My Approach
Contact Me
My Approach
Contact Me

My care-management strategy is based on the belief that every person is a unique, dynamic individual. Whether I work alone or with my team of experienced professionals, your care will be custom-tailored to fit your changing needs.
My goal is to not only provide rehabilitative care but, also to also help empower you mentally and emotionally,  so as to allow your loved ones to enjoy you as a person instead of acting as primary caregivers.
A sampling of the care I provide:

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Tadalafil kaufen in deutschland – erreichisch auf jenen auch Deutschland und europäischen Prozesses. This is in the German Language European and Federal States. The most used drugs in world are alcohol, tobacco, and caffeine. It is estimated that 70% of adults (18+) report that they have engaged in at least one addiction according to a 2011 Global Drug Surveillance Initiative report. The most used drugs are alcohol and tobacco, which among the easiest to obtain as a stimulant. Caffeine and hallucinogens are less easy to acquire or easily accessed as a drug, and harder to consider as a legitimate drug, especially in adolescents. Nevertheless, the fact that caffeine is sold as pure or on a mixture with alcohol and in a mixture with prescription stimulants in the marketplace means that coffee can be safely purchased in the US. Alcohol, coffee, and nicotine are among the most common classes of legally prescribed medications in the US and European Union. Alcohol is used by more than 1.2 billion people in Asia, Africa, Central and South America, the Middle East, Asia, and sub-Saharan Africa. Coffee is used by 500 million people in Western Europe, 300 million people in North America, and 60 million people in Australia. According to the Global Drug Survey 2012, caffeine is used almost universally. People in all demographics the world use caffeine. Caffeine was the most used drug in 2012. The highest popularity is found in Asians. The other drugs use by women and men are relatively evenly distributed. Coffee is usually consumed at any time of day. Around 99% people consume coffee in the morning. Around 97% of people consume it later at night, or in the afternoon. Caffeine usually provides a quick energy boost and provides a sense of alertness and energy. It is also a stimulant, which can enhance cognitive functions and alertness can be used to treat sleep. It does not cause sedation and sometimes increases the number of dreams. Some studies have indicated that caffeine increases energy levels by more than 3-fold during the first 1-5 minutes of ingestion after a cup java. In 2012 total of 16 countries reported that coffee consumption exceeded 200mL and the value was as high 300 mL/day. usual, it is very difficult to estimate a caffeine intake. Caffeine as a medicine, the effect in human body The exact mechanism of action caffeine remains highly controversial. Some studies have found increased levels of energy, alertness, and focus, but other studies have shown its impact to decrease sleep quantity and quality to inhibit learning long term memory. The possible impact of caffeine on the metabolic system is still to be determined. Evidence for the use of caffeine as a non-addictive drug, therapeutic, and mild sedative has increased in the past 15 years. Caffeine does not cause dependence, even in the shortest doses. Only around 6% of people are reported as dependant on caffeine. The use and abuse of caffeine as a medicine is quite low. Among countries, caffeine is the drug least widely abused as a medicine. The global prevalence of caffeine use as an illegal additive in medications has not increased the past decades. However, worldwide consumption by pregnant or breast feeding mothers has increased during the past decades. Because it has not proven itself as a safe and non-addictive drug, it is not recommended as a standard dose of medication for the treatment high blood pressure: more can sometimes be required. Caffeine is one of the safest stimulants that do not produce the effects of its metabolites in the body, because caffeine is a water soluble compound. Unlike drugs like nicotine or cocaine, it does not affect the blood sugar level. However, it is not a very good blood sugar stabilizer: the stabilizing effect is slightly blocked with chronic excessive use causing high blood sugar levels, insulin resistance or diabetes. In low doses it increases the body's ability to take in the nutrients required by body; in moderate doses, it stimulates production and release of hormones such as prolactin and adrenocorticotropic hormone (ACTH). In moderate doses and with increased use, it enhances memory. At higher doses, it relaxes the muscles, and increases alertness (see 2-3 page discussion). Caffeine withdrawal is a serious mental illness, which many people fail to cope with. It is caused by the long-term tolerance and effects of caffeine after prolonged use. Some people, including tadalafil in polen kaufen the elderly, have an insensitivity to the addictive effects of caffeine and this leads to withdrawal when suddenly switching reduced caffeine consumption. They tadalafil sicher kaufen usually become irritable and tired the second to 3-4 weeks after their last cup. Caffeine withdrawal is very different from the normal withdrawal another illicit drug like heroin or cocaine. There is usually a significant amount of time for caffeine withdrawal recovery. Most importantly you will find that your body has completely adjusted to low caffeine consumption and.

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  •  Create daily agenda
  •  Drive to and from activities
  • Research, book, and accompany on museums trips, concerts, plays, local shows, and shopping
  •  Provide social interaction which includes painting, coloring, reading, and watching television
  •  Provide daily grooming assistance by laying out clothes, makeup and other items
  •  Coordinate and attend appointments for makeup, hair, manicures, pedicures, and massages
  •  Coordinate calls and luncheons with family and friends
  • Set reminders and assist in buying gifts for birthdays and special occasions
  • Send daily and/or weekly status reports to family members


  •  Doctors and Nurses that come to your home  
  •  Recommend and set doctor, optometrist, and dental appointments
  •  Pick up medications, set medication reminders, organize and administer medications
  •  Observe personalities for health or performance changes
  • Rehabilitative therapy
  • Private duty medical and non-medical care
  • Companionship
  • Special emphasis on clients diagnosed with ALS, MS, multiple strokes, Alzheimer’s disease and dementia

Home Management
    •  Coordinate appointments and expectations with designers, housekeeping, masseuse and specialized serv