Tag Archives: housing options

Christian Caregiving: Behind the Scenes

My newly released book, Christian Caregiving: Practical Advice for a Happy Ending, was published in May 2018. To me, this is exciting news! I am amazed at how God worked in putting this book together, so I want to share some background information about how this new release came about. So, humor me for a few moments!

Here Goes My Story

Once upon a time, not so long ago, my church* asked me to teach a class on caregiving. When I was first asked to teach this class my first thought was, “Why in the world would anybody ask someone to teach a caregiving class while they are in the midst of it?” However, after pondering and praying, I felt the Lord say, “Go Ahead!” I had no curriculum to follow. The class was put together by my own research, prayer, my living circumstance, the Holy Spirit and by my husband who was willing to stay with my mom (with whom we live), so I could go to the church to teach the class.

I taught the class not just once but twice.

Just as I don’t know how to express my gratefulness for this teaching opportunity, I don’t know how to express my gratitude for how this book came into being.

I had no intention of putting the highlights of the class into a book until way after I finished teaching the second class, but then again God impressed me with His words, “Go Ahead.” Each of the chapters overviews one of the six class lessons taught at my church.

At the same time as God’s “Go Ahead” words impressed me, I was asked to teach a couple of classes at Houston’s First Baptist Church at the Inspirational Writers Alive Conference in August 2018. One of the classes I am teaching is titled Traditional Publishing vs. Self-Publishing. This opportunity was another big catalyst for this book because if I were to teach on self-publishing I wanted to experiment with how publishing with Amazon was done so I could share it with the class. Thus, this book was created through Amazon. I published my other books differently.

As with all new ventures, there is a learning curve. I  learned how to purchase an ISBN (International Standard Book Number) on this publishing journey. In addition, I found out that companies can format books specifically for Amazon Print, Kindle, Smashwords and more.

I had an awesome editor. He’s the best. He tells me when what I write doesn’t make sense; he corrects my incomprehensible grammar, illogical expressions and unreasonable comparisons. Wow. I couldn’t do this without him. He lives in Michigan. (He’s probably reading this newsletter now, cringing and in tears!)

I was so excited to be able to use the photograph of a friend of mine on the front cover! The cover shows her with her mom in a facility while caregiving. [This is a good place to say that this wonderful person also designed the covers my other three books.]

But, with this cover, I just went with a pre-formatted cover using a photograph she sent me. I am so grateful to her. She lives in New York. And who else can put together someone from New York with someone from Texas! Can I mention that I have never met this lovely woman? That’s a God thing.

It is always scary to push the “SUBMIT” button on a book one has written, but I did. A week after this book was published, it was brought to my attention that I didn’t handle something correctly.  I was made aware of it and just in the nick of time, I was able to correct a serious problem. This issue cropped up because I totally ignored a major plagiarism rule that I knew and have taught to others for many years. It made for some tense days, but God worked it out perfectly by me being able to delete my book off Amazon and resubmit it with the needed adjustments.

On my first submission, I ordered 30 books which I assumed would come with the first submission’s printing, but miraculously when they arrived, they had the issues corrected. God even prepared me through my former career as a librarian. I didn’t realize I had to type up the publication page — the page after the title page — since I didn’t do it for my other books, but with Amazon, I had to. My librarian experience taught me how to prepare that page with ease. Now, that’s specific! And, God knew long ago that I was going to need to know how to figure out Library of Congress subject headings!

I say all that to say that what is available on Amazon is the “best copy” I could do!

And one more thing: discovering the identity of the front cover picture’s photographer came late, but it came just in time and I was able to get the release I felt comfortable with in using the lovely picture on the front cover.

My Final Remarks

God is good and when we obey Him, He makes things all work out. And, even when I faced those stressful days between copy 1 and copy 2, I felt very peaceful that He was working it out. I didn’t know how He would do it, but He did. I feel like it was like turning the water into wine. Just miraculous!

If you are in the caregiving phase of your life or you know someone who is, I recommend this book to you. My prayer is that it will be very beneficial to you, your loved ones, and your friends.

Here Are Some Fun Facts To Know About This Caregiving Book!

The hardest part of putting this book together was the Endnotes and Bibliography.

My husband wrote the paragraph describing the book on the back cover. I didn’t put his name on “his” paragraph. Sounded too nepotistic for me. Ha.

My picture on the back cover is five years old. I am now in the process of trying to become a blonde. Yes, you heard me correctly! But, it’s not turning out too well.

The book is now available on Amazon.com for purchase both in print and e-book format. If you have Amazon Unlimited, the book is a free download. The book retails for $8.95 and the e-book version is $4.99. I think if you purchase a print book, you can get the e-book for 99 cents.

Thanks so much for reading my story. My readers are my lifeline and guide to my writing.

With so many adult children facing caregiving questions, this book may be the answer to most of their questions. I am asking you to share, forward and repost this article to your friends and family members.

God Bless,

greenenpastures.org

CHRISTIAN CAREGIVING: Practical Advice for a Happy Ending by Patti Greene

ISBN-13:                                978-0692115381—Christian Caregiving—Print/Softcover

ISBN-Kindle:                      0692115383—Christian Caregiving—Kindle

Quotes:

Patti Greene’s book, Christian Caregiving: Practical Advice for a Happy Ending, is an excellent resource. It addresses the key points in what you need to prepare for. Written from a Christian perspective, it gives prayers and Bible verses to provide comfort during this difficult time. If you have read any of the author’s other books, you know she has a heart for God through her many years of prayer and journaling that led to her books. This would be a great resource for churches, caregiving groups, and anyone that has aging parents.

—JT, St. Louis

Christian Caregiving is a clear and concise resource for those of us who want and desire to care for our elderly family with the love of Christ. I have found the basic suggestions and information to be invaluable. Many of us who find ourselves in this season of life sometimes are simply overwhelmed with the magnitude of life decisions that have to be made. Knowing that this book has simplified topics and clear directives on what caregivers should do, consider and execute, has made the process much less daunting. Reading this book and taking note of the suggestions that Ms. Greene has so carefully put together has helped ease my concerns during my family’s caregiving season.

—AR, Houston

Bible Verses:

Commit your works to the Lord and your plans will be established. (Proverbs 16:3)

I will ask the Father, and He will give you another Helper, that He may be with you forever. (John 14:16)

Honor your father and mother (which is the first commandment with a promise), so that it may be well with you, and that you may live long on the earth. (Ephesians 6:2-3)

Prayer from Chapter 1 in Christian Caregiving: Practical Advice for a Happy Ending

Dear Lord,

Help me to be the best caregiver possible. Give me wisdom and a desire to honor You in how I serve. There are so many issues. You know my time and my schedule. Let me experience joy as I honor my loved ones. Let me seek knowledge. Let me be wise in my dealings with others. Let me be generous with my hugs and kisses. In Jesus’ Name. Amen.

Edited by E. Johnson

*Bear Creek Church, Katy, TX

Caregiving Part 4: Housing Options for Elderly Parents

Senior citizens are living longer. They have access to medical treatments which can prolong their lives. Many “baby boomers” encounter difficult decisions about caregiving and living arrangements for their parents. While boomers are concerned about their parents’ well-being, they are often clueless about what housing options are available.

Evaluating the Level of Care Your Parents’ Needs

Safety Issues – Are your parents safe in their home? Is their driving safe for themselves and others? Are they able to take care of themselves?

Medical Issues – Are your parents able to administer and track their own medicine? What medical conditions do your parents have? Are they showing signs of memory problems?

Social Issues – Are your parents lonely? Do your parents have friends they like to socialize with?

Location – Are your parents happy where they live now? How will changing their current living situation affect them?

Cost – Are your parents financially able to sustain a decent standard of living? Are they able to afford their current housing arrangement?

Many parents are making cross-country migrations, leaving home to live with their children. The Chicago Tribune tells the story of Elizabeth Larson.

Elizabeth Larson, 93, moved from Champaign [Illinois] to be near her son, who lives in Hinsdale [Illinois].

My son said that if anything happened, if I needed him, he was too far away,” she said. She thought he was right. And she knew the solution, and that it would involve her leaving Champaign. Larson was sorry to leave neighbors she liked. But she didn’t have to leave her two closest friends. They had already moved to out-of-state retirement complexes near their own adult children. “So it was easier for me to move,” she said. And “in a way, it was kind of exciting. I thought it would be nice to be near my son. ¹

While it was a nice amicable move for Elizabeth, it can be a gut-wrenching decision for others searching for senior housing options. Moving is a complex and confusing decision. The earlier you assess your parents’ desires and needs the better it will be. By becoming aware of the different housing options available, you may be the biggest asset helping your parents come to terms with their living arrangement. Communicate with them, give them time to consider the options and be kind and gentle as they face one of the most difficult decisions of their lives.

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Most Common Housing Options for the Elderly

Independent Care—Consists of single family homes or townhomes for self-sufficient seniors. They offer security and social activities in their community living setting. Services such as laundry, meals, transportation and social activities are usually provided. They are not regulated by the government. Independent Care facilities have a country club environment. The average cost to rent or buy a home, including community fees, can be up to $2,000 per month or more. They are also called retirement communities, retirement homes, or senior apartments.

Assisted Living—A community which provides 24-hour assistance. The personnel assists with eating, bathing and bathroom use. However, 24-hour medical service is not provided. Their care usually includes laundry, meals, transportation, social activities, toilet care, housekeeping and medication aid. Assisted living communities are regulated by the state. Other names for assisted living facilities are personal care homes, eldercare facilities, residential care facilities, group homes, and community residences. The cost ranges from approximately $2,300-$5,500 per month.

Nursing Home—A community which provides 24-hour assistance with daily living and medical care by nurses and therapists. Nursing homes include doctors on call, hospice and end-of-life services, medication aid, housekeeping, toilet care, bathing, dressing, transportation, and laundry. Nursing homes adhere to both state and federal regulations. They are also called rest homes, convalescent homes, and skilled nursing facilities. The cost averages between $4,000-$12,000 per month.

Continuing Care Retirement Communities (CCRC)—Campus-like communities which provide care from private residences to assisted living and skilled nursing care. They are designed for individuals with declining conditions. Many times the residents move from one community to another as their conditions change. The services are the same as nursing homes. CCRCs have some state regulations. These facilities are also called Continuing Care-Retirement facilities and life care facilities. Services and costs vary depending on what level facility one is in.

Aging in Place—Many seniors decide to age in place. This is a living arrangement where the elderly and their children have made the choice to live in the children’s home, their parents’ home or the home of their choice for as long as they are capable. When assistance is needed, nurses, private aides, physical therapists and other needed personnel will come to the home. Many seniors need to remodel their houses to make them suitable to meet their needs as they age. Financial planning is a must to handle living and home and providing for any outside help.  ²

Defining Types of Care for the Elderly

Skilled Care—a type of intermediate care where the patient or resident needs more assistance than usual, generally from licensed nursing personnel and certified nursing assistants. This care is not the same as long-term care, in which a resident may not need the services of a licensed nurse on a daily basis.

Custodial Care—care when seniors need caregivers to help take care of them. Unfortunately, many older adults reach a time in their life when they can no longer care for themselves. They cannot get around the house without assistance. They cannot do the things they once did, as their physical and mental skills are not quite as sharp as they used to be. A caregiver may make all the difference between an older adult struggling with life’s demands and an adult who has a helping hand.

Palliative Care/Hospice Care—a special type of care offered to patients who are at the end of their lives. Both hospice and palliative care centers are about providing the best care possible to their patients.

Hospice care most often occurs in a home environment. Hospice is not a place—It is a concept. A hospice team consists of doctors, nurses, social workers, spiritual personnel, therapists, aides, and volunteers. Hospice does not focus on treating medical problems; rather, it centers on keeping the elderly pain-free, comfortable and happy during their last days. In the Hospice Handbook, Larry Beresford says, “While hospice is care for the dying, it places special emphasis on life and living each day as fully as possible.” ⁴ Eligibility in most hospice programs require an estimated death within the next six months due to the terminality of the patient’s illness.

Palliative care centers around the concept of care also. A nurse is there to lend support to the patient and family and to manage the pain and other symptoms which are affecting the patient. Palliative care usually occurs in a facility such as a hospital, assisted care facility, or nursing home that is associated with a palliative care team.

Due to different policies, It is important to consult with your physicians about what type of care is best for your parents.

Home Care—a type of medical and assisted living in which the care provider works with the patient within their own home. Typically, the process involves an initial meeting between the care provider and patient to determine the personal needs and the level of care required. The care provider and patient will then come up with a personal and customized program to make sure the patient’s needs are being met. The health care provider may be either a licensed professional or a part of a company which specializes in assisted living. Typically, assisted living organizations are comprised of nurses, doctors, and other medical professionals and are assigned to each patient based on their own specific needs.

Residential Care Homes—In some areas, residential care homes are the last resort in terms of finding placement for residents who don’t quite meet the criteria for nursing home care, but may not have the funds for assisted living. Residential care homes also tend to be a good choice for seniors who have mild mental health issues that hinder their ability to live independently or to be accepted into assisted living facilities.

Adult Day Care—places senior citizens into the hands of licensed professionals who are fully capable of taking care of them. For many people, this is a way for the elderly to get out of the house and socialize with other people. Socialization is extremely important; some people could easily slip into depression if they don’t have someone they can talk to.

Companion Care—Companions for the elderly. Companion care personnel are usually trained by their company in safety and CPR. They are also called comfort caregivers. No certification is required to be a companion. ³

Honor your father and your mother, that your days may be prolonged in the land which the Lord your God gives you. (Exodus 20:12)

How to Pay

Often finding housing for our parents boils down to financial ability to pay for services. Without going in depth, some ways to finance parental care are to use private savings from the parents or children, money from the sale of a home, long-term insurance, reverse mortgages, Medicare or Medicaid, VA benefits, stocks/bonds, or any other financial means family or parents possess.

As children face the prospect of caring for their aging parents, complex decisions about housing are imperative. Each housing options listed above comes with benefits and complexities. It is up to the family to educate themselves on what is available by communicating with them and providing time to formulate a plan that works for all parties involved.

When my father passed away, my husband and I decided to move into my mother’s home to care for her. It was a mutual decision on our parts with the understanding that we would talk if the situation was not working well for any of us. As retired baby boomers, our situation allowed this arrangement. While it isn’t for everybody, it was a mutual decision made in the best interest of both my mother and ourselves.

As you face any upcoming living arrangements for your parents, be open-minded, respectful, realistic and informed.

The expression “there’s no place like home” is true. But, when the time comes when parents need to consider whether to move or not, let’s make sure that whatever plan is crafted creates a secure, comfortable and pleasing environment for all involved.

Bible Verses:

Whoever speaks, is to do so as one who is speaking the utterances of God; whoever serves is to do so as one who is serving by the strength which God supplies; so that in all things God may be glorified through Jesus Christ, to whom belongs the glory and dominion forever and ever. Amen. (1 Peter 4:11)

Cease striving and know that I am God. (Psalm 46:10a)

Therefore, having been justified by faith, we have peace with God through our Lord Jesus Christ. (Romans 5:1)

Prayer:

Dear Lord, As I face caring for my parents, please help me honor and respect them in all decisions that must be made regarding living arrangements. I trust that You will guide me and give me wisdom as plans and decisions are made. Thank you, Lord, for helping me. In Jesus’ Name. Amen.

God Bless,

Member Inspirational Writers Alive; Bible Gateway Blogger Grid Member

Coming Soon: Caregiving Part 5: Spirituality

Edited by E. Johnson; Bible verses are taken from the NASB if not noted otherwise.

Works Cited/Bibliography

¹ Older Parents Divulge What It’s Like to Leave Home to Live Near Adult Kids. Chicago Tribune. 5 June 2015. http://www.chicagotribune.com.

² Paying for Senior Care. https://www.payingforseniorcare.com. 5 May 2017.

³ Assisted Living Today.  http://assistedlivingtoday.com. Accessed 5 May 2017.

⁴ McGovern, Sue. What Everyone Should Know About Hospice. St. Meinrad: Abbey Press. 2004. Print.


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Books by Patti Greene

Answer Me: Developing a Heart for Prayer (A Devotional Prayer Journal) by Patti Greene, click here

Awaken Me: Growing Deeper in Bible Study and Prayer (A Devotional Prayer Journal) by Patti Greene, click here

Anchor Me: Laying a Foundation in Bible Study and Prayer (A Devotional Prayer Journal) by Patti Greene, click here