We understand that getting better is your top priority. Here at Jamie’s Home Care Services, you can count on us to do your tasks around the house while you focus on getting back on your feet.
|Description||Cost||Pros & Cons||More Information|
|Resource Locator Tool|
Online tool that helps families identify relevant local, state, national and private assistance programs
|Free||-Fast, free and simple to use|
-Cannot resolve conflicting eligibility requirements
-Provides a list of possible options. Users must take the information and develop their own plan.
|Use the Eldercare Resource Locator Tool|
|Social Service Agencies|
Area Agencies on Aging (AAAs) help families to identify assistance programs for which they are eligible as well as provide a range of other services
|Free||-Strong knowledge of local assistance programs|
-Less knowledge of national programs and less larger financial planning experience
-Cannot legally advise on qualifying for Medicaid or VA benefits
-Often under-staffed. May have long wait times for appointments
|Find your local Area Agency on Aging or read more about the services they provide.|
|Elder Care Resource Planners|
Help families identify all possible financial and other assistance options, determine care cost scenarios and build plans for later life care
|$500 - $1,500||-Provide comprehensive view of all possible forms of assistance|
-Inexpensive and very thorough
-Provide plans but clients must take action themselves to implement
|Learn more or be connected with a Elder Care Resource Planner in your area|
Help families, who otherwise would not be eligible for Medicaid, to qualify by restructuring their finances
|$2,000 - $5,000 depending on services provided & amount of assets||-Focus only on Medicaid; might not be aware of other forms of financial assistance |
-Help families preserve their assets
|Learn if you're eligible for Medicaid and find help qualifying.|
Learn more about how Medicaid planning works.
|Geriatric Care Managers |
Primarily retained to manage the care of a loved one, some care managers also provide assistance on the financial planning side.
|$50 - $200 / per hour||- Very knowledgeable about care needs, local cost of care and care providers|
- Typically nursing or social work background not financial planners
- Care management and financial guidance services are bundled
|Search our database of geriatric care managers with financial expertise or search the national association's database of managers though not necessarily with financial planning expertise. |
|Veterans Benefits Advisors|
Help veterans understand benefits, eligibility and to assist them in preparing documents and finances for application.
|Free - $2,500 depending on services provided.||-Can reduce time required to apply for and therefore to receive benefits|
-Greatly increase chance of being approved
-Legally cannot charge for application preparation but can for planning help
-Focused only on veterans benefits, might not be aware of other financial assistance
|Learn more about how Veterans Benefits Planner work or find a benefits planner now.|
Trained and certified professionals help families with financial assets to prepare for aging and long term care
|$2,500 - $5,000+||-Focused on middle and higher income families|
-Lack knowledge of local and low income assistance programs
-Can preserve assets for future generations
-Can be expensive
|Learn more or be connected with a Financial Planner in your area.|
|State Non-Medicaid Home Care Financial Assistance Programs|
|Arizona NMHCBS||Nebraska Lifespan Respite|
|Alaska Senior Benefits||Nebraska Social Services for Aged and Disabled Adults|
|Alaska Senior Access Program||Nebraska Disabled Persons and Family Support|
|Alaska Adult Day Services|
Alaska Alzheimer’s Mini-Grants
|Nebraska Assistance to the Aged, Blind, or Disabled|
|Alaska Senior In-Home Services||Nevada COPE|
|California Alzheimer's Day Care||Nevada Homemaker Program|
Nevada Personal Assistance Services
|California In-Home Supportive Services||New Hampshire Transitions in Caregiving|
|Colorado Old Age Pension||New Jersey Alzheimer's Adult Day Care|
|Colorado Home Care Allowance||New Jersey Statewide Respite Care|
Connecticut Adult Family Living / Caregiver Homes
Connecticut Choices at Home Project
|New Jersey Assistance for Community Caregiving|
New Mexico Older Americans Act Services
|Delaware Adult Day Care and Alzheimer's Day Treatment||New York Expanded EISEP Program|
New York Community Services for the Elderly
|CARE Delaware||North Carolina In Home Aide Services|
|DC's Senior Citizens' Home Repair||North Carolina Project C.A.R.E.|
|Florida OSS for Seniors||North Dakota Older Americans Act Services|
|Florida Project R.E.L.I.E.F.||North Dakota SPED and Ex-SPED|
Ohio Older American Act Services
|Florida Alzheimer’s Disease Initiative||Oklahoma Respite Resource|
|Florida CCE Program||Oklahoma Adult Day Care Services|
|Florida Home Care for the Elderly||Oklahoma In Home Assistance Services for the Elderly|
|Florida Local Services Program||Oregon Project Independence|
|Georgia Home & Community Based Services||Pennsylvania Options Program|
|Hawaii Kupuna Care||Rhode Island Home and Community Care Co-Pay Program|
SC Older Americans Act Services
|Hawaii Chore Services Program||South Dakota Homemaker, Chore and Respite Care Programs|
|Idaho Senior Respite||Tennessee OPTIONS for Community Living|
|Idaho Homemaker Services||Texas CCAD Program|
|Illinois Community Care||Texas Community Attendant Services|
|Indiana Choice||Texas DADS Services to Assist Independent Living|
|Iowa Able Foundation Loan Program||Texas In-Home and Family Support Program|
|Tennessee Homemaker / Adult Day Care|
|Iowa Senior Living - Case Management Program||Utah The Alternatives Program|
|Kansas Senior Care Act||Vermont Dementia Care Respite|
Vermont Home Sharing Program
|Kentucky Hart-Supported Living||Virginia Adult Services|
|Kentucky Personal Care Attendant||Washington Volunteer Chore Services|
|Kentucky Adult Day Care and Alzheimer's Respite||West Virginia Ron Yost Program|
|Maine Home-Based Care||West Virginia In Home Services for the Elderly|
|Maryland Senior Care Program||West Virginia Family Alzheimer’s In-Home|
|Maryland In Home-Aide Services||West Virginia Lighthouse Program|
|Massachusetts HCP and ECOP Programs||Wisconsin SSI Exceptional Expense Supplement|
|Minnesota Alternative Care Program|
Minnesota Essential Community Supports
|Wisconsin Community Options Program|
|Mississippi In Home Care Services / Homemaker Program||Wisconsin Alzheimer's Family & Caregiver Support|
|Wisconsin Family Care and Partnership|
|Wyoming Home Services Program|
2015 Home Care Costs and Affordability
Home Care Hourly Rate
Home Care Affordability Index.
Lower #s are more affordable.
State Index Ranking
|District of Columbia|
What is vascular dementia?
Vascular dementia (VaD), also called multi-infarct dementia, occurs when the cells in the brain are deprived of oxygen. A network of blood vessels called the vascular system supplies the brain with oxygen. If there is a blockage in the vascular system, or if it is diseased, blood is prevented from reaching the brain. As a result, cells in the brain die, leading to the symptoms of dementia. After Alzheimer's disease, VaD is the second leading form of dementia, accounting for up to 20% of all cases.
When Alzheimer's disease and VaD occur at the same time, the condition is called "mixed dementia".
How does vascular dementia affect the person?
Stroke and vascular dementia
Stroke is a common cause of VaD. A stroke occurs when blood flow in the brain is blocked or a blood vessel bleeds, preventing the blood from flowing properly through the vessel. When this happens, the brain cells cannot get oxygen and they die. Strokes can be large or small, and can have a cumulative effect, which means each stroke adds more to the problem. Strokes can affect how a person can walk, and cause weakness in an arm or leg, slurred speech or emotional outbursts. The difficulties the person has depend on the part of the brain that did not get the oxygen.
Vascular dementia usually comes on suddenly. Difficulties may happen in steps. Sometimes, the person’s abilities may deteriorate for a while and then stand still for a time. Then, they may deteriorate again. The cognitive symptoms, the ability to think, may change, affecting some areas of the brain more or less than others (e.g., the areas that control language, vision or memory). Urinary difficulties (difficulty going to the bathroom) are common in people who have VaD.
Binswanger's disease is a rare form of VaD that is caused by damage to blood vessels deep in the brain's "white matter." High blood pressure plays an important role in Binswanger's disease.
How is vascular dementia assessed?
If VaD is suspected, the doctor will often order scans of the brain in order to check for blockages or narrowing of blood vessels in the brain.
What are the risk factors for vascular dementia?
Both men and women can be affected by vascular dementia. Risk factors include:
Being older than 65Having high blood pressure (hypertension)Having heart diseaseHaving diabetes
Smoking, being overweight, having high cholesterol levels and having a family history of heart problems may also increase the risk of having stroke, which increases the risk of vascular dementia. Mini-strokes (sometimes called transient ischemic attacks or TIAs) are warning signs that a stroke may come. Losing vision, speech or strength temporarily, or having short episodes of numbness may mean someone is having a TIA.
Routine brain scans in a group of middle-aged people showed that 10 per cent of them had had a stroke but did not know about it. Having the stroke, even if they did not know, raised their risk for more strokes and memory loss. These silent cerebral infarctions (SCIs, or silent strokes) are caused by a blood clot that blocks the blood flow to the brain. Many times, silent strokes are considered to make up a risk factor for vascular dementia. People with atrial fibrillation, the most common type of irregular heart beat in people over 65, have more than twice the normal rate of these silent strokes.
Knowing the risk factors for vascular dementia is important because often they may be treated, to reduce the risk of having a stroke. Risk factors can be reduced by adopting a healthy lifestyle that includes regular physical activity, eating well, avoiding smoking and reducing stress. Medications can control high blood pressure, diabetes and heart disease.
Is there treatment?
After a person has a stroke, medication may be prescribed to improve blood flow to the brain and reduce the risk of further stroke. A person may also benefit from different therapies to help with movement and speech, such as physiotherapy, occupational therapy or speech therapy. Aside from the treatment of the underlying causes of vascular dementia such as hypertension, high cholesterol and diabetes, some physicians routinely recommend the use of medications called cholinesterase inhibitors.
For more information:
Call your local Alzheimer Society or visit the We Can Help section of our website.Visit the Heart and Stroke Foundation website Mayo clinic Alzheimer's Society (UK); "Understanding Vascular Dementia"Webinar on vascular dementia presented by the Canadian Dementia Resource and Knowledge Exchange (CDRAKE)
[The contents of this document are provided for information purposes only, and do not represent advice, an endorsement or a recommendation, with respect to any product, serve or enterprise, and/or the claims and properties thereof, by the Alzheimer Society of Canada. The Information Sheet is not intended to replace clinical diagnosis by a health professional.]
Jamie's Home Care Service, LLC
3049 Cleveland Avenue Suite #276
Fort Myers Florida 33901