Finding The Best Dementia Care Facility

Dementia is a term for mental decline that is severe enough to interfere with the activities of daily living. The most common type of elderly dementia is Alzheimer’s disease, but there are many other causes. Elderly dementia itself is not a disease, but it is a term that encompasses a wide range of symptoms.

When to Look for Help
It can be difficult to decide when a loved one with dementia should no longer live on their own. Many people with various forms of elderly dementia can live independently for years with the right support and memory aids.
Eventually your family member will need to be moved to a facility, but knowing when is difficult. This is especially true since many people with elderly dementia will often conceal their struggles. The following are some signs to be on the lookout for:
They are no longer sending letters of birthday cards regularly.
They have stopped initiating phone calls.
They are in a hurry to get off the phone every time you talk.
They are making calls at strange hours for non-emergencies.
When elderly dementia progresses, it can become difficult to carry out the steps needed to write and send a letter. Losing the ability to carry on longer conversations and communicate with letters can mean that they are also struggling with driving and cooking. When someone is struggling with self-care tasks, you might see some of the following:
Their weight is changing without explanation.
They don’t dress appropriately for the occasion or the weather.
Their clothes do not look clean or they smell.
While the previous signs indicate your loved one might be losing the ability to care for themselves on their own, the most obvious signs are much more serious. Any of these could indicate your loved one is no longer safe at home and needs to be moved to a senior care facility as soon as possible:
Having the utilities turned off because the bills are not paid.
Evidence of donations to charities your loved one does not have a history of supporting.
Robbery caused by doors being left unlocked or because of people they are letting into their home.
Getting lost of wandering off.
Choosing an Elderly Dementia Facility
One of the most important considerations is whether the senior care facility you choose cares for people with all stages of dementia. You don’t want to place them somewhere and then have to move them again when their disease progresses. This could be both frightening and heartbreaking, so make sure they can stay in their new Costa Mesa or Yorba Linda home for the rest of their lives.
You want to choose a senior care facility where the staff is specifically trained to care for individuals with dementia, and they can handle the associated behaviors such as combativeness and sun downing.
There should be specific safety precautions in place for these patients to prevent them from wandering, and these can include locked dementia units or personal monitoring systems.
Paying for Elderly Dementia Senior Care
The majority of families pay for their loved one’s residential care themselves. There are benefits that cover residential senior care, and those include long-term care insurance, Veterans benefits, and Medicaid. Medicare only pays for short-term skilled care and does not pay for the cost of long-term residential care.
At Senior Home Advocates, we have the expertise and experience to help you make the best decisions possible for your loved one with elderly dementia. We’re a comprehensive senior care agency, and we’ll be with you every step of the way.

Finding The Best Elderly Dementia Care Facility

Dementia is a term for mental decline that is severe enough to interfere with the activities of daily living. The most common type of elderly dementia is Alzheimer’s disease, but there are many other causes. Elderly dementia itself is not a disease, but it is a term that encompasses a wide range of symptoms.

When to Look for Help

It can be difficult to decide when a loved one with dementia should no longer live on their own. Many people with various forms of elderly dementia can live independently for years with the right support and memory aids.

But eventually your family member will need to be moved to a facility, but knowing when is difficult. This is especially true since many people with elderly dementia will often conceal their struggles. The following are some signs to be on the lookout for:

• They are no longer sending letters of birthday cards regularly.
• They have stopped initiating phone calls.
• They are in a hurry to get off the phone every time you talk.
• They are making calls at strange hours for non-emergencies.

When elderly dementia progresses, it can become difficult to carry out the steps needed to write and send a letter. Losing the ability to carry on longer conversations and communicate with letters can mean that they are also struggling with driving and cooking.

When someone is struggling with self-care tasks, you might see some of the following:

• Their weight is changing without explanation.
• They don’t dress appropriately for the occasion or the weather.
• Their clothes do not look clean or they smell.

While the previous signs indicate your loved one might be losing the ability to care for themselves on their own, the most obvious signs are much more serious.

Any of these could indicate your loved one is no longer safe at home and needs to be moved to a senior care facility as soon as possible:

• Having the utilities turned off because the bills are not paid.
• Evidence of donations to charities your loved one does not have a history of supporting.
• Robbery caused by doors being left unlocked or because of people they are letting into their home.
• Getting lost of wandering off.

Choosing an Elderly Dementia Facility

One of the most important considerations is whether the senior care facility you choose cares for people with all stages of dementia. You don’t want to place them somewhere and then have to move them again when their disease progresses. This could be both frightening and heartbreaking, so make sure they can stay in their new Costa Mesa or Yorba Linda home for the rest of their lives.

You want to choose a senior care facility where the staff is specifically trained to care for individuals with dementia, and they can handle the associated behaviors such as combativeness and sun downing.

There should be specific safety precautions in place for these patients to prevent them from wandering, and these can include locked dementia units or personal monitoring systems.

Paying for Elderly Dementia Senior Care

The majority of families pay for their loved one’s residential care themselves. There are benefits that cover residential senior care, and those include long-term care insurance, Veterans benefits, and Medicaid. Medicare only pays for short-term skilled care and does not pay for the cost of long-term residential care.

At Senior Home Advocates, we have the expertise and experience to help you make the best decisions possible for your loved one with elderly dementia. We’re a comprehensive senior care agency, and we’ll be with you every step of the way.

Finding Senior Care In Anaheim California

Aging is an unavoidable fact of life. Often as we grow older, we often become less capable of managing our affairs or taking care of our health. It is difficult to watch anyone lose capability, but it is particularly difficult when it is our own parents who need assistance with everyday life. You want the best care for your parent, but don’t know what options exist, which options are best for the needs of your parent and your family, and how much they cost.

In Anaheim, CA, the answers to those questions are quite shocking and a little bit worrisome. Just answering the first question, you could enroll your parent at a home health agency, a skill nursing facility, an assisted living residence, or an acute care hospital. Alternatively, you could pay for the services of an in-home care provider or nurse. All of these options offer different benefits depending on the physical and mental limitations of your parent, the financial situation of your parent, and the availability of nearby family and friends.

To further complicate the answer to that question, just within the city limits of Anaheim, there are a dozen home health agencies and well over 200 service the Anaheim area. There are a similarly high number of choices for the other away-from-home options. And there are literally thousands of professionals offer in-home care of one manner or another. Searching for the right answer is a bit like searching for a needle in a haystack. With such a wide range of options, what you really need when choosing Anaheim senior care is a consultant that understands the industry and can help you make the right choice.

Senior Home Advocates offers exactly the kind of consultation you need to select an Anaheim senior care option for your aging parent. Senior Home Advocates representatives are well versed in the Anaheim senior care industry, understand every option, and can advise you on which is best for the mental and physical well being of your parent based on your budgetary constraints. When working with a Senior Home Advocates consultant, you needn’t worry that the needs of your parent will be ignored. The consultant literally acts as an in person live advocate for your senior parent, prioritizing his or her needs in senior care above all else.

Your aging parent needs you to make the hard decisions about their future care, but you need help too. Contact Senior Home Advocates today to get started on arranging for that care with a free consultation from a professional that will guide you through every step of the process.

Professional Guidance on Getting the Patient to Agree to a Safe Care Arrangement

With interest rates low and home prices high, this is the ideal time to downsize, if you have been considering selling your current home. Interest rates for a 30 year fixed rate mortgage are hovering around 4%. This is causing home prices to rise.  Because these low interest are not expected to last very long, many buyers a scrambling to purchase their next home.

It is a seller’s marketplace and for those wishing to downsize it is a good time to gather information and start planning. A big advantage to selling now lies in the amount of money you will save by shifting courses to a smaller home. If you could save $150,000 with the sale of your bigger home by buying a cheaper one, why wouldn’t you want to do so? If you invested that $150,000 by selling when in your late 60’s as opposed to your late 70’s or 80’s, you could double maybe even triple the amount you save by diversifying it elsewhere. By downsizing, you will also save on maintenance and monthly utility costs.

Another option to consider is a “reverse mortgage”. A reverse mortgage is a home loan that provides cash payments to the owner based on the homes equity. Homeowners defer payment of the loan until they die, sell, or move out of the home. Upon the death of homeowners, their heirs either give up ownership to the home or must refinance the home to purchase the title from the reverse mortgage company. This type of loan can be a good thing, if you have lots of equity, but it also has its drawbacks and should be well thought out before securing this type of mortgage.

Another route for homeowners that wish to remain in their larger homes is to go with refinancing at a lower rate. If you have an ARM, you may want to go with a fixed rate now that rates are lower. This will lower the monthly mortgage payment.

More commonly, homeowners that want to downsize and move to a new community, find that places with large concentrations of elderly citizens are more amiable than others are. For instance, homes in Southern California appeal to seniors moving from colder climates. A study conducted by AARP estimates that 25.5 million seniors ages 50 and older still have a mortgage when they reach retirement age 65+. However, having a smaller monthly payment will definitely add money to the coffers.

Yet another option once you have made the decision to downsize is to consider “retirement communities”. Senior friendly neighborhoods, mobile home parks, apartments, condominiums, and other facilities that have a 50+ regulation are increasing in popularity. They offer many activities and really foster a strong sense of community. It is a great option for those wishing to still be active. Many offer golf courses, pools, and other amenities.

Whether you decide to downsize or just want to get a fair market value on your home, always rely on a professional that is trustworthy and knowledgeable. There are many con’s directed toward seniors, therefore it is essential that you only deal with reputable companies. Keep in mind that it is always okay to ask for references and check them out. You worked hard for your money and retirement and it’s time to sit back and enjoy the fruits of your labor.

Just How Many Seniors Are There?

The age of “Baby Boomers” is giving way to a sharp increase in the number of retirees and seniors. The technical age to be called a senior is age 65+. Baby boomers officially began retiring at age 65+ in 2006. It is estimated by the Administration on Aging, that by the year 2030 (just 15 years from now) there will be about 72.1 million older Americans, a growth increase of 19% from 2000. The number grows to an estimated 88.5 million by the year 2050. This increase in senior citizens will have a profound effect on many industries, especially healthcare.

It’s interesting to attempt to attribute the increase to the number of babies that were born post World War II, in what is considered the “baby boom era”. However, we need to also take into account that people are living longer than ever before. With advances being made in medicine, people are living on average a full 15+ years past what they did in earlier eras.

From 2003 to 2004, statistics comprised found that 351,000 seniors joined the 65+ group. 3.7 million seniors who resided in the United States in 2004 were foreign born.

4.9 million Seniors were over the age of 85 in 2004 and of those for every 45 that were men, 100 were female.

Where do the most senior citizens call home? The state of Florida is home to the most people age 65+. Of course, the good folks in the Sunshine State list Tampa-St. Petersburg’s area of having the largest population of seniors, at 18.2 percent. Drastically different in climate, Pittsburgh, PA is the second place spot, where 18 percent of the population is over 65.

Seniors do love their warm sunny days, whether they spend them on the golf course, taking a class, or walking on the beach. In Orange County, CA, folk’s age 65-74 increased 21.6% from 2000, age 75-84 increased 15%, and those age 85+ increased by 45.2%. Orange county retirees average a median household income of $47,992.

Also worth noting is that 343,308 households in Orange, County, CA have one or more persons age 60 and older.

 As a large number of the population continues to barrel toward retirement, continued growth in many industries is expected to rise. However, none changing as much as the healthcare field. Especially those that work in geriatric care, medical facilities are also expected to increase. Places like assisted living facilities, senior centers, adult daycares, and other businesses set up to help take care of our aged citizens will begin to sprout up and increase in numbers.

It’s not all about the numbers though. Our aging relatives and friends have a legacy and life lessons that we need to know. Spending time, listening, and befriending our senior citizens is the perfect way to show our caring and respect. It is a task we should not take lightly. One day, it will be us on the other side of the aging fence.

Choosing the Right Assisted Living Home

Finding the right assisted living home for your parents or loved one is a concern that eventually many families will have to face. The high number of facilities and the long lists of do’s and don’ts can be an overwhelming feeling for people who have not made this tough decision before. In the United States alone there are over 15,000 assisted living homes, and 1,500 continuing care facilities- these numbers exclude nursing and groups homes, as well as adult communities. So, how is someone without a background in this field supposed to choose the right home for their family member? Below are a few guidelines that can help your find the best fit for your loved one.

1. Is Assisted Living the Right Choice?

If the individual is happy and comfortable living where they are, it may be a good idea to start thinking of alternative services that could better fit their needs. In- home help and assisted community living could be a great option for people who do not need the intense hands on care you might receive in an assisted living residency.

2. Do Your Research

Visiting the homes you are considering is a great way to meet the staff, and experience first hand the type of care your loved one is going to receive. Many facilities have the option of allowing people to stay for a weekend and truly see what the experience would be like.This gives everyone a chance to set expectations, tour the apartments and meet the staff.

3. Ask the Right Questions

When touring homes it is impertinent to be as specific and as detailed as possible when asking the questions about the live-in homes. Write down the questions you have such as, what does kind of amenities does the unit offer, what are the nutritious values in the meals served, what kind of activities does the place offer, etc. Think of questions that take into consideration the basic needs, as well as other necessities that will affect their stay in these homes.

4. Understand Costs

Before you commit to a facility, make sure you understand all the costs and fees associated with the plan you purchase. Research to see if Medicare, veteran’s organizations and community grants can support or supplement portions of the costs.

This is a big transition for all family members, and it is very important to make sure sure all parties involved are comfortable with the choices being made. Tune in next month for more tips that can help you make this important decision.

What to Look for in a Facility

Trying to find the right care facility for your senior can be an overwhelming and confusing process. Cost, level of care, and environment are just a few of the factors you need to take account when trying to find a new home for your senior. Knowing what to look for and knowing which questions to ask when visiting facilities can make the process easier for you.

The first step is knowing where to look. There are so many options out there that you can feel overwhelmed before you even get started. Here are a few ways to start to narrow down your search.

• Distance-Begin by looking in an area close to family and friends. It is easier for friends and family to visit a loved one if the facility is conveniently located.

• Referrals- Ask the people you know if they have any recommendations. Does your family physician or specialist have a facility they recommend? Have your friends had experience with different facilities? Hearing about experiences from others can help you decide what you want for your loved one.
• Medical Needs- What specific medical needs does your senior have? Do they have a special condition that requires special care? You want to make sure that the facility has experience and is capable of providing that care.

Once you begin your search and find a few facilities that you think fit the needs of your senior, there are some things you need to look for in the facility itself.

• Cleanliness- Is the facility well-kept? Does it appear clean and neat? If you can smell urine or if there is a strong deodorizer attempting to mask the smell of urine, this can be a red flag.

• Food- Pay attention to the food that is being served. Does it appear fresh, nutritious, and appetizing? If your loved one has special dietary needs, be sure to ask the facility how they accommodate those needs. Also take note of what kind of assistance is available during meals.

• Arrangement- This varies depending on the type of facility. Nursing homes tend to resemble medical facilities with centralized nursing stations, whereas residential care facilities have a more homely feel. Larger assisted living facilities tend to have apartment style living. When deciding on a facility, it is important to take your senior’s preference for living arrangement into consideration.

• Activities- Be sure to ask about the activities offered by the facility. Cognitive activities are important to maintaining your senior’s mental health, just like exercise is important to maintain their physical health. Also, ask if they take the residents out on weekly or monthly trips. These trips can be a fun opportunity for your senior to get out of the facility.

The quality of the staff and caregivers is a crucial factor when choosing a new home for your senior.  It is important to get a feel for the staff and caregivers when you visit the facility. It can be hard to know what to look for, so here’s a short list to help you get started.

• Staffing- How many caregivers and staff members does the facility have? Do they have 24 hour awake staff? How many staff members and caregivers are there on weekdays, weekends, and in the evenings? What is the staff or caregiver turnover rate?

• Interaction with You- When you go to visit the facility take note of how the staff interact with you. If you are visiting a smaller facility, such as a residential care facility, you will most likely meet with the owner. Are they rude and trying to rush through the meeting? Or are they kind, friendly, and helpful? Do they want to discuss how they would handle your senior’s medications, health condition, and possible emergencies?

• Interactions with Residents- How does the staff interact with the current residents? Are they warm and kind? Do the residents appear happy and engaged with the caregivers? See if you can observe a meal. Are the caregivers there to assist those who need help with eating and mobility?

Even with these tips, finding a home for your senior can be overwhelming and difficult. We at Senior Home Advocates are here to assist you with your search. Give us a call at (714) 793-0527 for your free consultation to learn how we can help you find the next home for your elderly loved one.

Which Incontinence Products Does Your Senior Need

There is a wide variety of incontinence products available out there and it can be hard to figure out which solution is best for your senior. Factors such as activity level, level of protection needed, gender, and size should all be taken into account when considering products. Here is a brief description of some different products that can be helpful when trying to make a decision.

• Diapers and briefs: These products are highly absorbent and are secured by side fasteners. The side fasteners are ideal if your senior needs assistance getting them on and off. Because of their high absorbency, these are ideal for seniors with heavy to complete loss of bladder or bowel control. Diapers and briefs are generally recommended for elderly individuals with little to no activity.

• Adult Pull-Ups: These products have the same absorbency as diapers and briefs, but are ideal for a more active and independent individual. Instead of being secured with side tabs, they are pulled on and off, like you would with regular underwear. These are close fitting and discreet, which provides maximum protection against leaks for active individuals. These products are recommended for seniors with little to no bladder control, but wish to continue an active lifestyle.

• Reusable Underwear: Reusable underwear may be a good option for active seniors with light to moderate loss of bladder control. Similar to adult pull-ups, they provide full coverage and maximum leak protection. They are softer and more comfortable than the disposable pull-ups, but tend to be bulky and less absorbent.

• Undergarments: This category includes both beltless undergarments and belted shields. These products are discreet and provide high leakage protection. Beltless undergarments are worn inside of underwear, while belted shields can be worn inside of underwear or replace it completely. Both options are less bulky than adult pull-ups and reusable underwear are recommended for seniors with little to no bladder control.

• Shields, Liners, and Pads: These are a variety of products that all serve the same purpose. They are all ideal for an independent, active individual with moderate to light loss of bladder control. They are form-fitting, discreet and are placed inside of underwear. They feature adhesive strips to help hold them in place and are easy to remove and replace.

• Underpads: These products simply provide additional protection to bedding, sofas, chairs, and other surfaces. These absorbent pads are flat and rectangular and simply go underneath the individual and on top of the surface they are sitting on. The can be useful for seniors with all degrees of incontinence.

• Mattress Covers: These are similar to underpads, as they just provide the bed with another level of protection against leakage. Mattress covers are quilted, waterproof sheets and recommended for all levels of incontinence.

• Skin Care: Regardless of what products your senior is using, having the right skin care products is crucial. Urine can be harmful to the skin, which can cause injuries and infections over time if the skin is not properly cared for. Some important products in the skin care category includemoisturizing creams and skin cleansers. The moisturizing cream provides protection against skin breakdown and promotes healing for damaged skin. The skin cleansers and incontinence washcloths are used to clean, neutralize, and deodorize skin from urine, while being gentle and not doing any further damage.

There are many ways to prevent and treat the damage caused by incontinence. We at Senior Home Advocates are committed to providing excellent service and quality products to the seniors and the families we serve.  To learn more detailed information on how to care for your incontinent loved one download our free Educational eBook or call (714) 921-9200.

What are the Health Risks Associated with Incontinence?

How does incontinence damage the skin?

• Urinary incontinence is a loss of bladder control and if not treated properly, can damage the skin. When skin is exposed to moisture and urine for long periods of time, it loses its ability to protect against friction, bacteria, and fungus. Extended exposure to urine can raise the skin’s natural pH levels, and those higher levels can actually encourage the growth of bacteria. The excess moisture will also lower the skin’s temperature and reduce skin’s blood flow when under pressure.

What injuries can incontinence cause?

• Incontinence-Associated DermatitisThis is caused by repeated exposure of skin to urine that results in skin inflammation. This can manifest in a variety of ways, including redness with or without blisters, erosion, and the loss of the skin’s barrier function. The injured skin may also have induration, or be firmer than the surrounding tissue. In addition to being very painful, the skin loses its ability to protect itself and surrounding tissue. The moisture from the urine causes the skin to become over-hydrated and when the skin contains too much moisture it is not longer to act as an effective barrier.
  

• Pressure Ulcers: Pressure ulcers are formed when there is continuous pressure being placed on part of the body. The pressure prevents a constant blood supply, which contains oxygen and nutrients, from reaching the tissue. Without these nutrients, the tissue is damaged and will eventually die. The lack of a constantblood supply means that the ulcer is also vulnerable to infections. The amount of pressure being applied and the skin’s vulnerability to damage will determine how long the ulcer takes to form. Incontinence increases the risk of developing pressure ulcers because the moisture from urine can break down the epidermis, the outer layer of skin, and because moisture reduces skin’s blood flow, which we mentioned earlier.

• Maceration: Maceration is when the skin becomes waterlogged due to overexposure to moisture. When incontinence causes maceration, the skin becomes very fragile and can be damaged from friction, shear, and pressure. Macerated skin is so fragile that gentle rubbing from bed linens and wash cloths can cause injury.

• Bacterial Infections: Incontinence allows the surface of the skin to come into contact with urine and other waste products. Urine contains ammonia, which raises the pH of skin and can serve as a source of nutrition for bacteria. Bacterial infections can be especially dangerous for the elderly with dry skin because skin cracks and fissures can absorb micro-organisms.

• Fungal and Yeast Infections: Seniors with incontinence are at high risk for fungal and yeast infections. When the skin is exposed to urine, it creates a warm, damp environment, which is ideal for fungi. Fungal infections will result in a skin rash that itches, burns, and fiery red and are usually found in skin folds.

There are many ways to prevent and treat the damage caused by incontinence.  We at Senior Home Advocates are committed to providing excellent service and quality products to the seniors and the families we serve.  To learn more detailed information on how to care for your incontinent loved one download our free Educational eBook or call (714) 921-9200.

What Are The Physical Risks Your Senior Faces Living Alone?

It is understandably difficult to start the discussion about the “hazards” of your older parent living alone and isolated not to mention the Herculean persuasion skills needed to convince your aging mom or dad to move into a safer environment. With 37.3% of older women and 19.1% of older men living alone in the United States currently, this often difficult but necessary conversation of the welfare of your loved one is common place. We at Senior Home Advocates understand this conversation, we specialize in reviewing the facilities in the Southern California area and we help many families start and successfully conclude these heartfelt and needed moments. The conversation you have with your family members about what to do with your loved one now that they are living alone, with the underlying question being can they really take care of themselves?

This blog will explain why it is important to consider moving them to an assisted living or residential care facility so they receive the care and attention they need, especially if they are resistant to the idea. By encouraging them to move to a safe and caring environment, you can often prevent the following physical risks your senior faces living alone from occurring:

Falling:

With age, seniors find it progressively more difficult to be physically fit and active.  Unfortunately they can find themselves facing a greater risk of falling by locking themselves in their homes and bathrooms, and then becoming progressively more disorientated, with no help or way out of the situation. Although there are many alert system options, these services still take time to reach your senior, and especially in the case of a fall, time can become increasingly valuable. It’s important to keep in mind, often when a fall occurs, the victim (your loved one) becomes too confused or hurt to actually use the device intended for the actual situation.

Running Errands alone:

Seniors can find it hard to run errands to supply their basic needs such as buying groceries, going to the bank, or even going to a routine doctor’s visit. These tasks become increasingly difficult when driving is involved. With the knowledge  of visual impairment and declining mental capacity that naturally occurs with the aging process, it is important to understand the risks and issues associated with driving. Often seniors experience many painful symptoms when it comes to driving such as dizziness, headaches or joint pain which can lead to dangerous situations such as accidents or even extremely costly litigation if they are driving more frequently and minor accidents happen.  Compounded with this is the normal human element of embarrassment, we all can relate to the minor accident, but as one ages there is an added feeling of responsibility by the senior and painful denial

Poor nutrition:

Seniors many times can lose their appetite from the medication they are taking or just from the loneliness they may experience after a beloved spouse passes away –  so it is important to be observant of their eating patterns and the amount of food your loved one has at home. A quick check of the contents of the refrigerator is really important and this is an easy tip to a bigger problem.  In time, a lack of proper healthy nutritious diet increases the chances of developing more serious illnesses such as high blood pressure, heart disease, and often debilitating diabetes.

Personal Hygiene:

In time, living alone can cause an elderly person’s hygiene to decline. This may be because they develop a fear of falling in the shower or bath and therefore they choose to stop showering completely or because the task of doing laundry becomes too physically challenging for them. Sadly, many seniors living alone lose the drive to attend to their hygiene because without the natural “peer to peer” validation the motivation to look your best is just simply put aside.

It is important to weigh out the independence your elderly parent strives for with the unnecessary harm they are subject to living at home alone. Although you may have made a promise to never put your mom or dad into a nursing home, you have to keep their best interest in mind. If the best possible care is your priority, Senior Home Advocates is here to help.