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McGraw-Hill Professional Publishing
Stages of Senior Care: Your Step-by-Step Guide to Making the Best Decisions / Edition 1

Stages of Senior Care: Your Step-by-Step Guide to Making the Best Decisions / Edition 1

by Paul Hogan, Lori Hogan
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"Informative. Complete. And practical. This book will guide family caregivers through the surprisingly complex world of senior care."
—MEHMET OZ, M.D., New York Times bestselling coauthor of YOU: The Owner's Manual: The Complete All-in-One Care Guide

Choosing the best care for your aging parents and other seniors in your life is not only complex, with multiple options available, it's also highly personal and often emotional. This essential resource—written by the founders of Home Instead Senior Care, the world's largest provider of nonmedical care for seniors—guides you through a comprehensive range of things to consider, step by step, so you can make better informed decisions and be confident that the senior in your life is receiving the best care possible. Checklists and diagnostics will help you:

  • Decide if at-home care is the right choice for you and your loved ones
  • Evaluate the pros and cons of retirement communities, adult care centers, nonmedical caregivers, assisted living facilities, nursing homes, and hospice
  • Determine the costs of senior care options and find helpful support networks

"This is not just another book about caring for aging parents. It's a great reference you'll use again and again. Stages doesn't shy away from the hard questions. Rather, it shows you how to confront them."—SUZANNE MINTZ, President/CEO, National Family Caregivers Association

"Recognizing that there is no one-size-fits-all solution, this salient volume compassionately addresses a full range of hard-to-discuss subjects."—PUBLISHERS WEEKLY

All of the authors' profits from the sale of this book will be donated to the Home Instead Senior Care Foundation.

Paul and Lori Hogan founded Home Instead Senior Care in 1994. Now with 850 offices in 15 countries, Home Instead is recognized as a global leader and authority on senior care. Visit them at

Product Details

ISBN-13: 9780071621090
Publisher: McGraw-Hill Professional Publishing
Publication date: 10/13/2009
Edition description: Original
Pages: 304
Sales rank: 588,642
Product dimensions: 5.90(w) x 8.90(h) x 0.60(d)

About the Author

Paul and Lori Hogan co-founded Home Instead Senior Care in 1994.
The Home Instead Senior Care franchise network has grown from one franchise in Omaha to more than 800 worldwide. The company is the global leader in non-medical, in-home care for seniors. The Hogans have won awards for their franchise business model.

Table of Contents

Preface vii

Acknowledgments xi

1 A Whole New World 1

That Was Yesterday 2

An Expanding World of Care Choices 5

The Evolution of Senior Care 6

Taking Advantage of the Advances in Care 10

2 You, the Caregiver 17

Take Pride in Giving 18

The 40-70 Rule 19

Making the Decisions 24

3 Plan Early and Look Beyond Today 31

Start Immediately 32

Adult Children Take Note 36

4 Aging in Place 43

Universal Design to Make Living Easier 45

Use the Latest Safety Technology 50

Aging in Village: Networks of Services 51

Naturally Occurring Retirement Communities 52

5 Family Care 59

Signs That Family Care Is Needed 60

Varieties of Family Care 62

Financial Cost of Family Care 65

Nonmonetary Costs of Family Care 66

The Ultimate Gift 71

6 Senior Centers and Adult Care Centers 73

Senior Centers 74

Adult Care Centers 77

7 Nonmedical Care at Home 87

Determined to Stay Home 90

Considering a Professional Caregiver 91

Full-Time Agency Employees 100

Agency Contract Employees 104

Freelance Caregivers 105

The Beginning of a Beautiful Relationship, Ideally 106

8 Medical Care at Home 109

When At-Home Medical Care Is Best 110

Some Advice on Choosing a Medical Care Provider 115

Potential Hazards of In-Home Medical Care 118

9 Retirement and Independent Living Communities 119

Looking into the Future 120

Active 55+ Communities 123

Continuing Care Retirement Communities 127

10 Assisted Living 131

A Profile of Assisted Living in the United States 132

Is She Ready to Go? 134

Worth the Cost? 136

The Next Step 143

11 Skilled Nursing Homes 147

An Important Role 148

Finding the Appropriate Home 153

Financing a Stay 158

You've DoneYour Best 161

12 Hospice Care 165

What Is Hospice? 166

Hospice: Then and Now 171

Medicare Will Pay 173

Coming to Terms 174

Choosing a Hospice Provider 175

13 Funeral Services 183

Final Gesture 184

Picking the Funeral Home 188

Think Ahead 188

Look Back with Satisfaction 194

14 Bereavement 195

The Reality of Grief 196

Don't Go It Alone 199

Memories Soften 203

15 Complicating Ailments and Issues 205

Components of Geriatric Syndromes 206

Resources 219

16 Difficult Situations 221

Antagonisms Can Get Worse 222

Advice on Some Common Parent-Child Conflicts 223

When You and Your Siblings Can't Agree 230

17 Financing Care 233

Care Is Expensive! 234

Financing Alternatives 236

18 Don't Forget Yourself 245

Who Cares for the Caregiver? 246

Get Others to Help 249

Protect Your Body and Mind 251

19 Planning Your Own Future 257

Remarkable Senior Performances 258

Prepare Now 260

Estate Planning 261

The Future of Financing Care 264

Afterword 269

Notes 273

Index 287

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Stages of Senior Care: Your Step-by-Step Guide to Making the Best Decisions 3.1 out of 5 based on 0 ratings. 7 reviews.
Anonymous More than 1 year ago
This book is a great guide for caregivers of the elderly, whether they are your parents, relatives or strangers. It is a great reference book. It guides you through many stages of care. It shows you many types of care available to Seniors and helps you decide which care is best. This book will help you answer questions that most people either avoid or don't know how to ask. If you have parents who are Seniors or soon to be, or have health that is failing, I would highly recommend this book as a guide to making better informed decisions.
CasualUnclutterer 3 months ago
There is a bewildering selection of "how to care for the elderly" books. Paul and Lori Hogan, in Stages of Senior Care, wrote one which is worth finding. They teach their readers about critical potential resources for the challenges: professional, non-familial service providers, for example through home health agencies which can provide in-home nursing assistance, or a skilled nursing facility. The Hogans founded Home Instead Senior Care, a chain of franchises which offer in-home assistance ranging from simple companionship to hospice support. The book is admirably balanced - while the Hogans do use their professional experiences with Home Instead for reference, they readily draw on other data and opinions as well. The book is a detail-by-detail look at all the possibilities, and when they are most appropriately in use. But equally important, the Hogans, with compassion and tact, alert their audience to unanticipated obstacles. Among them: safely managing a parent who develops paranoia as a symptom of Alzheimer's; your own intense, often conflicting emotions about your family; the terrifying financial drain resources can cause. This book gives people some tools for coping. Lauren Williams, Certified Professional Organizer(R), Owner, Casual Uncluttering LLC, Woodinville, WA USA
Anonymous More than 1 year ago
This book was super informative! It covers so many aspects of being a caregiver as well as being an adult child with elderly parents! This really is a must have!
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Anonymous More than 1 year ago
As a nurse in the field of geriatrics, I was very disappointed in this book. It did not address many key issues that caregivers may face as their loved one ages. There was no mention of "Do Not Resusciatate" or the effects of Cardio Pulmonary Resusciatation on the elderly. No discussion of whether or not to put a feeding tube in when the loved one is no longer taking in adequate nutrition. This book seemed to sugar-coat the sometimes very difficult realities of aging. I felt the entire tone of the book was more of a PR campaign for the home care company of the authors than that of a guide to the elderly and their care. Again, very disappointed.