Here is a podcast episode description based on your transcript, formatted for platforms like Spotify, Apple Podcasts, or a website. Episode Title: Understanding Hospice: Quality of Life When It Matters MostEpisode Summary Many families fear the word "hospice," often associating it with giving up. In this episode of Navigating Eldercare, host Laura Daniels sits down with Monica Trust, CEO of Guiding Light Hospice, to dispel the myths and reveal the profound support hospice provides. From managing complex physical symptoms like pain and nausea to offering emotional and spiritual guidance, Monica explains how hospice isn’t about how someone dies, but about how they live their remaining days. Whether you are a family member feeling overwhelmed or a healthcare professional seeking better resources for your patients, this episode offers a compassionate roadmap for one of life’s most difficult transitions. In This Episode, We Discuss: The Hospice Mission: Why hospice focuses on quality of life when a cure is no longer the goal. Hospice vs. Palliative Care: Understanding the key differences and why one often leads to the other. The "Six-Month" Rule: How the Medicare benefit works and why some patients, like President Jimmy Carter, remain on hospice for extended periods. A Holistic Team Approach: The roles of nurses, social workers, chaplains, and volunteers in supporting the entire family. Signs It’s Time: How to recognize when curative treatment may be causing more suffering than benefit. The Gift of Time: Monica shares a personal story about her own mother and grandmother, highlighting why early intervention is critical for saying goodbye. Key Resources Mentioned: Guiding Light Hospice: Call 210-585-2335 or visit guidinghospice.com Loss of Life Advocates (LOLA): Support for closing out estates and navigating the logistics of loss. Caregiver Relief Program: Volunteer support to help prevent family burnout. About Our Guest: Monica Trust is the CEO of Guiding Light Hospice. Inspired by her own family's experiences with terminal illness, she has dedicated her career to ensuring that no family has to navigate the end-of-life journey alone or unsupported. Connect with Laura Daniels: If you are facing a change in health or planning for future care, Care Advocates is here to walk alongside you. Free Consultation: 210-669-2222 Email: Laura@AdvocateRN.com Website:AdvocateRN.com Here are the timestamped chapters for the podcast episode, organized by key topics and discussion points: Episode Chapters 00:00 – Introduction to Navigating Eldercare Laura Daniels introduces the show and its mission to provide expert insights for families and medical providers managing senior transitions. 01:30 – Meet Monica Trust: What Exactly is Hospice? An introduction to Monica Trust, CEO of Guiding Light Hospice, and a clear definition of hospice as care focused on quality of life when a cure is no longer possible. 02:43 – Hospice vs. Palliative Care A breakdown of the differences between these two stages of care and why it’s important to understand the transition from treatment to comfort. 03:30 – The Danger of Waiting Too Late Monica discusses why many families delay hospice and the "cycle of suffering" that occurs with repeated hospital readmissions. 04:54 – The Myth of "Giving Up": Why Patients May Live Longer Laura and Monica discuss the statistics showing that hospice advocacy and symptom management can actually improve longevity and quality of life. 05:25 – The Jimmy Carter Example: Understanding the Benefit A look at how hospice certifications work, the "six-month" rule, and how the benefit can be extended for patients who remain appropriate for care. 06:27 – Beyond Physical Pain: Managing Holistic Symptoms A discussion on how the hospice team manages nausea, anxiety, and spiritual pain, helping families navigate the "big questions." 07:34 – Qualifying for Hospice: Who Decides? Understanding the referral process, physician certifications, and the initial assessment to determine the right level of care. 08:53 – Monica’s Personal "Why" Monica shares the moving story of her grandmother and mother, and how those experiences inspired her to become an advocate for prepared, proactive care. 12:20 – The 13-Month Bereavement Program Details on the support provided to families after a loved one passes, including the role of "Loss of Life Advocates." 14:00 – The Interdisciplinary Team (IDT) A breakdown of the roles involved in care: Nurses, Social Workers, Chaplains, CNAs, and the Veteran Liaison. 15:42 – 24/7 Support and the First Visit What to expect during the initial admission nurse visit and how Guiding Light manages after-hours emergencies. 17:07 – Equipment, Supplies, and Respite Care A look at the practical side of hospice: hospital beds, oxygen, medications, and the five-day respite benefit for burned-out caregivers. 20:16 – Dispelling Common Myths Addressing the fear that hospice means "giving up" and explaining how control remains in the hands of the family. 21:30 – The Impact of Connection: A Success Story Monica shares a powerful story of supporting a young family through financial and emotional crisis during a terminal diagnosis. 23:37 – Closing and Contact Information How to reach Guiding Light Hospice and Care Advocates for consultations and resources.

Navigating Eldercare: Understanding Palliative Care — It's Not What You Think! Episode Summary: Are you or a loved one navigating a serious illness? Join elder care advocate Laura Daniels as she sits down with Monica Trust, CEO of Guiding Light Hospice, to demystify Palliative Care. Too often, families mistake palliative care for hospice or "giving up." In this critical episode, Monica clarifies that palliative care is specialized medical support focused on improving quality of life and managing symptoms—and it can be sought alongside aggressive, curative treatment right from the moment of diagnosis. What You'll Learn: Palliative Care vs. Hospice: The crucial distinction—palliative care is not end-of-life care. When to Start: Why palliative care should begin as soon as a serious illness is diagnosed (e.g., cancer, CHF, dementia). The Care Team: Who is involved (doctors, nurse practitioners, social workers, chaplains) and how they coordinate with your current physicians. Empowerment Through Education: How an hour-long in-home consultation helps families and patients set goals of care and advocate for themselves, cutting through the confusion of short doctor visits. Real-Life Impact: A moving story of how palliative care supported a young patient and her family through a difficult transition. Monica provides clear advice on how to start the conversation with your doctor and shares her team's contact information to help listeners navigate this essential part of the care journey. 00:00 Introduction and Host WelcomeLaura Daniels introduces herself as the host and founder of Care Advocates, focusing on guidance for families facing elder care transitions. 01:31 Introducing the Guest and TopicLaura introduces Monica Trust, CEO of Guiding Light Hospice, to discuss the often-misunderstood topic of Palliative Care. 02:49Monica Trust's BackgroundMonica shares her personal passion for elder care, which stems from assisting her own family with her grandmother's care journey. 03:32 Defining Palliative CareA precise definition: specialized medical care for a serious illness, focused on symptom relief and stress to improve the quality of life for the patient and family. 03:59 Palliative Care vs. Hospice: The Key DifferenceCrucial distinction: You can still seek aggressive, curative treatment while receiving palliative care. 04:25 When to Introduce Palliative CareIt should be introduced as soon as a serious illness is diagnosed to help families navigate the disease process. 05:46 Explaining Palliative Care to FamiliesIt is symptom management and support from an additional care team that comes to the home. 06:18 The Value of Time in Palliative CareUnlike rushed doctor visits, Palliative Care visits are typically one hour long to discuss goals of care and process information. 07:40 The Best Time to Consider Palliative CareMonica shares a story about a transplant team—palliative care should begin the first day of diagnosis. 09:07 The Palliative Care TeamThe support team includes a doctor, nurse practitioner, social worker, and chaplain. 09:50 Coordinating with Current PhysiciansThe palliative care team works in partnership with specialists, providing documentation and communication to coordinate care. 10:35 Location of CarePalliative care can be provided wherever you call home (home, assisted living, nursing home). 11:24 Common Fears and MisconceptionsAddressing the fear that palliative care means stopping curative treatment—it does not. 12:58 Palliative Care Support for FamiliesThe team assists the family by providing ongoing education, helping them plan ahead, and understanding what to expect from their loved one's journey. 14:18 Patient Success StoryMonica shares a story of how the team (including the chaplain) supported a patient and her husband in making a courageous decision to transition from curative treatment. 16:26 What the First Visit Looks LikeThe first visit is a deep, one-hour consultation focusing on understanding the diagnosis and having Goals of Care conversations. 18:04 How to Request Palliative CareAdvice for listeners: Ask your doctor, "Am I a candidate for palliative care?" Or call Guiding Light directly. 19:07 Qualifying ConditionsExamples of chronic illnesses that qualify include Cancer, Dementia, CHF, and COPD. 20:41 Monica's Final MessageDon't be afraid; Palliative Care is a proactive way to plan, improve quality of life, and match treatment to your personal goals. 21:25 Defining Goals of CareExamples of goals: deciding when to stop treatment, discussing ventilators, or feeding tubes, and setting up Advanced Directives. 23:19 Connecting with Guiding LightContact information for Guiding Light Hospice: (210) 585-2335 or guidinghospice.com. 24:14 Host Wrap-up and Contact InfoLaura Daniels offers a free consultation and provides Care Advocates contact information: (210) 669-2222 or advocatern.com.

Discharge from the hospital or a rehabilitation stay can be scary, confusing, and overwhelming. Things move fast, and lack of preparation can lead to unsafe outcomes. Join Elder Care Advocate Laura Daniels, RN, as she provides an essential discharge planning checklist and walks you through every step you need to take for a safe transition home or to a new care setting. Learn how to advocate for yourself or your loved one from day one, what to expect during a hospital stay, and the key questions to ask your medical team regarding medication, follow-up care, and recovery support. Laura emphasizes that the most important care happens after the hospital stay and offers a free Medicare discharge checklist resource to ensure you're prepared. Learn the stages of a hospital stay and how to navigate the system. Understand the importance of proactive, day-one discharge planning. Discover key action items, like coordinating equipment, follow-up appointments, and support services for the crucial first 72 hours at home. Chapters 00:02 Introduction to Navigating Elder Care with Host Laura Daniels, RN. 00:20 Laura's background as an Elder Care Advocate and founder of Care Advocates. 01:16 Care Advocates' process: Customized care planning and options (assisted living, memory care, in-home care). 02:38 Today's Topic: The overwhelming moment of hospital or rehab discharge. 03:32 Introduction to the Discharge Planning Checklist and key action items. 04:02 Offer for a free, four-page Medicare Discharge Checklist. 04:47 What to Expect During a Hospital Stay: Understanding the process. 05:27 Stage 1: Admission (Emergency Room vs. Planned Admission). 06:36 Stage 2: The Inpatient Phase (Specialists, Vitals, Rounds, Task-Driven Care). 07:44 How to Advocate for Yourself or a Loved One. 08:46 Key Questions to Ask from Day One: Plan, goals, concerns, therapy. 09:14 Taking Ownership of your admission and outcomes (bring a notebook!). 10:04 Asking about medication changes and starting discharge planning on day one. 10:48 Your Rights: Speaking up if you don't feel ready for discharge. 11:29 Questions to ask about the post-discharge plan (rehab, SNF, home health). 12:20 Hospital stay is a temporary stop; focus on what comes next. 13:42 Why Discharge Planning is Crucial: High risk of readmissions and complications. 14:50 The patient/caregiver is a key partner in the discharge process. 15:40 Overview of the Medicare Discharge Checklist components. 16:05 Checklist items: Home assessment, follow-up appointments, transportation. 17:04 Support Services: Home health, meal prep, and community resources. 17:34 Equipment and Medications: Ensuring they are ordered in time. 17:54 Emergency plan and 24-hour contact list. 18:28 The Crucial First 72 Hours post-discharge and need for support. 19:5 6Skilled Nursing Facility (SNF) discharge considerations. 20:25 Resources & Next Steps: CMS checklist, referral service contacts, Medicare helpline. 21:18 Final encouragement and a client story about an unsafe discharge. 22:39 Outro: Contact information and services offered by Care Advocates. 24:07 Free Consultation and contact details: 210-669-2222. 25:06 Closing remarks.

In this episode of Navigating Eldercare, host Laura Daniels welcomes Naeemah Marquez, a Licensed Master Social Worker and the Vice President of Care Transitions for Ignite Medical Resorts. Naeemah shares her expertise on the intricate world of skilled nursing facilities (SNFs) and post-acute care. They discuss the definition of a SNF, the critical role of a case manager as a "broker of resources" and discharge planner, and what families can expect during the admission, stay, and discharge process. Naeemah offers invaluable advice on setting realistic expectations for recovery, coordinating successful transitions, and the importance of family involvement to prevent readmission. She closes with a powerful story illustrating the profound impact of guidance and advocacy in a family's eldercare journey. 00:02 Welcome and Introduction to Navigating Eldercare 00:20 Host Laura Daniels (Care Advocates Founder) Introduction 00:45 The Mission of Care Advocates 01:42 Introducing Guest Naeemah Marquez and Her Background in Social Work 02:38 Naeemah's Inspiration and Drive in Care Transitions 03:07 Defining a Skilled Nursing Facility (SNF) 03:34 SNFs as a Bridge to Recovery 04:00 The Role of a Case Manager/Discharge Planner in SNF 04:39 A Typical Day for a Case Manager 05:22 Supporting Patients and Families During the Stay 05:54 The Admission Process from the Hospital to Ignite 06:41 Average Rehabilitation Stay Length and Determining Factors 07:10 Most Common Types of Therapy (PT/OT) 07:39 Setting Realistic Goals: The Care Conference Meeting 08:08 Advice for Families to Ensure Successful Recovery Post-Discharge 09:34 Common Challenges: Patient Acceptance of In-Home Caregivers 10:54 Coordinating the Next Steps: Transitioning Home or to Assisted Living 11:51 The Interdisciplinary Team (IDT) Process 12:21 Key Resources and Referrals Post-Discharge (Skilled Home Health, Hospice, Visiting Physicians) 13:49 What Naeemah Wishes Families Understood About Skilled Nursing 14:17 Setting Realistic Expectations: Not a 100% Return to Baseline 15:14 The Patient Journey from Admission to Discharge 16:39 How Ignite Medical Resort is Different (Luxury Rehab and Hospitality) 17:39 A Story That Defines Naeemah's "Why" (Sister of a Patient) 20:50 Laura's Appreciation for Naeemah's Advocacy 21:27 Naeemah's New Role as VP of Care Transitions 21:54 Naeemah's Goal for Her Team: Realizing Their Role as Advocates and Change Makers 22:50 How to Contact Ignite Medical Resorts 23:39 Closing Remarks and Free Consultation Offer from Care Advocates

Join host Laura Daniels, founder of Care Advocates, as she welcomes Roxanne Burgener, a Licensed Nursing Facility Administrator at The Estates at Shavano Park. This episode provides essential guidance on one of the most critical steps in the elder care journey: the transition from hospital to a short-term skilled nursing/rehabilitation facility (SNF). Roxanne shares her more than 35 years of experience in healthcare, detailing what a skilled nursing facility is, what sets The Estates at Shavano Park apart, and the meaning behind their "No Pass Zone" policy. What You Will Learn: Understanding a SNF: A clear definition of a skilled nursing facility and the difference between short-term rehabilitation and long-term care. The Transition Process: A step-by-step walkthrough of what happens when a patient transfers from the hospital to a SNF, and how to ease anxiety during this critical time. Key Advice for Families: Top three tips for making the hospital-to-rehab transition smoother, including the importance of bringing familiar comfort items. Respite Care: How families can use this valuable short-term stay option to prevent caregiver burnout and who is an ideal candidate. Selecting a Facility: Essential questions families should ask and what to look for when touring a skilled nursing facility, focusing on quality of care, cleanliness, safety, and staff interaction. The Heart of Care: Roxanne shares a deeply moving personal story that illuminates her passion and calling to work with older adults. This episode is a vital resource for families and healthcare professionals seeking to make confident, informed decisions about post-hospital recovery and care. 00:00 Introduction to Navigating Eldercare and Host Laura Daniels 01:34 Welcome and Introducing the Topic: Transitioning from Hospital to Short-Term Rehabilitation 01:54 Guest Introduction: Welcoming Roxanne Burgener, Licensed Nursing Facility Administrator 02:10 Defining a Skilled Nursing Facility (SNF) 02:22 Roxanne's Calling: What Inspired Her to Work in Elder Care 04:12 Host Recap: Defining the SNF Setting 04:36 The Estates at Shavano Park: What Makes the Community Unique 05:32 Person-Centered Care and the "No Pass Zone" Policy 07:07 The Transition Process: From Hospital Discharge to SNF Admission 09:39 Advice for Families: How to Make the Transition Smoother and Less Overwhelming 11:47 Understanding Levels of Care: Short-Term Rehab vs. Long-Term Care 14:24 Specialized Services: The Role and Value of Respite Care 16:15 Guidance for Families: Key Questions to Ask When Selecting a SNF 18:38 Final Reassurance for Families Facing the Rehab Transition 19:08 "This is Why I Do What I Do": Roxanne's Inspiring Story 23:14 Conclusion and How to Contact Roxanne Burgener and The Estates at Shavano Park 24:14 Final Thoughts and How to Contact Care Advocates for a Free Consultation

Laura Daniels welcomes highly respected senior care leader Mona Talukdar to discuss memory care, particularly focusing on the advantages of small, home-like communities. Mona shares her inspiration for creating specialized environments, explains how memory care differs from standard assisted living (focusing on mind support, specialized training, and environment), and offers essential guidance on knowing when it's time to transition a loved one. The conversation emphasizes safety, clinical-level care in a non-institutional setting, staff training in communication, individualized engagement, and how families can maintain a vital connection after the move. 00:00 Introduction to Navigating Eldercare 00:20 Host Laura Daniels: Guiding Families through Care Transitions 01:23 Introducing Mona Talukdar and Today's Topic: Memory Care 01:43 Mona's Background and Inspiration for Seasons Memory Care 03:09 What is Memory Care and How Does it Differ from Assisted Living? 04:29 When is the Right Time to Consider Memory Care? (Safety & Caregiver Burden) 05:58 Early Warning Signs Requiring Higher Support 07:37 Seasons' Care Philosophy: Routine, Predictability, and Joy 08:58 The Balance of Clinical Care and Social Wellbeing 09:28 Staff Response to Behaviors (Agitation, Sundowning, Wandering) 10:27 Environmental Features and Safety in Memory Care 11:48 Fall Prevention and Managing High Levels of Care 12:59 Family Connection and Emotional Support After the Move 14:24 Coping with the Guilt of Transitioning a Loved One 15:06 Engagement and Quality of Life: A Day at Seasons 16:03 Importance of Engagement and Avoiding Isolation 17:00 Adapting Activities for Different Stages of Decline 17:51 Collaboration with Physicians, Hospice, and Outside Providers 18:59 Role of Nutrition, Sleep, and Movement in Cognitive Support 20:25 Handling Changes in Resident Needs and Higher Care Levels 21:11 Advice for Families: Start Learning Early and Plan Ahead 22:15 Changing the Perception: Memory Care is Not a Last Resort 22:36 The Value of Small Settings and Deeper Relationships 23:17 A Success Story: Getting a Mother "Back" 24:09 Conclusion, Contact Information, and Listener Call to Action

Host Laura Daniels and Jimmy Caldwell of Imagine Wellness, a 16-bed residential care home, discuss choosing the right assisted living. They highlight the personalized care, exceptional 1:4 staffing ratio, and holistic approach found in smaller settings. The episode emphasizes why families should start the care conversation before a crisis and how genuine compassion leads to residents truly flourishing. Chapters: 00:00 Introduction: The Eldercare Journey 01:45 Focus on Small Assisted Living Communities 02:22 Meet Jimmy Caldwell, Owner of Imagine Wellness 02:43 Inspiration for a Small, Boutique-Style Home 05:05 Core Values and Holistic Care Philosophy 06:57 The Impact of the 1:4 Staffing Ratio 08:25 Peace of Mind and Staff Consistency 09:23 Small Home vs. Large Assisted Living 11:14 Flexibility and Individualized Care 13:06 Success Story: A Resident Blossoms 14:57 Advice: Plan Before the Crisis Happens 16:39 A Typical Day at Imagine Wellness 18:04 Setting Expectations and Transparent Communication 19:34 Accommodating Hobbies and Personal Touches 21:11 "Living Still Happens Here" Philosophy 23:30 Contact Information for Care Advocates & Imagine Wellness

Navigating Eldercare — Assisted Living, Demystified Host: Laura Daniels, RN, founder of Care Advocates Guest: Stacey Shaffer, Sales Director, Gemstone Assisted Living 00:00–00:58 | Show & Host Intro Laura Daniels—geriatrics RN and founder of Care Advocates—introduces the podcast and how she helps families after hospital/rehab stays or when home-care needs change. 00:58–01:54 | What Care Advocates Does Customized care plans, placement options (residential care homes, assisted living, memory care), and ongoing support. Today’s focus: assisted living, with guest Stacey Shaffer. 01:54–03:20 | Meet Stacey Laura highlights Stacey’s grace, empathy, and resourcefulness—someone who connects deeply with families at vulnerable moments. 03:20–04:50 | Stacey’s Background & Trust Building From Marriott sales/marketing to senior living, Stacey brings a “no isn’t an option” service mindset. Trust starts with listening fully before suggesting solutions. 04:50–05:48 | Family Emotions & Burnout Top emotions: guilt (not keeping loved one at home), stress (logistics), and real caregiver burnout. 05:48–07:37 | What Assisted Living Is 24/7 awake staff for quick response and ADL support. Replicating that consistency at home is hard across multiple shifts. 07:37–10:04 | Common Misconceptions It’s not a hospital or skilled nursing facility. Move-in doesn’t equal decline. Cost fears—many options exist. Laura adds: diagnoses like dementia or feeding needs don’t automatically require nursing homes; many can be supported in assisted living to age in place. 10:04–11:58 | The Sales Director’s Role Part therapist, part designer, always a resource. Honesty first—even if that means referring elsewhere. Every move-in is customized. 11:58–13:28 | Personalized Care Plans Details matter: wake times, hearing-aid charging, brace application, favorite TV channels. Consistency gives residents and families confidence. 13:28–14:50 | Details & Dementia Story: Mary Alice’s love for purple woven into daily outfits—small touches build trust. Dementia (e.g., Lewy Body) can often be supported in assisted living unless there’s wandering/safety risk. 14:50–16:07 | Aligning Expectations Use insights from both resident and family (what Mom says vs. what actually works) and translate that clearly to the care team. 16:07–17:39 | When to Start Looking As soon as you’re helping with more than one ADL. Early tours allow the loved one to participate and prevent crisis-driven, limited choices. 17:39–19:28 | Independence & Quality of Life Assisted living can increase independence by removing fear of falls and missed restroom trips, freeing time for activities—art, church, exercise. 19:28–21:44 | Touring Tips Observe residents (appearance, mood), ask them about food and entertainment, watch staff interactions (smiles, greetings), and check cleanliness on an “average” day. Aesthetics are nice, but care is the priority. 21:44–24:00 | From Guilt to Peace + “Fast Eddie” Families gain peace when the team uses everything learned to tailor care. Stacey shares “Fast Eddie,” a stroke survivor who joined a community “Dating Game” event—finding purpose and love. 24:00–25:31 | Wrap & Contacts Stacey’s direct line: 702-358-1168. Laura offers a free consultation: 210-669-2222 | AdvocateRN.com. Subscribe and share the show! Listen / Watch 📅 Sundays, 8:30–9:00 AM on 930 AM The Answer. 🎧 Available on all podcast apps. ▶️ Full video episodes on YouTube. Contact Laura for a Free Consultation 📞 210-669-2222 📧 laura@advocatern.com

Confused about Independent Living? Join host Laura Daniels, elder care advocate, and guest expert Tina Tedford, Sales and Marketing Director at Franklin Park Sonterra, for a candid discussion about this often-misunderstood senior living option. With over 30 years of experience, Tina shares what sets independent living apart from assisted living, details the vibrant daily life and amenities available, and explains why proactive planning makes all the difference. Learn how communities like Franklin Park offer seniors a resort-style experience—focused on freedom, companionship, and choice—and explore real-life examples of residents who found a fulfilling "new chapter" in community living. 00:02 Welcome to Navigating Eldercare & Meet Tina Tedford 01:17 Tina’s Journey: From Nursing Homes to Independent Living 02:13 The Role at Franklin Park Sonterra: Senior Living with Style 03:09 Independent Living vs. Assisted Living Explained 04:25 Is Independent Living Right for You? (Contrasting Resident Types) 04:30 The Proactive Couple: Seeking Freedom and Amenities (Bill & Susan) 06:21 The Social Senior: Combating Isolation (Margaret) 07:48 The Reluctant Senior: Overcoming the "Nursing Home" Fear (Harold) 09:11 Invitation to Tour & Contact Tina (210-404-1444) 10:15 Creative Solutions for Couples with Mixed Needs 12:53 A Day in the Life: Amenities, Activities, and Social Engagement 14:27 Resident-Led Committees and Community Involvement 15:47 Privacy and Choice: Introverts are Welcome, Too 16:38 Easing the Transition: Help with Downsizing and Moving 17:39 The Importance of Pre-Planning: Talk to Your Parents Now 19:08 Final Advice: It's a New Chapter, Not the End 19:46 Shifting Perception: Resort Style Community, Not a Facility 20:21 Tina's Inspiring Story of a Blind Resident 22:34 Closing Thoughts & Contact Information for Tina and Laura Daniels

Navigating Eldercare provides essential guidance and practical solutions for every step of the elder care journey. Host Laura Daniels, a Registered Nurse specializing in geriatric care and founder of Care Advocates, brings over 30 years of expertise in advocacy and care transition planning. Each week, Laura shares expert insights to help families and professionals make confident care decisions for seniors in transition—whether after a hospital stay, rehab, or when home care needs change. In this episode, Laura is joined by Michael Zendejas, owner of Homewatch Caregivers in San Antonio, a certified dementia care specialist, and a veteran. They discuss the vital role of in-home care, differentiating it from home health, and exploring the comprehensive services an agency provides, including assistance with activities of daily living (ADLs), specialized care for advanced diagnoses (like Parkinson's or Alzheimer's), and crucial respite care to combat caregiver burnout. Mike emphasizes the importance of choosing a licensed, insured, and locally-owned agency, focusing on caregiver matching and the critical support provided during the first 72 hours of hospital-to-home transitions to prevent readmission. This episode is a must-listen for anyone seeking to understand in-home care options and the value of planning ahead for the care journey. Chapters 00:00 Introduction: Navigating Eldercare with Host Laura Daniels, RN 00:31 Laura's Mission: Guiding Families and Professionals Through Care Transitions 01:28 Care Advocates: Services and Philosophy (Customized Care Plans, Advocacy, Support) 01:55 Introducing Guest Mike Sandeja, Owner of Homewatch Caregivers 02:23 Mike Sandeja's Background and Service to Seniors03:23Inspiration for Starting an In-Home Caregiving Agency 03:52 Defining In-Home Care vs. Home Health 04:39 Services Offered by Homewatch Caregivers (ADLs, Specialized Care) 05:14 Who Needs Home Care? (Falls, Post-Discharge, Chronic Conditions) 06:54 Understanding and Utilizing Respite Care 07:54 The Reality of Caregiver Burnout and Self-Care 08:37 Misconceptions about In-Home Care (The Caregiver Team) 09:33 What Sets Homewatch Caregivers Apart? (Local, 24/7 Decision Makers) 10:35 Agency vs. Private Caregiver (Licensing, Insurance, Backup Care) 11:32 Matching Caregivers with Clients (Skills and Personality) 12:21 Caregiver Onboarding and Training Process 13:25 Involving Family in the Customized Care Plan 14:18 Creative Solutions and Preparing the Home for Discharge 15:26 The Most Important Question to Ask a Caregiving Agency 16:21 Focus on the First 72 Hours: Hospital-to-Home Transition 17:15 Reducing Readmission Rates and Coordinated Care 18:43 Service Agreements: No Long-Term Contractual Obligation 19:28 Where Caregivers Can Serve Clients (Assisted Living, Communities) 20:41 Mike Sandeja's Advice: The Journey Starts Now (Plan Ahead!) 21:35 Why It's Critical to Not Wait for a 911 Emergency 22:34 Contact Information for Homewatch Caregivers (210-346-1172) 23:29 Conclusion and Contact Information for Care Advocates (210-669-2222) Professional Affiliations: • National Placement and Referral Alliance • Alliance of Professional Health Advocates (APHA) • National Association of Healthcare Advocacy (NAHAC) Laura's approach combines professional expertise with heartfelt understanding, making her an invaluable resource for families facing the challenges of elder care decisions. Her commitment to improving quality of life for seniors shines through in every interaction, making her the perfect guide for listeners navigating their own elder care journeys. 📅 Tune in Sundays at 8:30am–9:00am on 930AM The Answer or listen anytime on your favorite podcast app. Watch the full video episodes here on YouTube for added insights and resources. Contact Laura for a Free Consultation: 📞 210-669-2222 📧 laura@advocatern.com 🌐 www.advocatern.com

Welcome to Navigating Eldercare, the definitive podcast for families and professionals seeking guidance and practical solutions for the elder care journey. Hosted by Laura Daniels, a registered nurse with 30 years of experience in geriatrics and founder of Care Advocates, this show tackles the real questions and challenges of care transitions. Each week, we bring you expert insights to help you make informed and confident decisions, whether you're dealing with a loved one's change in health, planning for future needs, or seeking to age in place safely. From understanding your options like assisted living and residential care homes to navigating complex emotional and logistical issues, we provide the advocacy, education, and support you need every step of the way. Join us to turn overwhelm into clarity and find the right care at the right time for the people who matter most. Chapters 00:02 | Introduction to Navigating Eldercare 00:20 | Meet Your Host, Laura Daniels 01:53 | Today's Topic: The Desire to Age in Place 02:13 | Introducing Guest Expert: Amy Roberts, a San Antonio-based Aging in Place Realtor 03:06 | Amy's Personal Journey and Passion for Elder Care 04:56 | The Value of Universal Design and the CAPS Certification 06:23 | Defining "Aging in Place" 07:39 | The Reality of Unprepared Homes and Involuntary Moves 09:05 | How an Aging in Place Realtor Helps Older Adults 10:41 | Handling Tough Conversations: When a Loved One Doesn't Want to Move 11:15 | Case Study: The Overwhelmed Spouse and the Resistant Partner 14:44 | The Importance of the CAPS (Certified Aging in Place Specialist) Certification 16:13 | DIY Home Modifications for Safe Aging in Place 18:36 | The Most Common Places for Falls 19:00 | Staying Socially Connected and Maintaining Wellness at Home 20:09 | Healthcare Resources to Support Aging in Place 22:00 | Case Study: The Importance of Having an Advocate After a Move 23:17 | A Message from Laura Daniels and Care Advocates 24:36 | Contact Information for Laura Daniels and Amy Roberts 25:26 | Closing Remarks Professional Affiliations: • National Placement and Referral Alliance • Alliance of Professional Health Advocates (APHA) • National Association of Healthcare Advocacy (NAHAC) Laura's approach combines professional expertise with heartfelt understanding, making her an invaluable resource for families facing the challenges of elder care decisions. Her commitment to improving quality of life for seniors shines through in every interaction, making her the perfect guide for listeners navigating their own elder care journeys. 📅 Tune in Sundays at 8:30am–9:00am on 930AM The Answer or listen anytime on your favorite podcast app. Watch the full video episodes here on YouTube for added insights and resources. Contact Laura for a Free Consultation: 📞 210-669-2222 📧 laura@advocatern.com 🌐 www.advocatern.com

Laura Daniels, a registered nurse and founder of Care Advocates, hosts this podcast to help families and professionals find the right solutions for seniors in transition. In this episode, she interviews Mona Talukdar, a highly respected leader in senior care, about the Medicare Guiding an Improved Dementia Experience (GUIDE) model. They discuss this groundbreaking program, which is changing how dementia is treated in the U.S. by providing comprehensive, wraparound support for both patients and their caregivers. Tune in to learn about eligibility, program benefits, and why this model is a crucial step forward in eldercare. Chapters 00:00 - 00:19: Introduction Host Laura Daniels welcomes listeners and introduces the podcast's purpose: providing guidance and answers for every step of the eldercare journey. 00:20 - 01:11: Meet the Host, Laura Daniels Laura shares her background as a registered nurse specializing in geriatrics and the motivation behind creating Navigating Eldercare and her company, Care Advocates. 01:12 - 01:39: The Mission of Care Advocates Laura explains how her company, Care Advocates, works with families to create customized care plans and provides ongoing support, education, and advocacy. 01:40 - 02:05: Introduction of Guest, Mona Talukdar Laura introduces her guest, Mona Talukdar, a respected leader in senior care with over 12 years of experience in memory care, highlighting her work with the Alzheimer's Association and the Medicare GUIDE model. 02:06 - 02:31: Understanding the GUIDE Program Mona explains what the Medicare Guiding an Improved Dementia Experience (GUIDE) program is—a new, groundbreaking program that funds not only medical care but also navigation, education, and support for dementia patients and their caregivers. 02:32 - 03:23: The Groundbreaking Nature of GUIDE Mona discusses why the GUIDE program is so important, emphasizing that dementia is a "family disease" and that the program is the first of its kind to recognize and support the needs of caregivers with services like respite care. 03:24 - 04:20: What Makes GUIDE Different The discussion highlights how GUIDE differs from other Medicare benefits by bringing multiple support services under one umbrella, including 24/7 support, caregiver education, and paid respite care. 04:21 - 05:41: GUIDE Program Eligibility and Exclusions Mona clarifies who is eligible for the program (those with a formal dementia diagnosis and traditional Medicare) and who is not (Medicare Advantage members, and those in nursing homes or on hospice). 05:42 - 06:35: Finding a GUIDE Participant Mona advises listeners on how to find a local GUIDE participant through the Medicare or CMS website and provides her contact information for those in the San Antonio area. 06:36 - 08:31: The Benefits of GUIDE Mona details the key benefits of the program, including dementia-trained care navigators, 24/7 phone support for crises, individualized care plans, and home assessments. 08:32 - 10:21: The Role of a Care Navigator Mona explains the critical role of the care navigator as a personal assistant who coordinates care, arranges services like counseling and respite, and knows the patient's needs inside and out. 10:22 - 11:17: The Onboarding and Alignment Process Mona describes the process of "alignment," which involves a comprehensive assessment, gathering medical records, and getting approval from Medicare to begin receiving GUIDE services. 11:18 - 12:45: The Importance of Caregiver Training and Education Mona and Laura discuss the toll of caregiver burnout and why the education and training component of the GUIDE program are so vital to help caregivers understand dementia behaviors, manage stress, and prevent accelerated aging. 12:46 - 14:06: The Value of Respite Care Mona emphasizes the importance of respite services, which offer short-term relief for caregivers through in-home support, adult day programs, or overnight stays, all paid for by Medicare at no cost to the family. 14:07 - 15:03: Access and Availability Mona advises listeners outside of San Antonio how to find a GUIDE program near them by searching the Medicare website or calling 1-800-MEDICARE. 15:04 - 16:35: Support Groups and Classes Mona explains the types of support groups and educational classes offered, providing an example of how training can help caregivers recognize symptoms of a UTI in dementia patients. 16:36 - 18:27: Integration with Existing Medical Care Mona clarifies that the GUIDE program does not replace a patient's existing doctors but instead works as a collaborative part of the medical team, sharing updates and care plans with primary care physicians and specialists. 18:28 - 19:25: Caregiver Responsibilities Mona outlines the responsibilities of caregivers in the program, stressing the importance of active engagement, honest communication, and participation in training and assessments. 19:26 - 20:22: Long-Term Impact and Honesty in Feedback Mona and Laura discuss the long-term goals of the GUIDE program, including reducing hospitalizations and healthcare costs, and the need for caregivers to be honest about their struggles to ensure the program can truly help. 20:23 - 22:20: A Case Study of a Family Benefiting from GUIDE Mona shares a hypothetical case study of a family whose loved one has dementia and Parkinson's, illustrating how the GUIDE program's support can help them keep their loved one at home longer. 22:21 - 23:17: Hopes for the Future of Dementia Care Mona expresses her hope that the GUIDE program will change how dementia is treated in the United States, shifting the focus from a medical condition to a supported family journey. 23:18 - 25:31: Conclusion and Contact Information Laura thanks Mona for her insights and encourages listeners to subscribe, like, and share the podcast. She provides contact information for Care Advocates for a free consultation. Professional Affiliations: • National Placement and Referral Alliance • Alliance of Professional Health Advocates (APHA) • National Association of Healthcare Advocacy (NAHAC) Laura's approach combines professional expertise with heartfelt understanding, making her an invaluable resource for families facing the challenges of elder care decisions. Her commitment to improving quality of life for seniors shines through in every interaction, making her the perfect guide for listeners navigating their own elder care journeys. 📅 Tune in Sundays at 8:30am–9:00am on 930AM The Answer or listen anytime on your favorite podcast app. Watch the full video episodes here on YouTube for added insights and resources. Contact Laura for a Free Consultation: 📞 210-669-2222 📧 laura@advocatern.com 🌐 www.advocatern.com

In this episode of "Navigating Eldercare," host Laura Daniels, a registered nurse and founder of Care Advocates, discusses the critical importance of creating a caregiving plan before a crisis occurs. She outlines the key components of a comprehensive plan, including starting difficult conversations with loved ones, assessing their current situation and finances, and exploring various care options like aging in place or assisted living. Laura also emphasizes the necessity of building a support team and, most importantly, prioritizing self-care for the caregiver to prevent burnout. This episode provides a vital framework and resources to help families and professionals make informed decisions and reduce the stress of the caregiving journey. Chapters 00:02 - Welcome to Navigating Eldercare 00:20 - Meet Your Host: Laura Daniels 01:19 - About Care Advocates 01:49 - Introducing Today's Topic: Creating a Caregiving Plan 02:47 - The Importance of Proactive Planning 03:15 - What is a Caregiving Plan? 04:13 - Stress and the Need for a Plan 05:12 - Topic 1: Starting the Conversation 06:08 - Topic 2: Assessing the Current Situation 07:01 - Topic 3: Reviewing Finances 08:51 - Topic 4: Aging in Place 10:15 - Topic 5: Considering Assisted Living & Other Care Options 12:03 - Topic 6: Creating Your Care Team 13:22 - Community Resources 14:31 - Topic 7: The Caregiver and Self-Care 16:54 - Long-Distance Caregiving 17:53 - The Caregiving Plan Worksheet 18:22 - Assessing Physical and Mental Health 18:51 - Identifying Care Needs 19:50 - Financial Management and Legal Matters 21:13 - Home Safety and Lifestyle 22:09 - Building a Professional Care Team 23:03 - Final Self-Assessment Questions for Caregivers 24:13 - Care Advocates' Services and Contact Information 25:29 - Closing Remarks Professional Affiliations: • National Placement and Referral Alliance • Alliance of Professional Health Advocates (APHA) • National Association of Healthcare Advocacy (NAHAC) Laura's approach combines professional expertise with heartfelt understanding, making her an invaluable resource for families facing the challenges of elder care decisions. Her commitment to improving quality of life for seniors shines through in every interaction, making her the perfect guide for listeners navigating their own elder care journeys. 📅 Tune in Sundays at 8:30am–9:00am on 930AM The Answer or listen anytime on your favorite podcast app. Watch the full video episodes here on YouTube for added insights and resources. Contact Laura for a Free Consultation: 📞 210-669-2222 📧 laura@advocatern.com 🌐 www.advocatern.com

Is it time to consider a change in your parent's living situation? This episode of Navigating Eldercare is for anyone wrestling with this difficult question. Host Laura Daniels, a registered nurse and elder care advocate, walks you through the 10 most common signs that your loved one may need more support, whether at home or in an assisted living community. Laura explains how to spot key indicators you may be missing, from subtle changes in health and hygiene to increasing isolation and challenges with daily tasks. We also cover specific red flags for memory-related concerns, such as disorientation and wandering. The episode provides practical advice on how to start these sensitive conversations and offers solutions that promote safety, dignity, and a better quality of life for your loved one—and peace of mind for you. Join Laura Daniels, RN, on this episode of "Navigating Elder Care" as she provides essential insights into the elder care journey. Discover the various senior living options available, from 55-plus communities to memory care, and learn the importance of early planning for care transitions. Laura shares her expertise in geriatric care, offering practical solutions for families facing changes in health needs. Tune in for expert guidance that empowers you to make informed decisions about elder care for yourself or your loved ones. Chapters  00:02 — Welcome: What “Navigating Eldercare” is about 00:20 — Meet Laura Daniels, RN & Care Advocates: what we do 00:46 — Why Laura started: making elder care less overwhelming 01:15 — How Care Advocates helps: personalized plans & ongoing support 02:14 — Today’s topic: “How do I know if my parent needs assisted living?” 02:43 — Forgetfulness vs. warning signs: when “normal” becomes risky 03:11 — The stats: most adults 65+ will need some assistance 03:40 — Framing the decision: safety, dignity, independence, family well-being 04:09 — Why this is hard: scattered clues that add up 04:39 — It’s not only facilities: aging at home with the right supports 05:09 — Sign #1: Declining health (falls, missed appointments, chronic issues) 06:03 — Sign #2: Trouble with ADLs (bathing, dressing, cooking, cleaning) 06:33 — Sign #3: Cognitive changes (memory, orientation, bills/meds) 07:30 — Sign #4: Isolation & mood changes (loneliness, anxiety, depression) 07:56 — Sign #5: Unsafe home conditions (clutter, lighting, expired food) 08:26 — Sign #6: Poor hygiene or weight loss 09:21 — Sign #7: Caregiver stress & burnout 10:14 — Sign #8: Care coordination overload (appointments, transport, rehab) 11:09 — Sign #9: A doctor recommends more support 12:07 — Sign #10: Needs exceed what the family can provide 12:35 — Memory care focus: who it’s for & key safety needs 13:04 — Memory care red flags: disorientation & getting lost 13:34 — More red flags: repeating questions, can’t complete simple tasks 14:02 — Behavior changes: agitation, suspicion, withdrawal 14:31 — Judgment concerns: scams, unsafe driving, money issues 15:28 — Loss of interest & connection: when joy fades 15:54 — Home safety risks: doors, stove, nighttime wandering 16:21 — First steps: see a geriatric specialist, get a fuller picture 17:15 — Bridging support at home while you evaluate options 17:45 — Why we delay the talk—and how to start it 18:38 — 4 conversation openers that actually work 20:26 — Assisted living ≠ loss of independence: safety, dignity, QoL 20:51 — Crisis vs. planning: why early tours matter 21:19 — The gift of time: making thoughtful, values-aligned choices 21:47 — Next episode teaser: building a caregiving plan (with Laura’s guide) 22:44 — What a caregiving plan is—and why it reduces stress 23:06 — Medicare, custodial care, and common planning gaps 24:02 — How Care Advocates supports you: plan • options • ongoing help 24:32 — Call to action & contact info 24:57 — Where to listen & subscribe (radio, YouTube, podcast apps) 25:24 — Close: “Helping you find the right care at the right time” 25:46 — Weekly promo: tune in, share, and get support now Professional Affiliations: • National Placement and Referral Alliance • Alliance of Professional Health Advocates (APHA) • National Association of Healthcare Advocacy (NAHAC) Laura's approach combines professional expertise with heartfelt understanding, making her an invaluable resource for families facing the challenges of elder care decisions. Her commitment to improving quality of life for seniors shines through in every interaction, making her the perfect guide for listeners navigating their own elder care journeys. 📅 Tune in Sundays at 8:30am–9:00am on 930AM The Answer or listen anytime on your favorite podcast app. Watch the full video episodes here on YouTube for added insights and resources. Contact Laura for a Free Consultation: 📞 210-669-2222 📧 laura@advocatern.com 🌐 www.advocatern.com

If aging, recovery, or a sudden health change has your family asking “what now?”, this episode lays out the map. RN and elder-care advocate Laura Daniels (founder of Care Advocates) breaks down senior living options—55+ communities, Independent Living, Assisted Living, Memory Care, Residential Care Homes, and Aging in Place—so you can make confident, compassionate decisions. Chapters  00:00 — Show Open: Why this conversation matters 00:20 — Meet Laura Daniels, RN: 30+ years in geriatric care & advocacy 01:19 — How Care Advocates guides families through transitions 02:17 — Today’s Topic: Senior living options overview 02:46 — The reality: Most of us will need some assistance 03:16 — What to weigh: Care needs, safety, social life, finances, family 04:08 — Option 1: 55+ Communities (active, social, maintenance-free) 05:32 — Story: Margo finds community—and joy—in a 55+ setting 06:20 — Option 2: Independent Living (meals, housekeeping, amenities) 08:14 — Story: Betsy rediscovers purpose at the piano 10:59 — Option 3: Assisted Living (ADLs, meds, 24/7 staff, transport) 12:26 — Pricing 101: Room/amenities vs. level-of-care fees 13:25 — Story: Margaret’s safe recovery after a hip fracture 15:11 — Option 4: Memory Care (secure, structured, dementia-trained staff) 16:34 — Who it’s for: Wandering, confusion, night wakefulness, falls risk 17:31 — Story: Diana’s move brings safety—and spousal relief 18:27 — Option 5: Residential Care Homes (small, home-like, higher staffing) 19:52 — Aging in Place: In-home care + Medicare-covered supports 20:50 — Home safety: Aging-in-place assessments & simple modifications 22:12 — Why a geriatric specialist (not just GP) can change outcomes 22:41 — Don’t wait for a fall: Tour early, plan early 23:39 — Assisted Living can increase dignity, safety, and peace of mind 24:08 — How Care Advocates works: Plan, options, ongoing support 25:05 — Contact & Airtimes: Phone, email, radio, podcast, website 25:32 — Close: “Care, compassion, lifetime support.” Professional Affiliations: • National Placement and Referral Alliance • Alliance of Professional Health Advocates (APHA) • National Association of Healthcare Advocacy (NAHAC) Laura's approach combines professional expertise with heartfelt understanding, making her an invaluable resource for families facing the challenges of elder care decisions. Her commitment to improving quality of life for seniors shines through in every interaction, making her the perfect guide for listeners navigating their own elder care journeys. 📅 Tune in Sundays at 8:30am–9:00am on 930AM The Answer or listen anytime on your favorite podcast app. Watch the full video episodes here on YouTube for added insights and resources. Contact Laura for a Free Consultation: 📞 210-669-2222 📧 laura@advocatern.com 🌐 www.advocatern.com

Welcome to the very first episode of Navigating Eldercare with Laura Daniels, RN, founder of Care Advocates. After 32+ years in geriatric nursing and care transition planning, Laura launches this show to help families, caregivers, and professionals make confident, compassionate decisions. Chapters  00:00 – 00:52 Introduction Laura Daniels introduces the podcast, her 30 years as an RN in geriatrics, and the mission: helping families navigate eldercare with clarity and confidence. 00:52 – 01:23 Laura’s Background A quick overview of Laura’s passion for advocacy and her company, Care Advocates, which builds customized plans for seniors needing residential care, assisted living, or memory care. 01:23 – 02:18 What Care Advocates Does Summary of services — meeting families, educating them, guiding decisions, and offering ongoing support. Contact: 210-669-2222. 02:18 – 03:45 The Hardest Decision Explores the most difficult moment for families: realizing a loved one may no longer be safe living alone and when it’s time to consider care. 03:45 – 05:13 Guilt, Fear & Timing Acknowledges the emotional weight of placement. Helps listeners recognize red flags like confusion, falls, missed meds, and caregiver overwhelm. 05:13 – 06:38 Caregiver Burnout Discusses burnout and how placement can restore the parent-child or spouse relationship instead of being consumed by caregiving. 06:38 – 09:29 Signs It’s Time to Transition Short breakdown of key warning signs: safety issues, daily self-care struggles, memory loss, mood changes, and caregiver stress. 09:29 – 11:24 Planning the Next Steps Encourages proactive planning — documenting incidents, consulting professionals, talking with family, and touring care options before a crisis. 11:24 – 13:20 Why Referral Agencies Matter Explains the value of having expert guidance during urgent or emergency placements and notes that Care Advocates is free for families. 13:20 – 15:12 Clarity in a Complicated System Describes how Care Advocates simplifies the complexities of assisted living, memory care, and residential care homes. 15:12 – 17:12 A Personalized Approach Shows how the team learns each senior’s medical needs, personality, and preferences, partnering with over 100 vetted care providers. 17:12 – 19:05 Placement Timeline Placement can be fast or gradual — every family’s journey is unique. Laura shares her commitment to walking with families along the way. 19:05 – 20:25 How the Process Works Details the intake process, note-taking, creating a shortlist, and guiding families on facility tours. 20:25 – 21:26 Support After the Move Highlights ongoing follow-up to ensure the senior adjusts well. Care Advocates stays involved as advocates, not just matchmakers. 21:26 – 23:18 From Guilt to Peace Many families fear placement, but later feel relieved and thankful as their loved one gains safety, structure, and social engagement. 23:18 – 25:31 Conclusion & Call to Action Final encouragement: you don’t have to navigate this alone. Call Care Advocates for compassionate, expert support.     Professional Affiliations: • National Placement and Referral Alliance • Alliance of Professional Health Advocates (APHA) • National Association of Healthcare Advocacy (NAHAC) Laura's approach combines professional expertise with heartfelt understanding, making her an invaluable resource for families facing the challenges of elder care decisions. Her commitment to improving quality of life for seniors shines through in every interaction, making her the perfect guide for listeners navigating their own elder care journeys. 📅 Tune in Sundays at 8:30am–9:00am on 930AM The Answer or listen anytime on your favorite podcast app. Watch the full video episodes here on YouTube for added insights and resources. Contact Laura for a Free Consultation: 📞 210-669-2222 📧 laura@advocatern.com 🌐 www.advocatern.com