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Step
1
of 6
I’m looking to find help for:
*
My Parent(s)
My Spouse
My Friend
Myself
Next
As a son or daughter, I have observed the following (click all that apply):
My mom/dad had a concerning incident (e.g., falling), and I am afraid that the next time it will be more serious.
My mom/dad is increasingly unable to move about independently.
My mom/dad is doing OK, but they are becoming frail and need help with activities such as bathing, toileting, and/or getting out of bed.
My mom/dad is no longer able to get out and is losing contact with friends.
There are stacks of unopened mail, unpaid bills.
My mom/dad is not eating a healthy diet.
There is spoiled food in the kitchen.
My mom/dad is having trouble keeping the house clean.
My mom/dad’s home is cluttered, untidy, and there are potential fall hazards.
My mom/dad is not taking their medications on time or is getting the medications mixed up.
My mom/dad is showing signs of depression: sadness or feelings of despair, unexplained or aggravated aches and pains, loss of interest in socializing or hobbies, weight loss or loss of appetite, feelings of hopelessness or helplessness, and/or lack of motivation and energy.
As a husband/wife, I have observed the following (click all that apply):
My spouse had a concerning incident (e.g., falling), and I am afraid that the next time it will be more serious.
My spouse is increasingly unable to move about independently.
My spouse is doing OK, but s/he is becoming frail and needs help with activities such as bathing, toileting, and/or getting out of bed.
My spouse is no longer able to get out and is losing contact with friends.
Myy spouse is no longer able to handle monthly bills or email correspondence
My spouse is not eating a healthy diet.
My spouse is not taking their medications on time or is getting the medications mixed up.
My spouse is showing signs of depression: sadness or feelings of despair, unexplained or aggravated aches and pains, loss of interest in socializing or hobbies, weight loss or loss of appetite, feelings of hopelessness or helplessness, and/or lack of motivation and energy.
As a friend, I have observed the following (click all that apply):
My friend had a concerning incident (e.g., falling), and I am afraid that the next time it will be more serious.
My friend is increasingly unable to move about independently.
My friend is doing OK, but s/he is becoming frail and needs help with activities such as bathing, toileting, and/or getting out of bed.
My friend is no longer able to get out and is losing contact with friends.
There are stacks of unopened mail, unpaid bills.
My friend is not eating a healthy diet.
There is spoiled food in the kitchen.
My friend is having trouble keeping the house clean.
My friend’s home is cluttered, untidy, and there are potential fall hazards.
My friend is not taking his/her medications on time or is getting the medications mixed up.
My friend is showing signs of depression: sadness or feelings of despair, unexplained or aggravated aches and pains, loss of interest in socializing or hobbies, weight loss or loss of appetite, feelings of hopelessness or helplessness, and/or lack of motivation and energy.
I am noticing the following (click all that apply):
I had a concerning incident (e.g., falling), and I am afraid that the next time it will be more serious.
I am increasingly unable to move about independently.
I am doing OK, but feeling frailer and have difficulty with activities such as bathing, toileting, and/or getting out of bed.
I am no longer able to get out and am losing contact with my friends.
I am not eating a healthy diet.
There is spoiled food in the kitchen.
I am having trouble keeping the house clean.
My home is cluttered, untidy, and there are potential fall hazards.
I am not taking my medications on time or are getting the medications mixed up.
I am experiencing signs of depression: sadness or feelings of despair, unexplained or aggravated aches and pains, loss of interest in socializing or hobbies, weight loss or loss of appetite, feelings of hopelessness or helplessness, and/or lack of motivation and energy.
Previous
Next
I currently (click all that apply):
Check in daily to see how things are going
Pitch in regularly to do laundry, shopping, and/or meal preparation
Stop by each morning and evening to help my mom/dad get out of and into bed
Spend a morning or all day helping my mom/dad with the activities of daily living, such as bathing, eating, toileting, and/or giving medications
See that my mom/dad is struggling with the burden of caregiving for my mom/dad
I currently (click all that apply):
Do most or all of the laundry, shopping, meal preparation
Help my spouse get out of and into bed
Spend a morning or all day helping my spouse with the activities of daily living, such as bathing, eating, toileting, and/or giving medications
Feel that I am struggling with the burden of caregiving for my spouse
I currently (click all that apply):
Check in daily to see how things are going
Pitch in regularly to do laundry, shopping, and/or meal preparation
Stop by each morning and evening to help my friend get out of and into bed
Spend a morning or all day helping my friend with the activities of daily living, such as bathing, eating, toileting, and/or giving medications
See that my friend is struggling with the burden of caregiving for my friend
I currently have someone (click all that apply):
Check in daily to see how things are going
Pitch in regularly to do laundry, shopping, and/or meal preparation
Stop by each morning and evening to help me get out of and into bed
Spend a morning or all day helping me with the activities of daily living, such as bathing, eating, toileting, and/or giving medications
Who is struggling with the burden of caregiving for me
Previous
Next
I love helping my mom/dad, but I see its impact on my own life and feel guilty because I am (click all that apply):
Taking time away from the needs of my growing family to provide hands on care for my parent
Spending so much time giving care to my mom/dad that I have given up the time I used to spend being their son or daughter to be their caregiver
Devoting so much time to my mom/dad that I am losing touch with my friends
Getting burned out and losing the capacity to respond to my mom/dad’s needs with compassion
Feeling overwhelmed
I love helping my spouse, but I see its impact on my own life and feel guilty because I am (click all that apply):
Taking time away from the needs of my kids or work to provide hands-on care for my spouse
Spending so much time giving care to my spouse that I have given up the time I used to spend being their husband/wife
Devoting so much time to my spouse that I am losing touch with my friends
Getting burned out and losing the capacity to respond to my spouse’s needs with compassion
Feeling overwhelmed
I love helping my friend, but I see its impact on my own life and feel guilty because I am (click all that apply):
Taking time away from the needs of my family or work to provide for my friend
Spending so much time giving care to my friend that I have given up the time I used to spend being their friend
Devoting so much time to my friend that I am losing touch with my other friends
Getting burned out and losing the capacity to respond to my friend’s needs with compassion
Feeling overwhelmed
I love getting help from my loved ones, but I see its impact on their lives and feel guilty because I am (click all that apply):
Taking time away from the needs of their family or work to provide for my needs
Taking so much time receiving care from my loved ones that our relationship is changing
Taking so much of their time that they are losing touch with their other friends
Noticing that they are getting burned out and maybe losing the capacity to respond to my needs with compassion
Seeing that they are feeling overwhelmed
Previous
Next
Your Help is Just a Click Away!
Thank you for your answers. The responsibility of caring for your loved one can be challenging and may impact your personal life as well as mental and physical well-being. Based on your answers, an outside care provider may be a right fit to help you find the best care solution for your loved one.
Click below to speak with a Care Advisor and see how CareProvide can help you and your loved one live your lives well.
Thank you for your answers. The responsibility of caring for you can be challenging and may impact your caregiver’s personal life as well as mental and physical well-being. Based on your answers, an outside care provider may be a right fit to help you find the best care solution for yourself.
Click below to speak with a Care Advisor and see how CareProvide can help you and your loved one live your lives well.
Previous
Take the Next Step
CALL 410-989-7559
OR
Fill Out Form
Name
Phone
Email
I need
Opt in for valuable information on caregiving for your loved ones and how to work with care-providers.
Previous
Submit
Please enable JavaScript in your browser to complete this form.
-
Step
1
of 6
I’m looking to find help for:
*
My Parent(s)
My Spouse
My Friend
Myself
Next
As a son or daughter, I have observed the following (click all that apply):
My mom/dad had a concerning incident (e.g., falling), and I am afraid that the next time it will be more serious.
My mom/dad is increasingly unable to move about independently.
My mom/dad is doing OK, but they are becoming frail and need help with activities such as bathing, toileting, and/or getting out of bed.
My mom/dad is no longer able to get out and is losing contact with friends.
There are stacks of unopened mail, unpaid bills.
My mom/dad is not eating a healthy diet.
There is spoiled food in the kitchen.
My mom/dad is having trouble keeping the house clean.
My mom/dad’s home is cluttered, untidy, and there are potential fall hazards.
My mom/dad is not taking their medications on time or is getting the medications mixed up.
My mom/dad is showing signs of depression: sadness or feelings of despair, unexplained or aggravated aches and pains, loss of interest in socializing or hobbies, weight loss or loss of appetite, feelings of hopelessness or helplessness, and/or lack of motivation and energy.
As a husband/wife, I have observed the following (click all that apply):
My spouse had a concerning incident (e.g., falling), and I am afraid that the next time it will be more serious.
My spouse is increasingly unable to move about independently.
My spouse is doing OK, but s/he is becoming frail and needs help with activities such as bathing, toileting, and/or getting out of bed.
My spouse is no longer able to get out and is losing contact with friends.
Myy spouse is no longer able to handle monthly bills or email correspondence
My spouse is not eating a healthy diet.
My spouse is not taking their medications on time or is getting the medications mixed up.
My spouse is showing signs of depression: sadness or feelings of despair, unexplained or aggravated aches and pains, loss of interest in socializing or hobbies, weight loss or loss of appetite, feelings of hopelessness or helplessness, and/or lack of motivation and energy.
As a friend, I have observed the following (click all that apply):
My friend had a concerning incident (e.g., falling), and I am afraid that the next time it will be more serious.
My friend is increasingly unable to move about independently.
My friend is doing OK, but s/he is becoming frail and needs help with activities such as bathing, toileting, and/or getting out of bed.
My friend is no longer able to get out and is losing contact with friends.
There are stacks of unopened mail, unpaid bills.
My friend is not eating a healthy diet.
There is spoiled food in the kitchen.
My friend is having trouble keeping the house clean.
My friend’s home is cluttered, untidy, and there are potential fall hazards.
My friend is not taking his/her medications on time or is getting the medications mixed up.
My friend is showing signs of depression: sadness or feelings of despair, unexplained or aggravated aches and pains, loss of interest in socializing or hobbies, weight loss or loss of appetite, feelings of hopelessness or helplessness, and/or lack of motivation and energy.
I am noticing the following (click all that apply):
I had a concerning incident (e.g., falling), and I am afraid that the next time it will be more serious.
I am increasingly unable to move about independently.
I am doing OK, but feeling frailer and have difficulty with activities such as bathing, toileting, and/or getting out of bed.
I am no longer able to get out and am losing contact with my friends.
I am not eating a healthy diet.
There is spoiled food in the kitchen.
I am having trouble keeping the house clean.
My home is cluttered, untidy, and there are potential fall hazards.
I am not taking my medications on time or are getting the medications mixed up.
I am experiencing signs of depression: sadness or feelings of despair, unexplained or aggravated aches and pains, loss of interest in socializing or hobbies, weight loss or loss of appetite, feelings of hopelessness or helplessness, and/or lack of motivation and energy.
Previous
Next
I currently (click all that apply):
Check in daily to see how things are going
Pitch in regularly to do laundry, shopping, and/or meal preparation
Stop by each morning and evening to help my mom/dad get out of and into bed
Spend a morning or all day helping my mom/dad with the activities of daily living, such as bathing, eating, toileting, and/or giving medications
See that my mom/dad is struggling with the burden of caregiving for my mom/dad
I currently (click all that apply):
Do most or all of the laundry, shopping, meal preparation
Help my spouse get out of and into bed
Spend a morning or all day helping my spouse with the activities of daily living, such as bathing, eating, toileting, and/or giving medications
Feel that I am struggling with the burden of caregiving for my spouse
I currently (click all that apply):
Check in daily to see how things are going
Pitch in regularly to do laundry, shopping, and/or meal preparation
Stop by each morning and evening to help my friend get out of and into bed
Spend a morning or all day helping my friend with the activities of daily living, such as bathing, eating, toileting, and/or giving medications
See that my friend is struggling with the burden of caregiving for my friend
I currently have someone (click all that apply):
Check in daily to see how things are going
Pitch in regularly to do laundry, shopping, and/or meal preparation
Stop by each morning and evening to help me get out of and into bed
Spend a morning or all day helping me with the activities of daily living, such as bathing, eating, toileting, and/or giving medications
Who is struggling with the burden of caregiving for me
Previous
Next
I love helping my mom/dad, but I see its impact on my own life and feel guilty because I am (click all that apply):
Taking time away from the needs of my growing family to provide hands on care for my parent
Spending so much time giving care to my mom/dad that I have given up the time I used to spend being their son or daughter to be their caregiver
Devoting so much time to my mom/dad that I am losing touch with my friends
Getting burned out and losing the capacity to respond to my mom/dad’s needs with compassion
Feeling overwhelmed
I love helping my spouse, but I see its impact on my own life and feel guilty because I am (click all that apply):
Taking time away from the needs of my kids or work to provide hands-on care for my spouse
Spending so much time giving care to my spouse that I have given up the time I used to spend being their husband/wife
Devoting so much time to my spouse that I am losing touch with my friends
Getting burned out and losing the capacity to respond to my spouse’s needs with compassion
Feeling overwhelmed
I love helping my friend, but I see its impact on my own life and feel guilty because I am (click all that apply):
Taking time away from the needs of my family or work to provide for my friend
Spending so much time giving care to my friend that I have given up the time I used to spend being their friend
Devoting so much time to my friend that I am losing touch with my other friends
Getting burned out and losing the capacity to respond to my friend’s needs with compassion
Feeling overwhelmed
I love getting help from my loved ones, but I see its impact on their lives and feel guilty because I am (click all that apply):
Taking time away from the needs of their family or work to provide for my needs
Taking so much time receiving care from my loved ones that our relationship is changing
Taking so much of their time that they are losing touch with their other friends
Noticing that they are getting burned out and maybe losing the capacity to respond to my needs with compassion
Seeing that they are feeling overwhelmed
Previous
Next
Your Help is Just a Click Away!
Thank you for your answers. The responsibility of caring for your loved one can be challenging and may impact your personal life as well as mental and physical well-being. Based on your answers, an outside care provider may be a right fit to help you find the best care solution for your loved one.
Click below to speak with a Care Advisor and see how CareProvide can help you and your loved one live your lives well.
Thank you for your answers. The responsibility of caring for you can be challenging and may impact your caregiver’s personal life as well as mental and physical well-being. Based on your answers, an outside care provider may be a right fit to help you find the best care solution for yourself.
Click below to speak with a Care Advisor and see how CareProvide can help you and your loved one live your lives well.
Previous
Take the Next Step
CALL 410-989-7559
OR
Fill Out Form
Name
Phone
Email
I need
Opt in for valuable information on caregiving for your loved ones and how to work with care-providers.
Previous
Submit