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Recent changes to industry some pro's some con's These changes are a victory for Seniors.

 These changes are a victory for Seniors.

Governor signs ESSHB 1935!


This bill was created and run by WSRCC with the assistance of the LTC Ombudsman’s office and their attorney, Howard Graham, attorney, and Rep Morrell and Sen Fairley.

The bill creates needed clarification on the rights of people with disabilities to live in adult family homes in the community and stated:

1.  Restrictive covenants that have the effect of limiting the ability of people with disabilities to live in the residence of their choice, including adult family homes, are unenforceable to the extent of any conflict with this policy.

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Knowledge Gap for Families About Long-Term Care Choices

Most families making decisions about placing their senior relatives in long-term care are not well-informed and need a national awareness campaign about how to address such a choice and advocates to assist them, says a Minnesota doctor and university professor who has penned a new book to help them.

As he establishes in his 13-chapter book “The Good Caregiver: A One-of-a-Kind Compassionate Resource for Anyone Caring for An Aging Loved One,” Dr. Robert L. Kane, professor and chair in Long-Term Care and Aging at the University of Minnesota School of Public Health, says that families deciding to place their elder in a long-term care facility need help in understanding how to select the most suitable category of care and provider and advocates to guide them through the decision.

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Do you really know what Palliative Vs Hospice care means?

pallative care is usally our moto here at PATHS, we are here for heavy care- end of life sever dementia and medically complex. when is it time to go from Palliative to Hospice?

Palliative care: specialized area of healthcare that focuses on relieving and preventing the suffering of patients. Unlike hospice care, palliative medicine is appropriate for patients in all disease stages, including those undergoing treatment for curable illnesses and those living with chronic diseases, as well as patients who are nearing the end of life. Palliative medicine utilizes a multidisciplinary approach to patient care, relying on input from physicians, nurses, chaplains, social workers, psychologists, and other allied health professionals in formulating a plan of care to relieve suffering in all areas of a patient's life.

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Using Your Home Equity for Long Term Care

For many seniors the equity in their home is their largest single asset, yet it is unavailable to use unless they use a home equity loan.

For many seniors the equity in their home is their largest single asset, yet it is unavailable to use unless they use a home equity loan. But a conventional loan really doesn't free up the equity because the money has to be paid back with interest.

A reverse mortgage is a risk-free way of tapping into home equity without creating monthly payments and without requiring the money to be paid back during a person's lifetime. Instead of making payments the cash flow is reversed and the senior receives payments from the bank. Thus the title "reverse mortgage".

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Senior Help & Assistance

Use Local Resources are usally best with quicker results local Providers have relationships with other professional that make transition easier on client and families, reduces readmission to hospital

Eldercare Consultation - Preparing for Transition

Don’t wait for a crisis. We all want to age in place, but what to do when aging in place is no longer the safest option? Do you know what actions to take to help your loved one?   

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Many Qualify for Va Benifits

 ...$1,957 for Personal care for Vet or $1057 for Surviving Spouse

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Elder abuse & Negelect

 Abuse and Neglect

Warning Signs, Risk Factors, Prevention, and Help


Elder Abuse: Signs, Symptoms, Types, Prevention & Treatment

                              Active abuse call 911

                                                                                                         State Adult Protection Services in your area
                                                                                                         Ombudsman Program

Every year, tens of thousands of elderly Americans are abused in their own homes, in relatives’ homes, and even in  facilities responsible for their care. You may suspect that an elderly person you know is being harmed physically or emotionally by a neglectful or overwhelmed caregiver or being preyed upon financially. By learning the signs and symptoms of elder abuse and how to act on behalf of an elderly person who is being abused, you’ll not only be helping someone else but strengthening your own defenses against elder abuse in the future.

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Afforable senior care

 Affordable long term care

Lower the price, raise the level of care 

As a long-term care consultant for seniors and their families, I have visited many different types of facilities. But my favorite type of facility to visit is... 

Our clients’ needs are addressed much better, seamlessly and faster due to our small population; allowing for true one on one care, unlike larger facilities.

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Seattle area House call's Yes Doctors !

Many doctors are returning to the practice of medicine a hundred years ago and are making house calls.  Certain health insurance plans including Medicare will now reimburse a doctor and possibly a staff member -- if test equipment is involved -- to visit homebound patients in their homes.


To qualify for a home visit the patient must have to experience great difficulty in leaving the home.  This does not however mean the care recipient need be completely disabled.  It simply means that transportation requirements or help needed to get to a doctor might be very expensive or difficult to provide or leaving the home might jeopardize the patient’s safety. 

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Preventing elder abuse and neglect

 Preventing elder abuse and neglect

We can help reduce the incidence of elder abuse, but it’ll take more effort than we’re making now. Preventing elder abuse means doing three things:

  • Listening to seniors and their caregivers
  • Intervening when you suspect elder abuse
  • Educating others about how to recognize and report elder abuse

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Preventing Falls in Elderly

Causes and Prevention

Two-thirds of those who experience a fall will fall again within six months.

  • A decrease in bone density contributes to falls and resultant injuries.
  • Failure to exercise regularly results in poor muscle tone, decreased strength, and loss of bone mass and flexibility.
  • At least one-third of all falls in the elderly involve environmental hazards in the home.

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Understanding Medicare

How Much Does Medicare

What Is Part D (Medicare Prescription Drug Coverage)?

Medicare prescription drug coverage is insurance run by an insurance company or other private company approved by Medicare. There are two ways to get Medicare prescription drug coverage:

  1. Medicare Prescription Drug Plans. These plans (sometimes called "PDPs") add drug coverage to Original Medicare, some Medicare Cost Plans, some Medicare Private Fee-for-Service (PFFS) Plans, and Medicare Medical Savings Account (MSA) Plans.
  2. Medicare Advantage Plans (like an HMO or PPO) are other Medicare health plans that offer Medicare prescription drug coverage. You get all of your Part A and Part B coverage, and prescription drug coverage (Part D), through these plans. Medicare Advantage Plans with prescription drug coverage are sometimes called "MA-PDs."

If you decide not to join a Medicare drug plan when you’re first eligible, and you don’t have other credible prescription drug coverage, you will likely pay a late enrollment penalty.

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Choices for End-of Life Caregiving


There are many decisions to be made when imminent death is approaching for a loved one.  Questions regarding what type of care, medical assistance and even physical location for their last days confront us.

If care at home has been given, should loved ones be moved to a facility or remain at home?  If in a care facility should they be moved home for their last days?  Will 24-hour care become necessary and more medical assistance be required?

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Who is watching Grandma?

Who Was Supposed To Be Watching Grandma?

There is a popular tune played this time of year called “Grandma Got Run Over by A Reindeer” which relates that Grandma -- after drinking too much eggnog -- went out into the winter cold to get her medication and was run over by a reindeer. The question is, “Who was supposed to be watching Grandma?”

Though this little tune is just for fun, it may very well raise alarms to many caregivers of the elderly. Caregivers know that even at a holiday party they cannot let down their diligent watch over their elderly loved one. As far-fetched as it may sound, with all the people and noise, an elderly family member with dementia or Alzheimer’s may be enjoying the family gathering and then suddenly become confused and walk to the door and leave.

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Secret Elder Abuse

The Hidden Secret of Elder Abuse

Many elderly people rely entirely on family or other trusted individuals to help them. Whether it is for physical needs or emotional needs, as people grow older they tend to need more and more help from others. This dependence on caregivers or family members makes an older person more vulnerable for abuse.

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Symptoms of Dementia

Recognizing Symptoms of Dementia
The Brown family reunion has always been an event everyone looks forward to. Family visits, games, stories and everyone’s favorite foods are always on the agenda. On the top of the menu is Grandmas Lemon Coconut Cake. Grandma always makes the traditional cake from her old family recipe. This year, however, the cake tasted a little on the salty side, perhaps a half cup full of salty.

Though the family was disappointed over the cake, of more concern was Grandma’s confusion with the recipe and her similar confusion about the loved ones around her. Could something be wrong with grandma's mental state?

One might say that for an elder person a little forgetfulness or confusion is normal, but when do you know if there is a serious problem, such as dementia?

An online article from FamilyDoctor.org outlines some common symptoms in recognizing dementia.

"Dementia causes many problems for the person who has it and for the person's family. Many of the problems are caused by memory loss. Some common symptoms of dementia are listed below. Not everyone who has dementia will experience all of these symptoms.

  • Recent memory loss. All of us forget things for a while and then remember them later. People who have dementia often forget things, but they never remember them. They might ask you the same question over and over, each time forgetting that you've already given them the answer. They won't even remember that they already asked the question.

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Medication Problems and the Elderly

Medication Problems and the Elderly 


At 83 years old, Martha still lived in her own home, and enjoyed working in her garden and canning peaches. It was becoming harder to motivate herself, to get up in the mornings and accomplish the day's tasks. She confided to her daughter that she felt anxious and tired. Her daughter, who was taking medication for her anxiety, took Martha to her own doctor, not Martha's and got her a prescription for Valium. In doing so, the daughter's doctor, who had never seen Martha and who did not have her medical history, was only aware of a few medications they told him she was taking.

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Senior Centers- the Hub of many services

Community Aging Services and Senior Centers

Community Aging Services and Long Term Care 
There are many private, religious and government organizations across the country that provide supportive services for older people. Many of these services center around helping people stay in their homes and avoid having to go to live in an institution or perhaps move in with family. Because of the emphasis on helping people remain independent, many community aging programs could be viewed as long-term care programs. In fact it's probably just a matter of semantics; long-term care and community aging services are just two sides of the same coin. Other community services may provide socialization or training opportunities. Community aging programs might include:

  • Meals served in community centers or delivered to the home
  • Community Senior Center activities and training
  • Transportation and shopping services for people who can't drive or leave their homes
  • Home repairs, snow shoveling, telephone support, caregiver support, care management, legal services, energy and weatherization services, housing subsidies, home health care, counseling and much more
  • Adult day care
  • Protection from abuse
  • Help with health insurance and government entitlement programs

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Effects of Stroke


Effects of Stroke

The ability to define the world and our place in it distinguishes our humanity. Stroke or brain attack forever alters this world-making capacity. The stroke patient's world, once comprehensible and manageable, is transformed into a confusing, intimidating and hostile environment. The skills of intellect, sensation, perception and movement, which are honed over the course of a lifetime and which so characterize our humanity are the very abilities most compromised by stroke. Stroke can rob people of the most basic methods of interacting with the world.

The specific abilities that will be lost or affected by stroke depend on the extent of the brain damage and most importantly where in the brain the stroke occurred. The brain is an incredibly complex organ, and each area within the brain has responsibility for a particular function or ability. The brain is divided into four primary parts: the right hemisphere (or half), the left hemisphere, the cerebellum and the brain stem.

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Symptoms of Congestive heart failure

congestive heart failure?

The symptoms of congestive heart failure vary among individuals according to the particular organ systems involved and depending on the degree to which the rest of the body has "compensated" for the heart muscle weakness.

  • An early symptom of congestive heart failure is fatigue. While fatigue is a sensitive indicator of possible underlying congestive heart failure, it is obviously a nonspecific symptom that may be caused by many other conditions. The person's ability to exercise may also diminish. Patients may not even sense this decrease and they may subconsciously reduce their activities to accommodate this limitation.
  • As the body becomes overloaded with fluid from congestive heart failure, swelling (edema) of the ankles and legs or abdomen may be noticed. This can be referred to as "right sided heart failure" as failure of the right sided heart chambers to pump venous blood to the lungs to acquire oxygen results in buildup of this fluid in gravity-dependent areas such as in the legs. The most common cause of this is longstanding failure of the left heart, which may lead to secondary failure of the right heart. Right-sided heart failure can also be caused by severe lung disease (referred to as "cor pulmonale"), or by intrinsic disease of the right heart muscle (less common)

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Transition in to Residential placement- 6 step program

Transition into placement 6 step brigde program 


Needing placement but mom or dad not ready yet?


Bridge six (6) step program is designed for families who are hesitant to place loved ones into a residential facility, but do however; realize the need for placement for loved ones safety and well being.    


The length of the program is determined by the individual client’s specific needs. There are several factors that shape and determine length of the program.

A few of these factors are as follows:

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