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September 2013
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                                                 September 2013

In This Issue

Understanding Care Choices
Many male caregivers wish they’d looked for help sooner
Vote for us!!
Fall Recipe
Upcoming Classes

Understanding Care Choices

Help is available in a wide variety of forms. 
It can be difficult deciding what type of care is best for a person with dementia. How much care someone needs depends on how independently he or she can do everyday things.

For example, an individual may need help with some daily tasks, including:

  • using the phone
  • shopping
  • paying bills 
  • house cleaning
  • meals
  • laundry
  • transportation
  • taking pills

Some individuals may also need help with personal care, such as:

  • bathing
  • toileting
  • dressing
  • getting into and out of bed
  • eating

There are various care options to choose from. The following information explains what services are provided and who pays. The term “private pay” is used to indicate care that you would pay for yourself. For more information about care options in the Cleveland area, see our local Resource List or call us at 800.272.3900.

Home and community services
Many communities offer services to seniors and disabled people. Home and community services include:

  • Meals on Wheels
  • Transportation
  • Personal care
  • Chore services
  • Legal aid services
  • Home repair
  • Activities in senior centers

Paid for by private pay and veterans benefits; some are free or low cost.

Home health
Home health care services can range from skilled nursing care to help with bathing and toileting.
Paid for by Medicare, Medicaid and veterans benefits.

Adult day services
These community programs offer care and activities for disabled adults in a safe setting. Adult day services are usually open weekdays. Some programs also have evening and weekend hours. Paid for by Medicaid, veteran’s benefits and private pay.

Independent living
Independent living for seniors offers a private apartment or small house inside a community of seniors. Group activities or transportation services may be offered. Residents must provide their own cleaning and home health services. Paid for by private pay.

Board and care
A board-and-care home houses two to 20 seniors who need supervision and personal care.
Medical care is limited. The home is often a remodeled single family house. Paid for by Supplemental Security Income (SSI), veteran’s benefits and private pay.

Assisted living
Assisted living facilities offer many different services. The services a resident needs become part of the service plan, which can change. The federal government doesn’t regulate assisted living, and each state has its own rules. But in most states an assisted living center must offer:

  • 24-hour staff for safety and emergencies
  • personal, health and social services
  • activities
  • meals
  • housekeeping and laundry
  • transportation

Paid for by private pay in some states. Medicaid will pay for assisted living.

Continuing care retirement community
A continuing care retirement community offers care for the rest of a person’s life. The senior signs a life-care contract that adds services, if necessary, over time. These services would be the same as those provided by independent living, assisted living and skilled nursing facilities.
Paid for by private pay.

Nursing home
Nursing homes offer short-term or long-term care. Short-term care helps people recovering from surgery, illness or injury. Long-term care is for people who need help for a longer time.
Paid for by Medicare, Medicaid, veteran’s benefits and private pay.

Read more:

Many male caregivers wish they'd looked for help sooner

FREE playbook available for male caregivers

Patrick is an energetic executive who has spent years caring for his wife, who had younger-onset Alzheimer’s disease, when he received a startling message from his doctor.  His doctor told him, “No more.  Since you have been caring for your wife, you weight has dropped, your heartbeat is racing, and you have high blood pressure. This situation has become too stressful on you physically and emotionally.  It’s time for you to get help.”

Patrick’s story is part of a shift in Alzheimer’s care, as more men take on the role as primary caregiver for relatives with this devastating disease.  According to a study done by the Alzheimer’s Association and the National Alliance for Caregiving, the number of male caregivers has doubled over the past 15 years, from 19 to 40 percent.   In the United States, more than 5 million people have Alzheimer’s disease. Approximately 3.4 million are women and 1.8 million are men.  The larger proportion of women who have the disease is primarily explained by the fact that women live longer on average than men.

As more men transition into the caregiving role, male caregivers differ in their approach and how they respond to the stress.  Men are problem solvers and tend to adopt a “go it alone” mentality and generally do not reach out for help or delay in doing so.  They also tend to hold in their emotions or are more restrained in expressing them, not realizing their approach as caregivers can be putting their own health at risk. 

Asking yourself some questions will help you determine if it is time to reach out for assistance.  Do you feel like you have to do it all yourself and that you should be doing more?  Do you withdraw from family, friends and activities you use to enjoy?  Do you feel grief or sadness that your relationship with the person isn’t what it used to be? 

The Alzheimer’s Association 24/7 Helpline reports that only 20 percent of the callers are men, however, the men that do call state they wish they had called sooner.  The Alzheimer’s Association Cleveland Area Chapter is offering readers a free copy The Playbook for Alzheimer’s Caregivers. The book was written by male caregiver, J. Frank Broyles, a football coach at the University of Arkansas.   Call 800-272-3900 to obtain a free copy.

Vote for us!

It only takes a minute to help us raise awareness in the fight against Alzheimer's disease

Your local chapter of the Alzheimer's Association is one of the nonprofit organizations eligible to receive the Plain Dealer's Good News Giving program.

If we get enough votes, we will receive free advertising and editorial exposure! With extremely limited funds for advertising, this could really help our chapter share the word about all of the free services we have to offer the community and raise awareness of the fight against Alzheimer's disease.

Please take a moment and vote!

Searching for a Cure: A Conversation with Cleveland Researchers

Annual Foley Lecture – Save the date!

Wednesday, November 6, 2013
Doors open at 4:00 pm
Program 4:30-6:00 pm

Location: Embassy Suites, 3775 Park East Dr., Beachwood, Ohio

Open to the public! 
Join us for a conversation with local researchers as we discuss the latest in Alzheimer’s disease research happening now in the Cleveland area.

Panelists will include:
Brian S. Appleby, MD
Staff Physician, Lou Ruvo Center for Brain Health
The Cleveland Clinic Foundation

Bruce T. Lamb, PhD
Staff Scientist, Department of Neurosciences
The Cleveland Clinic Foundation

Gary E. Landreth, PhD
Professor, Department of Neurosciences
CWRU School of Medicine

Jim Leverenz, MD
Director, Lou Ruvo Center for Brain Health
The Cleveland Clinic Foundation

Very special thanks to Margo and Robert Roth for their generous donation to this year’s lecture.

Submit your story for Chicken Soup for the Soul

We are pleased to announce that the Alzheimer’s Association is working with Chicken Soup for the Soul to make a very special and important book: Chicken Soup for the Soul: Living with Alzheimer’s & Other Dementias. And we invite you to submit a story!

Living with Alzheimer’s or caring for someone with the disease is life changing. If you are facing Alzheimer’s or another dementia, you have a unique opportunity to share your story and turn your experience into inspiration for others confronting the disease.

Your personal perspective as an individual living with the disease, a caregiver or an affected friend or family member will provide practical advice, encouragement, insight and support to readers. Your words will inspire and comfort others going through similar experiences and let them know that they are not alone.

Submissions are due Oct. 15. To learn more, including details on submission and guidelines for story length, please visit

Fall Recipe
BOOST® Baked Cinnamon Apple French Toast

8 - 1 inch slices French bread
4 eggs
1 1/2 cups (1 1/2 bottles) BOOST® Vanilla Drink
1 Tbsp. sugar
1 1/2 tsp. vanilla
1/2 tsp. nutmeg
2 tart baking apples (peeled, cored and sliced)
1 Tbsp. butter (melted)
1 Tbsp. sugar
1 1/2 tsp. cinnamon


  1. Preheat oven to 450° F.
  2. Spray an 8” x 8” square pan with nonstick cooking spray.
  3. Arrange bread tightly in a single layer in bottom of pan.
  4. Combine eggs, BOOST® Vanilla, 1 Tbsp. sugar, vanilla and nutmeg in a mixing bowl; stir well.
  5. Pour half of the mixture over the bread. Layer apple slices over bread.
  6. Pour remaining egg mixture over apples. Drizzle with melted butter.
  7. Combine sugar and cinnamon; blend well. Sprinkle evenly over apples.
  8. Bake for 35-40 minutes or until knife inserted in the center comes out clean.
  9. Cool for 5 minutes before cutting and serving. Serve warm with maple syrup.

Upcoming Classes

Free, local classes for caregivers

The Cleveland Area Chapter provides a variety of educational programs and classes with up to date, informative and practical information about Alzheimer's disease, dementia and memory loss. We have classes designed to serve the general public, health care professionals, individuals with Alzheimer's disease or other forms of dementia, their family members and friends.

Click here to see our Education Programs

Find a Support Group

Support groups are an open gathering of people with common issues, needs and interests who come together to share their thoughts and experiences to better cope with and manage the challenges of dementia.
Alzheimer’s Association support groups are available throughout the United States.  Find a support group anywhere in the country.

Our Helpline is here for you 24/7

Call (800) 272-3900

The Alzheimer's Association 24/7 Helpline provides reliable information and support to all those who need assistance. Call us toll-free anytime day or night at 1.800.272.3900.

Our 24/7 Helpline serves people with memory loss, caregivers, health care professionals and the public. Highly trained and knowledgeable staff can help you with:

  • Understanding memory loss, dementia and Alzheimer's
  • Medications and other treatment options
  • General information about aging and brain health
  • Skills to provide quality care and to find the best care from professionals
  • Legal, financial and living-arrangement decisions

Our 24/7 Helpline also features:

  • Confidential care consultation that can help with decision-making, provide support, crisis assistance and education on issues families face every day
  • Help in a caller's preferred language using our translation service that features more than 200 languages and dialects
  • Referrals to local community programs, services and ongoing support

Find more caregiving tips online here!



Alzheimer's Association

Our vision: A world without Alzheimer's disease®.
Formed in 1980, the Alzheimer's Association is the world's leading voluntary health organization in Alzheimer's care, support and research.