.

This event is free and open to the public.

First Wednesday of Each Month, 5:00pm - 6:00pm

Saint Mary's Episcopal Church - in the Church Office next to the Church
428 Park Avenue
Laguna Beach, CA 92651-2337

Individuals at the support group

Angel On My Shoulder founder, Carol Freeborn RN, BSN, CCM, is having a free monthly support group for families providing care for their loved ones in the home Wednesday May 6th, 5:00pm - 6:00pm.

This month we'll explore providing care outside the home and answering these difficult questions.

  • When does a loved one's care become too complex for families to provide at home care?
  • What is best for your loved one?
  • What is the appropriate type of care when the complexities of care changes?
  • What is it like at a memory care unit?
  • What are the costs?
  • What are my options?

Handouts will be provided to help you compare options for loved ones. Angel On My Shoulder's goal is for families and loved ones achieve peace of mind.

This event is free and open to the public.

Wednesday May 6th at 5:00pm - 6:00pm

Saint Mary's Episcopal Church - in the Church Office next to the Church
428 Park Avenue
Laguna Beach, CA 92651-2337

Family Care Seminar
Click to view full flyer of the Family Care Seminar

Capo Beach Church is hosting an open forum panel of industry professionals to guide you and your family though caregiving.

I will address questions on the challenges of care for family members. Every family situation is different, therefore the open forum is very helpful for caregivers. Here are some topics I have discussed in past.

  • How to address the need of in-home care with your parents while preserving their independence
  • What is best way to look for a board and care home?
  • How do I keep my family member out of the hospital ?
  • What are the signs of dementia, and how do I find care?
  • What do I do when I suspect another family member or care giver is taking advantage of my Parents?
  • My parents go to so many doctors, is this necessary?

Register for the caregiver seminar online today
or/call 949-493-2006 — childcare included

$10 fee — all proceeds go to the church

Sunday, March 29, 2015, 6:00 PM - 8:00 PM

Location: Capo Beach Church, 25975 Domingo Avenue, Capistrano Beach, CA US 92624

 

I hope to see you there,

Carol Freeborn

Recently, the Wall Street Journal published an article on Palliative Care, a speciality "which offers day-to-day relief from symptoms, as well as stress and lifestyle management". These treatments are being offered to patients of any age with a range of chronic illnesses such as cancer, multiple sclerosis, and Parkinson's.

The article also notes "[treatment] may be provided at the same time as curative medical regimens to help patients tolerate side effects of disease and treatment, and carry on with everyday life." Read the full article New Ways Patients are Living With Serious Illness - The Wall Street Journal.

Angel On My Shoulder can assist with making healthcare options translate to better quality of life. Let us help you, or someone you love.

The Wall Street Journal reported on a study about Alzheimers and it’s wider effect on families, including emotional and out of pocket costs.

According to the caring.com study "Forty-two percent of family members who care for a relative with either Alzheimer’s or dementia spend $20,000 or more annually on caregiving...".

The study also reveals that "Fifty-five percent of respondents said their physical health has declined as a result of their caregiving, and 56% have quit their job or have seen their career otherwise negatively affected."

Health Care Advocates like ours can provide a clear path to bringing down costs, managing in-home care givers, and de-stressing both patients and family members. Our nurses are experience in all stages of memory loss.View all our services.

Read the full Wall Street Journal article - Alzheimer’s caregiving pushes many into debt

At the Parenting Your Parent Panel: A Crash Course in Sanity, Angel On My Shoulder Founder, Carol Freeborn, helped many families gain insight and understanding of how to care for aging relatives.

Here are her answers to some of those difficult questions posed on the topics covered.

How would a private case manager help me in managing my parents needs as they age?

Private case managers help you to see and understand behaviors in our aging parents. Loss of control and independence brings out the worst in all of us. At Angel On My Shoulder, we assist our families and clients with safe, practical choices.

As a mother myself, I know first hand that it was a natural reaction to want to “mother” my parents when I first began making choices for them – especially when under stress or time constraints.

Case managers can assist in delivering unpleasant news or choices. Allowing the children to remain children, and not have a forced role reversal.

The most important assessment method is listening to how your parents presently manage their affairs, and how they feel about change.

Don't think just because someone is not talking that they do not have an opinion. Ask direct, open-ended questions. This takes more time, but provides a much smoother transition to the changes that may need to be made.

What do you do when you know your parents need help, but they will not allow anyone but the children help them?

Do not put off having discussions about the future. Talk with them honestly about what you are seeing, and ask them what they want to do.

Contact their Primary Care Physician for a consultation. If they do not have one, make this a priority.

Above all, start slow and don't expect a single all-purpose solution. This is an ongoing process, and as time passes, their needs will change.

What do I do first when I notice my parent's memory is changing?

There are many factors to consider, but it is important first to identify what it is you are noticing, and talk with them about it. It is a very lonely world for a person when they think they have to hide memory loss.

Next make a medical appointment with their doctor, and evaluate what stress may be going on in their life that may be contributing to memory change. For example, they may have an illness.

Stress of aging can cause memory loss. Many families notice their loved ones improve once they receive added support in the home, or at an assisted living facility.

How to help my parents stop driving? Are they not safe?

Just because someone is aging does not mean they cannot drive.

Consider your reasons for them not driving. Talk with them about your fears. And finally, contact their physician and make appointment with their doctor to discuss.

If you have more questions for Carol, call or email her today at (888) 391 4043. Our FAQ has even more Q & A to research.

As nurses, our priority is to care for, and heal our patients' mind, body, and spirit. Nurse Lani Campos, RN CCM HTSM-HP is certified in using Essential Oils and Healing Touch. In addition to her other nursing expertise, her holistic approach has yielded wonderful results with her patients. Below describes how they work.

Essential Oils

What are essential oils?

Essential oils are the very life force or essence of the plant. The oil or resin carries nutrients throughout the plant and protects it from any form of stress. The oil has been called the “life blood” of the plant since it protects against infections and other diseases. These oils are tiny droplets produced in glands, sacs, or veins of different plant parts and may be found in any portion of the bush, flower, herb, or tree. It is what gives each plant its characteristic aroma. The essential oil of a plant is not oily at all but rather is a water-like fluid.

What do they do?

Essential oils can perform many functions for our bodies, minds and spirits. As plants of the earth, they are God’s gifts for our healing. They can support and balance many systems-circulatory, digestive, respiratory, nervous, endocrine and reproductive. When an essential oil fragrance enters the nose, it goes to the lungs and finds its way into the blood stream and every part of the body. Chemical interactions can occur between the oils and our bodies that result in physical changes. There can be hormone and enzyme responses to the chemicals in the oils. Our bodies can become sedated, stimulated or relaxed by the actions of certain oils. Pain may be relieved, wounds may heal, and inflammation and spasms may cease.

Additional effects

Essential oils can also affect our minds and emotions. All aromas have a potential emotional impact that can reach deep into the psyche, and both relax the mind and uplift the spirit.

Healing Touch

Healing Touch is a form of energetic healing that has its origin in the laying-on of hands that can be found in all spiritual paths. It is based on a philosophy of caring and compassion and is oriented towards service to humanity.

The soul of the Healing Touch program is heart work. In scientific language, practitioners energetically synchronize their hearts to the heart of another who is hurting. They extend the qualities of love that are nurturing, connecting and integrating. As they lift the hurting person to God in prayer, hands-on healing and anointing, the healing work becomes sacred work. They enter into that divine work of being couriers for God’s healing grace.

In her Judeo-Christian path, there are many ways to use one’s hands with the intention of healing that are based in the scriptures and in Christian tradition. Lani works with the Healing Touch Spiritual Ministry.

A Crash Course in Sanity.

Parenting your parent 101 flyer image. Caring For Aging Relatives? Don’t know where to turn? This 3 week professional panel series will guide you and answer your many questions. Carol Freeborn, founder of Angel On My Shoulder is on the panel. Moderated By: Jeanne Gormick Director of Volunteers at OC Hospice

Provides answers to your concerns covering:

  • Lifestyle Changes
  • Housing Options
  • Impaired Driving
  • Home Safety
  • Clutter Control
  • Personal Hygiene
  • Home Medical Options
  • Financial Survival
  • Alzheimer’s/Dementia
  • Reverse Mortgages
  • Home & Asset Protection
  • VA Benefits
  • Medication Precautions
  • Estate Planning
  • End of Life Decisions
  • Advanced Planning
  • Senior Health Insurance
  • Elder Abuse
  • Healthcare Directives
  • Avoiding Fraud
  • Caregiver Burnout
  • Restoring Mental Wellness
  • Effective Communication Tools
  • Where to Go to Get Help
  • And much more!
 
   

Panel series located at Goldenwest College

Register by phone (714) 895-0800 
or Register online at Goldenwest College website

Moderated By: Jeanne Gormick Director of Volunteers at OC Hospice.

  • Tuesday, October 14th 6:30pm-8:30pm | Administration 224 Medical and Safety
  • Tuesday, October 21st 6:30pm-8:30pm | Administration 224 Legal and Financial
  • Tuesday, October 28th 6:30pm-8:30pm | Administration 224 Stress Management

For more info and who will be on the panel, View the flyer!

Angel On My Shoulder was created to be advocates for their clients. Having a patient advocate in today's healthcare can assure your quality of care.

The following resources can help you better understand the role of patient advocate above and beyond the services section of this website.

Southern California home

This month make time to do a home safety review. If you can answer “yes” to all of the questions, you are not only following good home safety practices, but also insuring the safety of friends, family and visitors.

Kitchen

    Do all the electrical appliances have sturdy cords and intact plugs?
  • Is the stove area clean and grease free?
  • Do you use a step stool with handrails for hard-to-reach objects?
  • Is there adequate lighting over counters where cutting implements are used?

Bathroom

  • Are there grab bars and nonslip bathmats in the shower and tub areas?
  • Is the hot water temperature set to a maximum of 120 degrees Fahrenheit?
  • Is there a nightlight?
  • Have you installed a ground fault circuit interrupter to protect your family against accidental electric shock due to electrical appliances (i.e. blow dryers, curling irons, electric razors)?

Bedroom

  • Are there smoke detectors near all bedrooms and on every level of the house?
  • Have you tested your smoke detectors monthly and replaced the batteries yearly, or as needed?
  • Have you installed carbon monoxide detectors in the hallways between the bedrooms and the rest of the house?

Heating

  • Have you had the furnace and venting system inspected this year?
  • Are space heaters kept at least three feet from everything? Are their cords intact?

Stairways & Hallways

  • Are they well-lit, with light-switches at the top and bottom, and a handrail to hold?
  • Are there nonskid treads and/or carpet runners to prevent slipping?
  • Are phone cords and extension cord kept clear of high-traffic areas?
  • Have you tacked down throw rugs and runners with adhesive carpet tape or rubber matting?
  • Are all extension cords intact and not overloaded?

Fire Escape Plan

  • Does everyone in the family know at least two escape routes from every room in the home or apartment?
  • Are there quick-release devices on all the security-enforced doors & windows?

Home safety checklist compliments of Four Score.

California Caregivers (domestic workers) have had changes to how they are paid starting January 2014. These changes are protecting the rights of our much needed caregivers, however it increases the cost of providing care in homes.

Learn more about the improved working conditions.

The Affordable Care Act has changed where you obtain your durable medical equipment such as wheelchairs, or walkers.

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(888) 391‑4043

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