Seniors and Adult Children Under One Roof: How to Succeed With This New Trend

Image by Play Group Article by CSA

Adult children are moving back home with mom and dad in record numbers these days. It’s often not the child’s choice, but rather as a result of circumstances, that parents and grown children find themselves as roommates once again.

The conditions that may force an adult child home include downsizing, divorce, the need to care for an aging parent, or money issues related to student loans or under- or unemployment. In 2010, the country’s college graduates owed an average of $25,250 in loans, according to CNN Money. That is 5 percent more than the class of 2009 owed. The unemployment rate for the 2010 class was 9.1 percent, the largest on record. Compare that to the 20.4 percent unemployment rate for people who didn’t go to college (College Access & Success Project on Student Debt, 2009).

Moving back in to take care of aging parents 
Source: Adapted fromhttp://www.eldercareteam.com/public/579.cfm

If you are an adult child moving in with mom and dad to care for them on a regular basis, you should review this list of questions:

 

How have disagreements and disputes been handled in the past? How well do you communicate? Patterns of communication were established in the past and are likely to become more rigid as time passes.

 

How does everyone involved feel about this merging of families? This includes your parents, your spouse, your children, and of course, you. Be honest.

 

How will you manage the financial side of living together? Who will pay for what? Work this out in detail before you move in to avoid misunderstandings and future bitterness on one side or the other.

 

Will you have an equal voice in the home? It is your parents’ home, but you will also be living there. Agree on what kind of decision-making process will be used.

 

Will you be able to meet your parents’ needs as they grow older and need more care? If you work, have you discussed what the options will be when your parents reach the point that they need someone with them during the day? Is there enough room for everyone to have some private space?

 

If you're moving back with children, will your parents respect your authority as the parent? Will they undermine or second-guess decisions you make about your children, or will they support your position?

 

What will you do with your own possessions that won't fit into their home? You will probably have some items you don't want to part with and that you might need one day to start an independent life again.

 

Do you have, or will your parents give you, Power of Attorney to manage their affairs if and when they aren't able? You will be making a great mistake if you move in to care for an aging adult and you do so without the legal ability to make important decisions in the future. Do not move in without having Power of Attorney documents completed. Responsibility without authority should always be a deal-breaker.

 

No matter an adult child’s education level, debt loads are high and income opportunities are increasingly limited. Therefore, many adult children are moving back in with their parents out of necessity.The movement to migrate back to mom and dad’s has been a few years in the making. Bankrate.com says that three-quarters of 2008 college graduates said they actually planned to move back in with their parents after graduation. In 2006, that figure was two-thirds, which is still a staggering number(Collegegrad.com)."To a certain extent, it's a sign of the economy," says Certified Financial Planner Craig Skeels of Apex Wealth Management Group in Oxnard, Calif. "If it continues to be a prolonged recession with more cuts in jobs, we may see a lot more adult children moving back home than what we're experiencing today."The adjustment for the parents and the adult child can certainly test the relationship. Mom and dad are at a new stage of their lives now compared to when the child was living at home before. If they aren’t already retired, they are perhaps, at the very least, used to the freedom of not having children around. The adult child may have anticipated being out on their own at this point, and it could feel unnatural to be back in mom and dad’s house. The latest census figures reveal that upwards of 80 million “empty nesters” are finding themselves with at least one grown child living at home. These adult children have been referred to as the “boomerang” generation.Making the new living situation workBoth parties can make it work and even thrive if conversations and agreements occur before or at the beginning of the new living arrangement.Troublewith.com, a website of Focus on the Family, offers these tips for a smooth integration and to minimize conflict.

  • Discuss the terms – The sooner that ground rules and expectations can be established from both sides, the better. This can occur even before moving day arrives. Examples include overnight guests, loud stereos, chores, meals and food.
  • Don't be afraid to ask questions – How long will the child be staying in the home? Is rent or a contribution to the household expenses a reasonable request? All relationships are better with good communication.
  • Maintain a healthy relationship – Every situation is different, and some are quite complicated. Here are some tips for keeping the relationship intact:
    • Trust adult children to make wise choices. We all learn by making choices. The adult child needs to have the opportunity to make their own choices, even under the parents’ roof.
    • Try not to give advice unless it is solicited from the child. This may be difficult because the parent is aware of much more of the child’s life than it he or she were living outside the home. Again, the child needs the opportunity to grow on their own even though mom and dad are close by.
    • Communication is key. Regularly discuss how the situation is going. Everyone involved should be allowed to bring up issues, clarify expectations or simply clear the air.

Negotiate issues upfront and write them down if necessary. Fox Business News suggests creating a timetable for eventual financial independence. This can begin with fiscal responsibilities in relation to the household including food, utilities and gas for the car. Ultimately, the family needs to be on the same page and working toward a common goal. Fox Business News states in a comment to the parents, “Find the right balance between offering support and taking care of yourselves. You don't need to fall back into the roles you each played during the years of active parenting –parents giving and the kids receiving. If the parents have been enjoying an empty nest, continue doing just that.”Generally, the rules for the adult child will be very different than when they were growing up. As long as the grown child acts responsibly, such as holding a job, contributing financially or helping with meal preparation and household chores, he or she deserves the same liberty to come and go as any adult.Respect for the personal boundaries and preferences of both sides is crucial to the success of this living situation. With predetermined boundaries, good communication and an agreement to revisit and, if necessary, adjust the arrangement along the way, parents and children can create a very comfortable home for all involved.

 

Care For the Caregiver

Nearly half (53%) of all informal caregivers reporting a decline of health
affecting their ability to provide care.  In an effort to be there for the health
of a loved one, many caregivers sacrifice their own health

Caring for an aging loved one can be a challenging experience. It can be difficult to
slowly watch a family member lose their independence and often, their mental
capacities. More often than not it is a middle aged family member who takes on
the responsibility of being the primary caregiver for their parents. Without
additional support, this caregiver can quickly find themselves overwhelmed and
depressed. While many caregivers find themselves up for the challenge, others
may find it more difficult to adjust to the constant demand of being a home
care provider.

Stress and depression can come in many forms. Often, caregivers have to take a leave of absence from work, or they have to cut back their hours to be at home more often. As a result, both parties have to sacrifice and do without. The
loss of monthly capital can lead to stress as it becomes harder to pay the
monthly bills. Additionally, the loss of personal interactions with colleagues
in the workplace can leave a caregiver feeling lonely and isolated. Managing
one’s family can also be difficult and being a caregiver can also lead to
stress in the marriage and immediate family. To avoid sacrificing one’s health
and family for the care of a family member, a caregiver must provide care for
themselves first so they may be able to care for another

There are various ways for a caregiver to stay positive during the time they spend caring for someone. Rather than feeling trapped, a caregiver should do their best to encourage social interactions for both themselves and their aging parents or patients. Dinner socials, poker/bridge nights, and birthday parties should all be encouraged to maintain a festive attitude throughout the home, and to avoid it from feeling like a prison. Maintaining a clean home can help keep good spirits and inviting visitors will
give you a good reason to clean and to stay positive. The caregiver should also make an effort to invite their family to these events to help maintain closeness and to promote family interaction during this time of change.

While maintaining social interactions can help a caregiver stay healthy, many others find success by turning inwards and focusing the time on improving themselves. Some may choose to take up a hobby or learn a new skill, while
others may choose to begin an exercise regimen to improve their own health.
This can be light to moderate exercise; just enough to get your blood pumping.
Feel free to invite your aging family member to also get moving as much is
safely possible. Regardless of age, most seniors can benefit from staying
active.

Submitted by Gabriela F. Brown, CSA

Owner, Constant Companions Home Care
Website: http://www.constantcompanions.net
gbrown@constantcompanions.netPhone and Fax: 888.883.8393

Constant Companions on Why Can’t Mom Just ‘Snap Out of It’?

Last year, I received a call from Sharon, the adult daughter of a potential client, Bette. Her father, Burt, had passed away a little over a year ago from an extended battle with cancer and Bette had been his primary caregiver.  Until his passing, Bette was mobile, energetic and rarely sick. Once Burt passed away, Bette became a ‘different person’ rarely leaving the house. Her sunny, upbeat disposition had turned into an apathetic approach to everything and everyone in her life.
 Sharon shared that she admired her mother more than anyone she had ever met for being able to ‘handle anything’. She had always met life’s challenges with strength and optimism, being able to formulate a plan to overcome any obstacle put in her way. Now, she was little more than a shadow of her former self and unable to properly maintain the house, herself or any of her relationships. Sharon was concerned because she was unable to ‘snap out of it’ and Bette was beginning to decline physically.  
Because Sharon’s life was so hectic, she felt terrible that she could only get over to her mother’s house a couple of times a week, and when she got there she was overwhelmed with what needed to be done, grocery shopping, cleaning out the fridge, making sure there was easily accessible meals to be prepared and questioning whether she was taking her medications as prescribed, etc. The house itself was also being neglected severely, with the bare minimum being done to keep things going. 
While both Sharon and Bette would benefit from a home care worker, there were deeper issues that needed to be addressed. Bette had been the primary caregiver to her husband of 60+ years as he lost the battle with cancer. She had focused all of her energy and purpose into his care for several years. When he passed away, Bette faced a dual life transition. She had lost her life status as a caregiver and she was no longer Burt’s wife of 60+ years. With his death she was faced with excruciating loneliness and loss of purpose.  Her family had been there for her right after his death to help but had assumed that she was adjusting well and would be able to handle things. A year later, it was clear that what may have started out as a normal bereavement and grief period had extended beyond a healthy timeframe. At this time, she felt dependent on her family for care and this new dependence pushed her even deeper.
It is not uncommon for the ‘strong and capable’ family member in this situation to experience depression due to their history of being ‘strong and capable’. Often, those around them and they themselves have the expectation that after a ‘normal’ period of time, they will ‘pull themselves up by their boot straps’, as they always have. Paradoxically, this is the person that is least likely to ask for help may be suffering silently. It is as if they are unable to see themselves as needing any help or being unable to ask for it. Additionally, physicians tend to overlook signs of depression with seniors and many assume that depression is a normal part of loss. Old assumptions and patterns are tough to overcome.
After speaking with Sharon, I advised her to make an appointment immediately with Bette’s physician regarding her decline. She also had to have a gentle talk with her mother about the possibility of being able to see a brighter world through possible interventions of medication and counseling.
We did provide a caregiver for Bette for about 4 months. In the meantime, Bette’s doctor found the right medications and she participated in support groups. After a while, Bette turned the corner and was increasingly able to care for herself and her home again. She now does her own grocery shopping enjoys making her meal and even invites others, primarily from her support group, over for meals. Now, when her family visits, they are able to enjoy her company and provide the companionship that only family can provide. They no longer are in the role of caregiver, which is only helping to restore Bette back to her old self.
Every bereavement experience is unique, but if you have a loved one that is not improving after about two months, a visit to their physician may be in order in addition to grief counseling. Counseling and/or medications can make the fog of depression lift, allowing them to slowly begin to feel pleasure and purpose again, the two reasons we ALL need to lead a satisfying life.

 

Home Care is a very flexible and cost-effective way to provide a safety net in your parents’ home

Great Expectations

Home Care is a very flexible and cost-effective way to provide a safety net in your parents’ home requiring a minimal adjustment for them in the rhythm of their daily lives.

Even though home care creates a minimal change in lifestyle for your parents, it is has a strong undercurrent of emotion and expectations for the entire family. Home care is a life transition. Having a virtual stranger coming into your home to help manage the most basic aspect of living can trigger feelings of loss and deep emotional responses.

For the senior in need of care, loss of autonomy, independence and privacy are very real. This may be piled on top of other recent losses in health and relationships. No one, in my experience, has EVER welcomed the need for home care as it is usually follows some sort of loss or series of losses.

For the family, namely, the adult children, guilt, fear and inadequacy are feelings that are very relevant and real as well. Many, if not most, adult children wish that they had the time or lived close enough to provide the care they feel their parents deserve. Fear enters in with the control and direction they lose when hiring someone to provide the care. Feelings of inadequacy can surface, especially if they had attempted to provide the care themselves and it became overwhelming.

Rest assured that these emotions are all very natural and if your are feeling any of these things it is best to acknowledge the emotions as they come to the surface. Often, it is the act of hiring outside help that brings these feelings to the forefront. If these feelings are left unaddressed they can have detrimental effects on the success of home care assistance.

Often when people are not aware of or do not want to acknowledge these intense emotions, there is a tendency to place great expectations on the caregiver placed in the home to help. No matter how hard the caregiver works, they will never be a replacement for the adult child. The caregiver is an individual with their own history and personality. They will not immediately understand every nuance and preference of your parent.

Clearly defining tasks and reviewing skill is vital to beginning this professional relationship, which most reputable home care agencies will do with an in-home assessment and a plan of care. Once the expectations are established, they should remain constant as the caregiver establishes a rapport with the family. This takes time and can be a source of anxiety for both the adult children and the parents.

The focus of the caregiver should always be on the safety and well-being of the client. Housekeeping duties can be included, but shouldn’t be at the expense of quality care.  Obvious adjustments should be made if they are not appropriate or working out as anticipated. Clearly, if a caregiver is just NOT the right personality, that should be addressed as soon as possible, but not before careful consideration. If the caregiver is competent and professional, it may help to wait a little while rather than rush into a change. Learning the temperament and rhythms of a new client takes some time. After a while, the caregiver will develop a regular routine based on these daily rhythms and will increasingly be able to anticipate situations and changes and how best to deal with them.  

In short, no one can care for your parents like you can. However, if your situation requires outside assistance, do your best to understand the limits of the professional home care relationship and guard against placing unrealistic expectations. If the home care professional provided is caring and competent, provide space and flexibility for the relationship to develop. In the end this will help both the adult child and the parent ease into this life transition with minimal discomfort.

 

“Elderspeak” Can Negatively Affect Health of Older People

(NaturalNews) It is quite common that many of us speak to older folks in a different manner and with a different tone. "Elderspeak" bears many traits which are similar to "baby talk", and these include simplified grammar and vocabulary, as well as overly intimate terms of endearment. And recent research has shown that such a communication style may not only be exasperating and insulting to many of the elderly, it can even negatively affect their health.

About Elderspeak

What is elderspeak? Broadly speaking, it is a style which is assumed to accommodate the perceived communication needs of elderly people. It involves speaking slowly, restrictions on vocabulary, simplified syntax, as well as exaggerated prosody.

The fundamental assumption behind elderspeak is that the elderly are cognitively impaired, and thus need some "help". It can be said to be patronizing and disrespectful to the older adult.

Researchers have also defined elderspeak as overly caring, controlling and infantilizing communication.

Findings from Studies

In a study led by Becca Levy, a professor at the Yale School of Public Health, it was found that elderly folks who were exposed to negative stereotypes commonly associated with ageing, enforced by condescending phrases and attitudes, performed significantly worse when tested for memory and balance.

In one particular town in Ohio, her study team found that those who were above 50 and held positive perceptions about ageing went on to live 7.5 years longer than their peers who did not. This was after other health-affecting factors were already accounted for.

Those attitudes were affected even by apparently harmless words and phrases and, profoundly, they supposedly had a greater impact than important factors such as smoking and exercise.

Elsewhere, Kristine Williams, R.N., Ph.D., an associate professor at Kansas University, studied the effect of elderspeak on Alzheimer's patients with dementia. The interaction between staff and 20 residents of a nursing home, aged between 69 and 97 years and having moderate levels of dementia, were videotaped.

The study found that the patients were more likely to resist care after they were spoken to using elderspeak, instead of the usual adult-to-adult form of communication. When resisting care, they would carry out actions such as saying no or crying out, turning away, grabbing onto someone or something, pulling their limbs tightly toward the body, or hitting and kicking.

"There's the suggestion that these people are unable to communicate that their needs aren't being met. And because they can't communicate verbally, they may respond in these other nonverbal ways," Dr Williams said. And, according to her, the need in question could just be the wish to be treated as an adult who is worthy of respect.

And, perhaps somewhat ironically, the biggest culprits of elderspeak are often healthcare workers, including doctors and nursing staff.

The Problem with Elderspeak

The problem with elderspeak, is that it hurts the self-esteem of those to whom it is used on. Worse, it can literally grind them down and send them on a self-fueling downward spiral toward ill health and even premature death. That, after all, is what we get when we communicate to people that they are weak, a liability, incompetent or even useless – they often prove us right!

"Elderspeak is indicative of general negative stereotypes of the elderly. It is another example of how people are treated differently based on their age in healthcare, in the workforce and in everyday life. And we have found a clear connection between how the elderly are treated and their health and functioning," said Dr Levy.

The Bottomline

"Daily we are witness to, or even unwitting participants in, cruel imagery, jokes, languages and attitudes directed at older people," said Dr Robert Butler, president of the International Longevity Centre-USA, who first coined the term "ageism" some 40 years ago.

With populations ageing in the US and in many developed nations, the need to avoid elderspeak becomes all the more significant. In the US, the 85-and-above age group is the fastest-growing one.

Ms Elaine Smith, a 78 year old retired Chicago schoolteacher, who was subject to elderspeak when she was hospitalized for two months after suffering a fall, said that people can become quite indignant when she tells them she is offended by such a communication style. And she has an interesting viewpoint regarding elderspeak.

"But I believe that the people who heap these endearments upon us are reacting to their own fears of ageing in a youth-oriented culture," she said. Her advice? Get over it.

So, the next time we want to use terms such as "dear", "good girl" and "sweetie" on the elderly, or speak very slowly and in overly simplified language to them, we better think again.

Main Source

Talking down to the elderly is bad for their health, medical study finds (http://www.telegraph.co.uk/health/article3256340.ece)

About the author

Reuben Chow has a keen interest in natural health and healing as well as personal growth. His website, All 4 Natural Health, offers a basic guide on natural health information. It details simple, effective and natural ways, such as the use of nutrition, various herbs, herb remedies, supplements and other natural remedies, to deal with various health conditions as well as to attain good health. His other websites also cover topics such as depression help, omega 3 fatty acids, as well as cancer research and information.

 
Located and submitted by Gabriela F. Brown, CSA, Constant Companions Home Care http://www.constantcompanions.net

Hiring a Caregiver – Private vs. Agency

Posted on October 7, 2011 by 

During these tough economic times it is more tempting than ever to hire caregivers privately, bypassing any placement service or home care agency. However, after reviewing the following information, we hope that you will see the benefit in contracting with a home care agency when looking to bring help into your home.

There are TRUE benefits of working with an agency. Agencies can save you and your family long-term consequences, both financial and legal.

When you hire a caregiver, the going rate is approximately $15 per hour. When you hire an agency such as ours the going rate is $20+. For this additional $5 per hour you receive the following benefits and protections.

  • The workers are covered by Worker’s Compensation, paid by the agency
  • The workers are covered by Unemployment Insurance, paid by the agency.
  • Employment taxes are split and submitted each payroll, half by the caregiver and half by the agency.
  • The worker’s taxes are pulled and sent immediately to the IRS and CA Employment Development Department (EDD). These taxes cover State, Federal, Liability, Employment Tax and California State Training Tax.

These taxes and insurances must be paid by ANY and ALL employers. The state of California is currently in desperate need of revenue and is targeting individuals that consider themselves, “self-employed” or “contractors”.

If a worker is cross-referenced with an individual employer, the employer can always be held liable for back taxes. The reason for this is that the state claims that many of these individuals do not pay or file their taxes, so they are placing the burden on the employers to collect it and submit it.

In regards to Worker’s Compensation, consider this; your private caregiver is injured on the job. If the Labor Board determines that they are your direct hire, and they WILL, you will be responsible for the cost of their injuries and will be fined $1,000 per caregiver for not carrying Worker’s Compensation on that employee. Additionally, in order to continue to hire that employee, you will be required to take out a Worker’s Compensation policy for them to the tune of 7-9% or higher (through State Fund) of their gross pay, each pay period. You will be audited and you will have to show documentation that you are in compliance. Additionally, your homeowner’s insurance may require an additional premium for having a domestic worker employed.

Next scenario; the caregiver you hire just isn’t working out for you. You manage to dismiss their services (not always an easy thing to do). 2-3 weeks later, you receive a notice from the EDD, an unemployment claim. If your caregiver chooses this route, to recover unemployment payments, they WILL win. The EDD will consider that in any direct hire arrangements that you are the employer and they are the employee, regardless of any contracts, business licenses, etc.

Aside from the legal/tax benefits discussed above, agencies are simply a better choice for the following reasons.

  • You can switch out a caregiver that isn’t working out for you.
  • The agency carries liability insurance, both professional and general for all workers.
  • The agency can supervise and direct the worker.
  • Of course, all of our caregivers are screened. I would hope all agencies do the same.

This is the down-side of private hire. This is not to say that there are not some wonderful set-ups that work out well for all. However, one must consider the possibility that if a person is left without income for any reason, they have a wide variety of available options from which to recover what they may feel they are entitled to. It isalways important to remember that it is in the best interest of state-run agencies to find in the worker’s favor. Not only will they assure revenue/justification for their agency, but this caregiver will now be in the “system” and they are better able to pursue them and you if the caregiver has not filed/paid taxes.

There will always be those who will continue to hire privately. However, I believe it is because many are not aware of the serious implications of doing so. I hope this article helps those individuals to at least make an informed decision when hiring outside help for the home.

For further information regarding Employment of Domestic workers, please refer to California Civil Code Section 1812.501 and Unemployment Insurance Code Section 687.2.

Submitted by Gabriela F. Brown, Constant Companions Home Care.
Email: gbrown@constantcompanions.net
Phone: 888.883.8393
http://www.constantcompanions.net

This entry was posted in Elder Matters by gabriela. Bookmark the permalink.

A Few Simple Steps to Avoid Senior Financial Abuse

The time has come. You are in need of home care services. Chances are good that this need has been preceded by some sort of crisis; a hospitalization, death of a spouse

or a sudden decline in health. Likely, there are so many things to think about
and arrange. There may be a variety of service groups coming in and out of your
home to assist you in this transition; home health care, home care, hospice,
durable medical equipment, housekeeping services and an increase in friend and
family visits. The last thing on your mind may be the location and security of
your valuables and financial instruments.  This is why it is essential to locate and
secure these items PRIOR to the need for these services.

Most senior home care service companies do their best to assure that the personnel that they are sending into your home are honest by conducting background and reference checks. Here is the problem, background checks are great for weeding out the prior offenders, however, no background check can detect if someone has never been caught or predict if they are going to steal in the future. Simply put, there is no way
to guarantee that you will not be a victim of theft or financial abuse.

There are things that you can do, BEFORE a crisis (right now) to prepare yourself:

  1. Locate all valuable items, i.e., jewelry, checks, credit cards, etc.  Inventory what you have and identify if you are currently missing something. This will prevent confusion after the fact if you go look for something and it isn’t where you thought it was.  Why? We once had a client who insisted that she had left some diamond earrings in her bathroom. She accused her caregiver of stealing them. Of course, we immediately removed the caregiver and reported the worker to Adult Protective Services.  Two months later, we received a call from her daughter, apologizing that her mother had found her earrings in a different spot and hadn’t recalled moving them there.
  2. Once you do need someone caring for you at home, secure all financial instruments and jewelry in a lock box in your home. Put the key where only you would know where it is and give a copy of the key to a trusted individual or in a safety deposit box.
  3. Never give your PIN to anyone in your employ.
  4. Never allow anyone to go to the bank for you to take out cash, via check, etc.
  5. Report all suspicions or missing items as soon as possible to any company coming in and out of your home. If you are working with a home care agency make sure they are responsive to your concerns and act quickly to resolve the issue.
  6. Do not give cash or check bonuses directly to home care workers, make sure that the agency they work for is notified and has an opportunity to copy the bonus check and document the gift to avoid any future misunderstandings or opportunities for financial exploitation.
  7. If a caregiver asks you for money directly for ANYTHING, immediately report it to their agency. As benign as this may seem, it is considered ‘abuse of
    position    ’ and is covered under the law as follows:

Financial Exploitations –Financial exploitation means a situation in which a caretaker or any other person who is in the care or custody of, or who stands in a position of trust
to, a resident, takes, secretes, or appropriates their money or property, to
any use or purposes not in the due and lawful execution of his or her trust. In
the simplest terms, the person who is acting as a caretaker unlawfully takes
money or property of the resident. This also includes a request for transfer of
property by the resident that was not carried out.

Most caregivers are good people interested in your well-being. They are also
hyper-aware that they are most likely to be blamed if something goes missing in
your home. If you follow the above guidelines, it should protect both you AND the
people working for you.

If you find that you are a victim of financial abuse or theft, PLEASE follow through with filing a complaint with Adult Protective Services and any charges against the person suspected of committing the crime. It is up to you or your family to see that charges are filed. This may be very uncomfortable and stressful but it is VITAL. Without convictions and a subsequent record to detect on a future background check, there is nothing to
prevent that same person from moving on to another agency or to hire themselves
out privately and continue their predatory ways.

Submitted by Gabriela F. Brown, CSA, Owner of Constant Companions Home Care, San Diego and S. Riverside. Website http://www.constantcompanions.net email: gbrown@constantcompanions.net

Posted in Elder Matters | Tagged elder abuse, financial abuse, home care agency, home care workers, san diego home care, senior abuse | Leave a reply