Adult Caregiving Guide

Information, Advice and Support

Adult Caregiving Guide | Page 23

Aging isnt easy.

Not for the person who is feeling the effects of the years. Not for the family members.

As a person begins to age, family members often feel the need to help with everyday tasks that are now challenging for a loved one. This can include activities like meal preparation, laundry and housekeeping. Eventually, many family members find themselves assisting in ways they never expected, like hygiene and grooming. Other caregivers are affected by a loved ones unexpected disease or disorder. Caregiving for a loved one can take its toll and can change family dynamics. And providing care for a loved one can become highly stressful whether your family member lives next door or thousands of miles away. If you need help, youre not alone. Right at Home provides caregiving services for thousands of families across the nation just like yours. We can help you, too.

1-2-3
Follow the simple steps in this document to ensure that your aging parent, spouse or friend is getting the assistance he or she needs.
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Step 1:
Determine whether your loved one needs assistance.

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Signs Your Loved Ones Needs Are Changing

It can often be hard to tell when aging is affecting a family member. Dont ignore the warning signs, because small things can add up to a larger challenge incredibly fast. If you notice certain changes in your loved one, it might be time to seek outside help: Changes in relationships with others.  Signs of forgetfulness. Watch for piles of unread newspapers or unopened mail, dirty or scorched cookware, unwashed laundry.

Withdrawal from social interactions.   ismanagement of finances. Check to see that theyre M paying their bills and not making unusual purchases.

 Unusual behavior. This could include increased agitation, speaking loudly or little talking at all.

Needs Assessment Worksheet Needs Assessment Worksheet adult caregivers for Adult Caregivers
This worksheet will help you and other family members determine what types of assistance your loved one needs.

Neglecting personal care. Poor  hygiene or nutrition.

This worksheet will help you and other family members determine what types of assistance your loved one needs.
Instrumental Activities Of Daily Living (IADLs)
NEEDS: NEEDS: No Help Help Some Somehelp help Much Muchhelp help No

Activities Of Daily Living (ADLs)

NEEDS: NEEDS: No Help Help Some Some help help Much Much help help No

Bathing Bathing Dressing Dressing Grooming Grooming Toileting Toileting Eating Eating a a nutritious nutritiousdiet diet Getting Gettingout out of of bed bed Getting Gettingout out of of chair chair Walking Walking

Using Usingthe the telephone telephone Shopping Shoppingfor for personal personalitems items Transportation Transportation Managing Managing money money Doing Doinglaundry laundry Light Light housework housework Preparing meals

Preparing meals

Conditions/Functional Status Status the persons ability to function?

None None
EFFECT: EFFECT: Some Major Major Some EFFECT: EFFECT: None Some Some Major Major None

How do the following affect

Hearing Hearing Vision Vision Perception Perception Orientation Orientation Thinking Thinking Memory Memory Decision Decisionmaking making Judgment Judgment Physical Physicaldexterity dexterity Balance

Strength Strength Energy Energy Bladder/bowel control Bladder/bowel control Arthritis Arthritis Hypertension Hypertension Heart Heart disease disease Diabetes Diabetes Physical Physicaldeformity deformity Depression Depression

Balance

To help you better understand your loved ones limitations, use the provided Needs Assessment Worksheet on the following page. Filling out the worksheet can serve as a guide as to whether or not its time to hire a professional caregiver. If it is, the worksheet can also help your caregiver begin to understand your loved ones daily needs.

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Needs Assessment Worksheet for Adult Caregivers

This worksheet will help you and other family members determine what types of assistance your loved one needs.

Activities Of Daily Living (ADLs)

NEEDS No Help Some help Much help

Instrumental Activities Of Daily Living (IADLs)

NEEDS No Help Some help Much help

Bathing Dressing Grooming Toileting Eating a nutritious diet Getting out of bed Getting out of chair Walking

Using the telephone Shopping for personal items Transportation Managing money Doing laundry Light housework Preparing meals

Conditions/Functional Status
EFFECT None Some Major

How do the following affect the persons ability to function?

EFFECT None Some Major

Hearing Vision Perception Orientation Thinking Memory Decision making Judgment Physical dexterity Balance
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Strength Energy Bladder/bowel control Arthritis Hypertension Heart disease Diabetes Physical deformity Depression

Environmental Safety
Neighborhood
Limitation

Which barriers can be removed or changed?

No Problem

Needs Changed

Safety Convenience Friends or relatives nearby

Living Quarters

Age of dwelling Roof in good repair Windows in good repair Siding in good condition Looks cared for Security and safety Dead bolt locks on outside doors Peephole in front door Window bars or locks Visible from road (no large trees or bushes block view) Smoke alarms installed, tested Passageways clear of wires and clutter Handrails on both sides In good repair and nonskid surface Clearly marked Nonskid level surfaces Nonglare surfaces No loose rugs Couch and chairs easy to use Tables the right height Bed easy to get in and out of Light switches easy to reach Important areas are well lit Light diffused from windows and surfaces (no glare) Passageways have night lights Lever handles on sink Clean rubber mat by the sink Items used often are accessible Storage is easy to get to No objects are over the stove Grab bars attached to studs, by the toilet and tub or shower Nonskid strips in the tub or shower Hand-held shower head Nonslip bath mat or rug

Stairs

Floors

Furnishings

Lighting

Kitchen

Bathroom

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Step 2:
Provide the assistance your loved one needs.
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Are You an Adult Caregiver?

Youre Not Alone.
More than

34 million adults 16 percent of the adult American

population provide care to someone aged 50 years or older.

About 

70 percent of adult caregivers 30 percent

get help from family members, friends or neighbors. And about rely on help from paid caregivers.

Someone caring for a parent has been doing so for an average of

Someone caring for a spouse spends more than

20 hours a week for four years. One in three adult caregivers is

30 hours a week directly

caring for their loved one and is less likely to get help from relatives or friends.

also raising a child under the age of 18.

Studies show a 20

to 50 percent

increase in depressive symptoms for adult caregivers versus their non-caregiving peers.

Nearly

two-thirds of adult caregivers

take time off during the workday, while

17 percent take a formal leave of absence and 10 percent take

early retirement.

An informal caregiver is estimated to lose benefits, and of working.

an average of $25,494 in Social Security because of time spent caregiving instead

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$67,202 in pension benefits

Long-distance caregivers spend an average of expenses as part of their caregiving duties.

$392 a month on travel and out-of-pocket

What to Do When Your Loved One Needs Care

As you notice changes in a loved one, there are a few things that you can do to help them and your family as a whole: Use the Home Safety Checklist. By going through the checklist, you can significantly reduce any harm that may come to a family member as you decide on your approach to care. If theres a noticeable decline in thinking and reasoning in a loved one, schedule a doctors appointment and ask the physician to test for cognitive function. And dont assume cognitive decline is an unavoidable part of aging. Some causes are treatable, such as interaction of medications.
Home Safety Checklist for Adult Caregivers
Use this checklist to make sure that your loved ones routine is as beneficial as possible and that their home doesnt pose any health or safety hazards.

General
Find someone to check on the individual daily. Schedule vision check. Discuss medications with physician  to determine affects on balance. Establish light exercise routine.

Bathroom
G  rab bars near the tub, shower and toilet located and mounted properly. N  on-slip surfaces in the tub or shower. N  ightlight for when first entering the room. R  ugs or bathmats with non-slip backing on the floor. Shower/tub bench or seat.

All Rooms
N o loose carpeting or rugs that  do not have a non-slip backing. Traffic areas free of furniture. Electrical cords and other wires taped  against walls. B right lighting with switches and all  light bulbs in working order. Telephones placed on tables at  a height that can be reached from the floor.

Bedrooms
B  edside table with non-tip lamp and room for eyeglasses. C  lear traffic area from bedroom to bathroom. C  omfortable, sturdy chair to aid in dressing.

Stairs and Inclines

Free of items. Plenty of room to move at top  and bottom. N o loose carpeting or edges  to catch on. H andrails securely attached and  at the proper height for user. Proper lighting on all steps, including  switches at top and bottom of stairs.

Kitchen
I tems placed where they can be reached without the use of a stool. Area to sit during food preparation. F  looring free of cracks, splits or up-turned edges.

Have everyone in your family (including spouses) check with their employers to see if their companies offer any caregiver benefits. Arrange for a family meeting to discuss your care options. Be sure to include the wishes of the loved one who needs care in the discussion. Use your answers from the Needs Assessment Worksheet as a guide.

Needs Assessment Worksheet

for adult caregivers

This worksheet will help you and other family members determine what types of assistance your loved one needs. Activities Of Daily Living (ADLs)
NEEDS: No Help Some help Much help No Help

Instrumental Activities Of Daily Living (IADLs)

NEEDS: Some help Much help

Bathing Dressing Grooming Toileting Eating a nutritious diet Getting out of bed Getting out of chair Walking

Using the telephone Shopping for personal items Transportation Managing money Doing laundry Light housework Preparing meals

Conditions/Functional Status
None EFFECT: Some Major None EFFECT: Some Major

If you decide on a path of care, ask the agency for a care plan specifically based on your loved ones physical needs, cognitive needs and goals.

Hearing Vision Perception Orientation Thinking Memory Decision making Judgment Physical dexterity Balance

Strength Energy Bladder/bowel control Arthritis Hypertension Heart disease Diabetes Physical deformity Depression

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Have a family member accompany your loved one to as many medical appointments as possible. This allows them to serve as another set of eyes and ears, and become a patient advocate if necessary.

Home Safety Checklist for Adult Caregivers

Use this checklist to make sure that your loved ones home doesnt pose any health or safety hazards.

General
Find someone to check on the individual daily. Schedule vision check. Discuss medications with physician  to determine effects on balance. Establish light exercise routine.

Bathroom
Ensure grab bars near the tub, shower  and toilet are mounted properly. Place non-slip surfaces in the tub  or shower. Place nightlight near room entrance.  A  dd non-slip backing to rugs or bathmats on the floor. Add shower/tub bench or seat.

All Rooms
Remove loose carpeting or rugs that  do not have a non-slip backing. Clear traffic areas of furniture. Tape electrical cords and other wires  against walls. Install bright lighting with switches  and working light bulbs. Place telephones on tables at a height  that can be reached from the floor.

Bedrooms
Place non-tip lamp on bedside table  to allow room for eyeglasses. Clear traffic area from bedroom  to bathroom. Use a comfortable, sturdy chair to  aid in dressing.

Stairs and Inclines

Keep free of items. C  lear plenty of room to move at top and bottom. R  epair loose carpeting or edges. Securely attach handrails at the proper  height for user. Install proper lighting on all steps,  including switches at top and bottom of stairs.
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Kitchen
Place items where they can be  reached without the use of a stool. Create area to sit during  food preparation. Repair flooring which has cracks,  splits or up-turned edges.

Step 3:

Get help if you need it.

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Right at Home
Can Help
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Right at Home offers caregiving services for almost any family and practically any situation. We have more than 200 offices that serve thousands of clients across the United States. The Right at Home difference is found in our process. In very little time, were able to assess and understand your loved ones unique situation and recommend a custom plan for your particular needs. This gets your loved one the care he or she needs as soon as possible.

The Initial Call and Meeting

From the moment you call, we begin considering the specific needs of your loved one. We ask questions during your call to form a basic needs assessment. Then we set up an in-home visit with your family, including your loved one who will ultimately receive our care. This visit enables us to gather even more information, answer questions and help your family understand how Right at Home can help.

The Custom Care Plan

After our initial meeting, well develop a Custom Care Plan for your loved one. We make detailed recommendations on exactly what kind of services we feel would benefit your loved one and tailor a plan specific to his or her needs. We then review the Custom Care Plan in detail and modify it as you see fit.

Caregiver Matching
Once you approve the Custom Care Plan, we begin our search for the right person to implement that care. Our system finds a caregiver for your loved one by taking numerous factors into consideration: the services needed, your loved ones interests and the personalities of both your loved one and the potential caregivers. By looking at the whole situation, were able to provide the most appropriate caregiver possible. Of course, if you ever have any concerns about a specific caregiver, we can search for and provide a replacement in very little time.

Care Supervision
Every Right at Home caregiver goes through an extensive interview process, including background checks. Once hired, caregivers are trained through Right at Home University to ensure that theyre able to deliver the care set out in your loved ones Custom Care Plan. Before providing care, theyre bonded and insured. Local Right at Home team members stay in touch with caregivers to ensure things are going well. Those team members also make unannounced visits to the homes of those who are in our care to ensure caregivers are following the specifics of the Custom Care Plan.

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Care Services
Right at Home offers caregiving services for almost any family and practically any situation. Our in-home care lets loved ones enjoy healthy lives in the comfort of a familiar environment. We tailor our care to your familys unique situation through a Custom Care Plan. These individualized care programs include whatever your family needs from any of our care categories*:

Companionship/Homemaking
Light housekeeping and meal preparation can become frustrating tasks to those affected by aging. Right at Home provides assistance for numerous daily activities, as well as basic peace-of-mind services:
Safety supervision Transportation  Socialization Cognitive stimulation Home monitoring Cooking Light housekeeping Organization Laundry services R  espite care for

family caregivers

Physical Assistance
For those suffering from the physical effects of aging, Right at Home can help throughout the day in a number of ways:
Ambulatory assistance Dressing  Positioning in chair or bed T  ransfer between

bed and chair  Wheelchair assistance

Hygiene
As limitations evolve, basic hygiene can become a challenge. No matter what level of assistance your loved one needs, we can accommodate:
B  athing and Shaving with electric razor Oral hygiene Toilet and incontinent care

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showering assistance Bed baths Grooming

* N ot all services are available in every location. For a full list of available services in your area, check with your local Right at Home office.

Wellness
Our caregivers can provide services that help your loved one stave off or delay further effects of aging, both physical and mental. We can help foster wellness with services that include:
 Light exercise program Safety supervision Cognitive stimulation

development Meal planning  Medication reminders

Skilled Nursing
In those locations that have medically trained staff, we can provide a level of in-home care not found within many other home care companies:
 Visiting nurses Medication set-up  Medication administration I .V.-related therapies Wound care  Dressing changes Catheter care Ostomy/Colostomy care Tube feeding assistance Skilled hospice support

and administration Insulin injections

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* N ot all services are available in every location. For a full list of available services in your area, check with your local Right at Home office.

Special Care Situations

Caring for a loved one who has special needs due to an illness or injury can be overwhelming, which makes Right at Home perfect for either full-time care or respite. Our caregivers can accommodate numerous special physical and mental situations. With our in-home care services, your loved one will receive a customized care regimen that takes those needs and their environment into account. Some of these special care situations include*:

Alzheimers and other dementia

Most Alzheimer's patients particularly those in the early and middle stages of the illness can be cared for at home and dont require nursing homes or other facilities. In fact, more than half of all diagnosed Alzheimer's patients continue to live in home settings. Right at Homes services offered to those who suffer from Alzheimers include: Familiar frame of reference Continuity of daily routines and schedule Freedom to move about in a familiar, unrestricted space M  inimal stress that can aggravate the symptoms of Alzheimers and dementia D  aily orientation to time, place and people

Osteoarthritis
Osteoarthritis can lead to frustration, weariness and depression when a person can no longer perform simple, daily tasks with ease. But in most cases, people with osteoarthritis can lead full, active lives by properly managing the condition. Right at Home can help alleviate some of the pressures of daily living by offering:
 Meal preparation  Light housekeeping  Shopping   Laundry A  ssisting with recreational activities

Hypertension/stroke recovery
The best strategy for controlling and preventing high blood pressure is to begin with lifestyle changes. For seniors, this often means a combination of light exercise and medication. Right at Home can prepare a customized hypertension program to promote a healthier lifestyle, including:
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 Development of a light exercise schedule  Coordination of a healthy meal plan  Shopping

  Meal preparation  Medication reminders/ set-up/administration

* N ot all services are available in every location. For a full list of available services in your area, check with your local Right at Home office.

Diabetes
If your loved one is one of the more than 20 million Americans who suffer from diabetes, Right at Home can help manage the disease through:  Education of what affects blood glucose levels  Coordination of a healthy meal plan  Development of a light exercise schedule S  hopping M  eal preparation M  edication reminders/set-up/ administration

Heart disease
Right at Home has extensive experience in prevention and care when it comes to managing heart disease. We can customize a program for your loved one that:  Develops and/or implements a heart healthy diet (including shopping and meal preparation, if necessary)  Monitors and/or administers medication Helps  with the daily activities of living (such as Homemaking and Hygiene) A  ssists with physician-prescribed exercises

Neuromuscular diseases and disorders

Neuromuscular conditions are complex because they can affect both motor skills and cognition. Regardless of the particular disease/disorder or the extent of its progression, Right at Home caregivers can help by offering:  Safety supervision  Ambulatory assistance  Getting dressed  Grooming   Light housekeeping  Laundry services M  edication reminders C  ognitive stimulation

Cancer recovery
Many cancer patients feel more comfortable receiving care at home so that theyre not separated from family, friends and familiar surroundings. But cancer is a condition that can change relationships and require families to address new issues.
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In-home care is often a great way to alleviate some of the pressures of family caregiving when it comes to cancer, allowing you to focus on emotional support instead of the details of daily activities. Right at Home caregivers can help with any of the care services, as well as supplement any hospice care.

* N ot all services are available in every location. For a full list of available services in your area, check with your local Right at Home office.

Hospice/palliative support
Whether you and your family are simply trying to relieve someones pain during a serious illness or whether youre trying to provide end-of-life care, it can produce a lot of stress for family members involved in caregiving. Right at Home can give you and your family a respite from the daily tasks that seem to build. From light housekeeping to meal preparation, Right at Home caregivers can provide support during trying times. In addition, we work with Hospice and palliative care agencies to further support your needs and those of your loved one.

Mental health
Regardless of age or physical ability, some people who suffer from mental health disorders become homebound during their recovery. Anxiety, Post-Traumatic Stress Disorder (PTSD) and depression can all easily affect entire families, not just those who are diagnosed. Right at Home can provide numerous services that help families do more than just survive a loved ones struggle with the effects of a mental health disorder. We can be a large part of helping a family thrive on their path of recovery. We can also help when mental health is a concern for seniors who are coping with the reality of becoming homebound.

Traumatic brain injury

Right at Home can help families who find themselves coping with the unexpected effects of a sudden injury to the brain. Whether its helping a family establish new routines immediately after the injury or providing respite to families who have established a system of care, Right at Home has numerous services that can help. If there are any medical needs, skilled nursing is available in many areas.

Paraplegia/quadriplegia
Right at Home provides numerous services to loved ones who have a spinal cord injury and need a wheelchair for daily living. Our caregivers can help someone adjust to a new living situation directly after a spinal cord injury. They can also continue to assist with any household tasks that are complicated by an injury. For quadriplegia, caregivers can assist in a family members daily hygiene. And if there are any medical needs, skilled nursing is available in many areas.
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* N ot all services are available in every location. For a full list of available services in your area, check with your local Right at Home office.

More Resources

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Resources and Options Available to Adult Caregivers

Making the choice to provide formal care for a loved one is a brave and difficult decision, but you dont have to do it alone. There are resources available in most communities that will help you undertake the task of finding care for an elderly or disabled loved one.

If I want my loved one to be cared for at home, what are my options?

A trusted family member, friend or neighbor could be a cost-effective option. And you could always hire additional paid caregivers to supplement care. However, if you hire an individual who isnt associated with a home care agency, keep in mind that you assume employer responsibilities. Most homeowners insurance policies exclude injury to privately hired caregivers, and many of those caregivers arent bonded or insured, so youd be legally and financially responsible for many of their actions and responsible for the tax obligations. You could also hire a private duty home care agency to provide services to your loved one. You should ask for proof that they perform background checks on their caregivers, as well as any required licensing. They should inform you of how they train their staff and whether or not they have 24-hour emergency scheduling services.
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How do I pay for home care services?

Medicare, Medicaid and most employer-sponsored HMO and PPO plans will only reimburse you for intermittent visits from a home care nurse on a temporary basis and only when your loved one has a specific qualifying medical diagnosis. In general, these types of insurance policies are not designed to pay for ongoing, hourly caregiving services that are classified as Long-Term Care. (Use the Official Medicare Eligibility Tool at www.medicare.gov/LongTermCare/Static/Medicare.asp to learn more.) That said, there are many other financial options available to you in order to pay for ongoing care services: L  ong-term care insurance R  everse mortgages E  mployer-sponsored Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA) E  mployee-sponsored caregiving stipends, such as Back-Up Care programs for employees who are adult caregivers and travel for work Family trust funds W  orkers compensation insurance C  atastrophic auto insurance S  tate-subsidized home- and communitybased services, often referred to as Medical Waiver programs. (Age and income qualifications apply.) Veterans  Aid and Attendance

If your loved one doesnt require too much physical and medical care, many areas have adult day care centers. These are often a lower-cost option than private home care services.

Powers of Attorney
Terms and formats differ from state to state, but there are typically two types of powers of attorney. One is for managing finances, the other for managing healthcare.

Healthcare Power of Attorney

Healthcare power of attorney becomes active only when an individual is so ill that he or she cant make or communicate a healthcare decision to his or her physicians. For example: if someone goes into a coma, that persons agent has power of attorney to make medical decisions for that person. Likewise, if a person develops dementia which impairs the persons understanding and judgment, a power of attorney would be consulted for medical decisions. Do not assume that family members automatically have the right to make these types of decisions. Family members are not given powers of attorney by default. Most state laws are quite vague about who is permitted to make medical decisions for another person. A valid power of attorney clarifies the decision-maker for physicians. And when issues such as life support or terminal illness are involved, clarification becomes incredibly important. More than one agent can be named. If this happens, there is typically an order assigned to agents in terms of whos contacted and when. Often, a family member who lives nearby is named the primary agent, but an out-of-town family member could be named as a second agent in case physicians are unable to locate the primary agent in an emergency.

Financial Power of Attorney

Financial power of attorney allows a person to nominate a person (or persons) to manage legal and/or financial matters. Once a power of attorney is executed, both the person and his or her agent have access to the persons finances. They share authority to manage the finances but the person retains ownership of the assets. To nominate agents for financial powers of attorney, you can often use simple stateapproved short forms or a person may state in lengthy text the exact powers being granted. The best solution depends on the individual situation.

Learn More
To learn more about powers of attorney, contact an elder law attorney in your area through the National Academy of Elder Law Attorneys ( www.naela.org). Consult with any of these attorneys to discuss your needs and concerns. Laws regarding powers of attorney are different in every state, so consulting an experienced attorney is very important.

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Questions to Ask When Hiring a Caregiver

If you decide on home care, there are several questions you should ask the home care agency to ensure your family and loved one remain safe, healthy and happy:  If the caregiver becomes ill, goes out of town or is otherwise unavailable, what are the alternative arrangements?  Who pays the caregivers federal and state taxes, Social Security (FICA) and unemployment insurance so that our family is not legally responsible?  C an you verify that the caregivers are legally able to work in the United States?  If the caregiver is injured at a clients residence, who is responsible? (Many homeowners insurance policies exclude injuries to domestic employees, so the caregiver should be covered by workers compensation insurance.) D  o you perform criminal background checks and state abuse registry checks? Do you check caregivers references from prior work history? A  re you bonded and insured in case of injury or theft? H  ow do you document that your services were indeed completed?

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Adult Caregiving Resource Links

When caring for a loved one, theres no such thing as too much information. Hopefully, these links can provide even more information about caring for your loved one and his or her specific needs.

Aging
American Society on Aging

Caregiving
Right at Home Newsletter

Health/Medical
Alzheimers Association

www.asaging.org www.ncoa.org

www.caringnews.com

www.alz.org

National Council on Aging National Resource Center on Nutrition, Physical Activity and Aging National Association of Area Agencies on Aging

Direct Care Alliance, Inc.

www.directcarealliance.org
Family Caregiver Alliance

American Association for Respiratory Care

www.aarc.org

www.caregiver.org

American Cancer Society

nutritionandaging.fiu.edu

Kaiser Family Foundation

www.cancer.org

www.kff.org

American Diabetes Association

www.n4a.org

National Association of Professional Geriatric Care Managers

National Clearinghouse on the Direct Care Workforce

www.diabetes.org

www.directcare clearinghouse.org

American Heart Association

www.americanheart.org

www.caremanager.org

American Lung Association

National Family Caregivers Association

www.lungusa.org

www.nfcacares.org

American Stroke Association

Government
Administration on Aging

www.strokeassociation.org

National Guardianship Association, Inc.

National Parkinson Foundation

www.aoa.gov

www.guardianship.org
National Private Duty Association

www.parkinson.org
National Alliance for Hispanic Health

Centers for Medicare and Medicaid Services

www.cms.gov
Adult Caregiving Guide | Page 22

www.privateduty homecare.org
Third Age

www.hispanichealth.org
National Organization on Disability

U.S. Government/ Senior Citizens Resources

www.seniors.gov
United We Ride

www.thirdage.com

www.nod.org

American Hospice Foundation

www.unitedweride.gov

www.americanhospice.org

Right at Home provides in-home care services to clients and equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, disability, or other protected class, in compliance with all applicable federal, state and local laws. Each Right at Home office and business is independently owned and operated under a franchise agreement with Right at Home, Inc. For comments, questions or to learn more about Right at Home, please visit www.rightathome.net.