Veterans Who Qualify for Care in a Nursing Home May Now Receive the Same Care in the Comfort of Their Own Home

The Elizabeth Dole Home Care Act (H.R. 542 and S. 141) was signed into law by former President Biden on January 2, 2025, to expand home health care benefits for veterans. Championed by Rep. Julia Brownley (D-CA) with bipartisan support, the Act passed the House with a 414-5 vote and was unanimously approved by the Senate.

The Act allows qualifying veterans to receive 100% covered home-based care through licensed agencies, providing services like nursing, therapy, and caregiving. This shifts funds typically used for nursing homes to in-home care, aligning with veterans’ preferences to age in place.

Elizabeth Dole’s foundation, focused on veterans’ care, advocated for this shift, demonstrating the benefits of home-based care. The legislation includes pilot programs for low-population areas and initiatives to expand home and community-based services, including for Native American veterans.

Additionally, the Act extends caregiver benefits, expands VA programs like Veteran Directed Care, and mandates program reviews to close service gaps. It may pave the way for Medicare to adopt similar home care benefits for seniors.

 Caregiverlist offers resources for caregivers, agencies, and families to learn about home care services, costs, and Caregiver training options.

Did you know that Filipinos have a term called “bayanihan“, that means working together to help each other. In the past, it referred to neighbors helping a family move their house by carrying it together. Today, it means people coming together to assist those in need, especially during crises. The recent California fires revealed the true spirit of “bayanihan“, with people uniting to help those affected, among the heroes were prisoners working as firefighters, earning less than $2 an hour, yet risking their lives to save everyone.

The devastation hit seniors particularly hard. Many lost not only their homes but also their sense of safety and stability. Caregivers, who often serve as their lifeline, faced the challenge of finding new ways to support their clients amid the chaos. For seniors, losing their homes means losing familiar spaces where they feel secure, and the disruption can be overwhelming.

But even in this tragedy, small acts of kindness make a big difference. As Elissa Strauss writes in her book When You Care, “The smallest acts of kindness can spark hope and healing. Whether it’s writing letters of encouragement or volunteering time, caregivers have the power to create light in the darkest of times.”

Remember, one of the most simple ways to make a difference is by providing companionship and a listening ear.

On January 2, 2025, President Biden signed into law the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, commonly known as the Dole Act.

The White House This comprehensive legislation aims to enhance support for veterans, their caregivers, and families by:

• Expanding In-Home Care: The Act increases the cap on home care costs covered by the Department of Veterans Affairs (VA), allowing veterans to receive more extensive in-home services.
• Establishing Assisted Living Pilot Program: A pilot program is introduced to provide eligible veterans with access to assisted living care, offering alternatives to traditional nursing home facilities.
• Enhancing Caregiver Support: The legislation improves mental health services for caregivers and extends benefits to those caring for elderly and infirmed veterans.
• Improving Access to VA Services: The Act addresses various aspects of veterans’ healthcare, economic opportunities, disability and memorial affairs, homelessness, and oversight, aiming to reduce bureaucratic obstacles and improve service delivery.

Named after former Senator Elizabeth Dole, a dedicated advocate for veterans’ issues, the Act represents a significant advancement in modernizing and expanding support systems for veterans and their families.

Rep. Juila Brownley, a Democrat of California, and Senator Jerry Moran, a Republican representing the state of Kansas, submitted this bill which means both parties agree on it! Caregivers are trained to provide care in the home and the one-on-one care delivers more care services than in a nursing home where 1 caregiver may care for as many as 10 to 12 residents.

Understanding the risks and taking proactive steps can make a big difference in health and safety. With respiratory illnesses like seasonal influenza and “walking pneumonia” becoming more common during this time of year, staying prepared is important to avoid risks.

Cold and flu season can be particularly challenging for seniors and caregivers. Seniors face higher risks of flu-related complications, with up to 85% of flu-related deaths and 50-70% of hospitalizations occurring in people over 65. Caregivers should monitor older adults closely for severe symptoms, such as difficulty breathing, persistent dizziness, or worsening coughs.

Key Steps to Stay Healthy and Safe

Get Vaccinated:

• The flu vaccine is highly effective in preventing serious illness
• Seniors over 65 should consider vaccines like the Fluzone High-Dose or Fluad Quadrivalent, which are designed for stronger immune responses
• The CDC recommends getting vaccinated in September or October for optimal protection

Practice Basic Hygiene:

• Wash hands frequently with soap and water
• Avoid touching your face, and clean high-touch surfaces regularly
• Wear a mask if you or someone near you is unwell

Recognize Symptoms:

• Flu symptoms include fatigue, fever, cough, muscle soreness, and sore throat. In children, vomiting and diarrhea may occur
• Seek medical attention if symptoms worsen, especially for those with chronic conditions like heart disease, diabetes, or weakened immune systems

Understand Flu Transmission:

• Flu spreads through droplets from coughing, sneezing, or talking and can be contagious 1 day before symptoms appear and up to 7 days after

Consider Antivirals:

• Antiviral medications like Tamiflu® can shorten the duration of the flu if taken within two days of symptom onset

If Caring for Someone with the Flu

• Use proper personal protective equipment (PPE) and avoid face-to-face contact
• Wash hands often and wear gloves when handling tissues or soiled items
• Encourage hydration and rest, and ensure the individual avoids close contact with others

Recent research has highlighted a strong link between the consumption of ultraprocessed foods, like processed meats, sodas, flavoured yogurts, instant noodles, and an increased risk of dementia. Studies suggest that these foods may negatively impact brain health by affecting blood vessels, displacing healthier nutrients, and even damaging brain cells.

For example, according to the NY Times article written by Dana G. Smith and Alice Callahan, a U.S. study tracking over 130,000 U.S. adults over 43 years, during which time 11,173 participants developed dementia. Those who ate roughly two servings of processed red meat per week faced a 14% higher risk of developing dementia compared to those who consumed fewer than three servings per month. Similar findings support this connection, the study conducted in Brazil with more than 10,000 middle-aged adults, it was observed that individuals who consumed 20% or more of their daily calories from ultraprocessed foods showed a more rapid decline in cognitive abilities over an eight-year period. Another research involving over 72,000 older adults in the UK over a decade found that a diet with a 10% higher intake of ultraprocessed foods was linked to a 25% greater risk of developing dementia. Similarly, a study of 30,000 Americans over an 11-year span found that a 10% increase in ultraprocessed food consumption was associated with a 16% higher risk of cognitive decline and an 8% higher risk of stroke.

While you cannot conclude that by consuming ultraprocessed food, you’ll definitely get dementia, the evidence is clear enough to encourage a shift toward healthier eating habits.

For caregivers, when caring for others, adopting and modeling healthy eating can improve your cognitive abilities leading to a healthy brain, this can be a powerful way to inspire the people under your care. Simple changes, like replacing sugary drinks with water or opting for whole, unprocessed foods, can make a significant difference over time. Remember, even small steps toward a healthier diet can contribute to better brain health and overall well-being for both you and your clients.

Start by making gradual adjustments, focusing on incorporating more fruits, vegetables, and lean proteins into your meals. These changes not only benefit cognitive function but also set a positive example for those in your care.

This Halloween, let’s invite seniors to enjoy simple, fun activities like dressing up, sharing Halloween memories, or making creative crafts. These activities can bring joy, purpose, and a sense of belongingness. When choosing costumes, be mindful to select safe and comfortable options that won’t cause confusion, especially for seniors with memory loss. Many seniors may feel disconnected from traditions, so involving them in Halloween activities can help them feel more included.

For caregivers, these activities are more than just fun but help build trust and stronger connections with seniors. Shared moments like storytelling, making Halloween decorations, or dressing up offer caregivers a chance to learn more about the senior’s lives  and histories.

Here are some ideas to keep seniors actively involved this Halloween:

• Fun Costume: Simple costumes like hats, masks, or capes add excitement and let seniors express themselves. For seniors who might prefer not to wear costumes themselves, caregivers can wear friendly costumes, such as superheroes or cartoon characters, to bring the spirit of Halloween to them. Adding a “costume fashion show” can create a playful atmosphere that lets everyone participate in a way they’re comfortable with.
• Talking About Halloween Memories and Traditions: Many seniors may have warm memories of Halloweens from their childhood or times spent with family. Caregivers can take some time to sit down and discuss Halloween traditions, ask if they remember dressing up or giving out candy, and even swap stories about favorite costumes and spooky tales. This can evoke positive nostalgia and also stimulate memory recall, making it a meaningful and interactive activity.
• Trick-or-Treat Simulations: If trick-or-treaters will visit, talking about what to expect ahead of time can build excitement. If this isn’t possible, caregivers can create a “trick-or-treat” simulation indoors. Dressing up in costumes or masks and handing out candies can be a lighthearted, engaging activity. Seniors can participate by choosing candy to “hand out” to staff, family, or fellow residents, promoting a sense of involvement in Halloween traditions without the potential stress of surprises.
• Halloween Movie Marathon or Storytelling: Familiar or light-hearted Halloween movies, like classic spooky cartoons, are a great way to create a fun atmosphere. For seniors who prefer quiet activities, watching a classic movie or reading seasonal stories together can bring a fun sense of Halloween while being mindful of each person’s comfort level.

Caring for others comes with the challenges of managing the emotional journey of caregiving. As your aging clients are dealing with the losses of loved ones, along with the losses of physical capabilities, it’s natural that some days will be emotionally challenging. Healthy mood boosters are tools you can use to bring a smile to yourself and others and relieve stress.

Here are some simple strategies that can help you—and your clients—lift your mood:

Taking a quick one- or two-minute walk each hour can do wonders for your mood. Not only does it lower blood pressure, but it also lightens your mental load. Even stepping outside to feel the sun on your face can provide an instant lift.

Engaging in a creative activity like drawing, coloring, or doodling can lower stress and improve your mood. Art therapy taps into our brain’s reward pathway, releasing dopamine and helping to process emotions. This doesn’t have to be a major project, something quick and simple can be enough to shift your energy.

Get up and move! Dancing around the room, stretching, or even doing a few household chores can work wonders. Physical activity helps release tension and breaks the monotony of caregiving routines.

Autonomous Sensory Meridian Response (ASMR) videos, those featuring soft sounds like whispering, tapping, or even makeup application can help lower your heart rate and create a sense of calm. If you find the right trigger, watching just a few minutes can be incredibly soothing.

The gentle sound of rain falling can create a peaceful ambiance and help quiet the mind. Incorporating calming background noise, whether it’s nature sounds or soft music, can bring immediate relaxation.

Music is a powerful tool for mood management. Whether it’s singing, playing an instrument, or just swaying to your favorite tunes, music has the ability to boost energy both you and your client.

Senior caregivers working as professionals in most states are required to have annual training. This just helps to make sure the caregiver has continued to maintain their knowledge of caregiving skills. In addition, caregivers are able to advance their caregiving options and career by demonstrating knowledge in additional areas.

Senior care companies can enroll caregiver in a renewal training course on the Caregiverlist Training Portal with 1-click and senior caregivers and family caregivers may also purchase training on their own for $59 or $79 (to receive a lapel pin and t-shirt).

Buy the online caregiver training course and you will be enrolled in your renewal course automatically or, call 312-669-8820 if you have any questions about the certified caregiver training for your state.

Maintaining a healthy lifestyle doesn’t have to be complicated. The basic principles your grandparents often advised hold true: eat moderately, eat healthy, get enough sleep, and exercise regularly. Eating in moderation helps prevent overeating and supports digestion. A balanced diet rich in fruits, vegetables, lean proteins, and whole grains provides essential nutrients that fuel your body. Quality sleep repairs your body, while regular exercise keeps your muscles strong and your heart healthy. These habits create a virtuous cycle, where each one positively influences the others, enhancing overall well-being without the need for costly treatments or interventions. The Best Medicine is a Healthy Lifestyle.

This summer, an activity you may be able to enjoy is assisting your senior client to enjoy fresh summer fruits and vegetables. You can reminisce about gardening and visit a summer farmer’s market if possible. Together, you can create new recipes using fresh fruits and vegetables, adding both fun and nutritional benefits to your meals. You and your senior client will surely love this simple recipe:

• In a large salad bowl, combine lettuce, radishes, tomatoes, green onion, jicama, cucumber, and bell pepper.
• In a small bowl, whisk together olive oil, lemon juice, pomegranate juice, water, garlic, dill, basil, salt, and black pepper.
• Pour the dressing over the salad right before serving.

We at Caregiverlist, ensures you that we provide high quality Caregiver Training and education that can enhance your skills and make you become a Certified Caregiver.

A groundbreaking study conducted by researchers from the University of Southern California and the Karolinska Institute in Sweden, analyzed data from over 45,000 Swedish twins, focused on 90 pairs of identical twins and 288 pairs of fraternal twins where one twin was diagnosed with dementia.

The study found that if one twin is diagnosed with dementia, the undiagnosed twin sibling is also at a higher risk of a shorter lifespan. Published in the journal Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association, the study shows that short life expectancy is not solely due to dementia but may also be due to shared genetic and environmental factors.

Does having an identical twin with dementia mean you’ll get it too? Well, it’s a bit of both yes and no.

Identical twins share 100% of their genetic material, making them genetically identical. This means that if one twin has a genetic predisposition to dementia, the other twin shares the same genetic risk factors.

Twins that shared similar environments throughout their lives, including education, diet, physical activity, and exposure to pollutants. If certain environmental factors contribute to the twin’s dementia, such as chronic stress or unhealthy lifestyle choices, the undiagnosed twin may also be exposed to these same environmental risks.

Although having an identical twin diagnosed with dementia doesn’t mean you’ll definitely get it too, but you are at risk of developing one.

This study highlights the importance of considering both genetics and environment in dementia research and care planning.

It also emphasized the lifelong impact of early life choices, suggesting that healthy habits and education in childhood can significantly reduce the risk of developing Alzheimer’s Disease and Dementia later in life.

We at Caregiverlist, ensures you that we provide high quality Caregiver Training and education that can enhance your skills and make you become a Certified Caregiver.