Caring For The Caregivers During The Holidays

Is there a special someone in your life who cares for a chronically ill or elderly person? A caregiver’s services are oftentimes highly rewarding yet emotionally and physically draining as well. A respite gift certificate is a perfect way to give a full-time caretaker a break from his or her demanding responsibilities and show that you care. Whether it’s for a few hours a week to stay balanced and run errands or enough time to enjoy a rejuvenating vacation, respite gives caretakers peace of mind by knowing that their special needs loved-one is being safely cared for by a professional.





Types of respite care and services

Respite care can be provided both at home for short-term relief or at a residential facility where a loved-one can stay overnight or longer. There are also adult daycare centers where a person with Alzheimer’s or dementia can socialize in a safe environment. Oftentimes transportation and meals are provided for at the daycare centers, and the trained staff will supervise your loved-ones through structured activities such as music and art programs.

Aside from companionship and professional health care, in-home respite includes many other benefits such as help with laundry, shopping and meals as well as assistance with toileting, dressing and bathing. Trained professionals can also assist with medications and other specialized services.

Overnight care in a residential facility is an ideal solution for caregivers who wish to take a vacation or extended break. Here their loved one can be supervised by a trained staff in a safe environment. Unfortunately, these services are rarely covered by insurance or Medicare. There are, however, available funding sources such as veteran’s benefits, non-profit organizations, and state agencies that can help ease the burden of paying for respite care.

Respite gift certificate options

Gift certificates during non-holiday times can be purchased for as little as two hours at a cost of only $39.00. During the holidays of New Year’s Day, Memorial Day, Fourth of July, Labor Day, Thanksgiving, and Christmas, that same two hour gift certificate would cost $58.50.

For a complete list of options and further assistance, please contact our friendly staff at Visiting Angels. Give a caretaker the gift of time this holiday season and let someone in your life know that you truly care.

Visiting Angels Honored by the Las Vegas Chamber of Commerce

Las Vegas Chamber of Commerce
Business Excellence Award Winner

The Business Excellence Award is presented to 25 businesses by the Las Vegas Chamber of Commerce who show exemplary commitment to their community and strive to improve the quality of life for the people of Southern Nevada. On Thursday, October 30, Visiting Angels was chosen by a committee of several business and community leaders within Las Vegas to receive the Business Excellence Award for their service to the community. The award ceremony was held at the Green Valley Ranch.

Award for Excellence

Visiting Angels is a senior home care agency that helps clients remain independent in their own home. This commitment to helping improve the quality of life for the elderly and their loved ones is just one reason that they have risen as Trailblazers within Las Vegas. For example, they assist with items like personal hygiene, dressing, meal preparation, light housekeeping, even transportation to doctor appointments and more. Clients find that their services are more affordable than other options like moving a family member into an assisted living facility.

Operating since 2000, Visiting Angels now has offices in Las Vegas as well as Henderson and have over 270 caregivers who assist seniors all across the Vegas Valley. In keeping with their mission of “...restoring hope through assisting in healing the emotional, spiritual and physical well-being of the individual”. Visiting Angels participates with several local organizations such as the SNCCA, the Nevada Lifespan Respite Care Coalition and sponsors many senior health events like the Alzheimer's Association Memory Walk.

The Business Excellence Award which has been honoring local Las Vegas businesses for their diversity, creativity and ingenuity of the local business community since 2006. Visiting Angels is honored to accept the award and will continue to strive to help the elderly community and their families in any way that they can.

Exercise Tips for Seniors

It’s never too late to begin enjoying the benefits of physical exercise. In fact, older adults who have experienced a decline in physical activity due to certain age-related disorders may benefit most of all. Physical fitness doesn’t have to mean hours of strenuous work at the gym. For most people it’s simply about developing a healthier lifestyle; one that includes more physical activity and better nutritional choices. Let’s take a closer look at the positive effects of exercise.

Benefits

A regular exercise routine does far more than just help us look younger and build muscle; it is also good for our mental health, lowering our risk of disease, and maintaining our independence as we grow older. Senior citizens who incorporate a fitness plan into their daily lives will not only improve their bone density and muscle mass, but will also greatly improve their immune system, blood pressure, and heart-health. Daily exercise can even help lower the risk of chronic conditions such as Alzheimer’s disease and diabetes.

Other added benefits include better sleep, greater self-confidence, and even improved memory. On a physical level, what we’re looking to improve is strength, balance, flexibility, and cardiovascular health. Even those who are chair-bound can participate in exercises that will enhance their range of motion and improve their overall quality of life. Below is a list of popular exercises for seniors.

Walking

Walking is a great low-impact exercise that is simple and fun to do. Choose a good pair of walking shoes with plenty of cushion and support. Be mindful of your posture, and breathe deep into your lungs. This will do wonders for delivering oxygen throughout your entire body and increasing your blood flow. Take a walk in nature to help relieve stress. Create a goal of around 30 minutes or more a few days a week, and be sure to stretch those leg muscles when you return.

Swimming

Swimming is another exercise that is easy on your joints and bones, and therefore lowers the risk of injury. Aside from the relaxing sensation of floating in water, you’ll drastically improve strength, endurance, and range of motion. Keep it fun by learning new strokes. You will soon discover that this gentle activity can be a total-body workout.

Yoga/chair yoga

Yoga is so much more than impossible-looking poses and strange chants. The benefits include increased strength and muscle tone, along with greater balance and stress relief. Even those confined to a chair can benefit from this harmony of stretching and strength-training. Learn yogic breathing to improve your lung function, ease digestion, and remove harmful toxins from your body. Regardless of your age or physical condition, there is a yoga program that is suitable for you.  Here in Southern Nevada, you can find a helpful program through Henderson's Senior Center or at Las Vegas's newly remodeled Derfelt Senior Center.

Contact Visiting Angels

By improving our fitness, we can improve our quality of life and continue doing the things we enjoy well into our golden-years. If you or an aging loved-one is in need of support, contact Visiting Angels by calling 702-407-1100. Our professional aides will be more than happy to assist you in developing a personalized fitness routine

A Tip For The Elderly: How to Combat Depression

Depression can affect an individual at any age and any stage in their life, but the elderly face a variety of additional issues that exacerbate their emotional distress. Everyone feels down at times during their life, but when these feelings are ongoing and affect other aspects of the person’s life, a clinical conditions known as depression may be taking hold. For those who are elderly, or have an elderly loved one, it is important to know what help is out there to combat depression and move forward in a healthy, positive way.

The Signs of Depression

As stated previously, simply feeling down for a short period of time is normal, but depression is a condition that lasts longer and affects every aspect of an individual’s life. Depression and feelings of sadness do go hand in hand, but many seniors may feel depressed without feeling sad. Therefore, look for other symptoms like lethargy, fatigue, losing interest in hobbies or pastimes, withdrawing socially, changes to one’s appetite, and changes to the sleep schedule. By themselves, these side effects may not lead to depression, but they are linked with this condition.

Where to Start

The first thing to remember is that depression is not a passing mood. Emotional distress is often the beginning, as lingering depression provokes suicidal thoughts, worsening of other illnesses, and a negative impact on relationships. The elderly, as well as those closest to them, can start by focusing on things they can change immediately. Diet, physical activity (when possible), and a good sleep schedule will keep the body producing and balancing hormones naturally.

Finding Support

It's all too easy for anyone struggling with depression to completely withdraw from hobbies, friends, and family. This is when outside support becomes necessary. Close friends and family members comprise the sufferer's immediate support network, and should try to remain in the individual’s life as much as possible, showing support in every way imaginable. Whether it is planning meals together, creating a schedule to get out of the home, going on walks, or simply lending an ear. It is these small steps that can become pivotal during this process.

Know When to Get Help

One of the biggest problems with depression is the fact that those struggling with it are unsure of when or where to get help. Some may hope that their mood improves over the coming days while others are lethargic about seeking out assistance. When depressed feelings extend weeks or even months and affect one’s physical health, emotional stability, and relationships, it is time to seek out professional assistance.

If you are an elderly person struggling with the symptoms of depression, or if you know an elderly person who is, please call Visiting Angels home health care professionals at 702-562-3322 so we can help you find the right support. Visiting Angels cares about our seniors.

Signs That May Suggest It's Time For Assisted Living

You elderly parents want to remain as independent as possible throughout their lives. Eventually, it becomes the responsibility of the adult child to make sure that they receive adequate care into the sunset of life. It might not be feasible to place the parent into a nursing home or retirement facility. This is where home health services can be the answer.

Silent Signals Your Parent Is In Trouble At Home

Despite their best efforts, your parents may inadvertently reveal the need for special home care services.  There are a few tell tale signs you can look for, even if your parent insists he or she flourishes independently.

1. You visit your parent and find evidence of things being broken. This could be due to them falling from dizzy spells or loss of balance upon standing.

2. Unexplained bruising. Another sign of evidence of falling.

3. Exterior damage to your parent’s automobile. This might be due to driving over a curb or hitting something due to misjudgment.

4. Smoky or smell of something overcooked in the home. Serious evidence that your parent could be having problems preparing meals.

5. Prescription medications missing or dropped on the floor by mistake. Sometimes this happens and the parent is unable to bend or squat to retrieve the medicine.

6. Missing scheduled physician appointments. This might be due to hearing loss and unable to hear information over the phone clearly.

7. Depression and Despair. This is common among seniors. They become lonely without companionship and support at home. This is very serious and can lead to greater psychological problems.

8. Denial by the parent that they need help when signs show that they do.

9. Unpaid bills or a utility is cut off at the home. This can be serious. It is a priority that all senior citizens have adequate utilities to carry out their daily activities. Failure of making an insurance payment can lead to termination of the policy so it is important to stay up to date on a parent’s finances.

10. Everyday, routine cleaning shows signs that help is needed. This usually starts with excessive trash building up in the home. Unwashed dishes gathering in the kitchen and dining area. Clothes being piled up but never washed. Unmade beds and dirty bathrooms can be another source of evidence.

If you are notice any of the above signs with your aging parent, it could be time to consider hiring a home healthcare service. Visiting Angels is an assisted living service here in Las Vegas and Henderson that can provide the care your parent needs at home.   Our list of home services includes meal preparation, light housekeeping and companionship among other, important services.

Give us a call today 702-562-3322 to find out more about our home services for your elderly parent.

Elderly at Risk for Serious Falls

Falls can be a problem that lead to moderate or serious injuries for elderly adults. Sometimes, falls can be a symptom linked to the diagnosis of a physical condition, chronic disease or medical ailment. As an individual grows older, so too does their risks for falls, fractures and injuries escalate. The following are the facts and dangers of falling.

The Statistics

Approximately one in three adults over the age of 65 experience a fall every year. Unfortunately less than half of the victims fail to speak to their physician about the problem. Falls are the primary cause of non-fatal and fatal injuries in this population range.

Important Risk Factors

There are a number of risk factors that contribute to a fall. From muscle weakness, poor eyesight, and the lack of flexibility to hypertension, confusion and medications. Poor health can be the leading cause of falls. Most falls seem to happen at home simple on account of unsuspecting triggers like unhinged stair rails, loose rugs, slippery floors and poorly-lit entryways.

Is There More to a Fall?

While a fall could be just an act of clumsiness, it could also be a sign of a medical problem. It’s best to speak to your physician after any type of fall, so they can evaluate your condition for an infection, cardiovascular problems, Parkinson’s, Alzheimer’s disease or any other chronic ailment. It could also be caused by an existing condition or current medication.

Common Outcomes from a Fall

While outcomes like bruising or mild discomfort may seem moderate after a fall, over thirty percent of elderly people who take a tumble experience more serious injuries like fractures in the pelvis, hand, wrist, leg and hip. However, traumatic brain injuries make up as much as forty-five percent of falls in older adults.

Tips for Prevention

You can play a proactive role in protecting yourself from falls, especially as you age. The number one method of protection comes in the form of exercise. Tai Chi, yoga, walking, biking and strength training can help weak limbs become stronger and more supportive. They can also help improve balance. Medications can also have some serious side effects that may cause sleepiness and dizziness, rendering an individual more likely to fall. Your physician may be able to tweak your pharmaceutical dosages if you encounter any problems. Eliminating tripping hazards at home can help prevent falls, so remove clutter and debris. You can also assess your lighting around stairways, entryways and outdoor patios and driveways. Vision is an essential piece in preventing falls. An eye exam can determine the health of your eyes. You should also wear your glasses or contacts as recommended to see clearly.

We at Visiting Angels in Las Vegas are committed to helping you care for your elderly loved ones.  We pride ourselves on bringing you facts and tips like how to prevent falls so that our seniors retain their independence and dignity.  For more information about our services, call today 702-562-3322.

What Is Arthritis And How Does It Affect The Body

Arthritis is inflammation in the joints resulting from a variety of different causes including diseases, infections, and genetic defects. The inflammation can cause pain and stiffness in one or more joints, as well as swelling in the surrounding tissues. Arthritis pain typically worsens with age and can greatly affect one's quality of life if not managed properly.

The two most common types of arthritis are osteoarthritis and rheumatoid arthritis. Osteoarthritis is a degenerative disease that affects the cartilage in the joints. As we age, the cartilage that surrounds our bones starts to wear down, thus resulting in bone surfaces rubbing against one another and causing pain and discomfort. It typically affects weight-bearing joints such as the knees and hips, but can also wreak havoc on other areas of the body like the fingers and elbows. One suffering from osteoarthritis is at risk of developing bone spurs which are growths on the bone that can cause muscle and nerve damage.

Rheumatoid arthritis is an autoimmune disease that attacks the lining of the joints, referred to as the synovial membrane. As the membrane gets worn down, the cartilage and bone in the joint becomes severely weakened and eventually destroyed. Parts of the body that are typically affected by rheumatoid arthritis are the fingers, wrists, elbows, and knees, although the disease can also affect other areas of the body like the lungs, eyes, and skin. Women between the ages of 30 and 50 are at the highest risk for developing rheumatoid arthritis, although it affects men and the elderly as well.

Severe arthritis can make it extremely difficult to perform daily tasks such as bathing, getting dressed, preparing meals, or running errands. Visiting Angels can help assist your loved one with a variety of different tasks in the comfort of their own home. Our fully-trained, compassionate homecare providers will work with your family to develop a plan to suit the individualized needs of your loved one. Our caregivers are flexible and will work around your schedule to provide the most positive experience for you and your loved one. Visiting Angels is here to make living with arthritis more manageable and to improve your loved one's quality of life.

Early Warning Signs: When to Call the Doctor About Alzheimer's

Alzheimer’s disease is a complex, progressive, and irreversible brain disorder that attacks both memory and judgment. Not only does this disease cripple one’s ability to carry out common, everyday tasks, but it is also incredibly dangerous if left untreated. Although there is no known cure, there are options for slowing the effects and improving the quality of life if recognized early enough. Below is a list of the most common warning signs and how to proceed.


Memory loss that interferes with daily life

This is probably the most common sign of the Alzheimer’s disease. Everyone forgets things from time to time, but if you notice it happening on a consistent basis it may be a major warning sign. Things to look for in particular are: difficulty with remembering important dates and special events, forgetting to pay bills, getting lost easily, or constantly needing to be reminded of the same thing over and over.

Changes in personality

Quite often, people with Alzheimer’s will undergo severe changes in mood and personality. They may become easily disturbed at home or at work for no good reason. You may even notice them become suspicious, fearful, worried, or even violent towards friends and loved ones.

Disorientation and constant confusion

A normal person might occasionally forget what day of the week it is, but people with Alzheimer’s deeply struggle to grasp the passage of time. Calendar dates and understanding the changing of seasons might easily confuse them. They may also struggle to accomplish simple, everyday tasks such as getting dressed, tying their shoes, or cooking meals. Disorientation is also very typical. People with Alzheimer’s can easily get lost in their own neighborhood or struggle to figure out where they are and how they got there.

Lack of hygiene and social withdrawal

Often times the most common symptoms are the most obvious ones. Because they are confused by everyday tasks, people with Alzheimer’s may stop bathing, combing their hair, brushing their teeth, or even dressing appropriately. They may fail to recognize close friends and family and therefore give up on social activities or their favorite hobbies.

Misplacing things

It is common for people with Alzheimer’s to put things in strange places. They might place their shoes in the oven and even accuse you of stealing from them. Normal people often misplace things now and again, but the major difference is that Alzheimer’s sufferers lack the ability to logically retrace their steps and locate things.

Seek help early

Attempting to diagnose a loved one or someone in your care with Alzheimer’s disease can be an incredibly difficult and emotional task. Knowing the warning signs and seeking professional help early is crucial in dealing with this disease. For more information call the Visiting Angels staff today at 800-365-4189.

Las Vegas Residents to Raise Alzheimer’s Funds and Awareness Through The Longest Day®

Teams Forming in Honor of those Living with Alzheimer’s and their Caregivers

People across the globe will join together to honor those facing Alzheimer's disease by participating in The Longest Day® on Saturday, June 21, 2014. The Longest Day is a sunrise-to-sunset event to honor the strength, passion and endurance of those living with Alzheimer’s disease and their caregivers. Teams will complete a day filled with activity to raise funds and awareness for the efforts of the Alzheimer’s Association.

Held annually on the summer solstice, The Longest Day teams pledge to be active for 16 hours,
symbolizing the seemingly endless journey so many facing Alzheimer’s disease are asked to endure.
Participants choose any activity ranging from running or cooking, to knitting or playing bridge, being active
all day, trading off in a relay style, or with each member doing just an hour to achieve the 16 hour goal.

 “’The Longest Day’ is an opportunity to show those facing Alzheimer's disease that they are not alone,”
shared Dan Lawler, Desert Southwest Chapter’s Development Director. “It is wonderful to see the range
of activities, commitment and dedication of individuals in our communities. We have teams hiking the
Grand Canyon, biking from Tucson to Payson and playing bridge all day. The creativity and diversity of
these participants, all to support individuals facing Alzheimer’s, is truly heartening.”

Alzheimer’s disease is a growing epidemic and the nation’s sixth-leading cause of death. More than five
million Americans are living with Alzheimer’s, including over 145,000 across our Chapter, and this number
is estimated to grow to as many as 16 million by year 2050, according to the Alzheimer’s Association®
2014 Alzheimer’s Disease Facts & Figures report.

To start a team or learn more about The Longest Day, visit www.alz.org/tld or www.facebook.com/fightalz.
For more information about Alzheimer’s disease, visit the Alzheimer’s Association Desert Southwest
Chapter at www.alz.org/dsw.

About the Alzheimer’s Association Desert Southwest Chapter

The Alzheimer’s Association® is the only national health and social service organization dedicated to
research, and to providing support and assistance to people with Alzheimer’s disease, their families and
caregivers. Founded in 1980, the association works through a network of more than 80 chapters across
the country.

The Alzheimer’s Association Desert Southwest Chapter provides programs and services to tens of
thousands of families including Helpline – a 24/7 assistance line, MedicAlert®+Safe Return®, Family Care
Consultation, Support Groups, Education, Early Stage Programming and Legislative Advocacy.

Visiting Angels in Henderson, NV will be sponsoring and participating in this years event.  You can contact them for more information at 702-407-1100.

Southern Nevada Wine to Remember

Please join Visiting Angels, one of this year's sponsors, for the Alzheimer's Association Desert Southwest's Wine To Remember in Southern Nevada.

The event will again be at the Aston MonteLago Village resort, a Mediterranean-styled resort on Lake Las Vegas.

The combination of fine wine, hors d'oeuvres and a beautiful setting promise to make this a relaxing evening and a wonderful chance to support the Desert Southwest Chapter.

Tickets are $50 each, or two for $80 and are available in advance or at the door. Cocktail attire is requested.

Tickets can now be purchased online here, or by calling 702-248-2770.

Event Details and Location:

June 14, 2014
Aston Montelago Village Resort
Lake Las Vegas
4:00 - 6:30 pm
30 Strada di Villaggio
Henderson, NV 89011

Sponsor Details:

Visiting Angels
9436 W Lake Mead Blvd, Ste 11F
Las Vegas, NV  89134
(702) 562-3322

http://www.visitingangels.com/vegas/home

Visiting Angels is a Sponsor at the 11th Annual Southern Nevada Education Conference

This year's 11th Annual Southern Nevada Education Conference will take place on April 17, 2014, at the Henderson Convention Center.

Visiting Angels of Henderson and Las Vegas, NV are proud to be a sponsor again at this year's event.

The Henderson Convention Center is located at 200 S Water Street, Henderson, NV 89015.

Individual registration is $40
Professional registration is $65 with CEUs available for $10.

To register for this year's event, please download the registration brochure or call Samantha Jayme at 702-248-2770.

Multiple Sclerosis Southwestern Regional Forum - Medical Education Conference

Cleveland Clinic - Lou Ruvo Center for Brain Health
Saturday, March 8th, 2014
Keep Memory Alive Event Center
Las Vegas, NV 89106

Register Online - www.ccfcme.org/MS14
or Download Registration Form Here

Program Description

This CME activity aims to inform and update practitioners on current diagnostic and treatment practices for patients with multiple sclerosis (MS). This one-day live conference will present 10 topics on MS including an introduction to MS for general practice physicians, and then delve into more specific discussions like the radiologically isolated syndrome, early detection of MS mimics, neuromyelitis optica, vision problems, neurosarcoidosis, personalized patient care, the role of physical therapy, current and future disease modifying therapies, and useful “clinical pearls” for treating MS patients. Morning and afternoon panels will be available for audience questions.

Goals and Objectives

Upon completion of this program, the participant will be able to:

• Identify common mimics of multiple sclerosis;
• Describe current and emerging disease-modifying therapies;
• Interpret safety monitoring for new therapeutics;
• Describe the role of physical therapy in the management of multiple sclerosis;
• Identify biomarkers for the early diagnosis of multiple sclerosis;
• Recognize and better manage symptoms of multiple sclerosis.

Target Audience

This activity is intended for clinicians who care for patients with multiple sclerosis and other neuroimmunological disorders. We especially want to encourage neurologists, primary care physicians, physician assistants, nurse practitioners, physical therapists and other allied health care professionals to attend.

Seeking Nevada's Top Senior Citizen

The search for Nevada's Senior Citizen of the Year has begun (Feb. 1st, 2014)!

The National Silver Haired Congress Nevada Delegation, in partnership with the Aging Services Directors Organization (ASDO), established the award last year.

Frank Pati, a 76-year-old Mesquite resident, was honored by Governor Sandoval and the Congressional delegation as the first-ever Nevada Senior Citizen of the Year.

Nominators described Pati’s efforts like this:

“In the past two decades, Frank not only brought distinction to Mesquite and the state of Nevada through his senior softball tournaments and the Mesquite Senior Games, he changed the lives of many seniors in giving them a vehicle to stay active and to develop new friendships.”

Who’s the next Nevada Senior Citizen of the Year? It could be a friend, a neighbor or a community leader. It could be someone from your town or across the state.

The competition is open to all those who are age 60 and older and have lived in Nevada for five years. The nomination guidelines and forms are available here:

• Nomination Form
• Nomination Guidelines

The deadline for nominations is March 31. The award will be presented in May.

VISITING ANGELS COMPLETES 14TH YEAR WITH RECORD!

Visiting Angels’ local offices in 2013 completed its 14th year serving Las Vegas and surrounding communities. Visiting Angels, the nationally respected non-medical, senior homecare provider has over 400 offices nationwide and the Las Vegas and Henderson offices are family owned and operated by Jackie and Michael DiAsio. In addition, in 2013 the local offices set a new record for itself by providing nearly a quarter of a million “caregiving hours” of service to the local community.

Visiting Angels’ goal is to help seniors who wish to continue in live in their homes as opposed to moving into a nursing home, assisted living facility or group home. It promotes seniors independence by assisting them with any of the “activities of daily living” as well as lighthouse cleaning and transportation. Activities of daily living consist of: eating, bathing, dressing, toileting and transferring.

“I think that the key to our success is that our caregivers are so compassionate and experienced. They have been with us an average of about 5 years,” says Michael DiAsio, President.
The DiAsio’s Visiting Angels franchise is one of the largest Visiting Angels in the United States with over 225 employees and assisting about 600 seniors every day. Through these 225 caregivers, it can easily service Las Vegas, Henderson, North Las Vegas, Boulder City and Pahrump. Each employee is properly background checked and trained according to Nevada rules. They accept Long Term Care insurance, and private pay. In addition, Visiting Angels (www.visitingangels.com/vegas/home) is also a Medicaid provider and Veteran’s Administration provider.

Are Senior Home Care Services Covered By Insurance?

At Visiting Angels, we are often asked if our senior home care services are covered by insurance.  When most people ask that question they are typically referring to Medicare or a major medical health insurance policy.

Unfortunately, Medicare and health insurance policies do not cover Elder Care services, no matter if it is Visiting Angels or any other home health care provider.

Under certain circumstances and for a very limited period of time, Medicare or health insurance providers may cover bathing and dressing by a home health organization, but they do not cover other home care (activities of daily living) services.

If you have any specific questions regarding your insurance coverage , contact your insurance provider today or contact Visiting Angels for further clarification about the services you need.