What happens after you have made the modifications, obtained the necessary equipment and "Mom" still can't manage independently at home? Next we will look at how to determine when you need outside assistance and what local resources are available to help you. Finding the right person to assist your loved one in their home can be a stressful and anxious experience.

In Holyoke, there are several agencies that offer a variety of programs that address most of the common needs such as: home delivered meals, laundry service, light housekeeping and chore services, transportation for medical appointments and social/adult day care programs. Our mission is to keep people in their own homes for as long as possible.

The elder nutrition programs provide well-balanced, hot noon meals for seniors age 60+ and their spouses. All meals are planned by a nutritionist and meet the Recommended Daily Allowance (RDA) for major nutrients. Modified meals are available for elders with dietary restrictions.

Adult Family Care programs match adults, who for various reasons can no longer live alone safely, with foster care agencies that share common interests, location and are able to meet the specific needs of the individual.

Volunteers and "Seniors Helping Seniors" offer transportation arrangements to and from appointments for those who are unable to drive themselves. The Ombudsman's program consists of trained volunteers who believe in the quality of life for all. They provide information about available services and often act as advocates on behalf of the individual.

The initial recommendation that intermittent medical help is needed is most often made by the individuals personal physician. They determine what medical care is needed, how long it is needed and establish the guidelines under which it will be provided. If the person was hospitalized and will be returning to their home, the physician and social worker will discuss the needs with them and prepare an appropriate care plan prior to their discharge from the hospital. The care plan often includes "skilled" services that the person is unable to perform for themselves. Skilled services include: a nurse to change a surgical dressing, wound care treatment, preparing and administering insulin for diabetics, and restorative services such as physical, speech or occupational therapy for those learning to regain their independence. These skills will be offered from once to several times a week in accordance with the physicians order.

In addition to the professional skills that are offered, Home Health aides will assist with personal care. Education for the patients and their families is an important aspect of home care in order to ensure the best possible quality of life. With the managed care programs, there is a definite need to teach the patients and their family members ways to manage better in their individual situation. The VNA also offers a Wellness Program conducted by a nurse who performs various health screenings and teaches a series of classes on health related issues throughout the Holyoke area. For those families who are facing life-limiting illnesses, the VNA offers a Hospice program to assist in maintaining the quality of life at home.

When intermittent home care is not enough, a private home care agency can be the solution. Each home care patient's needs are unique and by working closely with the physician, practitioner and other care providers, a level of professional support that meets those needs can be ensured. Qualified nursing personnel working in conjunction with your present health care provider and flexible scheduling to provide coverage for the hours you desire can greatly benefit your home situation. Many of these services are fully or partially reimbursable under Medicare, Medicaid or private insurance. Check with your agent for details on your specific coverage.