Latest / A Place for Seniors / When Home Care Becomes Personal: Compassionate, Customized Care for Seniors
Transcript
- 0:00SPEAKER_00: Welcome to a place for seniors, where we share the real truth about what seniors need.
- 0:05SPEAKER_00: This podcast features honest, heartfelt conversations, the ones we don't always have, but matter the most.
- 0:12SPEAKER_00: Here we share real stories and simple insights about aging with dignity, choice, and autonomy.
- 0:18SPEAKER_00: Together, we bring what we've learned from over 20,000 conversations with seniors and their families, guiding you through some of life's hardest decisions.
- 0:27SPEAKER_00: We invite you to listen, learn, and prepare with us because these conversations matter and the choices we make today shape our tomorrow.
- 0:37SPEAKER_00: Hi, and welcome to A Place for Seniors.
- 0:39SPEAKER_00: I'm Alison Carmen, and I have Erica O'Haran with Senior Care.
- 0:45SPEAKER_00: Excuse me, say it again for me.
- 0:47SPEAKER_00: The next chapter Senior Care Solutions.
- 0:49SPEAKER_00: The next chapter senior care solutions, which is home care.
- 0:52SPEAKER_00: Yes.
- 0:53SPEAKER_00: Right?
- 0:54SPEAKER_00: And we had the pleasure of meeting, and I went to your office and met your counterpart there.
- 0:59SPEAKER_00: And I was really, really impressed with what you uh told me about your company.
- 1:05SPEAKER_00: So one of the things that we talked about was caregiving in general.
- 1:09SPEAKER_00: Yes.
- 1:09SPEAKER_00: Right.
- 1:09SPEAKER_00: So you've been a caregiver before.
- 1:11SPEAKER_00: Yes.
- 1:11SPEAKER_00: Right?
- 1:12SPEAKER_00: And what we always talk about is that caregiving can be very expensive, right?
- 1:18SPEAKER_00: So, and there's usually a minimum amount of time that people can come into the home like you want probably a minimum of three hours or four hours, right?
- 1:27SPEAKER_00: Your rates run anywhere from 40 to 42, 44, right?
- 1:32SPEAKER_00: Okay.
- 1:32SPEAKER_00: So that's really standard, right?
- 1:34SPEAKER_00: That's pretty much what everybody else does too.
- 1:37SPEAKER_00: So if you're bringing someone into your home for that long, right?
- 1:40SPEAKER_00: Yeah.
- 1:40SPEAKER_00: What we always worry about is that person, first of all, not being a match for the person that they're caring for.
- 1:46SPEAKER_00: And I'm going to let you talk to this because, and then what is it that diff that really sets you guys apart?
- 1:52SPEAKER_00: Because the standard is they're there for whatever period of time it takes them to get them out of the bed and maybe onto the toilet, maybe dressed, maybe showered.
- 2:00SPEAKER_00: Maybe that's 40 minutes.
- 2:02SPEAKER_00: But now they're there for another two and a half hours, right?
- 2:05SPEAKER_00: So what sets your company apart and what we were talking about, which I really, really love.
- 2:10SPEAKER_01: Right.
- 2:11SPEAKER_01: So we have branded ourselves as a concierge model in home care agency.
- 2:16SPEAKER_01: And when we say concierge, it's not necessarily luxury, it's more of instead of sending somebody in to just check off tasks on a task list, we're being intentional in how we're managing those tasks.
- 2:32SPEAKER_01: Right.
- 2:32SPEAKER_01: So, like you said, somebody could come in, just need 40 minutes of tasks.
- 2:36SPEAKER_01: That's fine.
- 2:36SPEAKER_01: Yeah.
- 2:37SPEAKER_01: We want to come in and kind of elevate that care.
- 2:40SPEAKER_01: And what does giving that shower or bath look like?
- 2:44SPEAKER_01: How can we maybe make it a spa experience?
- 2:46SPEAKER_01: Right.
- 2:47SPEAKER_01: Maybe they have dementia and they struggle with taking a bath.
- 2:51SPEAKER_01: What is our approach?
- 2:52SPEAKER_01: How can we make it easier and how can we make the person more comfortable?
- 2:56SPEAKER_00: Right.
- 2:56SPEAKER_01: In addition to that, it's also just trying to also look at the person holistically.
- 3:02SPEAKER_01: Yeah.
- 3:03SPEAKER_01: We're all made up of different parts, right?
- 3:05SPEAKER_01: Right.
- 3:05SPEAKER_01: And as a company, we don't want to just come in and take care of the physical.
- 3:09SPEAKER_01: We want to try to take care of the mental, the emotional.
- 3:13SPEAKER_01: So walking alongside somebody in their life, being able to do things that they once enjoyed, right?
- 3:19SPEAKER_01: Can we take them to the park?
- 3:20SPEAKER_01: Can we take them to the senior center?
- 3:22SPEAKER_01: Can we do crafts and art stuff with them that they once enjoyed, you know, to bring those things?
- 3:28SPEAKER_01: And how do you know that?
- 3:28SPEAKER_00: How do you do an intake when you talk to people?
- 3:31SPEAKER_01: Yes.
- 3:31SPEAKER_01: But we do a very detailed individualized care plan that goes beyond the task list.
- 3:37SPEAKER_01: Okay.
- 3:37SPEAKER_01: Of course, we need to know safety measures.
- 3:39SPEAKER_01: We need to know what skill level to send somebody, what diagnosis they have.
- 3:43SPEAKER_01: But beyond that, what are their interests?
- 3:45SPEAKER_01: What did they used to enjoy?
- 3:47SPEAKER_01: And how do we incorporate that into our care for them?
- 3:50SPEAKER_00: Right.
- 3:50SPEAKER_00: So that eliminates somebody doing the tasks and then sitting on the couch and being on their cell phone.
- 3:56SPEAKER_00: I mean, really, that is kind of what caregiving in a lot of cases is.
- 4:01SPEAKER_00: Um, and you're paying$44 an hour for it.
- 4:04SPEAKER_00: Exactly.
- 4:05SPEAKER_00: Which can really add up.
- 4:06SPEAKER_00: And you're a minimum of 20 hours a week, which is great.
- 4:09SPEAKER_01: We are, we are opening to a bit less as well.
- 4:13SPEAKER_01: Cause we do understand that starting off at 20 hours can be a barrier for people.
- 4:18SPEAKER_01: And our whole goal is to help people.
- 4:20SPEAKER_01: So starting out if they want 10 to 12, and then we could grow in, then that's wonderful.
- 4:26SPEAKER_01: And that's kind of something we're we're opening up to.
- 4:28SPEAKER_01: Oh, good.
- 4:29SPEAKER_01: Um, just because again, the most important thing is getting people that that care that they deserve and that care that they need.
- 4:36SPEAKER_00: Right.
- 4:36SPEAKER_00: And do you see it as um like full-time care is about 35,000 a month?
- 4:41SPEAKER_00: And it's all it's pretty out of reach for all, I mean, I would say 90% of the population, right?
- 4:47SPEAKER_00: And we always have alternatives to that, like an assisted living home or an assisted living community, or if they get healthier, we can go into an independent living with a little scheduled care if they need it, right?
- 4:59SPEAKER_00: So that's always my goal is to get them thriving in a community where they're just self-profelling their independence, right?
- 5:07SPEAKER_00: But that caregiving is so important.
- 5:10SPEAKER_00: And for years, I would try to find caregivers that did exactly what you do.
- 5:15SPEAKER_00: Right.
- 5:15SPEAKER_00: So you understand who the person is.
- 5:17SPEAKER_00: Do you then understand who you're going to send there?
- 5:21SPEAKER_00: So if you were to go out and do an assessment, then you would be thinking about your staff and who you're gonna send for that particular person.
- 5:28SPEAKER_01: Exactly.
- 5:28SPEAKER_01: Okay.
- 5:29SPEAKER_01: That is a big part of our care model, is that care matching.
- 5:32SPEAKER_01: Okay.
- 5:32SPEAKER_01: Right.
- 5:33SPEAKER_01: It's not only matching the skill level, depending on what the person needs.
- 5:37SPEAKER_01: Right.
- 5:37SPEAKER_01: And granted, we can teach skills.
- 5:39SPEAKER_01: I can teach skills all day.
- 5:41SPEAKER_01: Right.
- 5:41SPEAKER_01: But can I teach a person to care?
- 5:43SPEAKER_01: Can I teach a person to have passion?
- 5:45SPEAKER_01: You know what I mean?
- 5:46SPEAKER_01: Right.
- 5:47SPEAKER_01: So it is being mindful of the personality.
- 5:50SPEAKER_01: We have this wonderful woman who I absolutely adore.
- 5:54SPEAKER_01: She is very, she has uh dementia, but she's very lively, she's very creative.
- 5:59SPEAKER_01: Right.
- 5:59SPEAKER_01: We need somebody to kind of match that energy, right?
- 6:02SPEAKER_01: And that's willing to do things with her and do those arts and crafts.
- 6:06SPEAKER_01: But understand the dementia.
- 6:07SPEAKER_01: But understand the dementia.
- 6:09SPEAKER_01: Right.
- 6:09SPEAKER_01: Right.
- 6:09SPEAKER_01: Exactly.
- 6:10SPEAKER_00: Because there's a lot of ways that you um, I don't think people really understand it if you haven't lived it, right?
- 6:17SPEAKER_00: Or be around, we're around it all the time.
- 6:19SPEAKER_00: So um, one of the things that you want to be aware of is their vision is different, right?
- 6:25SPEAKER_00: And that they're not gonna take in things like you and I take them in.
- 6:28SPEAKER_00: Exactly.
- 6:29SPEAKER_00: Right.
- 6:29SPEAKER_00: So it takes a lot of repetition, it takes a lot of patience, and it's also understanding kind of what they're trying to communicate.
- 6:36SPEAKER_00: Yes.
- 6:37SPEAKER_00: And uh somebody um described it to me the other day as it's like you've got a forest like this, and every once in a while the forest opens and then it closes again, which is I think really interesting.
- 6:47SPEAKER_00: But if you understand that and you've been trained and you um we used to call them shower whisperers because right?
- 6:55SPEAKER_00: I mean, because they would like for some reason, that one person really understood both energetically, I think it means something like that.
- 7:06SPEAKER_00: Like you can't get frustrated with a person with dementia because that energy goes right into them.
- 7:11SPEAKER_00: And they're they're operating at that energetic level a lot more than they're operating at you saying, why don't you just, you know, let me take your clothes off and get into a shower?
- 7:21SPEAKER_00: And they're not gonna understand that.
- 7:23SPEAKER_01: Exactly.
- 7:23SPEAKER_01: Right.
- 7:24SPEAKER_01: And that's a big thing.
- 7:25SPEAKER_01: It's something we do specialize in is dementia.
- 7:28SPEAKER_01: Um, us as the leadership of the company, we're all certified dementia practitioners.
- 7:33SPEAKER_01: I'm a dementia friends champion.
- 7:35SPEAKER_01: So we teach about um how to become a dementia friend and all that.
- 7:38SPEAKER_01: How to do that.
- 7:39SPEAKER_01: What is dementia friend?
- 7:40SPEAKER_01: So dementia friend, it's an initiative that started in the UK and has subsequently moved to Arizona.
- 7:47SPEAKER_01: So there's certain cities that are dementia-friendly cities.
- 7:51SPEAKER_01: Uh-huh.
- 7:51SPEAKER_01: So you're training people.
- 7:53SPEAKER_01: What does dementia look like?
- 7:54SPEAKER_01: How to interact with somebody with dementia, how can you support, and really just that awareness so we can kind of, you know, they say you're one degree away from meeting somebody with dementia.
- 8:04SPEAKER_01: You are.
- 8:05SPEAKER_01: It's it's very prominent.
- 8:06SPEAKER_01: Um, and yeah, so that approach is critical.
- 8:09SPEAKER_01: There's a Maya Angelo quote, and I'm gonna botch it in paraphrasing, you know.
- 8:14SPEAKER_01: Um, basically, like you may not remember what somebody said, but you'll remember how you made them feel, or they'll remember how you made them feel.
- 8:21SPEAKER_00: That is, and you leave them better than when you found exactly and that is what we do in our company too.
- 8:27SPEAKER_00: Like you you really have to be aware when you're helping people in these kind of settings, like in a moving from a home that you've been in for 40 years into something that is very foreign to you.
- 8:39SPEAKER_00: You have to be completely understanding and compassionate with that person, right?
- 8:43SPEAKER_00: And understanding that, and that is how you make them feel.
- 8:47SPEAKER_00: Exactly.
- 8:47SPEAKER_01: Exactly.
- 8:48SPEAKER_00: So yeah, I was um, I was with a couple yesterday and um she's living alone with her significant other.
- 8:56SPEAKER_00: Yeah.
- 8:57SPEAKER_00: And on the phone, I noticed a little bit of forgetfulness, little bit.
- 9:02SPEAKER_00: Driving around for three hours with her yesterday, I really saw it.
- 9:07SPEAKER_00: And so it's interesting, you know, a lot of uh adult children they talk to their parents on the phone, but they don't go visit them in person.
- 9:15SPEAKER_00: Yeah.
- 9:15SPEAKER_00: So like sitting there for an hour with somebody, even over a dinner table or something, all of a sudden you start realizing, wow, they're they're not tracking, exactly.
- 9:24SPEAKER_00: You know, or they're they're tracking.
- 9:26SPEAKER_00: But I just told you, you know, it was this much money, you know.
- 9:29SPEAKER_00: Wait a minute.
- 9:30SPEAKER_00: But I don't ever say that, right?
- 9:32SPEAKER_00: Right.
- 9:33SPEAKER_00: Remember, I just said that.
- 9:34SPEAKER_00: No, I never say that.
- 9:35SPEAKER_00: Oh, right.
- 9:36SPEAKER_00: No, I just repeat it again.
- 9:37SPEAKER_00: Yes.
- 9:38SPEAKER_00: So that because it's it's really, it's not forgetfulness, it's that your brain is slower to get that into the narrow pathways that can accept it.
- 9:49SPEAKER_00: Yeah.
- 9:49SPEAKER_00: So it's just slower.
- 9:51SPEAKER_00: So it's not that she's not capable of doing things.
- 9:55SPEAKER_00: You know, that's the other thing.
- 9:56SPEAKER_00: Oh, I have dementia, I can't do anything anymore.
- 9:58SPEAKER_00: Oh, you've got to take care of everything.
- 10:00SPEAKER_00: No, no, not necessarily, right?
- 10:02SPEAKER_01: No.
- 10:02SPEAKER_01: We want to keep people as independent as possible, as independent as it's safe to do so.
- 10:07SPEAKER_01: And I think that is one thing in my history of being a caregiver and training caregivers.
- 10:14SPEAKER_01: I think that was the most important thing to teach them is if they can do it, let them do it.
- 10:19SPEAKER_01: You're there to assist.
- 10:21SPEAKER_01: Right.
- 10:21SPEAKER_00: So don't, don't overcare.
- 10:23SPEAKER_01: Don't oh, don't take over.
- 10:25SPEAKER_01: You're not there to parent them.
- 10:27SPEAKER_01: Yeah.
- 10:27SPEAKER_01: They are their own individual person.
- 10:29SPEAKER_01: We want to give them safety and dignity and respect.
- 10:31SPEAKER_01: Right.
- 10:32SPEAKER_01: And again, especially too for somebody with dementia.
- 10:35SPEAKER_01: I had a woman that I cared for and she'd ask the same question over and over and over.
- 10:38SPEAKER_01: I would give her the same answer over and over and over, right?
- 10:42SPEAKER_01: Right.
- 10:42SPEAKER_01: Because again, the short-term memory is what's being affected first, because that's the outer part of the brain.
- 10:47SPEAKER_01: So that's kind of what's being deteriorated.
- 10:50SPEAKER_01: The feelings, the emotion that they can sense, that they can see is what's going to stick with them.
- 10:56SPEAKER_00: It's the long term.
- 10:56SPEAKER_01: It's the long term.
- 10:58SPEAKER_01: It's those long-term memories, those long-term feelings.
- 11:00SPEAKER_00: And I really do believe, I mean, it's not hocus pocus.
- 11:03SPEAKER_00: I mean, we are energetic fields, right?
- 11:05SPEAKER_00: Absolutely.
- 11:06SPEAKER_00: And if we're coming in frustrated that we were in traffic all day, you got to reground yourself.
- 11:12SPEAKER_00: You know, you teach that.
- 11:13SPEAKER_00: Do you teach them how to do that?
- 11:14SPEAKER_01: Yes.
- 11:14SPEAKER_01: Okay.
- 11:15SPEAKER_01: We got to, you know, and sometimes, and I this is where I think of family caregivers that are experiencing dementia or mom is so different, or I'm telling her something and she's not getting, you know, that frustration.
- 11:26SPEAKER_01: And it is very frustrating.
- 11:28SPEAKER_01: Yeah.
- 11:28SPEAKER_01: Where then you might have somebody on the outside come in and the uh mom or dad responds really well to them.
- 11:34SPEAKER_01: Right.
- 11:34SPEAKER_01: Right.
- 11:34SPEAKER_01: Right.
- 11:35SPEAKER_01: It's sometimes harder as a parent, I mean, um, sorry, as a child to come in and have that kind of emotional separation.
- 11:43SPEAKER_00: I totally agree.
- 11:44SPEAKER_00: Well, there's another thing happening there.
- 11:45SPEAKER_00: I took care of my mom.
- 11:46SPEAKER_00: Yeah.
- 11:47SPEAKER_00: In fact, almost every single person in my family took care of my mom.
- 11:50SPEAKER_00: Yeah.
- 11:51SPEAKER_00: We all unfortunately passed her around.
- 11:53SPEAKER_00: Um, but uh it's a weird feeling to know that your parent was, you know, the person that was always, you know, did their own thing.
- 12:04SPEAKER_00: She was very independent.
- 12:05SPEAKER_00: She did, she was a very good real estate agent.
- 12:08SPEAKER_00: She did that for years and years.
- 12:10SPEAKER_00: And then for me to not only not understand why she wasn't able to pack the suitcase by herself, but also there was a thing like, no, no, mom, you can't do this.
- 12:22SPEAKER_00: You can't be like this.
- 12:23SPEAKER_00: You have to change, right?
- 12:25SPEAKER_00: And that's a weird uh underpinning to the whole thing.
- 12:29SPEAKER_00: You do you agree?
- 12:30SPEAKER_00: Yes.
- 12:30SPEAKER_00: I mean, that's what's hard when you know the knee-jerk thing is to say, I, you know, I can take care of my parent.
- 12:37SPEAKER_00: And the problem is you were not trained many, many, many times.
- 12:42SPEAKER_00: How many adult children go get dementia trained?
- 12:44SPEAKER_00: Exactly.
- 12:44SPEAKER_00: And understand it.
- 12:45SPEAKER_00: Even if you understand it, you've got that dynamic of losing your parent in front of you.
- 12:51SPEAKER_00: And it's very hard.
- 12:53SPEAKER_01: And there is a term for it.
- 12:55SPEAKER_01: It's called ambiguous loss.
- 12:56SPEAKER_01: Ambiguous loss.
- 12:57SPEAKER_01: Yes.
- 12:57SPEAKER_01: So yeah, right.
- 12:58SPEAKER_01: Where the person is still in front of me, but they're not the person that they once were.
- 13:02SPEAKER_01: So I'm grieving that part.
- 13:04SPEAKER_01: I'm grieving this change in the relationship.
- 13:06SPEAKER_01: This dynamic is changing.
- 13:08SPEAKER_01: Right.
- 13:09SPEAKER_01: And to tie into that, I recently, um, I don't know if you're familiar with a gerontologist called Sam Craddock.
- 13:15SPEAKER_01: No.
- 13:15SPEAKER_01: She um she is from California.
- 13:18SPEAKER_01: She owned a home care out there.
- 13:20SPEAKER_01: She has a TV show.
- 13:22SPEAKER_01: Um, I want to say channel five or channel six, I'm not sure.
- 13:25SPEAKER_01: Um, but she came out to speak and she spoke on something that I had never really thought about.
- 13:31SPEAKER_01: And it it makes a lot of sense though.
- 13:34SPEAKER_01: Um, when you have this dynamic between the family caregiver and the parent, um, you have that sandwich generation, right?
- 13:43SPEAKER_01: They're trying to take care of their own family.
- 13:45SPEAKER_01: They're trying to take care of mom and dad.
- 13:47SPEAKER_01: And mom and dad might be resistant to care.
- 13:49SPEAKER_01: We see it all the time, right?
- 13:50SPEAKER_01: And so nothing gets done.
- 13:52SPEAKER_01: A crisis happens.
- 13:53SPEAKER_01: And now we're in crisis and we are now.
- 13:57SPEAKER_00: And it's so complicated.
- 13:58SPEAKER_00: It's so complicated.
- 13:59SPEAKER_00: So complicated.
- 14:00SPEAKER_00: What are you gonna do?
- 14:01SPEAKER_00: How are you gonna do it?
- 14:02SPEAKER_00: How much does it cost?
- 14:03SPEAKER_00: How, how do we make it uh affordable so that we can take care of them?
- 14:07SPEAKER_01: Yeah.
- 14:07SPEAKER_01: But a lot of it is this dynamic in the relationship where, like you said, the the son or daughter doesn't know how to care for the the parent because they've never been in that situation.
- 14:19SPEAKER_01: Right.
- 14:20SPEAKER_01: They know how to parent children because that's what they've done.
- 14:23SPEAKER_01: So that sometimes translates into their approach with their parents.
- 14:27SPEAKER_01: And then the parents be like, well, you're trying to control me, you're trying to tell me what to do.
- 14:31SPEAKER_01: Right.
- 14:31SPEAKER_01: And that's where the conflict comes in.
- 14:33SPEAKER_01: Right.
- 14:33SPEAKER_01: And so it is trying to kind of just come in that conversation, be like, hey, mom and dad, you know, this is a new situation for me.
- 14:41SPEAKER_01: Yeah.
- 14:41SPEAKER_01: Like I don't know, you know, I don't want you to lose your control, but I want you to be safe.
- 14:46SPEAKER_01: It's a great conversation to have.
- 14:48SPEAKER_01: Right.
- 14:48SPEAKER_01: And it's because that is their top thing.
- 14:50SPEAKER_00: Yes.
- 14:51SPEAKER_00: They don't want to lose their independence and their uh they want independence, empower, and then control.
- 14:57SPEAKER_01: Yeah.
- 14:58SPEAKER_00: Um, or choice.
- 14:59SPEAKER_00: Exactly.
- 15:00SPEAKER_00: And then they want empowerment and dignity and respect.
- 15:03SPEAKER_00: Now, I don't think those are in that order.
- 15:04SPEAKER_00: They're all over the place, right?
- 15:06SPEAKER_00: But number those are the big ones.
- 15:08SPEAKER_00: And the dignity and respect, you don't even realize when you're talking to somebody like you would talk to a four-year-old toddler.
- 15:15SPEAKER_00: Yeah.
- 15:16SPEAKER_00: Because you need to do the things that you did for a four-year-old toddler.
- 15:20SPEAKER_00: Yes, that that makes them feel, you know, that resistance.
- 15:25SPEAKER_00: Yes.
- 15:26SPEAKER_00: And and like you're not, you're not respecting me.
- 15:28SPEAKER_00: You're not, you know, this isn't dignified, you know.
- 15:31SPEAKER_00: And I remember when I uh was taking care of my mom and uh I had to help her in the shower.
- 15:37SPEAKER_00: Yeah.
- 15:37SPEAKER_00: And I only did it a couple times.
- 15:39SPEAKER_00: And when I was doing it, she said, I just can't believe it's come to this, Allison.
- 15:44SPEAKER_00: Right.
- 15:44SPEAKER_00: I can't believe it's come to this, you know.
- 15:46SPEAKER_00: And she was just almost in tears.
- 15:48SPEAKER_00: And I was like, Well, of course, mom, it's perfectly fine.
- 15:51SPEAKER_00: I had, you know, oh, it's no problem.
- 15:53SPEAKER_00: I can do it, you know.
- 15:54SPEAKER_00: But she was devastated.
- 15:57SPEAKER_00: Right.
- 15:57SPEAKER_00: It wasn't so much me, it was her.
- 15:59SPEAKER_01: Yeah.
- 16:00SPEAKER_00: And she didn't want to do it for her mom, and she didn't want me to have to do it for her.
- 16:04SPEAKER_00: Right.
- 16:04SPEAKER_00: So it was like, and I don't think that that's uncommon.
- 16:07SPEAKER_01: No, not at all.
- 16:08SPEAKER_01: I think there is that feeling of, yeah, what does this come to?
- 16:12SPEAKER_01: My daughter's now having to do this.
- 16:14SPEAKER_01: They do feel that burden, that burden of care.
- 16:17SPEAKER_01: And I think I've even seen it as coming in as a caregiver.
- 16:21SPEAKER_01: You know, as a caregiver, you kind of have to foresee and and know what needs to be done and do it in the right approach because oftentimes you ask somebody what they need and they're like, I don't know what I need.
- 16:33SPEAKER_01: Right.
- 16:33SPEAKER_01: And because they don't want to be that burden of care.
- 16:36SPEAKER_01: And I think it's the same thing.
- 16:37SPEAKER_00: Well, I'm fine.
- 16:38SPEAKER_00: I'm fine.
- 16:39SPEAKER_00: I'm fine.
- 16:39SPEAKER_00: Right.
- 16:39SPEAKER_00: I'll figure it out.
- 16:40SPEAKER_00: I'm fine.
- 16:41SPEAKER_00: No worries.
- 16:41SPEAKER_00: You know, you don't have to bring her in, yeah, you know, or they'll fire you constantly.
- 16:46SPEAKER_00: You know, exactly.
- 16:47SPEAKER_00: But yeah, it takes that approach.
- 16:49SPEAKER_00: And I always say when I worked for years and years on the telephone, taking calls on the telephone, I got really, really good at building trust very quickly.
- 16:57SPEAKER_00: And I think that's a skill.
- 16:59SPEAKER_00: Yes.
- 16:59SPEAKER_00: I think it's an absolute skill.
- 17:01SPEAKER_00: And it's come it always comes from education.
- 17:04SPEAKER_00: It always comes from first and foremost, I understand where you're coming from, right?
- 17:10SPEAKER_00: Second of all, this is what I've done for this long.
- 17:13SPEAKER_00: And and then relating.
- 17:15SPEAKER_00: I've worked with another lady just like you, right?
- 17:18SPEAKER_00: Those kind of things.
- 17:19SPEAKER_00: When you start going into that realm, that whole shield comes down.
- 17:23SPEAKER_00: Yes, right.
- 17:24SPEAKER_01: You have to meet them where they're at.
- 17:26SPEAKER_01: You can't be in there, oh, I'm gonna tell you exactly what to do, right?
- 17:29SPEAKER_01: That that doesn't work for anybody.
- 17:31SPEAKER_01: You're gonna have that resistance, right?
- 17:33SPEAKER_01: You have to meet them where you're they're at.
- 17:35SPEAKER_01: And you know, underneath all of that is they want that independence, that choice, that respect, that dignity.
- 17:42SPEAKER_01: So having that as your as your foundation and being able to open that trust and relate to them is critical.
- 17:49SPEAKER_00: Right, right.
- 17:50SPEAKER_00: Yeah.
- 17:50SPEAKER_00: And we talk a lot about it.
- 17:52SPEAKER_00: Um, you know, using a uh caregiver in the home may be a step then to getting better so that then you can maybe transition into something like an apartment where you can have, you know, happy hours and movies and people to do stuff with and people your own age that you're you're you're talking with.
- 18:13SPEAKER_00: And but you know, if you need, you know, uh six months to a year of caregiving, then you can do it.
- 18:20SPEAKER_00: But if you're doing it right, that's the hardest find, hardest part to find.
- 18:24SPEAKER_00: It's the hardest ones.
- 18:26SPEAKER_00: And that's why I I really love talking to you, Erica, because that you're one of the few.
- 18:30SPEAKER_00: I have probably a handful of caregiving companies that talk on this level.
- 18:35SPEAKER_00: Yeah, yeah, yeah.
- 18:37SPEAKER_00: Yeah, and I know you worked at other places too.
- 18:39SPEAKER_00: And and this is why you kind of gravitated to this company.
- 18:42SPEAKER_01: I did, yes.
- 18:43SPEAKER_01: I used to work what we kind of call more volume-based agencies.
- 18:47SPEAKER_01: Volume-based, yeah.
- 18:48SPEAKER_01: Yeah.
- 18:48SPEAKER_01: And again, there is a time and place for that.
- 18:51SPEAKER_01: But what I saw was a lot of holes trying to be filled.
- 18:56SPEAKER_01: And it doesn't always work like that.
- 18:57SPEAKER_01: Because care is not just one blanketed thing.
- 19:00SPEAKER_01: It's so intricate.
- 19:02SPEAKER_01: Right.
- 19:02SPEAKER_01: And, you know, we'd have an agency where it's like, you gotta fill these shifts, you gotta fill these shifts, and it becomes so business-y.
- 19:08SPEAKER_01: Yeah.
- 19:08SPEAKER_01: And and I know it's a business, but it the quality of care can kind of be subsequent to that instead of so sometimes I would be sending a caregiver into a home where somebody with dementia was no dementia training.
- 19:22SPEAKER_01: Right.
- 19:22SPEAKER_01: And that didn't feel good because we had to fill the shift, right?
- 19:25SPEAKER_01: And and that's where I just couldn't grapple with it.
- 19:29SPEAKER_01: I wanted a found an agency where we have a foundation where we can be intentional, where we can still fill people's needs, but even more than they thought because maybe they had a bad experience with caregiving and they didn't know that this is what it could be.
- 19:43SPEAKER_01: So that's what excites me.
- 19:45SPEAKER_01: That's what I have a passion for.
- 19:46SPEAKER_01: And being a caregiver, being in those spaces, I just absolutely love doing that and being able to connect.
- 19:53SPEAKER_01: And a lot of times it's somebody that may not have any family or family's not nearby.
- 19:58SPEAKER_00: And you become a lot of people in Arizona don't have family here.
- 20:02SPEAKER_00: They don't.
- 20:02SPEAKER_00: Or uh Colorado, uh some of the other states we work in, but uh this is universal.
- 20:08SPEAKER_00: It's across the you know, the country.
- 20:11SPEAKER_00: Because even if you have a daughter that, you know, like I'll hear people say, Well, I just am two houses down from them.
- 20:17SPEAKER_00: She's fine, she's in her house alone.
- 20:19SPEAKER_00: Yeah, I'm two houses down.
- 20:21SPEAKER_00: Um, that granted, that's a stop.
- 20:23SPEAKER_00: That's a plan.
- 20:24SPEAKER_00: That's a start of a plan.
- 20:25SPEAKER_00: Yes, right.
- 20:26SPEAKER_00: We see a lot of issues though with people living alone.
- 20:29SPEAKER_00: Yeah.
- 20:30SPEAKER_00: And the isolation being the biggest, right?
- 20:32SPEAKER_00: It's huge.
- 20:33SPEAKER_00: It's huge.
- 20:34SPEAKER_00: It's it is absolutely probably the nemesis that I have to fight.
- 20:39SPEAKER_00: Yeah.
- 20:40SPEAKER_00: Because this the understand the the crosshairs are that if they're in their own home, then they're remaining independent.
- 20:48SPEAKER_00: And you know, I'm going out of here free feet first, and they're stubborn and they won't leave, right?
- 20:54SPEAKER_00: Um, or they don't need any help.
- 20:56SPEAKER_00: You don't need to send anybody in here, right?
- 20:58SPEAKER_00: But they're not thriving.
- 21:00SPEAKER_00: And and the isolation to me, and I'm sure you've run into it where you've gone into homes where they've been alone for like years, yeah.
- 21:08SPEAKER_00: And now they've declined to the point where they're they're not healthy, they're not able to walk anymore.
- 21:14SPEAKER_01: Yeah.
- 21:14unknown: Right.
- 21:15SPEAKER_01: And then they just have somebody coming in doing those tasks.
- 21:17SPEAKER_01: Right.
- 21:18SPEAKER_01: But is there that emotional connection?
- 21:20SPEAKER_01: Is there what do you like to do?
- 21:22SPEAKER_01: What can we do together?
- 21:23SPEAKER_01: Right.
- 21:23SPEAKER_00: What can we rejuvenate?
- 21:25SPEAKER_00: Rejuvenate.
- 21:26SPEAKER_00: Exactly.
- 21:27SPEAKER_01: Bring those moments of joy.
- 21:28SPEAKER_01: And then again, even for placement, they find that community.
- 21:32SPEAKER_01: Right.
- 21:33SPEAKER_01: They find that social circle that again, they never didn't, weren't social before, right?
- 21:39SPEAKER_01: Right.
- 21:39SPEAKER_01: And it reignites how they used to be.
- 21:41SPEAKER_01: We talked about like kind of like being in high school, you know.
- 21:44SPEAKER_01: Right.
- 21:45SPEAKER_01: You have your group of friends and then you see that person liven up.
- 21:48SPEAKER_01: And I think it's just about having those people that care about you and showing that they care about you, whether it's a in home caregiver or at a beautiful community.
- 21:58SPEAKER_01: Yeah.
- 21:58SPEAKER_01: You know.
- 21:59SPEAKER_01: And that's what Can liven somebody else.
- 22:01SPEAKER_01: Yeah.
- 22:01SPEAKER_00: We had a we had a guest on um last time that we last week that we did the podcast and um we talked about behavioral health and we talked about people not living in a community.
- 22:12SPEAKER_00: We're human beings, right?
- 22:14SPEAKER_00: And we know that people need other people.
- 22:17SPEAKER_00: Yes.
- 22:18SPEAKER_00: We just human beings just need it.
- 22:19SPEAKER_00: You don't, you know, my mom's not social.
- 22:22SPEAKER_00: I hear that all the time.
- 22:23SPEAKER_00: I bet.
- 22:23SPEAKER_00: But you know what?
- 22:24SPEAKER_00: Your mom was social.
- 22:25SPEAKER_00: She had to interact with people to raise you.
- 22:28SPEAKER_00: She had to interact with people if she worked.
- 22:30SPEAKER_00: She was social.
- 22:32SPEAKER_00: It's it's not that she's not social, it's that she's now, you know, doesn't have a purpose in life, right?
- 22:38SPEAKER_00: She doesn't have a purpose.
- 22:39SPEAKER_00: She's not moving.
- 22:40SPEAKER_00: She's not.
- 22:40SPEAKER_00: Well, how many people do you see that have declined in their homes, would you say?
- 22:45SPEAKER_01: Yeah.
- 22:46SPEAKER_00: The majority.
- 22:47SPEAKER_00: The majority.
- 22:48SPEAKER_00: Yeah.
- 22:48SPEAKER_01: I mean, I we do come across those that have really wonderful families that come in, you know.
- 22:54SPEAKER_01: Yeah.
- 22:54SPEAKER_01: Um, and so they're able to take a wonderful care of their loved ones.
- 22:59SPEAKER_01: Yeah.
- 22:59SPEAKER_01: But then I look at the caregiver and I'm like, how has their life changed?
- 23:03SPEAKER_01: Right.
- 23:03SPEAKER_01: And maybe this car is, of course, to me.
- 23:06SPEAKER_01: The family caregiver.
- 23:07SPEAKER_01: How so we've we can maintain mom's care and joy, but giving the caregivers a break as well.
- 23:13SPEAKER_01: Because again, they can be in that sandwich generation.
- 23:16SPEAKER_00: Oh, I think that's gonna just get huge in the next year to two, year to five years, right?
- 23:21SPEAKER_00: It is you've got you've got possibly a husband.
- 23:25SPEAKER_01: Yeah.
- 23:25SPEAKER_00: If you're a single mom, you've got, you know, kids.
- 23:28SPEAKER_00: Yes.
- 23:29SPEAKER_00: And that's hard enough, right?
- 23:30SPEAKER_00: Now add a job to it.
- 23:31SPEAKER_00: Now add caring for your parent.
- 23:33SPEAKER_00: Exactly.
- 23:34SPEAKER_00: It's incredible.
- 23:35SPEAKER_00: I don't know how you do it.
- 23:36SPEAKER_01: Even if you're a spouse caring for your loved one in the home, you know, your whole identity can change and become this caregiver.
- 23:44SPEAKER_01: Right.
- 23:44SPEAKER_01: Right.
- 23:44SPEAKER_01: Right.
- 23:45SPEAKER_01: So we, you know, having help come in, getting that support allows you to become the spouse again.
- 23:51SPEAKER_01: Right.
- 23:52SPEAKER_00: Allows you to be the mother or the daughter or the daughter.
- 23:54SPEAKER_00: We always say that.
- 23:55SPEAKER_00: We always say, you know what, let us find the right place or let us find the right care.
- 24:00SPEAKER_01: Exactly.
- 24:01SPEAKER_00: Um, and let that come off your shoulders so you can go back to being the daughter, or you can go back to being the son.
- 24:07SPEAKER_00: Yeah.
- 24:07SPEAKER_00: And you can sleep well at night and you know it's okay.
- 24:10SPEAKER_00: And you have people that are educated around you to help you understand what's happening, right?
- 24:15SPEAKER_00: Because if I had had that, that would have been, I think even my sister, all of us, would have felt so much better because none of us knew what dementia was.
- 24:23SPEAKER_00: We didn't have any clue.
- 24:25SPEAKER_00: And it was such a stark difference from who my mom had been.
- 24:29SPEAKER_00: Yes.
- 24:29SPEAKER_00: But I don't think it would have gotten as bad.
- 24:31SPEAKER_00: It certainly got better with her moving in with me.
- 24:34SPEAKER_00: Yeah.
- 24:34SPEAKER_00: It got a lot better.
- 24:35SPEAKER_00: She came back to life.
- 24:36SPEAKER_00: Yes.
- 24:37SPEAKER_00: You know, we we would go out to lunch, we'd go out to dinner, we traveled, we went on a cruise together.
- 24:42SPEAKER_00: Right.
- 24:42SPEAKER_00: We did a lot of things where I saw her come back.
- 24:45SPEAKER_00: But then again, there would be things like she was convinced somebody stole her walker on the cruise.
- 24:51SPEAKER_00: You know, and I'm like, Yes, it's right here.
- 24:54SPEAKER_00: You know, it will was like tucked somewhere.
- 24:56SPEAKER_00: I don't know where it was, but she was convinced somebody stole it.
- 24:58SPEAKER_00: Exactly.
- 24:59SPEAKER_00: Who wants your walker?
- 25:00unknown: Nobody.
- 25:03SPEAKER_01: But I but in but that's kind of the like But that's very common.
- 25:08SPEAKER_01: And a lot of times what you do is like, oh my gosh, we gotta, we gotta find your walker then.
- 25:12SPEAKER_01: You gotta be on their side, right?
- 25:14SPEAKER_01: Right.
- 25:14SPEAKER_01: You can't come back.
- 25:15SPEAKER_00: Well, then we better find it.
- 25:16SPEAKER_01: Then we gotta go find it.
- 25:17SPEAKER_01: Yeah.
- 25:18SPEAKER_01: Right.
- 25:19SPEAKER_01: Unfortunately, I didn't know that.
- 25:20SPEAKER_00: I'm just arguing with her like she's, you know, does not have dementia.
- 25:26SPEAKER_00: Like, why?
- 25:27SPEAKER_00: You're being crazy.
- 25:28SPEAKER_00: Why are you saying that?
- 25:29SPEAKER_00: You know, and it's it's very, it's a res, it's a uh uh, I wanna say it's a big regret of mine.
- 25:35SPEAKER_00: Yeah.
- 25:36SPEAKER_00: Um, the times I yelled at her, the time you know, it's inevitable.
- 25:39SPEAKER_00: And I don't care how many good how many adult children caregivers are out there, I know you get frustrated.
- 25:45SPEAKER_00: Yeah, right.
- 25:46SPEAKER_00: And um, I try to, you know, keep going.
- 25:48SPEAKER_00: And I do a lot of this because I think of that, you know.
- 25:52SPEAKER_00: And I want to educate people about it because I I think there is an alternative to it.
- 25:56SPEAKER_00: Yeah.
- 25:56SPEAKER_00: And I hope you give yourself grace.
- 25:58SPEAKER_00: I do.
- 25:59SPEAKER_01: I really hope you do because you're not alone and nobody's the perfect caregiver.
- 26:04SPEAKER_01: Right.
- 26:04SPEAKER_00: And it was the hardest thing I'd ever done in my whole life.
- 26:07SPEAKER_01: It's the hardest thing.
- 26:08SPEAKER_01: And it is so much harder for family caregivers, whether there's dementia or not.
- 26:13SPEAKER_01: Right.
- 26:13SPEAKER_01: It's it's that whole process of seeing somebody that you used to take care of you, change the whole dynamic.
- 26:21SPEAKER_00: And just because you think you can do it because you had kids, yeah, is not you can't do it.
- 26:26SPEAKER_01: It's a different ballgame.
- 26:27SPEAKER_00: No, it's a whole different ballgame.
- 26:28SPEAKER_00: And I think and it's that underlying weird the I I it is the what did you call it?
- 26:33SPEAKER_00: The uh ambiguous loss.
- 26:36SPEAKER_00: Because you are dealing with that emotion probably more than anything, because you're dealing with like, no, no, this is not my strong mom who could do anything in the world.
- 26:45SPEAKER_00: Right.
- 26:46SPEAKER_00: Exactly.
- 26:46SPEAKER_00: Who could juggle job and not that she always did it well.
- 26:49SPEAKER_00: I I know my my sister, my sister's brother, if they're watching this, they're gonna go, oh, you know, but it you know, you can't do everything well when you're trying to do everything.
- 26:58SPEAKER_01: You can.
- 26:59SPEAKER_01: And I think too, with the ambiguous law, so you know, being a family caregiver or any caregiver, it's about finding your support system.
- 27:06SPEAKER_01: Right.
- 27:07SPEAKER_01: A lot of times when let's say you have somebody with a diagnosis, um, or somebody sorry, somebody passes away.
- 27:15SPEAKER_01: You usually have friends and family that come to your aid, right?
- 27:19SPEAKER_01: Right.
- 27:19SPEAKER_01: What can I do?
- 27:20SPEAKER_01: What can I help you with?
- 27:21SPEAKER_01: Sometimes with these diagnoses like dementia or cancer, people often don't know what to do.
- 27:26SPEAKER_01: Yeah, right.
- 27:27SPEAKER_01: They don't know how to interact, they don't know how to help.
- 27:30SPEAKER_01: So sometimes your circle becomes much smaller, right?
- 27:33SPEAKER_01: Just, you know, just it can happen.
- 27:34SPEAKER_01: Or they ask the same question.
- 27:36SPEAKER_01: Or they ask the same question.
- 27:37SPEAKER_01: And, you know, so it's about finding your support group, right?
- 27:42SPEAKER_01: Going to support groups, going to grief groups.
- 27:45SPEAKER_01: Even if you're yeah, it sounds funny, but like even if your loved one hasn't passed away, but you have that ambiguous loss, that is grief, and that is a grieving process.
- 27:53SPEAKER_01: And there are grief groups that that welcome people in that situation.
- 27:59SPEAKER_01: So it's really finding that group.
- 28:01SPEAKER_01: And I always try to tell caregivers to when you do have loved ones reaching out and saying, How can I help you?
- 28:08SPEAKER_01: Have a list.
- 28:09SPEAKER_01: Have a list of things that actually would help you.
- 28:12SPEAKER_01: They're asking because they want to.
- 28:13SPEAKER_01: It's a good idea.
- 28:14SPEAKER_01: Yeah.
- 28:15SPEAKER_01: So that you have it ready.
- 28:16SPEAKER_01: You have it.
- 28:16SPEAKER_01: When they go, you know, how are you doing?
- 28:18SPEAKER_01: Can you do this for me?
- 28:20SPEAKER_01: Yeah, you know.
- 28:20SPEAKER_01: Can you watch so-and-so for an hour?
- 28:22SPEAKER_01: I need to go run to the store, right?
- 28:24SPEAKER_01: Right.
- 28:24SPEAKER_01: Can you maybe just take out the trash for me really quick?
- 28:27SPEAKER_01: Like kind of fine, because again, people are asking because they do want to help.
- 28:31SPEAKER_01: Right.
- 28:31SPEAKER_01: And if you say no, they're less likely to ask again.
- 28:34SPEAKER_01: So it's and not feeling bad.
- 28:36SPEAKER_01: People love you.
- 28:37SPEAKER_01: And yeah.
- 28:37SPEAKER_01: So it's it's knowing that you need that help and support, and that's okay, and accepting that help and support.
- 28:42SPEAKER_01: Right.
- 28:43SPEAKER_01: Because we can't do it alone.
- 28:44SPEAKER_01: No, you can't.
- 28:45SPEAKER_01: We're not islands.
- 28:46SPEAKER_00: No, we're social people, and we can't do it alone.
- 28:49SPEAKER_00: No, and and nobody's expecting you to do it alone.
- 28:51SPEAKER_00: Exactly.
- 28:52SPEAKER_00: That's the biggest one, you know.
- 28:53SPEAKER_00: I mean, well, there are people that are expecting you to do it alone.
- 28:56SPEAKER_00: Um, you know.
- 28:58SPEAKER_00: I I hear a lot of stories like, you know, the one sibling is taking care of the mom, and the other siblings are kind of criticizing that sibling for how they're doing it, but not doing it.
- 29:07SPEAKER_00: Right.
- 29:07SPEAKER_00: You know, that's a big one.
- 29:09SPEAKER_00: I'm sure people listening will go, yeah, that's a big one.
- 29:12SPEAKER_01: And some people have a certain encoding for certain things.
- 29:15SPEAKER_01: So maybe like I know for me, I have um four siblings, four other siblings, and I know I'll probably be the caretaker, right?
- 29:23SPEAKER_01: Like, just maybe my other sister contributes more financially.
- 29:27SPEAKER_01: Like, you know, and not that she doesn't care or anything.
- 29:29SPEAKER_01: Sorry.
- 29:30SPEAKER_01: You're good.
- 29:30SPEAKER_01: You're good.
- 29:30SPEAKER_01: Yeah.
- 29:31SPEAKER_01: You know, but and so sometimes it does fall on one person, but it is important for the others to kind of recognize, hopefully.
- 29:38SPEAKER_01: Um, or again, just that person finding that support.
- 29:41SPEAKER_01: There's so many.
- 29:42SPEAKER_01: We are blessed in Arizona with dementia that there are a lot of resources.
- 29:46SPEAKER_01: Yeah, there are.
- 29:46SPEAKER_00: But we have the largest population of seniors, exactly.
- 29:49SPEAKER_00: Second to Florida.
- 29:50SPEAKER_00: Yes.
- 29:51SPEAKER_00: So that's one of the reasons.
- 29:52SPEAKER_00: So it's tapping into those.
- 29:53SPEAKER_00: Well, Erica, thank you so much.
- 29:55SPEAKER_00: See, it flew by.
- 29:56SPEAKER_00: It did.
- 29:56SPEAKER_00: Thank you so much.
- 29:58SPEAKER_00: And um, let's repeat your the name of your company again.
- 30:01SPEAKER_00: The next chapter, senior care solution.
- 30:03SPEAKER_00: The next chapter.
- 30:03SPEAKER_00: I love that.
- 30:04SPEAKER_00: Isn't that the next chapter?
- 30:05SPEAKER_00: It's the next chapter.
- 30:07SPEAKER_00: Exactly.
- 30:07SPEAKER_00: Right.
- 30:07SPEAKER_00: Yes.
- 30:08SPEAKER_00: Okay.
- 30:08SPEAKER_00: Well, thank you so much.
- 30:09SPEAKER_00: Thank you.
- 30:10SPEAKER_00: Thank you for joining us today.
- 30:12SPEAKER_00: Uh, you can go to my website, a placefor seniors.org, and get in contact with me if you have any questions.
- 30:19SPEAKER_00: And we'll love to see you next time.