Emergencies

Elder Care Emergencies – How You Can Be Prepared

how to be prepared for elder care emergencies It is all too common for older folks in failing health to end up in the emergency room. Even if their elder care providers include an assisted living arrangement or a nursing home, they will be transported to the hospital if they fall and break a bone or have a medical crisis.

More than 6.8 million people over the age of 65 ended up spending at least one night in a hospital during 2012, according to The U.S. Department of Health and Human Services Administration on Aging.

The Center for Disease Control reports that more than 2.5 million older people are treated in the emergency room each year for injuries from a fall, and one out of five falls result in broken bones or a head injury.

There are steps you can take now that will help you be ready to respond to an elder care emergency.

Getting Your Docs in a Row

Before your elderly loved one is too sick or confused to sign legal documents, it is a good idea to get written permission for you to talk to doctors and make treatment decisions for them. Your parent can also fill out a form that makes it clear how much life-support they would want.

There are different kinds of permission forms

One kind is a medical power of attorney. A medical power of attorney allows the doctors to speak with you and lets you to have a say in treatment choices. A medical power of attorney does not give you the right to make any financial or property decisions for your parent.

If your parent is already in the hospital, you can ask the hospital, usually through the hospital social worker, to help you and your parent complete a medical power of attorney and have your parent’s signature notarized.

The hospital will usually ask if your parent has Advanced Directives. Advanced Directives are a way for your parent to make it clear how much medical care he or she wants if they are too sick or hurt to express their wishes.

Advanced Directives let you and your parent discuss and make decisions on treatments or life support ahead of time.

For example, my dad was very sick and facing major surgery. He made it clear that even if he was unconscious, he did not want food or fluids withheld. He had a real fear of starvation.

That information was put in writing, so we were able to reassure him that his wishes would be respected. With that done, he was less anxious going into surgery.

A Durable Power of Attorney gives you the legal authority to conduct all your parent’s business, including financial business. This kind of document is best prepared through an attorney to protect the interests of everyone involved.

Start Your Engines

Keep you gas tank topped off. My mom had multiple health issues and frequent small strokes the last few years of her life. We were in the same emergency room so often we joked about carving notches in the bed rails.

It only takes a few minutes to top off the tank. I made a habit to swing into the gas station anytime my gas level hit ¾ of a tank.

That may sound extreme, but the last thing you want do on the way to the emergency room is stop for gas. And you can trust me when I tell you that you do not want to be standing in a cold rain getting gas so you can get home after spending 24 sleepless hours in a hospital waiting room.

Heels and Toes

Now that your car is gassed up, stash a bag in your vehicle with good walking shoes and a change of comfortable clothes.

When we were taking care of my mom, I worked full-time in an office where I was usually wearing a skirt and heels. Not the best attire for traipsing up and down the hard floors of a hospital any time I needed a cup of coffee or to follow Mom down to X-ray.

I kept a bag in my trunk with sneakers, socks, a T-shirt and jeans and a hoodie. Even if I didn’t change my whole outfit, swapping the high heels for socks and sneakers made a huge difference in my staying power, and patience, for a lengthy hospital visit.

Can you Hear Me Now?

Keep a spare charger for your phone and other devices in your car. Remember to add an adapter in case you need to charge your phone in the car.

Do you know if your car has to be running to charge a phone or other device? If you do leave an electronic device to charge in your parked car, make sure you cover up the cord as well as the device. Don’t tempt a thief to smash out your window to grab your device!

Keep a phone charger with you in the hospital. In hospitals with limited outlets in waiting rooms it is pretty common to see folks sitting on the hallway floor with their phones plugged in while they scroll and text.

I quickly learned to get in the habit of scoping out chairs near an electrical outlet when I would walk into the cafeteria or a waiting area. I knew that if I sat down on the floor, I wouldn’t be able to get back up!

The phone battery runs down fast when you have lots of family members to update, so charge that puppy up at every opportunity. But, never ever leave your phone plugged in and walk away, even to step out of your parent’s room.

We all dread that call telling us our Mom or Dad is hurt or sick, but a little preparation in these four areas will help you tend to them with a few less distractions.

Are you caring for an elderly relative? Please share you experience in the comments below!

Defeat Chaos- Small Business Continuity Planning for Entrepreneurs

how to keep your business going when the unexpected happens.

Are you a small business owner with multiple responsibilities? Almost every entrepreneur I have met since starting my own freelance business has one or more competing priorities, including:

  • Growing a small business
  • Continuing education
  • Full time day job
  • Small children
  • Health issues
  • Elder care

If you are already feeling stretched thin between your personal and business goals, you are not alone. What will happen if you have to deal with an unexpected event?

Small Business Continuity Planning

Big corporations and government agencies have put together what are essentially uber to-do lists that they can pull out in the event of an emergency or disaster that disrupts their daily workflow. Whether you call it Disaster Recovery, Business Continuity, or a Business Resumption Plan, entrepreneurs can take a page from the big business playbook to manage our business and personal lives when things get hectic.

Disruptive events don’t have to be huge disasters like hurricanes or a critical illness. Anything that would take your full attention and make you change your priorities can be disruptive, even good things like a product launch, a new baby or six bushels of peaches that need to be made into jam.

The Department of Homeland Security has a Business Continuity Plan outline that we can use to create a planning framework for micro-businesses like yours and mine.

Impact Analysis

If you are the chief cook and bottle washer for your home and business, you do not need a fancy questionnaire to figure out all the important tasks that you do on a regular basis. Think back over the last week or two, and refer to your planner for the last six months.

Make a list of the vital things that have to be done. Include everything, even if it seems obvious, for both your home and business. Leave lots of space for notes after each space on your list.

Grocery shopping, meal preparation, cleaning, pet care, blog posts, product packaging and shipping, laundry … if it is a task that you perform regularly for your home or business, add it to the list.

Wow, you are a busy person!

Recovery Strategies

For each of the tasks on your analysis list, start making notes of ways that job can be handled, even if you aren’t able to do it the way you normally do. Can it be skipped for a while? What is the bare minimum?

For example, my normal housecleaning schedule includes deep cleaning each area of my home on a regular basis. When I have to spend several days processing and canning garden produce, any cleaning outside of the kitchen just doesn’t get done that week, much less deep cleaning.

But when I spent three months taking courses, building my website and preparing to launch my blog while working a full time job, I did a weekly bare minimum. In other words, the bathrooms were cleaned enough to be sanitary, but I certainly didn’t scrub tile grout with a toothbrush!

Plan Development

Now that you have an idea of the most essential tasks that have to be done and how often, flesh out how you would go about getting those things done if the situation is not “normal”.

Think about backups and work-arounds.

Do you send a regular newsletter or update to your mail list? What if your computer crashes and burns? Is your mail list stored somewhere besides your computer hard drive, like the cloud? Can you log into your blog site or mail scheduling application from another computer?

You can develop backups and work-arounds for personal tasks as well.

Meal planning for a day or two could be delivery, so your backup can be a folder of menus from the nearest Chines restaurant and pizza parlor.

The work-around for longer disruptions can be a week-long menu for very simple and easy meals and a matching grocery list. Don’t forget the deli when making that meal plan and grocery list. Rotisserie chicken and cold cuts are user friendly, as are microwavable entrees and sides. If you make more than one weekly menu and list, you can alternate!

Testing and Exercises

This is where you try out your carefully thought-out backup plans and work-arounds to make sure they work!

Borrow a friend’s computer or go the library to make sure you can get to your online business essentials.

Try asking your spouse to validate your business resumption plan by preparing meals for a week. Hand over your menu and grocery list. Revise the plan as needed… you may get surprising feedback!

This is your opportunity to revise your plan and discover things you may have missed. Revisit your plans at least annually and always before any anticipated events that will impact your home and business.

Conclusion

There is no wrong way to prepare your Business Continuity Plan. You most likely will not have a full blown written alternative in place for every aspect of your home and business, but by making your Impact Analysis list, the most urgent things to plan for now will pop out at you.

What are the most critical tasks you need to cover with a Plan B? Are there tasks that are less important but really easy to work-around?

Do what you can now, and consider calendaring time to work on a back-up plan for the rest.

How do you handle disruptions to your home and business? Would you like to see more information on business continuity planning for entrepreneurs? Please share your comments and questions below!

Anxious About Terrorism? What You Can Do Now!

Busy women can take affirmative action to prepare for thier family's comfort in the event of an emergency.
Take Heart! Prepare for Your Family’s Comfort

The primary mission of my blog has always been to provide quality content that will support my readers in managing challenging life events. I hope to accomplish this mission by offering organizational and planning concepts that empower women to purposefully rise to any challenge.

The terror attacks in Paris sent waves of shock and concern around the world. As we all continue to offer prayers and support for the Paris victims and their families, we are reminded that terrorism is a grim reality of our world today.

It is distressing to think this could happen close to our home. Even if you live some distance from the location of an event, your family will be affected if there is a terror attack in your region.

I am touched by this Cheyenne proverb:

“A nation is not conquered until the hearts of its women are on the ground. Then it is done, no matter how brave its warriors or strong its weapons.”

So take heart! Just as we can take steps to prepare for winter storms or hurricane season, there are affirmative actions we can take now to be more in control of our family’s safety and comfort.

Service and Supply Interruptions

After the attacks, the city of Paris was immediately closed down and the residents were ordered to stay home. The borders of the country were closed.

In the aftermath of the terrorist attacks on September 11, American planes were grounded for days and interstate highways were closed around Washington and New York. Most businesses in the greater metropolitan areas closed, at least for a day or two, as workers reeled from the collective shock and stayed home to hug their family members.

Don’t wait until the last minute to replace daily necessities. Don’t assume your local store or gas station will always be open for you. Get in the habit of planning a week or two ahead.

Fill up your gas tank. Do it today, and keep it topped off. It only takes a few minutes to pump a quarter tank of gas.

Refill medications at least a week before they run out. Most insurance plans allow you to order refills 10 days before the prescription runs out. Better yet, arrange for long-term medications to be filled in 90 day supplies. Those can be refilled up to 30 days before the supply runs out. Ask your pharmacist if you are unsure about the refill options under your plan.

If you rely on fuel oil or propane for winter heating or cooking, you might want to consider arranging for your delivery now, if you haven’t already. Not only will you be good to go for the season, but you will avoid a huge price jump if things get worse in the Middle East.

Communication Breakdowns

On September 11th , when the attacks occurred my youngest son and I were both in the area of Frederick, Maryland. My oldest son was working in Rockville, and my husband was driving toward Washington, DC to meet with a client in Georgetown.

I worked in a large corporate office, and we alternated between trying to make calls and huddling around live streaming images on computer monitors. Several of my colleagues had family members working at the Pentagon.

None of us could get a call through. Lines were jammed or totally offline. Cell phones, land lines… nothing was getting through.

It was hours before I learned that all my family members were safe. Thankfully, my husband stopped at a hardware store before making it as far as the beltway. Learning of the attacks, he turned around and headed home.

Have a communication plan with your family members. Texting can sometimes work if voice calls won’t go through (and uses less battery power).

Consider having a designated person outside of your area that can be the check-in for your family. Make sure everyone has that number on their phone or in their wallet. In our case, when the Washington DC metro area call lines were jammed, we may have each had a better chance at reaching my brother in Ohio.

Agree in advance who will pick up your children at school if it will be outside normal dismissal.

Comfort Foods

Stock your pantry with easy to prepare foods that are comforting to your family. Aim to keep at least a week’s worth of meals in the house.

Don’t wait until you are completely out to replace your normal supply of basics like milk and bread.

Even if area stores remain open, during times of high stress and uncertainty, who wants to plan meals and go grocery shopping? Give yourself a break for a few days.

Take a few minutes now to jot down a short menu of easy to prepare meals and snacks using shelf-stable or basic ingredients. Make purchasing these items a priority. Chili and cornbread crackers? Macaroni and cheese? How about tuna salad and crackers?

If you cook for someone with special dietary needs, what do you need to have on hand for them? Will you need to stock infant formula or baby foods?

Use and replace your “comfort” meals on a regular basis. It is a huge help to have a go-to meal on hand for busy days, and it will keep your supplies fresh.

Always have a supply of bottled water on hand. The Department of Homeland Security recommends at least a three day supply of one gallon per day, per person.

I like to have the same supply of water for my pets, as well as dry and canned pet foods and enough extra cat litter on hand to last a week or two.

Non-Food Comfort

Think of the things you would hate to run out of if you are already stressed. In my house that includes things like toilet paper, paper towels, trash bags and facial tissues. Keep in mind that paper products get used up faster when everyone is unexpectedly home for a few days.

Some homes will want to have a reserve of special items like feminine hygiene products, baby diapers, or adult incontinence products.

I like to have batteries on hand for all my devices, including remote controls and flash lights.

If you have young children, set aside some games or craft supplies to distract them from worried grownups and distressing news coverage.

Regardless of where you live, the news of terrorist attacks are disturbing, and even frightening. We can’t control what some lunatic might do. But, by making some simple preparations for our home and family, it does let us take back some sense of control. These are things we can do!

For more detailed information about responding to specific threats, check out the U.S. government information site Ready.gov

Do you have concerns about terrorism? Would you like to see more discussion on how we women can take care of our families during an emergency? Please leave your comments below. Thank you!

 

Lights Out! More Planning for Storms

More ways to prepare for storms
Storm-ready to do list!

In Part I, you gained some ideas to help you have an organized plan in place for safe lighting, a way to communicate, and a source for news and emergency instructions during power outages.

In Part II, you will learn tips for heating and cooling your space during an outage, food storage and cooking.

Keeping Cool

We were in the path of the Super Derecho that left a 700 mile path of destruction at the end of June 2012. Our power was out for several days, while daytime temperatures soared in the triple-digits with stifling humidity. It was awful!

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Lights Out! Planning for Storms

 

Ready for Power Failure
Love my crank radio and extra phone charger!

Power outages can happen to anyone, anytime. Summer storms, winter storms, hurricanes or a pick-up truck wrapped around the pole on the main road can cause a loss of power that last from minutes to days.

Are you ready for when the lights go out? Planning and organizing now will keep you from fumbling in the dark. There are so many things you can do right now to get ready for the next big storm. You will be ready!

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