Tuesday, November 26, 2019

Support for Caregivers in the Baltimore (Bayview) area

Called to Care®: A Program For Family Caregivers

As a family caregiver, you may think the support you provide—helping your mother purchase and organize her medications, or taking a friend to his doctors’ appointments—is small in the grand scheme of things. But, the truth is you play a critical role in the health and well-being of your loved one, which is just as important as the care provided by doctors and nurses.

We want to begin by recognizing your valuable contributions and saying, “Thank you.” We sincerely appreciate all that you do. More importantly, we want to remind you that you are not alone. Just as you are there to care for your loved one, there are many individuals and organizations available to help you.

At Johns Hopkins Bayview, we recognize the importance of family caregivers, as well as the physical and emotional stresses that can accompany caregiving. For this reason, we have created Called to Care®, a program that prepares and supports individuals caring for loved ones with health-related needs or limitations. The program, which received funding from the Weinberg Foundation, offers assistance in several ways: supportive services, education, and community organizations and agencies.

\

Friday, November 1, 2019

Caregivers: Caring for Yourself

Taking care of yourself—physically and mentally—is one of the most important things you can do as a caregiver. This could mean asking family members and friends to help out, doing things you enjoy, or getting help from a home health care service. Taking these actions can bring you some relief. It also may help keep you from getting ill or depressed.

Ways to Take Care of Yourself

Asking for Help
Everyone needs help at times. However, many caregivers find it hard to ask for help. They may feel they should be able to do everything themselves, or that it's not all right to leave the person in their care with someone else. Or maybe they can't afford to pay someone to watch the person for an hour or two.

Here are some tips about asking for help:
  • Remind yourself that it's okay to ask for help from family, friends, and others. You don't have to do everything yourself.
  • Ask people to help out in specific ways, like making a meal, visiting the person, or taking the person out for a short time.
  • Call for help from home health care or adult day care services when needed. To find providers in your area, contact Eldercare Locator.
  • Use national and local resources to find out how to pay for some of this help or get respite care services.
You may want to join a support group of Alzheimer's disease caregivers. These groups meet in person or online to share experiences and tips and give each other support. Ask your doctor, check online, or contact the local chapter of the Alzheimer's Association.

What If Something Happened to You?
  • It is important to have a plan in case of your own illness, disability, or death.
  • Consult a lawyer about setting up a living trust, durable power of attorney for health care and finances, and other estate planning tools.
  • Consult with family and close friends to decide who will take responsibility for the person with Alzheimer's. You also may want to seek information about your local public guardian's office, mental health conservator's office, adult protective services, or other case management services. These organizations may have programs to assist the person with Alzheimer's in your absence.
  • Maintain a notebook for the responsible person who will assume caregiving. Such a notebook should contain the following information:
  • Emergency phone numbers
  • Current problem behaviors and possible solutions
  • Ways to calm the person with Alzheimer's
  • Assistance needed with toileting, feeding, or grooming
  • Favorite activities or food

Preview board and care or long-term care facilities in your community and select a few as possibilities. Share this information with the responsible person. If the person with Alzheimer's disease is no longer able to live at home, the responsible person will be better able to carry out your wishes for long-term care.

Coping with Emotions and Stress
Caring for a person with Alzheimer's takes a lot of time and effort. Your job can become even harder when the person gets angry with you, hurts your feelings, or forgets who you are. Sometimes, you may feel discouraged, sad, lonely, frustrated, confused, or angry. These feelings are normal.

Here are some things you can say to yourself that might help you feel better:
  • I'm doing the best I can.
  • What I'm doing would be hard for anyone.
  • I'm not perfect, and that's okay.
  • I can't control some things that happen.
  • Sometimes, I just need to do what works for right now.
  • I will enjoy the moments when we can be together in peace.
  • Even when I do everything I can think of, the person with Alzheimer's disease will still have problem behaviors because of the illness, not because of what I do.
  • I will try to get help from a counselor if caregiving becomes too much for me.

Share this infographic and help spread the word about caring for yourself while caring for others.
Some caregivers find that going to a church, temple, or mosque helps them cope with the daily demands placed on them. For others, simply having a sense that larger forces are at work in the world helps them find a sense of balance and peace. For more information on coping, explore these resources for relieving stress and anxiety for Alzheimer's caregivers.

Getting Professional Help
Mental health professionals and social workers help you deal with any stress you may be feeling. They help you understand feelings, such as anger, sadness, or feeling out of control. They can also help you make plans for unexpected or sudden events.

Mental health professionals charge by the hour. Medicare, Medicaid, and some private health insurance plans may cover some of these costs. Ask your health insurance plan which mental health counselors and services it covers. Then check with your doctor, local family service agencies, and community mental health agencies for referrals to counselors.

More Tips for Self-Care
  • Here are other things to keep in mind as you take care of yourself:
  • Understand that you may feel powerless and hopeless about what's happening to the person you care for.
  • Understand that you may feel a sense of loss and sadness.
  • Understand why you've chosen to take care of the person with Alzheimer's disease. Ask yourself if you made this choice out of love, loyalty, a sense of duty, a religious obligation, financial concerns, fear, a habit, or self-punishment.
  • Let yourself feel day-to-day "uplifts." These might include good feelings about the person you care for, support from other people, or time spent on your own interests.

Read about this topic in Spanish. Lea sobre este tema en espaƱol.


For More Information About Caring for Yourself
NIA Alzheimer’s and related Dementias Education and Referral (ADEAR) Center 
1-800-438-4380 (toll-free)
adear@nia.nih.gov
www.nia.nih.gov/alzheimers

The National Institute on Aging’s ADEAR Center offers information and free print publications about Alzheimer’s disease and related dementias for families, caregivers, and health professionals. ADEAR Center staff answer telephone, email, and written requests and make referrals to local and national resources.

Family Caregiver Alliance 
1-800-445-8106 (toll-free)
info@caregiver.org
www.caregiver.org


Eldercare Locator 
1-800-677-1116 (toll-free)
https://eldercare.acl.gov


National Alliance for Caregiving 
1-301-718-8444
info@caregiving.org
www.caregiving.org

SEE ME at the Smithsonian (a special program for caregivers and their loved ones with Dementia)

Individuals with dementia and their care partners can discuss and engage with art during
free in gallery experiences.

Wednesday November 6
2pm - 3pm
Smithsonian American Art Museum

Wednesday November 20
2pm - 3.30pm
Free Gallery of Art

Tuesday November 26
2pm - 3.30pm
National Museum of African Art

Save the Dates
Wednesday December 11
10am - 11.30am
National Portrait Gallery

Thursday December 19
2pm - 3.30pm
National Museum of American History



Space is Limited
Registration is Required

Contact:
Call: 202-633-2921
Email: access@si.edu



Kensington Cares ....for the Caregiver

Community Discussion on Wednesday November 13
6.30pm Service
7pm Light supper and panel

Location:
Christ Church Kensington - 4001 Franklin Street.

Ask questions, find support and learn about available resources

Panel includes:
Linda Hill - Associate Director of Aging Network Services
"Navigating the network of eldercare services"

Julia Abate, Montgomery County Respite Services
"Accessing services available through local agencies"

Pazit Aviv, Village Coordinator for Montgomery County Aging and Disability Services
"Exploring the Village concept for aging in place"

Moderator: The Rev. Emily Guthrie, Rector Christ Church

For additional details and to RSVP contact:
Winnie Holbrooke
301-509-8097
winhobrooke@gmail.com




Montgomery College - Life Long Learing

Opportunities for 50+ Learners to Learn, Work, Engage
Lifelong Learning Institute is committed to creating and fostering a variety of intellectually stimulating educational opportunities for Montgomery County residents age 50 and over. However, adults of any age may register for these classes. Students age 60+ pay fee only for courses.There are more than 140 classes held throughout the county, either on a campus or at other facilities such as county libraries or high schools. Check the Lifelong Learning Brochure or the Schedule of Lifelong Learning classes to see which classes are offered this semester. Classes vary every semester. Want to learn more about classes and special events? Join the Lifelong Learning Mailing list and we will send you quarterly updates.

Click here to visit Montgomery College's Life Long Learning Institute program

Oasis - Montgomery County , Fall classes

Oasis is a pioneer in healthy aging


Founded in 1982, Oasis is a non-profit educational organization that is active in over 250 communities and reaches more than 50,000 individuals each year.

The Oasis mission is to promote healthy aging through lifelong learning, active lifestyles and volunteer engagement.

The Oasis vision is to see that adults age 50 and older across the country have opportunities to pursue vibrant, healthy, productive and meaningful lives.
Oasis seeks to positively impact their lives through partnerships to share knowledge, offer evidence- and research-based programs, conduct evaluations and adapt to meet the needs of diverse audiences.
Oasis puts into practice the landmark MacArthur Foundation study of successful aging. Researchers Rowe and Kahn found that the key ingredients for a high quality of life are maintaining a low risk for disease, a high level of engagement with the community and high physical and cognitive function, and “it is the combination of all three that represents the concept of successful aging fully.”


Oasis is located at Westfield Montgomery Mall and offers classes at that location and in other places in the county.

Macy's Home Store (2nd floor)
7125 Democracy Blvd
Bethesda, MD 20817
(301) 469-6800, press 1, x211

Live and Learn Bethesda - Fall 2019

Live and Learn Bethesda's Fall 2019 catalog offers interesting and stimulating new speakers and class
topics. Broaden your horizons through a variety of topics including the Arts, Music, History, Literature, Exercise, Computers and more. All designed for older adults and those young at heart.

Classes include:
  • Weekly exercise
  • Popular Culture
  • Field Trips
  • Health and Wellness
  • Aging in Place



Live & Learn Bethesda is located in downtown Bethesda
With access to affordable parking garages
Second Floor
4805 Edgemoor Lane
Bethesda, Maryland 20814
Phone: 301-740-6150

OASIS - New Caregiver Support Group Series - Register for January 2010 series

Washington Metro Oasis hosts is popular FREE Caregiver Support Series, starting up
again in January 2020, 10.30am-12noon.

This caregiver support series will offer a place to learn from the experiences of others and encourage those who are in similar circumstances. The sessions will be facilitated by compassionate professionals.

Some sessions will spotlight expert guest speakers on a variety of topics to support the caregiver journey.  Most sessions will allow time for questions and group discussion.

This group is strictly for those who are in a caregiver role.

This series is sponsored by Family and Nursing Care.

Registration is required.

REGISTRATION DETAILS;
Call: 301-469-6800
Press 1, then extension 211
(ask for class #302)

Free Class

Email: washingtonmetro@oasisnet.org
Website: oasisnet.org/washington-DC-area




Ask the Expert: Challenges when Caring for Someone with Dementia

Guest Speakers: Sarah Temm and Christine Green of Onley Assisted Living will discuss the challenges caregivers face when caring for someone with dementia.

Date: Tuesday November 19
12noon - 1pm

 Registration opens at 11.30am 

Location: Onley Assisted Living - 16940 Georgia Avenue, Onley

For more details,  call:Christine on 301-570-0525



Early-Stage Social Engagement Programs - Memory Cafes

Alzheimer’s Association Memory Cafes offer a fun and relaxed way for people living with early-
stage memory loss to get connected with one another through social events that promote interaction and companionship.

Pre-registration required. Please contact Sheila Griffith at 240.844.3608 or sagriffith@alz.org

Rockville Senior Center 1150 Carnation Dr, Rockville, MD 20850
1st & 3rd Mondays, 12:00-1:00pm

Leisure World of Maryland 3700 Rossmoor Blvd, Silver Spring, MD 20906
Last Thursday of each month, 2:00 – 3:30 PM

White Oak Community Recreation Center
1700 April Lane, Silver Spring, MD, 20904
2nd Thursdays, 10:00 – 11:30am

Olney Library 3500 Olney Laytonsville Rd, Olney, MD 20832
4th Wednesdays, 3:30-5:00pm

Oasis at Macy’s Home Store 7125 Democracy Boulevard, Bethesda, MD 20817
1st Friday 2:00-3:30



Alzheimer's Association Care Consultation Services Feel overwhelmed and confused after a diagnosis of Alzheimer's disease or dementia? We're here to help. Our care consultation services are designed to provide you and family support in coping with dementia (form pre-diagnosis to end-of-life). You will receive one on one advice to better understand the disease, to manage care, and to make more informed treatment decisions.

Questions: please call Sheila Griffith, Program Manager, Montgomery County-240-844-3608 or email: sagriffith@alz.org

Alzheimer’s Association - National Capital Area Chapter - Support Groups

Peer-led groups for caregivers and others dealing with Alzheimer's disease. All support groups are
facilitated by trained individuals. Many locations offer specialized groups for children, individuals with younger-onset specialized groups from children, individuals with younger-onset and early-stage Alzheimer's, adult caregivers and others with specific needs.

Bradley Hills Presbyterian Church | 6601 Bradley Boulevard, Bethesda, 20817 | 1st and 3rd Friday at 11:45 a.m. | Elaine Byergo 301.906.2520, Lynn Meltzer 301.530.3551

Brighton Gardens of Friendship Heights | 5555 Friendship Blvd, Chevy Chase, 20815 |
2nd Saturdays at 10:30 a.m. | Terri Adams and Nicoline Rademacher 301.656.1900

Gaithersburg Library | 18330 Montgomery Village Ave, Gaithersburg, MD, 20879 | 2nd and 4th Thursdays at 6:30 p.m. | Kim Painter kim.alzassoc@gmail.com 301.467.2157, Joan Quinlan joan.alzassoc@gmail.com, 301.401.3145

Arden Courts of Kensington | 4301 Knowles Avenue, Kensington, 20895 | 1st Tuesday at 6:30 p.m. |Agnes Collins 301.598.4118

Sunrise of Rockville | 8 Baltimore Rd, Rockville, 20850 | 3rd Tuesdays at 7:00 p.m. | Carole Ashendorf: csa9606@gmail.com 281.216.0940

Brooke Grove Rehab and Nursing | 18131 Slade School Road, Sandy Spring, 20860 |
3rd Wednesday at 3:30 p.m. | Bill Neely 301.924.5176 ext 1312, Laura Rounds 301.260.2300

Arden Courts of Silver Spring | 2505 Musgrove Road, Silver Spring, 20904 | 1st Tuesday at 2:30 p.m. | Wendy Johnson 240.413.8690

Holy Cross Resource Center | (Three groups for adult children) | 9805 Dameron Drive, Silver Spring, 20902 | Mondays at 6:00 p.m., Tuesdays at 3:00 p.m., Thursdays at 10:00 a.m., | Sister Kathy Weber 301.754.7152

Holy Cross Resource Center | (Three groups for spouses) | 9805 Dameron Drive, Silver Spring, 20902 | Wednesdays at 10:00 a.m., Thursdays at 3:00 p.m., Fridays at 10:00 a.m. | Sister Kathy Weber 301.754.7152

Leisure World on Georgia Avenue | Interfaith Chapel Library, 3680 South Leisure World Boulevard, Silver Spring, 20906 | 1st and 3rd Wednesday at 3:00 p.m. | Sunny Grunder 301.438.2446, Christina Green 301.570.0525

Arden Courts of Potomac | 10718 Potomac Tennis Lane, Potomac, 20854 | 3rd Tuesday at 3:00 pm | Andrew Ryan 240.389.4890




Alzheimer's Association Care Consultation Services Feel overwhelmed and confused after a diagnosis of Alzheimer's disease or dementia? We're here to help. Our care consultation services are designed to provide you and family support in coping with dementia (form pre-diagnosis to end-of-life). You will receive one on one advice to better understand the disease, to manage care, and to make more informed treatment decisions.

Questions: please call Sheila Griffith, Program Manager, Montgomery County-240-844-3608 or email: sagriffith@alz.org











Alzheimer’s Association - National Capital Area Chapter - Education Programs


November 4th 11:00 am – 12:00 pm Understanding Alzheimer’s and Dementia
Alzheimer’s disease is not a normal part of aging. It is a progressive and fatal brain disease that is the most common form of dementia. This workshop is for anyone who would like to know more about how Alzheimer’s affects the brain, detection, causes and risk factors, stages of disease, treatment and
Bedford Court, 3701 International Drive, Silver Spring, MD 20906

November 8th 2:00 pm – 3:00 pm Understanding Alzheimer’s and Dementia Alzheimer’s disease is not a normal part of aging. It is a progressive and fatal brain disease that is the most common form of dementia. This workshop is for anyone who would like to know more about how Alzheimer’s affects the brain, detection, causes and risk factors, stages of disease, treatment and much more.
5 Star Premier Residences, 8100 Connecticut Ave. Chevy Chase, MD 20815

November 11th 1:00 pm – 2:00 pm Effective Communication Strategies Communication is more than just talking and listening-it is also about sending and receiving message through attitude, tone of voice, facial expressions and body language. This workshop explores how communication takes place when someone has Alzheimer’s. Learn to decode the verbal and behavioral messages delivered by someone with dementia and identify strategies to help connect and communicate at each stage of the disease.
Liberty Grove United Methodist Church, 15225 Old Columbia Pike, Burtonsville, MD 20866

November 16th 10:30 am – 11:30 am 10 Warning Signs of Alzheimer’s If you or someone you know is experiencing memory loss or behavioral changes, it’s time to learn the facts. This workshop is for everyone. It provides compelling information about Alzheimer’s disease, a greater understanding of the difference between age-related memory loss and dementia and what to do if you see signs of Alzheimer’s.
Maggie Nightingale (Poolesville) Library 19633 Fisher Ave. Poolesville, MD 20837

November 16th 11:30 am – 12:30 pm Living with Alzheimer’s for persons with younger-onset Alzheimer’s
When someone under 65 years old is diagnosed with Younger-onset Alzheimer’s disease, the first reaction is often disbelief. This workshop provides answers to the questions that arise for people concerned about Younger-onset Alzheimer’s disease. Hear from those directly affected and learn what you need to know, what you need to plan and what you can do to ease the impact throughout the course of the disease.
Maggie Nightingale (Poolesville) Library 19633 Fisher Ave. Poolesville, MD 20837

November 16th 2:00 pm – 3:00 pm Dementia Conversations This workshop will offer tips on how to have honest and caring conversations with family members about going to the doctor deciding when to stop driving and making legal and financial plans. The program reinforces the need to plan ahead and build a care team that communicates well and connects families to resources to enhance quality of life for everyone involved.
Rockville Memorial Library, 21 Maryland Ave., Rockville, MD 20850

November 19th 1:00 pm – 2:00 pm Understanding Alzheimer’s and Dementia Alzheimer’s disease is not a normal part of aging. It is a progressive and fatal brain disease that is the most common form of dementia. This workshop is for anyone who would like to know more about how Alzheimer’s affects the brain, detection, causes and risk factors, stages of disease, treatment and much more.
Damascus Senior Center, 9701 Main St., Damascus, MD 20872

November 20th 6:30 pm – 7:30 pm Dementia Conversations
This workshop will offer tips on how to have honest and caring conversations with family members about going to the doctor deciding when to stop driving and making legal and financial plans. The program reinforces the need to plan ahead and build a care team that communicates well and connects families to resources to enhance quality of life for everyone involved.
Kensington Park Library, 4201 Knowles Ave, Kensington, MD 20895


All classes are open to the public unless indicated otherwise and do not require registration


Alzheimer's Association Care Consultation Services Feel overwhelmed and confused after a diagnosis of Alzheimer's disease or dementia? We're here to help. Our care consultation services are designed to provide you and family support in coping with dementia (form pre-diagnosis to end-of-life). You will receive one on one advice to better understand the disease, to manage care, and to make more informed treatment decisions.

Questions: please call Sheila Griffith, Program Manager, Montgomery County-240-844-3608 or email: sagriffith@alz.org






American Muslim Senior Society - Community Celebration

Please join the American Muslim Senior Society in their 2019 celebration!

Sunday, November 3, 2019
12 - 4 p.m.

Location: Silver Spring Civic Building
1 Veterans Place, Silver Spring, MD

  • Celebrate the success of AMSS Certified Nurses
  • Assistant’s Initiative
  • Hear about the ongoing innovations of this unique
  • public private partnership program
  • Learn from experts about available long-term care
  • services and support
  • Discover community resources to support older
  • adults and caregivers
  • Visit community exhibits featuring a wide array of
  • services
  • Experience cultural diversity in action
  • Enjoy cultural entertainment and free Middle
  • Eastern delicacies!


RSVP by October 27, 2019 ⤑ https://amss-celebration.eventbrite.com

Questions?
email Lorena@amssmd.org - call 301-785-3752

Parking is free in Town Square or
Wayne Avenue Garage. Metro:

Convenient to Silver Spring Station.

American Muslim Senior Society undertakes research, analysis and program developed that provides>

  • Community Solutions Across Generations
  • Multi-Cultural Options for Older Adults and Caregivers
  • Diversity and Partnership in Action
  • Supporting Caregivers and Empowering Older Adults

Clinic Trials

Are you interested in Clinic Trails for Alzheimer's.

The County's Caregiver Support program will host in 2020 an information session with opportunity for community members to learn more about clinical trials and ask "no strings attached" questions of expert speakers.
We will promote this event via the County's Caregiver Blog.

In the meantime.Local Alzheimer's research non profit: BrightFocus Foundation has shared the following information that is fascinating.

Learn about a hypothetical 65 year-old female in Clarksburg interested in finding an Alzheimer’s-related trial nearby. Click here

BrightFocus has an online information guide about clinic trails, click here

BrightFocus also published expert fact sheets about Alzheimer's Disease 

November 2019 Parkinson's Foundation Support Groups


The Parkinson Foundation of the National Capital Area invites caregivers to the Silver Spring/Riderwood Support Group.  

It meets in the Lakeside Classroom the first Thursday of the month at 12:30 p.m., 3120 Gracefield Road, Silver Spring, MD 20904.  

For more information contact Michelle Ferguson at (301)572-8393. For information on PFNCA’s support groups in Bethesda, Sandy Spring, Chevy Chase, Rockville, and Silver Spring, please visit www.parkinsonfoundation.org.

A Guide to Caregiver Supports - in Montgomery County - new publication

Montgomery County Cares about Caregivers

Caregivers are a vital part of the community - they are unpaid family, friends, partners, colleagues, neighbors, members of faith communities and volunteers. Research has proven when caregivers receive support, they can better maintain their own health and be more effective as a care partner.

Montgomery County's Caregiver Support Program's "A Guide to Caregiver Supports - in Montgomery County",  presents a range of practical resources for caregivers. County and community-based services are available to help caregivers, these include: support groups; in-home assistance; relief with day to day chores; enrichment activities; education and connection with other caregivers.

Chronic Illness Support Group

Second Thursday of every month 4:00 to 5:00pm. 


Many people live with chronic illness, such as diabetes, COPD, CHF/heart disease, stroke, kidney disease/ESRD, or sickle cell anemia. Chronic illnesses can affect all aspects of one’s life and dealing with it can become very challenging. Through support and education Ali Karpa CRNP, a cardiovascular nurse practitioner at MedStar Montgomery Medical center will lead a monthly support Group to discuss issues faced by those and their family who live with chronic illnesses. The goal is to assist patients and their loved ones in identifying and coping with these issues. 

Walk-ins welcome. 

Location: Medstar Health, 
3305 North Leisure World Blvd, Silver Spring, Md 20906. 

To register, call 301-774-8881.

Addiction and Recovery Concerned Persons Program

Addiction and Recovery Concerned Persons Program

Monday evenings 6:15pm to 7:15pm

A series of seven lectures designed to educate family members, friends and others concerned about a loved one’s substance use.

Located at Suburban Hospital Addiction and Treatment Center.
6001 Montrose Road, Suite 102, Rockville Maryland.

For more information call 301-896-6608.

Holy Cross Caregiver Resource Center

The Holy Cross Caregiver Resource Center is a wealth of information and

supportive services for caregivers. If you’re living with aging parents, or caring for a loved one or friend, the center is your go-to resource for support, education and the latest on healthy aging, and disease diagnosis and treatment.

The caregiver resource center hosts caregiver support groups, where spouses and adult children can share sorrows and problems, joys and successes, resources and solutions. The center also sponsors caregiver education classes featuring information on everything from handling your aging parent’s finances and first aid—to CPR. View caregiver classes and support group information.

The center also hosts a Caregiver Telephone Helpline at 301-754-7152 to answer questions about services and resources for caregivers.

The center’s health information library is a complimentary service that provides caregivers access to books, DVDs, audiotapes and videotapes on caregiver issues and health-related topics, as well as pamphlets, AARP publications and reprints of health-related articles. Other caregiver resources of this library include brochures from local resources, and listings of aging adult services in our community.

The center’s complimentary newsletter, Caregiver News, is published three times a year to provide you with tips, book reviews, resources, articles on care giving, and listings of the center’s upcoming seminars, lectures and support groups.


Holy Cross Caregiver NewsletterSummer 2019 Issue

ALS Association - Support Groups


The ALS Montgomery County, MD Association offers Support Groups for caregivers of a loved one who is living with ALS.

Reminder: Before attending your first resource support group, please contact the group's leader

2019 Meeting Schedule for CAREGIVER ONLY Support Group
Day: Typically 1st Saturday of Month
Time: 10:30am - 12:30 pm

Upcoming Dates
November 2
December 7
Location: 30 W. Gude Drive- Suite 150
Rockville, MD 20850

To learn more and inquire about these groups.
Facilitator: Joan Deye
Email: deyejoan@yahoo.com
Telephone: 301-938-1598


ALS VIRTUAL
Support Groups
Reminder: Before attending your first resource support group, please contact the group's leader
2019 Scheduled Meetings for People with ALS and Caregivers
Scheduled the 2nd Thursday of every month.
Time: 7:00pm-8:30pm
Location: "Join Me" Virtual Platform
Facilitators: Ellen Cochrane & Kendra Campbell, M.D.
To learn more and join the group: email: DRaneri@alsinfo.org
Telephone: 301-741-8810

Upcoming Dates
November 14
December 12
Click here to visit the ALS Association webpage




End of Life Community Supports - Caring Matters


CaringMatters was Founded as Hospice Caring in 1989 - serves children, adults and families facing life-threatening illness and experiencing the death of a loved one. CaringMatters also increases community awareness and advocacy about end-of-life concerns, advance care planning and grief. CaringMatters serves the culturally and economically diverse residents of Montgomery County, Maryland.

Their small staff and a large volunteer community provide adult and child bereavement and caregiving direct services. All volunteers are screened and have completed at least three full days of specialized training; ongoing training and support are given. Programs are regularly evaluated for their impact on people CaringMatters serves.

All services are delivered free-of-charge; none are covered by Medicare or other public or private insurances.

Caring Matters has a range of hands on help and support groups:

Hospice Care
CaringMatters is licensed by the state of Maryland as a limited hospice care program. While they do not provide medical services, there trained volunteers supplement medical hospice and support patients who are still pursuing curative treatment. All services are free of charge.

Services include but are not limited to:

Companionship and socialization
Emotional support
Respite for family caregivers
Limited transportation within Montgomery County, MD
Errands, meal preparation and other household tasks
Accompaniment on outings with ambulatory clients
Support Groups
Surviving the death of a loved one can be challenging emotionally and on a practical level. The pain and distress of grief is often misunderstood by those around us, adding to our sense of uncertainty at a vulnerable time in our life.
Support groups that are accepting new members:

Spousal/Partner Loss, Age 50-70, Gaithersburg, Monday Evening
Spousal/Partner Loss Age 50+, Gaithersburg, Monday Evening
Spousal/Partner Loss, Chevy Chase, Thursday Daytime
Spousal/Partner Loss, Silver Spring, Monday Daytime
Spousal/Partner Loss, Wheaton, Thursday Daytime
Spousal/Partner Loss, Leisure World, Alternate Tuesdays Daytime
Spousal/Partner Loss, Leisure World, Alternate Thursdays Daytime
Suicide Loss, Gaithersburg, Tuesday Evening
Parent Loss, Gaithersburg, Thursday Evening


Click here to learn more about CaringMatters and its community based supports

Email: caring@caringmatters.org
Phone: 301-869-HOPE (4673)



Caregiver Support Group, Ingleside at King Farm

The Care Partner Support Group meets every 1st and 3rd Thursdays from 6:30pm – 8:00pm at Ingleside at King Farm (701 King Farm Blvd., Rockville).

This group is available to residents and community members who are caring for loved ones with cognitive decline. The purpose of the group is to provide a space for members to:

Exchange practical information on caregiving challenges and possible solutions
Share feelings, needs and concerns in a supportive, non-threatening, non-judgmental atmosphere
Develop realistic expectations of themselves and their cognitively impaired loved ones and to understand the impact of the disease on family dynamics
Provide social contact for caregivers who feel isolated due to the demands of caregiving
Familiarize people with resources available within the IKF and the greater community
The group has been facilitated by Pamela Mills, Director of Memory Care Programs and Joan Rosenstein. Both Pam and Joan will continue to assist with the group but Anne Ellestad, Interim Chaplain, will take over as facilitator.

For more information please contact Anne Ellestad at ext. 4072 or Pamela Mills at 301-407-2047.Mills


Phone: 301-407-2047

Email: pmills@inglesideonline.org


Cancer Support Helpline


The Cancer Support Community’s TOLL-FREE Cancer Support Helpline is for anyone affected by
cancer.
Call 1-888-793-9355
Monday through Friday from 9:00 a.m. - 9:00 p.m. ET

Cancer Support Helpline®
The Cancer Support Helpline’s licensed counselors provide guidance, resources and support to cancer patients or their loved ones with a variety of needs—from getting information about cancer, identifying a local support group or just finding someone who is willing to listen. Counselors speak your language, providing supportive counseling in over 200 languages.

Additional Cancer Support Helpline services include:
  • Connecting callers to local or national resources, including support groups, transportation services and other programs
  • Short-term cancer counseling and emotional assistance
  • Treatment decision planning
  • Financial navigation and counseling regarding the costs of cancer and its treatments
  • Specialized information in pediatric oncology, finances, clinical trials, and genetics/genomics
  • Clinical trials navigation
  • Access to an online distress screening program, CancerSupportSource®
  • General information about the Cancer Support


The Leukemia & Lymphoma Society - Support Groups


The Leukemia & Lymphoma Society (LLS) is at the forefront of the fight to cure cancer.

LLS the largest nonprofit dedicated to creating a world without blood cancers. Since 1949, we’ve invested nearly $1.3 billion in groundbreaking research, pioneering many of today’s most innovative approaches.

If you’re providing regular assistance, you are a caregiver. Your loved one may only need support occasionally, or your loved one may need constant care. The kind of support needed will be different for each person and may also change over time. But if you're consistently providing care, you are a caregiver.

Click here to learn more about support groups in Maryland

LLS is offers online support groups, weekly online chats provide a friendly forum to share experiences and chat with others about anything from the initial phase of diagnosis to treatment and survivorship. Each chat is moderated by an oncology social worker. The role of the moderator/facilitator is to provide support and guide conversation, as needed, throughout the chats. The moderator's role is largely determined by the wants and needs of participants in each chat. The online chats are not a replacement for psychotherapy or support groups.


Click here to learn more



MS Family Caregiver Support Group


National MS Society self-help groups focus on support, advocacy, education, wellness or may be
more social in nature. Some groups also serve specific populations, such as young adults, parents with MS, carepartners or African-Americans. Other groups may have a specific focus, such as physical activity, wellness or healthy living.

Self-help groups bring people together who share common life experiences for support, education and mutual aid. Benefits of participating in a self-help group include:
Learning new information and strategies for confronting problems.
Finding support from others.
The opportunity to help others.
Feeling empowered and more self-confident in coping with challenges.

People come together at self-help groups to lift each other up through personal struggles and encourage each other to try new things and live each day to its full potential. Learn more about the sense of community and the power of connection offered at National MS Society groups.

Find a group in your area here, or to talk to someone about establishing a group, contact an MS Navigator at 1-800-344-4867 or online.


Recurring Montgomery County MS Support GroupSecond Tuesday of the month, 6:45 - 8:15pm.
Location: Holy Cross Hospital
1500 Forrest Glen Road
Silver Spring, MD 20910
Join other family caregivers of people with MS - spouses, partners, siblings, adult children, parents - to share concerns, stories, and resources. There is no fee for the group, but registration is required.
Kevin Dougherty Kevin.Dougherty@nmss.org
202-375-5606

Online Support GroupsMSconnection.org support groups have different purposes and serve specific populations, such as young adults, carepartners, or people who are newly diagnosed.

Click here to view MS online support groups



Hope Connections for Cancer Support - Caregivers groups


Hope Connections for Cancer Support is a non-profit organization. Our mission is to help people with
cancer and their loved ones deal with the emotional and physical impact of cancer through professionally facilitated programs of emotional support, education, wellness and hope. All programs are provided free of charge to those that need our help. There are two support groups for Caregivers in Bethesda. The support group is for caregivers of individuals diagnosed with cancer, no matter where they are in the journey. We have both evening and daytime groups. We also offer Mind/Body programs to Caregivers to help them deal with stress and take care of themselves.

Time: Every 1st & 3rd Tuesday of the month from 6:30-8pm and every Thursday from noon-1:30pm.
Location of event: Hope Connections at FASEB, 9650 Rockville Pike, Bethesda, MD 20814

Registration/RSVP’s: Participant must attend one time orientation and completed First-time visitor form which requires registration.

No registration or rsvp’s needed afterwards to attend group.

For more details: please contact Hope Connections :
Phone: 301-634-7500
Email: info@hopeconnectionsforcancer.org
Website: www.hopeconnectionsforcancer.org

Caregiver Tele-Connection - telephone and online caregiver support


The Caregiver Teleconnection is a free, bilingual, and confidential program that connects caregivers and family members to information and support through the telephone or “tele-learning”.

Learn how to create an internal climate in your mind and body that makes being a caregiver healthier for you.

The Caregiver Teleconnection provides learning sessions on a variety of useful topics, hosted over the phone by professional facilitators and experts. Family caregivers have the opportunity to connect and share with others in their situation during the sessions.
Some of the topics included in the tele-learning sessions are:


There are two ways to register for a tele-learning session:
You can register via their website 24 hours a day, seven days per week. Register now.
You can call the Caregiver Teleconnection customer service line, Monday-Friday, 9 am-5 pm (CST) at 866-390-6491 or 210-871-7SOS (7767)Participation in the Caregiver Tele-Connection helps prevent caregiver burnout, depression and anxiety, social isolation and other problems that threaten your health. The program can help you gain a greater sense of control and improve your quality of life.

Click here for November details and registration

Sessions are one hour in length
Caregiver Teleconnection On Demand
We realize that sometimes it’s difficult for caregivers to participate in our live sessions based on scheduling issues. We’ve made it easier for you to get the information you need by recording many of our live sessions.
Click to access recorded sessions!

Well Connected - telephone based support and life long learning

This award-winning program offers activities, education, support groups, and friendly conversation over the phone or online.


CONNECT FROM ANYWHERE
Well Connected is a community made up of participants, staff, facilitators, presenters, and other volunteers who care about each other and who value being connected. All groups are accessible by phone from wherever you are at no cost to you.

SOMETHING FOR EVERYONE
Whether you like art or zoology, music or meditation, there is a program for you. Each Well Connected session offers groups and classes on a wide range of topics. You’re sure to find one that interests you. And Well Connected meets 365 days a year, so there’s always a chance to connect.

HOW DOES IT WORK?Well Connected members call in via a toll-free number at a set time each week, with some groups also offering the option to connect via computer, tablet, or mobile device. Most groups last 30 minutes to an hour with around 12 participants. Newcomers are always welcome! If you don’t feel like talking at first, you’re welcome to just listen as long as you’ve let the group know you’re there.

Click here to see the Fall schedule

Stay Connected - Montgomery County Event Calendars

Every day in Montgomery County residents can participate in a range of programmed activities.

Ranging from: educational events, book readings, community fairs, meet your elected official, health and wellness classes, social activities and so much more. These events are published in the County's two public calendars (central and library).As a caregiver many of these events will be an ideal way to:
  • stay connected
  • ensure your voice is heard
  • learn about Montgomery County and Maryland resources
  • connect with neighbors
  • improve quality of life
  • enjoy cultural and social programs
  • and much more

Each Montgomery County calendar can be viewed and searched by your special interest, location, date and a range of other criteria.
Click to view central calendar
Click to view library calendar




Understanding Alzheimer's and Dementia

Friday, November 8, 2019
2:00pm - 3pm

Alzheimer’s disease is not a normal part of aging. If you or someone you know is affected by Alzheimer’s disease or dementia, it’s time to learn the facts. This program provides information on detection, causes and risk factors, stages of the disease, treatment, and much more.

Topics covered include:
  • The impact of Alzheimer's
  • The difference between Alzheimer's and dementia
  • Alzheimer's disease stages and risk factors
  • Current research and treatments available to address some symptoms
  • Alzheimer's Association resources

Audience: Anyone who would like to know more about Alzheimer’s disease and related dementias.

Location:Five Star Premier Residences of Chevy Chase
8100 Connecticut Ave
Chevy Chase, MD 20815

To Learn more and Register for this FREE EVENT call the Alzheimer's Association's:
24/7 Helpline: (800) 272-3900

Understanding Alzheimer's and Dementia

Monday, November 4, 2019
11:00 am - 12:00 noon

Alzheimer’s disease is not a normal part of aging. If you or someone you know is affected by Alzheimer’s disease or dementia, it’s time to learn the facts. This program provides information on detection, causes and risk factors, stages of the disease, treatment, and much more.


Topics covered include:
  • The impact of Alzheimer's
  • The difference between Alzheimer's and dementia
  • Alzheimer's disease stages and risk factors
  • Current research and treatments available to address some symptoms
  • Alzheimer's Association resources

Audience:  Anyone who would like to know more about Alzheimer’s disease and related dementias.

Location:
Bedford Court
3701 International Dr
Silver Spring, MD 20906

To Learn more and Register for this FREE EVENT call the Alzheimer's Association's:
24/7 Helpline: (800) 272-3900


Nurses Notes - Going for a Doctors Visit

In our first Nurse Bee story you learned how to keep your loved one’s records organized. In this edition you will learn how to be prepared for a doctors visit.

GOING FOR A DOCTOR’S VISIT 

1.

Keep a calendar especially for your loved one. Put it in a place where you can see it. Write all events for them on it including medical appointments, visits to the ER or hospital. Write which doctor, reason for ER or hospital visit, and when they were discharged at the time that it happened. It’s hard to remember these things if you are stressed or tired. Now you have a record, so you don’t have to remember it.

2.
If English is your second language, and you want to make sure you can understand all the information the doctor tells you, ask the office if they can provide an interpreter in your language. Call ahead of time as they may need to plan for an interpreter to be available.

3.
Take the calendar and the medical records with you.

4.
If your loved one is using a cane or wheelchair you can ask before you make the visit, where is the closest access or handicapped parking space so your trip will be easier. Let them know that your loved one is in a wheelchair or has difficulty walking distances.

5.
You or your loved one may have some questions to ask the doctor. It’s best to write them down before you make the visit. Often, it is easy to forget them when you are in the moment.

6.
I hate to say this, but some doctors will want to rush you in and out. If you are not finished with your questions or they have not answered them to your satisfaction or understanding, request that you need to stay until they are clarified. Remember that you are paying for their time. The doctors give this type of

 information to patients every day and some honestly don’t realize that it may be difficult for you to understand. Try not to be intimidated which many people can become. You are your loved one’s best advocate!!

7.
Many doctors are now using computers and you can obtain a copy of the visit immediately. Ask for a copy so you can review it later. Also, many practices have computer portals where you can access notes, labs, and diagnoses from your computer. Ask if this is available to you.

8.
If laboratory tests or x-rays are needed, ask the assistant or secretary which tests or x-rays are accepted by your insurance company. They can provide you with this information and the facility which is closest to where you live. Upon leaving the office, make sure you write on the calendar when the next visit is due.

Congratulations, now you can go to doctor appointments, understand what is going on, and be a successful advocate!!
My next column will be about what to do when you must call 911 for an emergency.

Nurse Bee
 

Click here to view all Nurses Notes


In Home - Safety Issues and How to be Prepared

RESOURCES:

County's Fire Department Senior Outreach Program: This is a free home safety and smoke alarm check for seniors. The fire department will install free fire alarms. Call to make an appointment: 240-777-2430.

Medic Alert and Alzheimer’s Association Safe Return. Live 24-hour help line and emergency response service for wandering and medical emergencies. Call 1-800-272-3900.

Adult Protective Services (County). For disabled or frail persons in need of assistance. Available 24 hours. Call: 240-777-3000.

Emergency Services Program (County). For utility shut off, eviction prevention, foreclosures, and burial assistance.
Germantown: 240-777-4448
Rockville: 240-777-4550
Silver Spring: 240-777-3075


Caring for a Loved One with Alzheimer's at Home

The following information contains home safety information for Alzheimer’s patients. (taken from Alzheimer’s Association web site). It can also be used for anyone who is elderly, disabled, with dementia, cognitive impairment, and developmental delays: 

Throughout the Home
  • Display emergency numbers and your home address near all telephones.
  • Use an answering machine when you cannot answer phone calls and set it to turn on after the fewest number of rings possible. A person with Alzheimer's disease often may be unable to take messages or could become a victim of telephone exploitation. Turn ringers on low to avoid distraction and confusion. Put all portable and cell phones and equipment in a safe place so they will not be easily lost. 
  • Install smoke alarms and carbon monoxide detectors in or near the kitchen and all sleeping areas. Check their functioning and batteries frequently.
  • Avoid the use of flammable and volatile compounds near gas appliances. Do not store these materials in an area where a gas pilot light is used.
  • Install secure locks on all outside doors and windows.
  • Install alarms that notify you when a door or window is opened.
  • Hide a spare house key outside in case the person with Alzheimer's disease locks you out of the house.
  • Avoid the use of extension cords if possible, by placing lamps and appliances close to electrical outlets. Tack extension cords to the baseboards of a room to avoid tripping.
  • Cover unused electrical outlets with childproof plugs.
  • Place red tape around floor vents, radiators, and other heating devices to deter the person with Alzheimer's from standing on or touching them when hot.
  • Check all rooms for adequate lighting.
  • Place light switches at the top and the bottom of stairs.
  • Stairways should have at least one handrail that extends beyond the first and last steps. If possible, stairways should be carpeted or have safety grip strips. Put a gate across the stairs if the person has balance problems.
  • Keep all medications (prescription and over the counter) locked. Each bottle of prescription medicine should be clearly labeled with the person's name, name of the drug, drug strength, dosage frequency, and expiration date. Child-resistant caps are available if needed.
  • Keep all alcohol in a locked cabinet or out of reach of the person with Alzheimer's. Drinking alcohol can increase confusion.
  • If the person with Alzheimer’s smokes, remove matches, lighters, ashtrays, cigarettes, and other means of smoking from view. This reduces fire hazards, and with these reminders out of sight, the person may forget the desire to smoke.
  • Avoid clutter, which can create confusion and danger. Throw out or recycle newspapers and magazines regularly. Keep all areas where people walk free of furniture.
  • Keep plastic bags out of reach. A person with Alzheimer's disease may choke or suffocate.
  • Remove all guns and other weapons from the home or lock them up. Install safety locks on guns or remove ammunition and firing pins.
  • Lock all power tools and machinery in the garage, workroom, or basement.
  • Remove all poisonous plants from the home. Check with local nurseries or contact poison control (1-800-222-1222) for a list of poisonous plants.
  • Make sure all computer equipment and accessories, including electrical cords, are kept out of the way. If valuable documents or materials are stored on a home computer, protect the files with passwords and back up the files. Password protect access to the Internet and restrict the amount of online time without supervision. Consider monitoring computer use by the person with Alzheimer’s and install software that screens for objectionable or offensive material on the Internet.
  • Keep fish tanks out of reach. The combination of glass, water, electrical pumps, and potentially poisonous aquatic life could be harmful to a curious person with Alzheimer's disease.

Outside Approaches to the House
  • Keep steps sturdy and textured to prevent falls in wet or icy weather.
  • Mark the edges of steps with bright or reflective tape.
  • Consider installing a ramp with handrails as an alternative to the steps.
  • Eliminate uneven surfaces or walkways, hoses, and other objects that may cause a person to trip.
  • Restrict access to a swimming pool by fencing it with a locked gate, covering it, and closely supervising it when in use.
  • In the patio area, remove the fuel source and fire starters from any grills when not in use, and supervise use when the person with Alzheimer's is present.
  • Place a small bench or table by the entry door to hold parcels while unlocking the door.
  • Make sure outside lighting is adequate. Light sensors that turn on lights automatically as you approach the house may be useful. They also may be used in other parts of the home.
  • Prune bushes and foliage well away from walkways and doorways.
  • Consider a "NO SOLICITING" sign for the front gate or door.

Entryway
  • Remove scatter rugs and throw rugs.
  • Use textured strips or nonskid wax on hardwood and tile floors to prevent slipping.

Kitchen
  • Install childproof door latches on storage cabinets and drawers designated for breakable or dangerous items. Lock away all household cleaning products, matches, knives, scissors, blades, small appliances, and anything valuable.
  • If prescription or nonprescription drugs are kept in the kitchen, store them in a locked cabinet.
  • Remove scatter rugs and foam pads from the floor.
  • Install safety knobs and an automatic shut-off switch on the stove.
  • Do not use or store flammable liquids in the kitchen. Lock them in the garage or in an outside storage unit.
  • Keep a night-light in the kitchen.
  • Remove or secure the family "junk drawer." A person with Alzheimer's may eat small items such as matches, hardware, erasers, plastics, etc.
  • Remove artificial fruits and vegetables or food-shaped kitchen magnets, which might appear to be edible.
  • Insert a drain trap in the kitchen sink to catch anything that may otherwise become lost or clog the plumbing.
  • Consider disconnecting the garbage disposal. People with Alzheimer's may place objects or their own hands in the disposal.

Bedroom
  • Anticipate the reasons a person with Alzheimer's disease might get out of bed, such as hunger, thirst, going to the bathroom, restlessness, and pain. Try to meet these needs by offering food and fluids and scheduling ample toileting.
  • Use a night-light.
  • Use a monitoring device (like those used for infants) to alert you to any sounds indicating a fall or other need for help. This also is an effective device for bathrooms.
  • Remove scatter rugs and throw rugs.
  • Remove portable space heaters. If you use portable fans, be sure that objects cannot be placed in the blades.
  • Be cautious when using electric mattress pads, electric blankets, electric sheets, and heating pads, all of which can cause burns and fires. Keep controls out of reach.
  • If the person with Alzheimer's disease is at risk of falling out of bed, place mats next to the bed, as long as they do not create a greater risk of accident.
  • Use transfer or mobility aids.
  • If you are considering using a hospital-type bed with rails and/or wheels, read the Food and Drug Administration's safety information.

Bathroom
  • Do not leave a severely impaired person with Alzheimer's alone in the bathroom.
  • Remove the lock from the bathroom door to prevent the person with Alzheimer's from getting locked inside.
  • Place nonskid adhesive strips, decals, or mats in the tub and shower. If the bathroom is uncarpeted, consider placing these strips next to the tub, toilet, and sink.
  • Use washable wall-to-wall bathroom carpeting to prevent slipping on wet tile floors.
  • Use a raised toilet seat with handrails or install grab bars beside the toilet.
  • Install grab bars in the tub/shower. A grab bar in contrasting color to the wall is easier to see.
  • Use a foam rubber faucet cover (often used for small children) in the tub to prevent serious injury should the person with Alzheimer's fall.
  • Use a plastic shower stool and a hand-held shower head to make bathing easier.
  • In the shower, tub, and sink, use a single faucet that mixes hot and cold water to avoid burns.
  • Set the water heater at 120°F to avoid scalding tap water.
  • Insert drain traps in sinks to catch small items that may be lost or flushed down the drain.
  • Store medications (prescription and nonprescription) in a locked cabinet. Check medication dates and dispose of outdated medications.
  • Remove cleaning products from under the sink or lock them away.
  • Use a night-light.
  • Remove small electrical appliances from the bathroom. Cover electrical outlets.
  • If a man with Alzheimer's disease uses an electric razor, have him use a mirror outside the bathroom to avoid water contact.

Living Room
  • Clear electrical cords from all areas where people walk.
  • Remove scatter rugs or throw rugs. Repair or replace torn carpet.
  • Place decals at eye level on sliding glass doors, picture windows, or furniture with large glass panels to identify the glass pane.
  • Do not leave the person with Alzheimer's disease alone with an open fire in the fireplace. Consider alternative heating sources.
  • Keep matches and cigarette lighters out of reach.
  • Keep the remote controls for the television, DVD player, and stereo system out of sight.

  • Laundry Room
  • Keep the door to the laundry room locked if possible.
  • Lock all laundry products in a cabinet. Laundry detergent pods can be fatal if eaten by accident.
  • Remove large knobs from the washer and dryer if the person with Alzheimer's tampers with machinery.
  • Close and latch the doors and lids to the washer and dryer to prevent objects from being placed in the machines.

Garage/Shed/Basement
  • Lock access to all garages, sheds, and basements if possible.
  • Inside a garage or shed, keep all potentially dangerous items, such as tools, tackle, machines, and sporting equipment either locked away in cabinets or in appropriate boxes/cases.
  • Secure and lock all motor vehicles and keep them out of sight if possible. Consider covering vehicles, including bicycles, that are not frequently used. This may reduce the possibility that the person with Alzheimer's will think about leaving.
  • Keep all toxic materials, such as paint, fertilizers, gasoline, or cleaning supplies, out of view. Either put them in a high, dry place, or lock them in a cabinet.
  • If the person with Alzheimer's is permitted in a garage, shed, or basement, preferably with supervision, make sure the area is well lit and that stairs have a handrail and are safe to walk up and down. Keep walkways clear of debris and clutter, and place overhanging items out of reach.