Wavelengths Vol Winter by benbenzhou


									                 Southern Caregiver Resource Center
         Help and support for families and caregivers of adults with chronic, disabling health conditions.
       Wavelengths                                                                                  Volume 37, Winter 2006

Published three times annually

3675 Ruffin Rd., Suite 230
San Diego CA 92123
(858) 268-4432
(800) 827-1008
(858) 268-7816 Fax
E-Mail: scrc@caregivercenter.org

119 South Fifth St.                  Ms. Shriver’s letter appears in the California Caregiver Resource Centers publication,
El Centro CA 92243                   A 20-Year Partnership in Caring, prepared by the Statewide Resources Consultant at
(760) 352-2588                       Family Caregiver Alliance, for the California Department of Mental Health, 2005.
(760) 352-2583 Fax
E-mail: ecscrc@caregivercenter.org
Southern Caregiver Resource Center                                                               Wavelengths, Vol. 37, Winter 2006

      How Do We Keep
      Good Home Support Staff?                                        by Maggie Marshall

  A       request was made from a con-
         cerned member of our Encini-
  tas Walking Group to write an article
                                           sis; Others stay for a while – being
                                           of assistance to smooth out the rough
                                           edges and get us settled in.
  about “Tips On Keeping Good Home         And once in awhile when all the
  Health Aides.” First, I jotted down      stars are lined up – someone stays
  what I had found helpful when I was      for a long while and becomes a com-         Have a list of emergency contact
  caring for my mother and then began      fortable stable part of our routine.            information, including phone
  to dig deeper. I asked for tips from     But rarely does someone stay the                numbers, diagnosis, medications
  the many former caregivers (East         course to carry us through our care-            and always include 911.
  and West Coast Caregiver Network         giving journey.
  volunteers) as well as our experi-                                                   Let your aide know that you
  enced staff at SCRC and got lots of      But even if the stars don’t line up,            know it’s not easy at times and
  terrific advice.                         often we can do more to encourage               that you appreciate the care and
                                           good help/staff to stay. Here are               skill they bring to their job.
  The biggest mistake many former          many of the suggestions from people
  caregivers said they experienced         I interviewed:                              Ask what the person you are hir-
  when hiring someone was they ex-                                                         ing would like to eat/drink when
  pected the person to stay forever and     Determine what needs to be done               he/she is in your home, and show
  were angry when the person later                                                         the person what foods she/he can
                                              and put those jobs on paper.
  gave notice, always thinking, “What                                                      help him or herself to. I used to
  did I do wrong?” Staff have full            #   Skills: personal and health              say, “When you’re preparing a
  lives that change just like our own             care, companionship, meaning-            meal or snack for my mama,
  lives. People we hire have family               ful activities, household chores,        please prepare something for
  members who get sick, have babies,              valid driver’s license.                  yourself and enjoy eating to-
  get married, divorced, someone                                                           gether.”
                                              #   Background: experience with
  moves and the list goes on and on.              people with memory impair-           Make up a list of helpful hints
  Often times what interferes with our            ment or other disabilities; level        (approaches that make things eas-
  need to retain good staff is just that          of heath care training needed.           ier in providing assistance to your
  life gets in the way of our best laid
                                                                                           loved one) can make all the dif-
  plans. There will always be changes       After interviewing someone                    ference in the world.
  and we need to actively plan for            you’re thinking of hiring, design
  those changes from the beginning.           a fair job description, taking into      Don’t overlook small problems;
  One former caregiver said, “As soon         account the conversation you had             they usually become big ones.
  as I hired someone I hoped would            when interviewing.
  stay forever, I began looking for                                                    Every four to five weeks, sched-
  someone to be my back-up, knowing         Remember, you are hiring some-                ule a short one-on-one meeting
  the relationship would not likely last      one to perform a job. No matter              to review how things are going,
  forever.”                                   what anyone says, when you pay               what’s working, where changes
                                              someone to do a job it’s a differ-           need to be made and a more for-
  When we work hard to find someone           ent relationship than with a                 mal way for the staff person to
  good (reliable, trustworthy, kind and       friend or volunteer.                         say how she/he sees things – what
  helpful - those were always my four                                                      is needed to make things work
  keys to success in finding good staff)    Write up a mini resume about                  better.
  to come into our home and help care         your loved one. Provide some
  for our loved one, we want it to last       background, where he/she was             Celebrate! Find out your staff
  forever. However, as we all know, it        born, an overview about their life           person’s birthday and send a card
  just doesn’t happen that way. I have        before they got sick or injured,             to his/her home. Or leave some-
  adapted the following poem:                 likes and dislikes, foods to enjoy           thing next to your communication
                                              or avoid, etc. It’s a nice way to            log that reflects a holiday
  Many people come into our lives for         find a connection.                           (chocolate heart, Irish four leaf
  a short while – help us through a cri-                                                                     (Continued on page 3)

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Wavelengths, Vol. 37, Winter 2006                                                                                              Southern Caregiver Resource Center

 (Continued from page 2)                      these things often, just once in      When the staff needs to leave us
                                              awhile, but it seemed to mean a            for whatever reason, try to let go
     clover, basket of pears, bouquet         lot.                                       in an understanding way. Let
     of candy canes).                                                                    your aide know you would like to
                                            Write a short note to the aide’s            provide them with a reference let-
  Always pay people on time.                 supervisor (if they work for an            ter before they leave.
                                              agency) stating how much you
  Changing the schedule can be               appreciate the outstanding service    Most of us underestimate the
     tricky and often sends the wrong         being given and give an example            Power of “Thank You!” One
     message. Of course we have to            or two. “Mrs. Johnson is so pa-            former caregiver said, “I thanked
     make adjustments, but try to keep        tient with my mother, she never            my home health aide each time
     them to a minimum.                       rushes her.”                               she came. After my father died,
  Sometimes I would make extra                                                          she said to me after the funeral
                                            As you learn more about the per-            that I was the first person she
     food and send it home with my            son you have hired, try to find
     aide. Also, anything that I would                                                   ever worked for that seemed
                                              new ways to connect. Know a                grateful for her service to my
     get as a two-for-one at the store        few of his/her hobbies, interests
     seemed perfect to give away. If I                                                   family.”
                                              and passions. Cut an article out
     baked or made something special,         of the newspaper or magazine if
     I would package it and tie a rib-        you think he or she might be in-
     bon around the handle to make it         terested.
     seem more like a gift. I didn’t do

                                         Watch for

                                                                                     Caregiver Survey . . . Caregiver Survey
                           Mystery Walkers                                                                                        The California
                                                                                                                                  Network of
                                          in 2006                                                                                 Caregiver
                                                                                                                                  Resource Centers
M      ark your calendar and come
       walk with one of SCRC’s
three caregiver support walking
                                          The three Walking Groups, their
                                          meeting place and time, are:
                                                                                                                                  is conducting a
                                                                                                                                  random sample,
                                                                                                                                  confidential survey
groups this New Year.                           Lake Murray Concession
                                                                                                                                  statewide, to
We will be having, once in a blue           2nd & 4th Saturday of each month                                                      measure program
moon, famous (or maybe semi-                            8 to 9 AM                                                                 satisfaction and
famous ) Mystery Walkers joining           Volunteer Peggy Lewis leads walk.                                                     quality.
one of our groups from time-to-time.                                                                                              If you receive a
These Mystery Walkers will be                 Mission Bay Information Center                                                      survey, we would
volunteering their time to bring           1st & 3rd Wednesday of each month                                                      greatly appreciate
inspiring and uplifting information              11:30 AM to 12:30 PM                                                             your comments.
on caregiving, taking care of                Volunteer Linda Cohen leads walk.                                                    We value your
yourself, and new San Diego                                                                                                       support.
resources. They will briefly share              Encinitas, Swami’s Beach
their thoughts with us just before our                Picnic Table                                                                Thank you!
walk and then join us for our               2nd & 4th Tuesday of each month
regularly scheduled Walk’n Talk.                    1:30 to 2:30 PM
                                            Volunteer Pat Clancy leads walk.
A sneak preview of just some of our
Mystery Walkers already lined up for      If you would like more information,
this year are: authors, musicians, a      please contact:
Senior Olympics Representative, a              Maggie Marshall, Director
Professor of Gerontology, and                Caregiver-to-Caregiver Network
extraordinary people from the                        (858) 268-4432
medical profession.                          mmarshall@caregivercenter.org

www.scrc.signonsandiego.com                           1 (800) 827-1008                                                                                       -3-
Southern Caregiver Resource Center                                                                         Wavelengths, Vol. 37, Winter 2006

                                                                                             cants over the telephone, caregivers
                     Hiring In-Home Help                                                     should describe the job in detail and state
                                                                                             specific expectations listed in the work
  Most caregivers of persons with cognitive      #      When and how payment will be made contract as well as information about the
  disorders reach a point when they need         #      Hours of work                        hours and wages. At this time, it is also
  help at home. Telltale signs include rec-                                                  important to ask about the applicant’s
                                                 #      Employee’s Social Security number
  ognizing that the impaired person re-                                                      past experience and whether he/she has
  quires constant supervision and/or assis-      #      Duties to be performed               references. Then if the applicant sounds
  tance with everyday activities of daily liv-   #      Termination (how much notice, rea- acceptable, an interview should be sched-
  ing. Caregivers also find that certain                sons for termination without notice, uled.
  housekeeping routines and regular er-                 etc.)
  rands are accomplished with great diffi-       #      Date signatures of employee and      In preparation for the interview, the care-
  culty or are left undone. It may become               employer                             giver should have a list of questions perti-
  apparent that in order to take care of any                                                 nent to the job description and a sample
  business outside the home, a substitute        Looking for Help at Home                    work contract ready for the applicant to
  care provider is needed.                       The next step is to find the appropriate    read. The following are some suggested
                                                 person to fit the job description. One of   questions for the interview.
  Exploring Home-Care Options                    the best ways of finding a helper is to get # Where have you worked before?
  A number of options are available to care-     a personal recommendation from a            #      What were your duties?
  givers for finding help at home. It is pos-    trusted relative or friend. Churches, syna- # How do you feel about caring for an
  sible to hire a helper from a home health      gogues, senior centers, Independent Liv-           elderly/disabled person? Or a per-
  agency. Many caregivers, however, find         ing Centers and local college career cen-          son with memory problems?
  it is more affordable to hire an in-home       ters, especially those that have nursing or # Have you had experience cooking for
  helper privately. With some foresight and      social work programs, are good places to           other people?
  careful planning, it is possible for the       advertise for in-home help.
  caregiver to locate the right person for the                                               #      How do you handle people who are
  job.                                           Most communities have attendant regis-             angry, stubborn, or fearful?
                                                 tries, which are an excellent resource for # Do you have a car? Would you be
  Southern Caregiver Resource Center is          finding in-home help because they typi-            able to transfer someone from a
  available to assist in determining what        cally provide some initial screening of ap-        wheelchair into a car or onto a bed?
  kind of help would be most useful and          plicants. When calling an attendant regis- # Is there anything in the job descrip-
  what types of resources are available in       try, it is important to inquire about their        tion that you are uncomfortable do-
  the community.                                 particular screening process and/or train-         ing?
                                                 ing requirements as well as about any
  Writing a Job Description                      fees charged. While some are free, fees
                                                                                             #      Can you provide two work related
  An important first step in hiring in-home                                                         and one personal reference?
                                                 for using a registry can vary greatly.
  help is to determine what help is needed       There are also non-profit community         Immediately after the interview, it is im-
  and to prepare a list of duties. This job      agencies that maintain lists of individuals portant for the caregiver to write down
  description should be designed as a work       available to perform all kinds of house-    first impressions, and if possible, discuss
  contract, which can be signed by both the      hold tasks, from cleaning and laundry to these with another family member or
  caregiver and the in-home helper.              repairs and gardening. It is a good idea friend. Consider the person most quali-
  Typical duties for an in-home helper in-       to shop around and obtain the best ser-     fied for the job and with whom you feel
  clude companionship and supervision of         vice for the lowest fee.                    most comfortable. Always check the ref-
  the impaired person and direct assistance                                                  erences of at least two final applicants.
  with personal care such as bathing,            If all of the above sources fail to produce Don’t wait too long to make the offer, as
  dressing and feeding. The in-home              an in-home helper, the caregiver may        good applicants may find another job. If
  helper may also do light housekeeping          choose to advertise in the “Help Wanted” the offer is accepted, the caregiver and
  and home maintenance tasks which per-          classified section of a community college the in-home helper should set a date to
  tain directly to the care of the impaired      or local newspaper or newsletter. The       sign the contract and begin work. Both
  person or which the caregiver can no           advertisement should include hours, a       employer and employee should keep a
  longer manage without assistance.              brief description of duties, telephone num- copy of the contract.
                                                 ber and best time to call.
  A good work contract should include:
  #   Name of employer and “household            Interviewing the Applicant                For additional information, please contact
      employee”                                  The caregiver does not have to personally Southern Caregiver Resource Center.
  #   Wages and benefits (e.g., mileage,         interview every person who applies for
      meals, etc.)                               the job. Some screening over the tele-
                                                 phone is appropriate. In screening appli-
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Wavelengths, Vol. 37, Winter 2006                                                         Southern Caregiver Resource Center

     SPACE OF BEAUTY                     The Profile of Family Caregivers
   is on the News Stand!
  SCRC is delighted that the Space
  of Beauty program was featured in
                                         O      ver the past 20 years the majority of individuals served by the
                                                Caregiver Resource Centers (CRCs) have been women caring for a
                                         spouse of a parent with dementia. Today’s caregivers are more likely to
  the November/December 2005             be in the work force with children at home, and to use the Internet for
  issue of Somerset Studio Magazine      information, support and resources.
  (see pages 66-67). Hope you have
  picked up a copy. Thank you to         In 1984, the typical family caregiver contacting a CRC was a married
  Jenny Doh, Editor-in-Chief, for        woman in her sixties, caring for a spouse at home. Twenty-sic percent of
  acknowledging all the creative         caregivers reported working full-time. Most families (53%) had been
  work the volunteer artists do to       providing care for three to six years before their first contact with a CRC.
  create individualized journals for     Today, the typical family caregiver is a married woman in her mid-fifties
  caregivers.                            (47%), more likely to be caring for a parent (38%) than a spouse (23%).
                                         Half (51%) of all caregivers receiving CRC services are also employed
  The second year of this unique         outside of the home. The time between the diagnosis and making the first
  program is underway, and               call to a CRC now has been reduced to less than two years.
  continues to be led by artist, Jane
  LaFazio. We are very grateful to       This dramatic change is attributed to a broader awareness of caregiving
  Jane, who attracts magnificent         issues, recent medical advances in understanding brain disorders, and the
  artists to join and volunteer their
                                         successful outreach efforts of the CRCs using the Internet, the media and
  time. This program would not
                                         by building and maintaining relationship with other community
  have gotten off the ground so
  easily without Jane’s leadership
  and commitment to excellence in
  the art world. A sincere Thank
  You to Jane!
                                         Two Decades of Service to
                                         California Family Caregivers
  For more information about how
  you can be a part of this program,
  please contact Maggie Marshall at
                                         B    y 1989, when all eleven CRCs were fully established and the
                                              uniform caregiver assessment tool had been implemented, the
                                         Statewide Resources Consultant (SRC) developed a database to track
                                         service utilization patterns of families served. California’s statewide
  A SPACE OF                             system of Caregiver Resource Centers has served more than:
  Volunteer artists                      #   25,000 callers with information and referral, helping them locate
  create personalized,                       appropriate services and support
  handmade journals for caregivers
  to record their thoughts, resources,   #   90,000 families with personalized consultation and care assistance in
  and ideas to try.                          planning for both present and future needs

                                         #   20,000 family caregivers with respite assistance, providing a brief
       Donation Needed!                      break from care responsibilities

    The Space of Beauty program          #   15,000 family members with specialized support groups
    is in need of a large, flat,
    artist’s portfolio, that can be      #   6,000 individuals with caregiver-focused counseling
    used to store paper and other
    artwork. If you have one that        #   300,000 family members with education and training in caregiving
    you no longer need, please
    keep us in mind! Thank you!
                                         Data taken from the California Caregiver Resource Centers publication, A 20-
                                         Year Partnership in Caring, prepared by the Statewide Resources Consultant at
                                         Family Caregiver Alliance, for the California Department of Mental Health,

www.scrc.signonsandiego.com                       1 (800) 827-1008                                                       -5-
Southern Caregiver Resource Center                                                               Wavelengths, Vol. 37, Winter 2006

  2006 Update on California’s Medi-Cal Program
                                                      Submitted by Mike Ditter, Attorney, Law Offices of Copeland & Tierman

 M        edi-Cal is California’s ver-
          sion of Medicaid, a federally
 supported, state-administered welfare
                                            tled to retain $2,489 of the spouses’
                                            combined monthly income before
                                            any of the ill spouse’s income must
                                                                                      $2,489 if the excess assets were theo-
                                                                                      retically invested in a federally in-
                                                                                      sured bank in 6-month certificates of
 program. Medi-Cal is the only pub-         be used toward the ill spouse’s           deposit. For example, if the well
 lic program in California that helps       skilled nursing care. For example, if     spouse had only $1,489 in Social Se-
 with the cost of long-term care in         an ill spouse has Social Security and     curity income, he or she would have
 skilled nursing facilities. Because it     a pension of $1,500 a month, and the      a shortfall of $1,000 a month. In
 is a needs-based program, one must         well spouse has $500 a month Social       those circumstances, the well spouse
 be financially eligible to receive         Security, the well spouse can keep all    could retain up to approximately
 benefits. An applicant can only re-        of their combined income of $2,000 a      $266,000, rather than $99,540, based
 tain $2,000 in non-exempt resources.       month and the ill spouse’s skilled        on a current 4.5% CD rate ($266,000
 However, in the case of a married          nursing care will be paid entirely by     x 4.5% = $11,970 / 12 = $997.50).
 couple where one spouse requires           Medi-Cal. If their combined incomes       In some cases, where an increase of
 long-term care (the “ill spouse”) and      goes above $2,489 a month, then the       the CSRA still leaves room under the
 the other spouse does not (the “well       excess income of the ill spouse must      MMMNA for the well spouse, the
 spouse”), Medi-Cal does not make           be applied toward the skilled nursing     well spouse would also be entitled to
 the well spouse’s interest in the cou-     care, after giving the ill spouse a $35   an allocation of the ill spouse’s in-
 ple’s joint property also subject to the   monthly allowance.                        come to bring him or her up to the
 applicant’s $2,000 property limit.                                                   MMMNA amount.
 Instead, Medi-Cal is designed to pro-      Where the combined income of a
 tect the spouses of nursing home resi-     couple exceeds the $2,489 amount,         It is important to note that winds of
 dents who receive Medi-Cal by guar-        only the ill spouse’s income must be      change are now blowing out of
 anteeing such spouses a Community          applied toward the skilled nursing        Washington, DC. At the time of the
 Spouse Resource Allowance                  care. For example, if the well spouse     writing of this article, Congress is
 (CSRA). Every year the CSRA fig-           receives $1,000 in Social Security        poised to approve the Deficit Reduc-
 ure is revised. In 2006, the CSRA          and $2,000 in pension payments, the       tion Act of 2005. This law contains
 allows the well spouse to retain           well spouse can keep the entire           provisions that will significantly im-
 unlimited exempt resource plus             $3,000, even though it exceeds the        pact existing Medicaid law. Of par-
 $99,540 (up from $95,100 in 2005).         MMMNA. This is why the figure is          ticular note, in the context of this ar-
 That means that the well spouse can        called the “minimum” needs allow-         ticle, is a provision making the
 retain up to $99,540 in cash, securi-      ance and not the “maximum” allow-         “Income-First Rule” mandatory for
 ties, recreational vehicles, or any        ance. Of course, any income re-           all states. The Income-First Rule re-
 other on-exempt assets, in addition to     ceived in the name of the ill spouse      quires the well spouse take a portion
 exempt assets such as a home, IRAs         would have to be applied toward his       of the ill spouse’s monthly income in
 in the well spouse’s name, a car,          or her skilled nursing expenses less      order to meet the MMMNA before
 household goods, jewelry, etc., and        the $35 monthly allowance. Medi-          allowing an increase in the CSRA.
 still obtain Medi-Cal benefits for the     Cal will then pay the balance.            As noted above, California is not cur-
 ill spouse.                                                                          rently an “Income-First” state be-
                                            In lieu of an allocation of the ill       cause it allows the well spouse the
 In addition to the CSRA, Medi-Cal          spouse’s income when the well             option of enlarging the CSRA instead
 contains provisions for the well           spouse’s income is low, the well          of taking some of the income from
 spouse to have a Minimum Monthly           spouse may have the option of in-         the ill spouse.
 Maintenance Needs Allowance                creasing the CSRA beyond the stan-
 (MMMNA). The MMMNAs spousal                dard amount to provide a sufficient       It is important to consult a qualified
 impoverishment protection feature          fund to generate additional income        elder law attorney to verify current
 allows a portion of the institutional-     for the well spouse. A well spouse        rules and regulations before seeking
 ized, ill spouse’s income to be trans-     would request that he or she be al-       qualification for Medi-Cal benefits.
 ferred to the well spouse for his or       lowed to keep non-exempt assets,
 her support. As with the CSRA, the         that when combined with his or her
 MMMNA is also indexed for infla-           existing income, would be sufficient
 tion. In 2006, the well spouse is enti-    to generate monthly income of up to

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Wavelengths, Vol. 37, Winter 2006                                                                             Southern Caregiver Resource Center

  She Wanted Two Kisses                                      Submitted by Gwendolyn de Geest, RN, BSN, MA, Burnaby, BC Canada

               She Wanted Two Kisses is a very real depiction of the communication challenges caregivers face daily in caring for per-
               sons with dementia. I worked with this family for several months when I was at the University conducting research. I always
               admired and respected the flexibility and problem-solving ability of the caregivers to understand and to be understood by the
               person with dementia. In this particular case study, the story takes on a Valentine's Day theme.
               The caregiver interview and analysis following the story, illustrates many useful coping strategies that worked in this situa-
               tion for Jack and Rose. These care solutions may prove useful for others dealing with similar communication challenges.

  R    ose sits in the lounge chair.
       The morning rays of
  sunlight shine on her face, illumi-
                                                  tackle head-on, his own research
                                                  of learning to speak Alzheimer
                                                  disease. In the library that day,
                                                                                                   spoonful to Rose's lips. No reac-
                                                                                                   tion. This does not discourage
                                                                                                   Jack. He takes Rose's hand and
  nating her once bright, blue eyes.              Jack learns that in 1906, Dr.                    holds it, as he offers a second
  A person greets her, "Good                      Alois Alzheimer examined a slice                 spoonful of porridge. This time,
  morning Rose." Rose doesn't re-                 of brain tissue under the micro-                 Jack notes a special little smile
  spond, doesn't recognize this                   scope, identifying plaques and                   around Rose's mouth as she
  person who is greeting her.                     tangles surrounding the brain                    swallows the cereal. Something
                                                  cells, a hallmark of Alzheimer                   else he notices, is that Rose's
  Morning follows morning, day fol-               disease. As a result, there may                  body language is more relaxed.
  lows day at Memory Care Manor                   be mental deterioration. Jack                    She is listening to the classical
  where Rose now lives. Family                    learned that the person affected,                music softly playing in the back-
  photographs hang on the wall,                   his Rose, may no longer be able                  ground.
  persistence of a memory long                    to communicate as they previ-
  ago. Rose sits waiting, waiting for             ously could. Due to the mental                   Jack leans forward, closer to
  Jack, her husband, who is com-                  deterioration, the language cen-                 Rose and says, "Does my Rose
  ing for a visit. And when he en-                ter of the brain may be affected.                love me?" At first, no response.
  ters the lounge, prepared to as-                Consequently, the person has                     And then, Rose also leans for-
  sist his wife of 57 years with her              difficulty understanding, or being               ward, puckering up her lips for a
  breakfast, Rose displays no ap-                 understood. Jack begins to real-                 kiss. Jack responds in kind with a
  parent recognition of him.                      ize that Rose is doing the best                  kiss. Once again, Rose puckers
                                                  she can.                                         up her lips and leans forward.
  Rose remains motionless, eyes                                                                    Jack smiles and says, "My Rose
  fixated. This could mean that she               The next morning, Jack arrives                   wants two kisses."
  no longer knows her husband. Or                 early at Memory Care Manor,
  it could mean that she doesn't                                                                   The interview with the husband
                                                  armed and ready with his new
  wish to violate the etiquette of                                                                 follows:
                                                  found knowledge. Rose is sitting
  Memory Care Manor with an en-                   in her familiar place in the corner              Jack, when did you first notice
  thusiastic greeting, which may be               of the lounge at Memory Care                     that something might be wrong
  interpreted by some as inappro-                 Manor, motionless, waiting, wait-                with Rose?
  priate. Or it could mean that the               ing, waiting.                                    It was a gradual thing. Rose had
  acceptable response to a "Good                                                                   short-term memory loss and this was
  morning," from Jack, is a dead-                 When Jack enters the room with                   distressing for her. She couldn't
  eyed stare.                                     a cheery "Good morning," he                      seem to remember from one minute
                                                  makes a special point of warmly                  to the next what she had done and
  However, Jack finds encourage-                  embracing his wife. He then asks                 not done. She would tell our daugh-
  ment in this lack of reaction. He                                                                ter a story of something that had
                                                  the caregiver if she might play a                happened, and then five minutes
  continues to prepare Rose to eat                soft piece of classical music
  her breakfast. Jack is not sur-                                                                  later, she would tell the same story.
                                                  (Rose's favourite) on the stereo.
  prised. He knows that Rose has                  Jack moves Rose's lounge chair                   It is interesting that in spite of the
  Alzheimer disease. What Jack                    to a quieter corner of the lounge,               fact that Rose doesn't speak to
  doesn't comprehend, is why his                  removed from the other noises                    you, you still remain so positive.
  darling wife of 57 years, no                                                                     Could you comment on that?
                                                  and distractions. He then brings
  longer speaks to him.                                                                            I can see her brightness vanishing,
                                                  Rose's breakfast tray and sits                   but I love Rose because she is so
  Jack lives close by Memory Care                 with her, preparing to feed her                  loveable. Nothing can ever change
  Manor. This day, following his                  breakfast.                                       that. Not even this Alzheimer's dis-
  visit with Rose, Jack visits the                                                                 ease. I believe that Rose's spirit is
                                                  "Here my Rose, have some por-
  public library. He has decided to               ridge," says Jack, offering a                                              (Continued on page 8)

www.scrc.signonsandiego.com                                     1 (800) 827-1008                                                                -7-
Southern Caregiver Resource Center                                                                Wavelengths, Vol. 37, Winter 2006

  She Wanted Two Kisses                      the best she can. It's hard some-         and their caregiver. The communi-
  (Continued from page 7)                    times because I'll be talking to Rose     cated message may not be received
                                             about a memory or something we've         or understood. The person with de-
  alive and well, in spite of it all. This   done together with the family, and I      mentia may not be able to express
  keeps me going.                            pause, waiting for Rose to respond        themselves or even complete a sim-
                                             like she always has. And there's si-      ple sentence.
  And you mentioned she had a                lence. That's hard to take.
  special little smile that morning.                                                   Jack truly believes that Rose's spirit
  What do you think she was think-           What are some of Rose's favorite          is alive and well. Sometimes, this is
  ing?                                       things? And is she still able to en-      the only hope that families have.
                                             joy some of these things?
  Rose and I met on Valentine's Day.         Rose always had incredible energy         Adding Flavor
  That same piece of classical music         and creativity. She spent countless       When caregivers face this situation,
  was playing when we met. And that          hours with the children, of course        they need to first assess who is this
  morning when the girls played the          she was a mother first, but Rose          person? Although the individual may
  music, and I saw Rose's little smile, I    was very involved in community and        not be speaking, their body lan-
  really believe that she is remember-       school committees. And she loved to       guage is alive with feelings. Is the
  ing too.                                   entertain. Rose was always busy           person happy, sad? Are they moving
                                             helping others. Today, Rose still         around in an agitated manner? What
  When Rose sits there in her chair,                                                   are the eyes saying? The eyes are
  larger than life, you must feel            loves having people around her. And
                                             she enjoys listening to stories.          the 'windows of our soul.' Jack has
  wistful for days gone by. Do you                                                     learned to read the message in
  want to talk about those feelings?         Let's talk about you for a moment         Rose's eyes and her relaxed body
  Well, yes, I'm pretty attached to my       Jack. What things do you do to            language. Jack discovers that he
  memories with Rose. We've been             take care of yourself?                    needs to pay particular attention to
  married for 57 years. That's a lot of      I read a lot. And I enjoy walking. I'm    Rose's facial expression, as he
  years and a lot of memories. I guess       here at Rose's side every day, and        notes "a special little smile around
  though, I'm coming to a place where        when the weather warms up, I'll take      Rose's mouth............"
  I feel like Rose and I can still have a    Rose outside to the garden. We al-
  life without those memories. I know        ways enjoyed working in the garden        Putting it all Together
  that sounds kinda strange, but I tell      together. I still do.                     A large part of communicating with
  the kids, "Mom and I are making                                                      anyone is related to 'the knowing.'
  new memories every day."                   What did you feel in that moment          Knowing who this person was prior
                                             when Rose puckered up for a               to the dementia. Jack knows that
  Jack, how do you handle it when            kiss?                                     Rose loves classical music. He
  Rose no longer recognizes you?             Our eyes connected briefly just be-       knows about her personhood, and
  It makes me sad. I tell myself, this       fore the kiss, and I thought to myself,   her sense of self? When caregivers
  disease is not about me. But I can't       "I've got my Rose back once again."       have this information, they are then
  help my feelings. Rose has always          I was so astonished; I hugged her         able to embrace who Rose is, and to
  been so vibrant and alive and chatty.      and said, "we really do love one an-      understand her emotions so much
  These days she is in her own little        other, don't we Rose?"                    better. This truly enhances the com-
  world.                                                                               munication process, empowering
                                             Your journey with Rose has en-            both the caregiver and the person.
  You mentioned you had done                 couraged so many. What do you
  some research on the subject at            tell people who are angry?
  the public library. Was this infor-        I tell them that there is help and        What Works:
  mation useful for you?                     there is hope. I haven't worked it all      gentle touch
  I'll say. I was reading about the men-     out yet. I'm struggling. But on the         understanding the body language
  tal deterioration and the fact that the    good days, I know that this Alz-            knowing the person
  brain size is actually shrinking, and      heimer disease has happened to my
  about the plaques and tangles sur-         Rose for a reason. And I'm grateful       What Doesn't Work:
  rounding the nerve cells of the brain.     that we have this time together.            noisy environment
  I can understand that the language                                                     rushing the person
  centre of Rose's brain may be af-          ANALYSIS                                    talking about them in front of
  fected, and this is why she no longer                                                  them
  speaks to us. I mentioned before I         Getting Started
  believe Rose's spirit is alive and         Communicating with the person with
  well, in spite of the Alzheimer's. I be-   dementia can prove to be one of the
  lieve my Rose is still in there, and       greatest challenges. This individual
  when she doesn't speak, she is             may no longer communicate with
  swallowing her feelings.                   words. Rather, they communicate
                                             with feelings. Because of this, frus-
  How do you deal with the silence?          tration levels can run high, both on
  I now understand that Rose is doing        the part of the person with dementia

-8-                                                     1 (800) 827-1008                             www.scrc.signonsandiego.com
Wavelengths, Vol. 37, Winter 2006                                                                  Southern Caregiver Resource Center

                                                                                         ■ TAKING CARE OF YOU, February
  Events                                    ■ HUNTINGTON’S DISEASE                       21, 2006, 1:30 to 2:30 PM at Silvergate,
  and                                       SUPPORT GROUP, meets the 4th                 1550 Security Place, San Marcos,
  Information                               Monday of the month at The Well Being,       92069. For more information, please call
  for                                       4305 La Jolla Village Drive in University    (760) 744-4484.
                                            Towne Center, 6 to 8 PM. Facilitated by
  Caregivers                                Andrea Cangiano, MSW.                        ■ WHEN AND HOW TO HELP YOUR
                                                                                         PARENTS, February 23, 2006, 6 to 7:30
 Support Groups . . . . . . .               ■ PARKINSON’S SUPPORT GROUP,                 PM at Sommerville at Clairemont, 5219
                                            meets the 2nd Wednesday of the month         Clairemont Mesa Blvd., San Diego,
 ■ ADULT CHILD AS CAREGIVER,                at Sharp Cabrillo Senior Resource            92117. For more information, please call
 meets the 2nd and 4th Thursdays of the     Center, 10 to 11:30 AM. Sponsored by         (858) 292-8044.
 month at SCRC, 5:30 to 7 PM.               Sharp Cabrillo Senior Resource Center
 Facilitated by Ann Sanderson, MA.          and SCRC. Facilitated by Veronika            ■ UNDERSTANDING THE DEMENTIA
                                            Glenn.                                       DIAGNOSIS, March 9, 2006, 12 to 3 PM
 ■ CLAIREMONT CAREGIVER                                                                  at Silverado Senior Living, 335 Saxony
 SUPPORT GROUP, meets on                    ■ PARKINSON’S SUPPORT GROUP,                 Rd., Encinitas, 92024. For more
 Wednesdays at Clairemont Friendship        meets the 3rd Thursday of the month at       information, please call (760) 801-0201.
 Senior Center, 1:30 to 3 PM. Facilitated   Veterans Home of California in Chula
 by Jennifer Shoji, MSW. Guest speakers     Vista, 10 to 11:30 AM. Facilitated by
 on the 2nd and 4th Wed.                    Veronika Glenn.
                                                                                                S A VE THE D ATE !
 ■ RANCHO BERNARDO CAREGIVER                                                                   SURFING THE AGE WAVE
 SUPPORT GROUP, meets the 1st and           Imperial County . . . . . . . . . . .
                                                                                         16th annual professional conference,
 3rd Thursday of the month at the
                                                                                         presented by the National Association
 Remington Club, in Rancho Bernardo,        ■ COMMUNITY EDUCATION
                                                                                         of Professional Geriatric Care Manag-
 from 5:30 to 7 PM. Facilitated by          WORKSHOP, April 7, 2006 at Cal Works
                                                                                         ers, The Western Regional Chapter,
 Adrienne Burnette, PhD MFT.                Career Center, 2895 South 4th Ave., El
                                                                                         on April 27-30, 2006 at the San Diego
                                            Centro, 10:30 to 2:30, a free presented
                                                                                         Mission Valley Marriott, For informa-
 ■ SAN CARLOS CAREGIVER                     by Southern Cregiver Resource Center.
                                                                                         tion on sponsorship and exhibits, call
 SUPPORT GROUP, meets the 2nd               (See more information on page 10.)
                                                                                         (310) 531-5081 or email
 Wednesday of the month at San Carlos
                                            Other Community Events . . . .               admin@meetingwise.net.
 United Methodist Church, 6554 Cowles
 Mnt. Blvd., San Diego 92119, from 6 to
 7:30 PM. Facilitated by Marianna           ■ TRAINING CLASSES FOR
 Kalinowski, MSW.                           CAREGIVERS, presented by SCRC and            CALLING ALL
                                            Western Adult Day Health Care Center         MALE CAREGIVERS!
 ■ FALLBROOK CAREGIVER                      in El Cajon. Class dates are Feb 16,
 SUPPORT GROUP, meets the 4th               Mar 16, Apr 20 and May 18, 3:30 to 4:30
 Thursday of the month at Fallbrook         PM. A variety of topics will be presented    The Caregiver Support Group for Men
 Healthcare Foundation Pittenger House,     by SCRC’s Veronika Glenn (e.g.,              has expanded to a new meeting location
 from 10 to 11:30 AM. Facilitated by        Emergency Medical Alerts, Care               in Balboa Park. As of January 2006, the
 Marianna Kalinowski, MSW.                  Planning, In-Home Care, Placement            Men’s Group meets at the Veterans Mu-
                                            Decisions, and much more) that are           seum and Memorial Center, 2115 Park
 ■ CAREGIVER SUPPORT GROUP                  important to caregiving. Classes are no      Blvd. This group continues to be profes-
 FOR MEN, meets the 2nd and 4th             cost; registration is required; caregiving   sionally facilitated by Edward De La
 Thursday of the month,11 AM to 12:30       is available. Please call Western Adult      Loza, LCSW, and is open to male care-
 PM, at a new location — Veterans           Day Health Care Center at (610) 631-         givers who wish to join with other men to
 Museum and Memorial Center, 2115           7222.                                        discover new and helpful ways to be suc-
 Park Blvd., San Diego 92101. Facilitated                                                cessful in their caregiving role.
 by Edward De La Loza, LCSW.                ■ UNDERSTANDING THE DEMENTIA
                                            DIAGNOSIS, February 15, 2006, 3 to 5         If you are interested in learning more
 ■ FAMILY CAREGIVER SUPPORT                 PM at Elizabeth Hospice, 150 W. Crest        about this unique group, please phone
 GROUP, meets the 4th Wednesday of          St., Escondido, 92025. For more              the SCRC at (800) 827-1008, and ask to
 the month at Foothills United Methodist    information, please call (760) 737-2050.     speak with one of the Family Consult-
 Church in La Mesa, 6 to 7:30 PM.                                                        ants.
 Facilitated by Verionika Glenn.
www.scrc.signonsandiego.com                              1 (800) 827-1008                                                         -9-
Southern Caregiver Resource Center                                                                 Wavelengths, Vol. 37, Winter 2006

  SCRC Offers Educational Opportunities for Caregivers with Three Unique Classes

               Ê POWERFUL TOOLS                                                   Ë IT TAKES TWO:
                This class is designed to provide
                caregivers with tools to reduce stress,              This class is designed for
                to make difficult caregiving decisions               caregivers who care for a per-
                and to prevent burn out. This six week,              son with dementia and wish to
                six session class will provide tools to:             enhance their ability to com-
                 Take better care of yourself                       municate more effectively
                                                                     with the care recipient. The
     Reduce guilt, anger and depression                             goals of this four week, four session class are:
     Reduce stress                                                   To increase caregivers’ ability to set realistic ex-
     Communicate effectively with your family and                      pectations of their loved one’s behavior.
      your doctor                                                     To increase caregivers’ ability to understand,
     Hire in-home help                                                 communicate and remain “connected” with their
     Help memory-impaired elders                                       loved one.
     Make difficult decisions related to your                        To increase caregivers’ ability to understand and
      caregiving situation.                                             modify troublesome dementia behavior.
                                                                      To increase caregivers’ ability to gain the partici-
    When: Thursdays, May 25th through June 29th,                        pation and cooperation of their loved one while
    2006, 1 to 3:30 PM.                                                 assisting in activities of daily living.
                                                                      To give caregivers support for working towards
    Where: 3675 Ruffin Road, Suite 230, San Diego                       change by considering new concepts and trying
    92123                                                               new skills.
                                                                     When: Tuesdays, February 28th through March
    Cost:    $35 – cost includes The Caregiver Helpbook                 21st , 2006, 5:30 to 7:30 PM.
                                                                     Where: 3675 Ruffin Road, Suite 230, San Diego
    Registration: Complete and mail registration form                92123
    or call SCRC at (858) 268-4432.                                  Cost: $30
                                                                     Registration: Complete and mail registration or call
                                                                     SCRC at (858) 268-4432.

                                       Ì CONTROLLING FRUSTRATION
     The purpose of this class is to teach caregivers a set of skills for dealing with the frustration related to caregiving.
     In this four week, four session class, you will learn the following skills:
      Relaxation techniques to help you deal with those times when you feel overwhelmed, tense and/or angry.
      How to identify and challenge unhelpful thought patterns in order to develop more adaptive responses.
      Learn different ways of acting assertively when you need to express your feelings or when you ask informa-
         tion from doctors or other professionals.

     When: Wednesdays, April 12th through May 3rd, 2006, 1 to 3 PM

     Where: 3675 Ruffin Road, Suite 230, San Diego 92123

     Cost:    $30

     Registration: Complete and mail registration or call SCRC at (858) 268-4432.

                                                                                              See registration form next page
- 10 -                                                   1 (800) 827-1008                             www.scrc.signonsandiego.com
Wavelengths, Vol. 37, Winter 2006                                                               Southern Caregiver Resource Center

 SCRC Offers Educational Opportunities for Caregivers with Three Unique Classes
 To register for any or all of the classes , please complete the registration form below, clip and mail, along with
 your check, payable to SCRC, to the Southern Caregiver Resource Center (SCRC) at 3675 Ruffin Road, Suite
 230, San Diego, CA 92123. Please check the box next to the class name for the one(s) you wish to register for.
 Check all that apply. All class registrations must be received by SCRC at least two weeks prior to the first date of
 class. If you have any questions, please call SCRC at (858) 268-4432.
 Note: Respite care is available for caregivers who need it in order to attend any of the classes. You must contact
 SCRC for additional details at least two weeks prior to the beginning of class to register for respite care.

     SCRC Class Registration: February — June 2006                                                  Clip and Mail to SCRC
         4 all that apply

     ÊPOWERFUL TOOLS, $35, begins May 25
     Ì CONTROLLING FRUSTRATION, $30, begins April 12




     Telephone: _________________________________ Email: _______________________________________
                                    Payment Enclosed: $______________________________
            Mail to Southern Caregiver Resource Center, 3675 Ruffin Road, Suite 230, San Diego, CA 92123

                                                              T H E V AL L E Y C O R NE R
         If you or your group would                             NEWS       FROM   I M PE R I A L C O U N TY
         like to have a guest
         speaker from the Southern
         Caregiver Resource                  Southern Caregiver Resource Cen-          This Workshop will feature informa-
    Center speak at your meeting,            ter, El Centro Office, will host a        tion on the following:
    please contact us. We are                Community Education Workshop!
    happy to present information on                                                    Taking Care of You—presented by
                                             Date:     April 7, 2006                   Veronika Glenn, Dir. Education &
    a variety of topics having to do
                                                                                       Training, SCRC
    with caregiving for adults with a
                                             Where:    Cal Works Career Center
    chronic illness, frail adults, as
                                                       Classroom B&C                   Advance Directives—presented by
    well as on many other issues                       2895 South 4th Ave.             Seraphina Galante, Family Consult-
    such as long-term care, respite,                   El Centro 92243                 ant, SCRC
    home safety, depression, aging,
    the adult child caregiver, and           Time:     10:30AM, Registration           Journaling for the Caregiver—
    others. We have extensive                          11AM to 2:30PM, Program         presented by Maggie Marshall, Dir.
    information and knowledge on                                                       Caregiver-to-Caregiver Network,
    many areas of interest to you            Lunch will be provided to all partici-    SCRC
    and/or your staff. For most              pants.
    topics, handouts can be                                                            Please RSVP to:
    provided. Please call SCRC at            Three (3) Continuing Education                      Norma Celaya
    (800) 827-1008 and ask for               Units (CEUs) for nurses and social              SCRC, El Centro Office
    Veronika Glenn.                          workers are offered.                               (760) 352-2588

www.scrc.signonsandiego.com                             1 (800) 827-1008                                                    - 11 -
Southern Caregiver Resource Center                                                             Wavelengths, Vol. 37, Winter 2006

  Community Spotlight:                   LINK2CARE                                       The
  A Look at                              An innovative                                   Legacy
  Opportunities                          Internet program
  and Information
  for Caregivers                         for Caregivers                                  Circle
                                         “He that can have patience can have         The Legacy Circle is a special
                                         what he will.” Benjamin Franklin            group of individuals who have
                                                                                     made a bequest or lifetime gift to
                                         Words to live by, like the ones above,      the Southern Caregiver Resource
         Chula Vista Assist              are posted daily on the Link2Care           Center (SCRC). These very
                                         Website, as well as numerous articles       important friends have chosen to
    The Chula Vista Police               on Caregiver challenges and the latest      leave a lasting legacy that will
    Department has set up a              research developments on many brain-        strengthen Southern Caregiver
    system that will help find           impaired diseases. Link2Care is an          Resource Center and ensure that
    individuals who may become           Internet site offering information on       many other family caregivers have
    disoriented or lost, and are         every facet of caregiving for dementia.     access to the valuable work and
    unable to provide information        You will find help with care planning       support SCRC provides in our
    to officers for their safe return.   and decision making, timely articles,       community.
                                         and a community of caring friends.
    The program, called Chula            You can even consult an expert, one-        To join the Legacy Circle, all you
    Vista Assist, allows caregivers      on-one, for medical, legal and caregiv-     need to do is inform SCRC that
    who are guardians of Chula           ing advice. There is also an ongoing        you have included them in your
    Vista residents who suffer           discussion group which can be sent to       estate plan. If you need more
    from Alzheimer's or dementia         your email daily — a kind of Internet       information as to the various
    to create a file for the person-     support group via email. It’s at no cost,   options and how it will benefit you
    at-risk. Once the information is     available at your convenience, any          personally, please call Lorie Van
    given, each person-at-risk will      time of the day or night. The               Tilburg, Executive Director of the
    be given a bracelet that             Link2Care site is easy to navigate,         SCRC.
    identifies them as being in the      even for a relatively novice computer
                                         user, and is also a secure, password-       As a member of the Legacy Circle,
    database. The program is                                                         you will receive the following
    free.                                protected site, for your privacy and
                                         confidentiality.                            benefits:
    For more information, call the                                                   #   Special invitations to all SCRC
    Chula Vista Assist hot line at       Currently the Southern Caregiver Re-            events.
    (619) 476-2588.                      source Center has a total of 235 active     #   Two complimentary tickets to
                                         users on Link2Care, including staff and         SCRC’s annual Bastille Day
    Residents of San Marcos may          caregiver clients. A local calendar of          Celebration event, featuring a
    contact the Safe Return              events can be accessed via the site,            silent auction, wine tasting and a
    Program at (760) 510-5291.           which includes SCRC support groups              five-course gourmet dinner.
                                         and the various educational opportuni-
    Residents of Lemon Grove             ties throughout the San Diego area.         #   Your name engraved on the
    may receive more information         Register now to receive interesting arti-       Circle of Giving plaque
    about its local program at           cles like the one featured on page 5.           prominently displayed in the
    (619) 337-2072.                      For additional information, please con-         SCRC office.
                                         tact the Southern Caregiver Resource        #   Mailings on caregiving topics
                                         Center.                                         that are personally designed for

                                                                                     Please join the many other friends
                                                                                     who have chosen to become a
                                                                                     member of Southern Caregiver
                                                 Always there when you need it       Resource Center’s Legacy Circle.
- 12 -                                                1 (800) 827-1008                             www.scrc.signonsandiego.com
Wavelengths, Vol. 37, Winter 2006                                                                 Southern Caregiver Resource Center

                 6th Annual                W INTER O PEN H OUSE !
              On December 12, 2005, many of our friends in the community joined us at the SCRC offices for some
              wonderful tasty treats and a fun time! Our theme for this year’s Open House was international, with food,
              clothing, and many art items and decorations from different countries around the world. Gingerbread
              Houses, artfully baked and created by our own Veronika Glenn and her elves, were presented to several
              lucky recipients as door prizes. These photos are a sampling of the festivities.

                                                                                               Above: Nancy Ewin, SCRC Board of
                                                              Above: Fred Hernandez, SCRC      Directors, with her husband Ernie
                                                              Board of Directors, with his
               Above: Lorie Van Tilburg, Executive                                             Below: Sallie Knowlton, Lois
                                                              wife Nita.
               Director, with Craig Horner, President,                                         Knowlton
               SCRC Board of Directors                        Below: Pat & Ray Sabeh
               Below: Sarah Boyle, Michelle Brown,
               Seth Aichle, Joanne Price

                                                                                       Below: Norma Celaya, Monica Johnson, and
                                                                                       Eric Tucker

                                       Left: Terre Davis
                                       (r) and guest
                                           Right: Michael
                                               Jenkins and
                                         Maggie Marshall

                                                  L: Louise
 The lucky                                        Guarnotta
 recipients of the                                     R: Ken
 Gingerbread                                           Fousel
 House drawing —

                              L: Judy
                                                                                                               Above: Meryl
                                     R: Judi
                                                                                                               L: Guest

www.scrc.signonsandiego.com                                  1 (800) 827-1008                                                 - 13 -
Southern Caregiver Resource Center                                                                       Wavelengths, Vol. 37, Winter 2006

     P art- C aring                                                     SCRC thanks the following individuals and organizations
                                                                        for their generous contributions in support of our services
                                                                        from January through December 2005.

     B ro n z e
         up to $249                                    Diane Goodman                              Elain Marie Northcutt
                                                       Google Matching Gifts                      Diane O’Connor
         Americare Health & Retirement Inc.                 Program                               Robert & Theresa Oswald
         Anonymous (8)                                 Juandalyn Green                            Palms Elementary School Staff
         Linda & Wally Ballard                         John & Alice Greene                        Patricia Paterson
         Thelda Bauza                                  Francis & Estelle Guardino                 Arleen Perkins
         Muriel E. Base                                Sarah Gutz                                 John & Ellen Person
         Therese Belanger                              Robert & Sharon Haukom                     Susan Peterson
         Elinor Berner                                 Lucy Hernandez                             Armida Pontecorvo
         Cathy Bourdon                                 Mary J. Horn                               William Rathgeb
         Peggy Buxton                                  Everett Hubbard                            Cheryl Reist
         Joan Chan                                     Sandy & Don Jackal                         Joanne Rogers
         Raymond Chorush                               Ruth Ann James                             Ernest & Susanne Romo
         Joni Ciarletta                                Joel M. Johnson                            Rita Rosenberg
         Frank J. Clancy                               Michael & Alicia Kalinowski                William & Beatrice Roth
         Rosie M. Clem                                 Lillian M. Kinzer                          San Diego County Employees'
         Shirley Collamer                              Jane LaFazio                                   Charitable Organization
         Michael & Teresa Cope                         Sandra La Flair                            Ann Senterfitt
         Judi Copeland                                 Pat & Paul Larkin                          Rose Shaw
         Maria Covarrubias                             Mark & Alveretta Larson                    James & Sally Shoji
         Kathy Crockett                                Shamus A. Lavergne                         Russell Shoji
         Maria M. Csanadi                              Patricia Leonard                           G.L. & J.M. Sickler
         Maxine Custer                                 Dean Lycas                                 Florence Smith
         Diane Dobbins                                 Eleanor R. Mac Arthur                      Harold E. Sommers
         James & Rita Donahue                          Janet McAfee & David Isaman                Leone Stien
         Roxanne Donaldson                             Leah McNair                                Ferdy & Barbara Tagle
         Mary R. Doyle                                 Marie Mendoza                              Dolores Tate
         Timothy J. Driscoll                           Bruce & Luann Menzies                      Robert & Janice Temple
         Doris Everett                                 Sonja Metscher                             Leslie Walch
         Jocelyn Faulkner                              Jennifer Miller                            John & Patricia Whitehead
         Patricia Fearl                                Janice Miner                               Angela Whittemoore
         Sandra Fisher                                 Jeannie Moore                              Camille Wood
         Cecil W. Frazier                              Sandra Murillo                             Dr. Edward J. Zirkle
         Helen Shafer Garcia                           Paul S. Nau
         Daniel & Diane Gardner                        Leslie Neal
         Gerald A. Kelly Fund—                         Benjamin & Patricia Nelson
             San Diego Foundation

            Connie Cuburrbiaz                 Flo and Respite Care             Ruth, my Mother                 Arthur J. Therien
           by Maria Covarrubias                  by Frank Clancy               by Joanne Rogers                by Kathryn Lewis

    A Caregiver writes to SCRC:
    “I could not have provided the respite care for my                                  Thank you for helping the
    husband without your assistance. May your                                   Southern Caregiver Resource Center
    wonderful organization continue to flourish and may                      meet the growing demand for help and support.
    you always be able to help all the people who need
    you so badly. I shall forever be grateful to you and                           Caring for those who care for others.
    your wonderful staff and the kind deeds you

- 14 -                                                          1 (800) 827-1008                             www.scrc.signonsandiego.com
Wavelengths, Vol. 37, Winter 2006                                                                     Southern Caregiver Resource Center

                                                                              P art- C aring
 While every effort is made to acknowledge all donors,
 please accept our sincere apology if we overlooked
 anyone. Your support and generosity is sincerely

  In memory Of                           Ada Fulton                         Fred McAfee
                                       by Doris Everett                  by Janet McAfee &                    Noelan Steed
           Harold Aved                                                     David Isaman                 by Robert & Theresa Oswald
       by Sandy & Don Jackal          Lucy V. Goodman                        Erika Nau
                                      by Diane Goodman                     by Paul S. Nau                     Gladys Temple
           Evelyn Buxton                                                                                     by Rosie M. Clem
          by Peggy Buxton              Robert W. Horn                         Sol Rosenberg               Michael & Teresa Cope
                                       by Mary J. Horn                       by Rita Rosenberg            James & Rita Donahue
         Mildred Chorush                                                                                       Lillian Kinzer
       by Raymond Chorush               Mary Jabben                        Joseph Spano                   Bruce & Luann Menzies
                                       by Sandra Fisher                   by Mary R. Doyle               Benjamin & Patricia Nelson
         Helen D. Compton                                             Francis & Estelle Guardino          Robert & Janice Temple
  by Palms Elementary School Staff   Louis “Shorty” Levin                 Pat & Paul Larkin
                                       by Leah McNair                        Leslie Walch
           Arkle Frazier
         by Cecil W. Frazier            Jim Mendoza                          Arnold Senterfitt
                                      by Maria Mendoza                       by Ann Senterfitt

      S i lv er
   $250 to $999                           Donald L. Flood                                   North County Parkinson’s
                                          Kelsey J. Forest                                  Pfizer Inc.
  Kathleen Alameda                        Caroline Isaacs                                   Richard & Julie Sells
  All Valley Home Health Care             Patricia Kreder                                   Rose Shaw
  Barona Band of Mission Indians          Hilde Lehman, Senior Care Management              John D. Spraker
  Coastal Community Foundation            Kathryn Lewis                                     Richard & Karen Sprigle
  David & Barbara DiMarco                 Nimish Mody, Copy2Copy

   $1000 to $4499                         Nancy K. Ewin, Esq.                                Patricia Rinaker
                                          Fish & Richardson                                  Rotary Club of Fallbrook
 Lawrence Bailey
                                          Health Care Group                                  Sanofi-Synthelabo
 Claudia Baranowski
                                          Fred Hernandez                                     Silverado Senior Living
                                          Craig Horner                                       Jack Stephens, Attorney
 Mathew Buck
                                          Dulcie Jones, Rainford Flower Shop                 Stephen Thein
 California Bank & Trust
                                          Cindy Lehman                                       Jeffrey Tierman
 Jill Crusey
                                          LivHome                                            UCSD Senior Behavioral Health
 DOV Pharma
                                          Ono Pharma USA Inc.                                Suzanne Zoumaras
 Eisai, Inc.

  P lat i n u m
  $5000 and above
                                          Calif. Dept. of Aging                              Qualcomm, Inc.
 Aging & Independence Services,
 County of San Diego                      Calif. Dept. of Mental Health                      The WineSellar & Brasserie
                                                                                             Gary & Lori Parker
 Anderson Direct                          National Multiple Sclerosis
                                          Society, Pacific South Coast                       United Way
 Area Agency on Aging, Imperial           Chapter

www.scrc.signonsandiego.com                               1 (800) 827-1008                                                            - 15 -
            Southern Regional Resource Center Inc. dba                                                                             Non Profit
            Southern Caregiver Resource Center                                                                                   U.S. Postage
            Part of a statewide system of Caregiver Resource Centers                                                              Permit No. 1
                                                                                                                                 San Diego CA
            3675 Ruffin Road, Suite 230
            San Diego CA 92123

  1987    —     2006

 Y E A R S O F
Southern Caregiver
 Resource Center

Volume 37, Winter 2006

                           SCRC is a certified United Way Agency, No. 6544.                  Southern Caregiver
                           Please consider making a direct contribution to the SCRC          Resource Center
                           through your workplace payroll deduction plan for United Way.
                           A donation specified for SCRC allows you to direct your gift to   BOARD OF DIRECTORS
                           our agency. All donations stay in San Diego and/or Imperial       Craig Horner, CFP, President
                           counties for programs and services that directly impact           Claudia Baranowski
                           caregivers of aging and frail adults or adults affected by a      Matthew R. Buck, J.D.
                           chronic and disabling illness or disease. Thank you.              Jill Crusey, PhD
                                                                                             Nancy K. Ewin, Esq.
                                                                                             Fred C. Hernandez
YES! I want to help families cope with the financial and emotional stress of care-           Cindy Lehman
giving by making a tax-deductible contribution to Southern Caregiver Resource Cen-           Patricia Preuss Rinaker
ter.                                                                                         Suzanne Zoumaras
Enclosed is my donation of $______________________.
                                                                                                                                  SCRC STAFF
Name ____________________________________________________________________                             Lorie Van Tilburg, Executive Director
Address ___________________________________________________________________                           Cathy Bourdon, Executive Assistant
                                                                                                     Adrienne Burnette, Family Consultant
City/State/Zip ______________________________________________________________                        Kurt Buske, Dir. Programs & Services
Phone (work) ____________________________ (home) ___________________________                          Andrea Cangiano, Family Consultant
                                                                                                       Norma Celaya, Community Liaison
I am making this gift in      memory of             honor of:                                       Seraphina Galante, Family Consultant
                                                                                                Veronika Glenn, Dir. Education & Training
Name ____________________________________________________________________                               Barbara Holland, Admin. Assistant
                                                                                                  Marianna Kalinowski, Family Consultant
Address __________________________________________________________________
                                                                                             Maggie Marshall, Dir. Caregiver-to-Caregiver Network
               Please make check payable to SCRC and send to:                                          Ann Sanderson, Family Consultant
              3675 Ruffin Road., Suite 230, San Diego CA 92123.                                                 Kami Shevlin, Receptionist
         SCRC would like to acknowledge your donation in our newsletter.                                  Jennifer Shoji, Family Consultant
                                                                                                    Angela Whittemoore, Admin. Assistant

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