Managing Long-Distance Caregiving

If you live an hour or more away from a parent or relative who relies on you for some form of care, you are considered a long-distance caregiver. Managing long-distance caregiving is no easy task.  It is stressful and time-consuming and difficult to accomplish without additional help. Being far from your loved one when they need assistance can be draining and, as this role-reversal presents itself, you are thrust into a realm of new responsibilities.

There is no one right method to approach your new role. Every situation is different. But the task of managing long-distance caregiving doesn’t have to be daunting with these helpful tips.

managing long-distance caregiving

How will I know help is needed?

Regrettably, if your parents need care, they probably won’t tell you when they need help. The last thing they want is to become a burden to their children. Typically, a person will experience a health crisis or a “wake-up call,” triggering the awareness that they need assistance. Barring a sudden health event, difficulties and changes in performing ADLs (activities of daily living) will be a telltale sign that help is needed. Routine ADLs include:

  • Bathing and showering
  • Personal hygiene and grooming
  • Dressing
  • Toileting
  • Transferring (for example, moving from a chair to the bed)
  • Self-feeding


What is my role?

As a long-distance caregiver, you will play the role of information gatherer as well as coordinator of assistance.

As the information gatherer, you can use websites and other resources to locate local community services that specialize in care for older persons or the disabled. You will also gather relevant data pertaining to your loved one. This information will be your go-to resource in the event of an emergency. David York Agency provides an excellent resource in the form of our Essential Documents and Emergency Information Workbook.

As the coordinator of assistance, you will make arrangements for care as well as set appointments. Consult with your loved one to determine their needs in the following areas:

  • Meal delivery
  • In-home care
  • Medical devices
  • Transportation
  • Help with Medicare/Medicaid claims
  • Support groups
  • Telephone check-ins
  • Financial Assistance


Additionally, David York Agency publishes a handy Essential Documents and Emergency Information Checklist to make your new role more manageable. This checklist provides a place to record pertinent information that will help you determine what your loved one can and can’t do. The AARP also offers a Caregiver’s Checklist that may be of use as well.


Evolving Care

It is never too early to start thinking about the future needs of your loved ones and how you will handle the evolving nature of your caregiving journey. Once you have completed the caregiver’s checklist and determined the wishes and needs of your loved ones, it will be time to speak to professionals in the caregiving industry. Check references and do whatever you can to make things as straightforward as possible for the caregiver. In-home caregivers help with a variety of household and personal tasks and will be in a good position to update you on day-to-day progress.

Remember that you are not alone.  An estimated 43.5 million Americans provide care, advocacy, and healthcare navigation for a relative or friend 50+ years or older.


For more information about David York Agency‘s qualified, compassionate caregivers, contact us online or by phone at 718.376.7755. A free phone consultation can help you decide how to provide your loved ones with the assistance they need. If you’d like to hear more from us, please like us on Facebook or follow us on TwitterGoogle+, or LinkedIn.

Recognizing the Signs of Dementia & Alzheimer’s Disease

It is important to recognize the signs of dementia and Alzheimer’s disease as early as possible. It affords family members plenty of time for planning, ensures that a safe living arrangement is set in place and enables the elderly to take advantage of all current and cutting edge treatments available. Unfortunately, both the elderly and their loved ones are ignorant of the signs and can be in a state of denial.

It’s easy to try to deny signs of dementia in oneself and a loved one. It is terrifying for the former and painful for the latter. Often denials sound like this:

  1. Getting confused is just part of getting older.
  2. The irrationality is just part of a mid-life crisis.
  3. Stress and sleep deprivation is causing the forgetfulness.
  4. Everyone forgets things.
  5. Depression is causing the lack of focus.

Then again, you could be experiencing early signs of dementia and/or Alzheimer’s disease. The Alzheimer’s Association is a great resource and has compiled the following list:

10 Early Signs and Symptoms of Alzheimer’s

  1. Memory loss that disrupts daily life.
  2. Challenges in planning or solving problems.
  3. Difficulty completing familiar tasks at home, at work or at leisure
  4. Confusion with time or place.
  5. Trouble understanding visual images and spatial relationships.
  6. New problems with words in speaking or writing.
  7. Misplacing things and losing the ability to retrace steps.
  8. Decreased or poor judgment.
  9. Withdrawal from work or social activities.
  10. Changes in mood and personality.

If you have a suspicion that the forgetfulness is something more serious, it is time to go see a doctor. The best to find out if any of these signs and symptoms is indicative of dementia or Alzheimer’s disease is to get a complete medical evaluation.

Receiving a diagnosis of dementia or Alzheimer’s disease is naturally extremely stressful to all concerned. Anticipating and planning for the eventual outcome of the disease is not easy, but David York Home Healthcare Agency can help. When home healthcare becomes necessary, David York Agency provides skilled home health aide services for the elderly and infirm in their home. A nurse is always standing by and would be happy to discuss your case with you. Please call us at (718) 376-7755 or visit our website. Please like us on Facebook or follow us on Twitter, Google+ or LinkedIn.


New Blood Test for the Detection of Alzheimer’s Disease

There is exciting news in the field of Alzheimer’s disease (AD) research with the advent of a new blood test which can determine the presence of a key marker, brain amyloidosis, the buildup of amyloid proteins in the brain, as well as other blood proteins known to be associated with AD. Early detection of the disease can have implications in terms of benefitting from any current and new treatments, joining research trials underway and taking advantage earlier of any support services available.

T181985743he blood test can be administered after a clinical examination uncovers symptoms of Alzheimer’s disease including cognitive impairment such as dementia. This new blood test is safe, affordable and easy to administer in a variety of settings. Currently, the only definitive tests for the presence of AD either have major drawbacks associated with them or can only be done post mortem. The first method of extracting cerebrospinal fluid requires an invasive spinal tap and carries the risk of nerve damage. The second is a PET scan testing for amyloids in the brain exposes the patient to radiation, is not usually covered by insurance and few centers have the technology. Autopsies can reveal brain beta amyloid proteins in the brain, a hallmark sign of AD, but, obviously, has no benefit to the sufferer at that time.

This new test also has the benefit of reducing the stress of not knowing for the patient and their loved ones. An important byproduct of the test is enhancing the integrity of research by ensuring that only true AD patients are included in any treatment trials which currently have an error rate of about 25% of non-AD patient inclusion.

Receiving a diagnosis of Alzheimer’s disease is naturally extremely stressful to all concerned. Anticipating and planning for the eventual outcome of the disease is not easy, but David York Home Healthcare Agency can help. When home healthcare becomes necessary, David York Agency provides skilled home health aide services for the elderly and infirm in their home. We would be happy to discuss your case with you. Please call us at (718) 376-7755 or visit our website. Please like us on Facebook or follow us on Twitter, Google+ or LinkedIn.


Home Health Aides – Providing Quality Care

Need a little assistance caring for an elderly loved one at home? A home health aide can provide much needed care when it comes to caring for an aging parent or spouse. Home health aides provide in-home care with many activities of daily living (ADL) which include personal care, bathing, dressing, toileting, grooming, and mobility.

A home health aide can also help with grocery shopping and meal preparation.Carer and elderly woman They can take into account any special dietary requirements and make sure that your loved one is getting healthy meals regularly.

If your loved one can no longer navigate outside the home by themselves, a home health aide can escort them to important doctor visits or other appointments. The home health aide will ensure that their elderly client gets back and forth safely.

David York Agency provides high quality skilled home health aide services for the elderly and infirm with the highest degree of personal service. We can provide full-time or part-time professionals depending on your needs. We have Certified Home Health Aides (HHA), Certified Personal Care Aides (PCA), Registered Nurses (RN), and Licensed Practical Nurses (LPN). All of our aides are certified and specially trained. All of our aides are thoroughly screened, fingerprinted and checked for criminal background. We regularly check credentials and maintain valid references for our aides. You can be sure that the highest caliber health aides are caring for your loved ones.

When home healthcare becomes necessary, David York Agency would be happy to answer all your questions. Visit our website at David York Agency. Please like us on  Facebook or follow us on Twitter, Google+ or LinkedIn.

Signs my Relative May Need a Home Health Aide

How do you know when a parent or relative needs some extra help? It’s not always easy to come to terms with a loved one having difficulty caring for themselves. But there are some sure signs that it is time to enlist the services of a certified home health aide.

When someone is having difficulty performing two of the following Activities of Daily Living (ADLs), it is time to contact a home healthcare agency for a certified home health aide best suited to the situation.

Activities of Daily Living (ADL):Untitled2

  • Bathing
  • Dressing
  • Toileting
  • Grooming
  • Mobility
  • Transferring
  • Positioning
  • Feeding
  • Oral Hygiene

Bathing/Grooming/Self Care: If you notice that your relative is not grooming or caring for themselves, it may mean that they need additional help at home.
Unpleasant body odor, greasy hair, and dirty or well-worn clothes, may mean they have stopped doing laundry or are not bathing regularly and are also signs that a the relative may need a home health aide.

Mobility/Positioning/Transferring: If your loved one is not able to get around to do their errands or go the their appointments alone, you may want to seriously look into getting them a certified aide. If they can’t position themselves additional help at home will surely be required.

Food Preparation: If you notice that your parent is losing weight or not preparing healthy meals, it may be time to seek home healthcare. If they seem to have lost their appetite or are eating inconsistently, they may need some help with feeding to keep up their nutrition.

Taking this step can be difficult. This burden often falls on the family to recognize the signs that an aging parent might need help with the activities of daily living. However, there are home healthcare providers like David York Agency which is licensed by the State of New York Department of Health that can provide caring and attentive aides for your loved one. Their high quality home health aides care for your parent or relative making them as comfortable and as healthy as possible.

David York Agency can help you develop a plan to accommodate changes in your parents’ health. Their caring agency helps respect the wishes of your aging parent and fully involves them and the family in how they want to be cared for. This can minimize the anxiety and stress that occurs when quick decisions have to be made. Contact us today by visiting, follow our Facebook, LinkedIn or Twitter pages or call us at 718.376.7755.

When is Home Healthcare Right for you?

Home Health AideHome health care is a service for individuals who need professional skilled home health aide services recommended by a professional or physician.  It's appropriate for you if you have had an illness, surgical procedure, injury, or any life event that makes carrying out the daily activities of living difficult.  It can provide continued care with 24 hour, seven days a week from on call nurses.  Home health care is usually less expensive, more convenient, and just as effective as the care you get in a nursing facility. 


Home Health Care Aides can assist with Activities of Daily Living (ADL) including:

Personal Care Bathing Dressing
Toileting Grooming Mobility
Transferring Positioning Feeding
Oral Hygiene

Grocery Shopping

Companionship & Conversation
Reminding about Medications Household Tasks/Various Personal Errands

Light Housekeeping & Laundry

Escorting to Doctor Visits or Other Appointments Meal Preparation (taking into account any special dietary requirements) Accompanying on walks, outings, & other pleasant events










David York Agency provides skilled home health aide services for home healthcare.  We would be happy to discuss your case with you.  Visit our website at goal of home health care is to help you get better, regain your independence, and become as self-sufficient as possible.  And, a Certified Home Health Aide can help you achieve those goals in the comfort of your own home.