COME

President Clinton signed the first National Family Caregivers Month Presidential Proclamation in 1997, and every president has followed suit by issuing an annual proclamation recognizing and honoring family caregivers each November. National Family Caregivers Month celebrates Americans providing care for their loved ones suffering from chronic illness, disabilities, or the frailties of old age.
A Proclamation on National Family Caregivers Month, 2024
Family caregivers are the backbone of our Nation, making tremendous sacrifices to be there for the people who need and cherish them most. This month, we honor their selfless love and courage, and we recommit to getting them the support they deserve. They should know their country has their backs.
For far too long, the cost of care in this country has been too high. Today, millions of Americans are part of the so-called sandwich generation, caring for both young kids and aging parents at the same time. Too many families struggle to afford help, spending their own retirement savings to pay for the care of their loved ones or quitting their own jobs to stay home and provide it themselves. Most often, it is women who bear the brunt of care work. And the pay for professional care workers is far too low.
In the United States of America, no one should have to choose between caring for a parent who raised them, a child who depends on them, and a paycheck that they need. That is why I signed the American Rescue Plan, which made the biggest investment in child care ever. It delivered historic support to over 225,000 child care programs serving as many as 10 million children across the country, helping keep their doors open for millions of working families who rely on them. It expanded the Child Tax Credit, which helped cut the child poverty rate nearly in half. Overall, my Administration increased funding for child care by nearly 50 percent while helping States expand and strengthen programs that enable low-income families afford child care as well. We also required companies seeking significant Federal funding from our CHIPS and Science Act to submit a plan on how they will help employees access affordable child care.
We have finalized new rules that strengthen staffing standards in nursing homes to ensure residents can age with dignity. We have made sure that home care workers get a bigger share of Medicaid payments so more Americans can keep living in their own communities and homes. And we have worked to increase Medicare resources to promote equitable access to care and caregiver training. But we have to do more to ease the load on America’s 50 million unpaid family caregivers, who too often still shoulder the burden of care all alone. Through the American Rescue Plan, we devoted $145 million to the National Family Caregiver Support Program, which delivers counseling, training, and short-term relief to family caregivers and other informal care providers. Furthermore, my Administration released the first-ever National Strategy to Support Family Caregivers, which includes new initiatives that directly support family caregivers and strengthen existing programs. And I signed a historic Executive Order, representing the most comprehensive set of administrative actions ever to increase access to high-quality child care and long-term care and support for caregivers, including military and veteran caregivers. The Executive Order is working to make sure caregivers get the support they deserve while building the supply of high-quality care so families have options. My Administration is continuing to work toward lowering the cost of care across the country and providing stronger paid family and medical leave.
How we treat our young children, aging parents, and loved ones and how we value those who care for them are fundamental to who we are as a Nation. During National Family Caregivers Month, we pledge to get every family caregiver in this country the same kind of relief, respect, and support that they give so selflessly to others.
NOW, THEREFORE, I, JOSEPH R. BIDEN JR., President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim November 2024 as National Family Caregivers Month. I encourage all Americans to reach out to those who provide care for our Nation’s family members, friends, and neighbors in need to recognize, honor, and thank them.
IN WITNESS WHEREOF, I have hereunto set my hand this thirty-first day of October, in the year of our Lord two thousand twenty-four, and of the Independence of the United States of America the two hundred and forty-ninth.
JOSEPH R. BIDEN JR.

October is Breast Cancer Awareness Month. How many informative facts about Breast Cancer do you know? Are you ready to take on the challenge? Remember, it's okay if you don't get everything correct; this quiz aims to test your knowledge and help increase your awareness about Breast Cancer. Breast cancer can only occur in women. True / False. A lump in the breast is the only sign of breast cancer. True / False. All breast lumps are cancerous. True / False Breastfeeding can reduce the risk of breast cancer. True / False. Mammograms are recommended for women starting at age 40. True / False. Answers 1. False. 2. False 3. False. 4. True. 5. True

While breast cancer is predominantly diagnosed in women, men can also develop the disease. Although rare, male breast cancer occurs in approximately 1 in 833 men. Genetics, age, and hormonal imbalances can contribute to the risk in men. Awareness is crucial for both genders, as early detection significantly improves outcomes.

A lump is a common indication of breast cancer, but it is not the only one. Other potential signs include changes in breast size or shape, dimpling or puckering of the skin, changes in the texture of the breast tissue, unusual discharge from the ni**le, or persistent pain in the breast or ni**le area. Regular self-exams and clinical screenings are vital for identifying any unusual changes. Most breast lumps are benign and not cancerous. Common non-cancerous conditions include cysts (fluid-filled sacs), fibrocystic changes (which can cause lumpy or tender breasts), and fibroadenomas (solid, non-cancerous tumors). However, any new lump or change in the breast should be evaluated by a healthcare professional to rule out the possibility of cancer and ensure appropriate monitoring or treatment.

Research indicates that breastfeeding may lower the risk of developing breast cancer. The protective effects may arise from hormonal changes during breastfeeding, suppressing ovulation, and reducing menstrual cycles over a woman's lifetime. Additionally, breastfeeding contributes to a mother’s overall health and encourages bonding, emphasizing its benefits.

Most health organizations recommend that women begin annual mammograms at age 40. This screening method is effective in detecting breast cancer early when it is most treatable. However, women with a family history of breast cancer or other risk factors may need to start screening earlier. Consulting a healthcare provider can help determine the best screening schedule based on individual risk. Understanding these key points can help promote breast health awareness and encourage proactive early detection and prevention measures. Regular check-ups, self-exams, and knowledge of one’s body are essential to breast health.

Diane Cooper

Do you know a family caregiver? Join us as we honor unsung heroes who make a difference in our community and in the lives of family caregivers and their loved ones. Thank you, Essen Health Care, for your support as lead sponsor and Dr. Nikki Stewart for serving as Mistress of Ceremonies.

Join us on Thursday to learn more about PSS Circle of Care services and be empowered with the information you may need today or as soon as tomorrow. Invite a family caregiver to attend.
You are just a click away. www.comeoutreach.org Event/Calendar

Mental Health Awareness and Youth Caring: Do you know a Youth Caregiver?

An estimated 5.4 million children under the age of 18 provide care to parents, grandparents, or siblings with chronic medical conditions or functional decline. According to two reports from the National Alliance for Caregiving and others, this number is up from about 1.3 million nearly 20 years ago.

Youth caregivers deal with many challenges. These challenges may include juggling caring obligations with studies, employment, other commitments, practical and financial obstacles to obtaining healthcare and other services, in addition to experiencing social isolation, depression, anxiety, decreased concentration, missing school, fear of losing a loved one, and stigma, all of which can make them feel invisible and irrelevant.

Young individuals face significant challenges due to a lack of support from their schools, communities, and healthcare systems, which can impede their academic success and overall mental health and well-being. Caregivers Outreach Mentorship Empowerment, SHARKS Program (Students Helping and Assisting Relatives with Knowledge and Skills) continues to bring youth caregivers out of the shadows and into the light.

In addition to providing direct support to youth caregivers, COME is actively engaged in advocacy efforts at the state and local levels. Senator Jamaal Bailey Introduced Bill S965 in 2023-2024, authorizing and directing the commissioner of education to conduct a study on the number of children who are caregivers and how being a caregiver impacts their education. The bill was sponsored by Assembly Member Bichotte Hermelyn. To further amplify awareness and advocacy efforts, Braden, a youth caregiver, presented at the 53rd Annual Legislative Conference in Albany, "Hidden Figures, “hosted by Senator Jamaal Bailey and sponsored by Assembly Member Hermelyn. Assemblyman Michael Benedetto also supports Youth Caregiver Initiatives and the SHARKS Program.

Through these concerted efforts, COME remains steadfast in its commitment to empowering and supporting youth caregivers, ensuring they receive the recognition, resources, and assistance needed to thrive in their multifaceted roles. A Call To Action: for healthcare providers, community organizations, educators, neighbors, and friends, let’s take notice of the vital role youth caregivers play in our homes, community, and healthcare system. Listen to our 2024 youth caregiver honoree Braden’s story on our website, www.comeoutreach.org. Let’s encourage him and all youth caregivers. Let’s assure them that they are seen, heard, and appreciated. Do you know a Youth Caregiver? Please give us a call or visit our website, www.comeoutreach.org, to learn more about the SHARKS Program.

Fear of falling and injuries from a fall is a significant concern of both the caregiver and the care recipient. Studies have shown that injuries from a fall can cause more deaths than either pneumonia or diabetes. The National Safety Injury Center for Injury Prevention and Control estimates that persons over the age of 65 have the highest mortality rate (death rate) from injuries. One-third to one-half of older adults at home are at increased risk for falls. Falls can occur due to stairs in the house or obstacles in the walkway. They can also be related to medical issues such as Dementia, Alzheimer's disease, stroke/CVA, dizziness, fainting, seizures, and other physical and functional disabilities. There are many reasons why an older adult can be the subject of a fall. However, many falls can be prevented.

Daily exercise is one of the most important ways to reduce your loved one’s chances of falling. It improves muscle strength and balance. Home Safety: Remove things you can trip over, such as paper, books, clothes, and shoes, from stairs and places where you walk. Keep all walkways clear and free from clusters. Remove small throw rugs or use double-sided tape to keep the rugs from slipping. Always discuss your safety concerns with your loved one before moving any items from their home. Keep items your loved one uses often in cabinets they can reach easily without climbing or using a step stool. If your loved one has a balance issue, encourage them to avoid taking a bath or shower when home alone. Insert grab bars next to the toilet and in the tub or shower. A shower chair, hand-held shower, and non-slip mats in the bathtub and shower floors will decrease the risk of falls.

Adequate lighting is a must. Handrails and good lighting should be present on all staircases. Ensure your loved one wears proper shoes with good support and has thin, non-slip soles. They should avoid wearing slippers and athletic shoes with deep treads. Has your loved one fallen in the past? Check with the doctor to see if they would benefit from physical therapy.

Medication Review: Have the doctor, healthcare provider, or pharmacist review all medications, prescribed, herbal, and over-the-counter drugs, for possible side effects, contraindications, or adverse reactions. Some medications or combinations of medicines can cause you to feel drowsy or lightheaded, leading to falls.

Here are some things to consider. Please encourage your loved one to avoid rushing to answer or get to the door to avoid sudden changes in body position. Using a cordless phone will ensure the phone is readily available. Encourage your loved one to use their walking device, whether a walker or cane. Ensure that the brakes on the walker are functioning at the right height and that the rubber tips are not worn.

Join us on Thursday, October 17, 2024, at 7 pm for our monthly 45-minute caregiver information and support Zoom. Go to www.comeoutreach.org and click on event. You don’t know what you do not know. Presbyterian Senior Services (PSS) will enlighten us about all the services they offer to seniors and their caregivers.

Diane Cooper

We had a great time at the Bronx Caregivers Volunteer Respite Program Meet-and-Greet. We met family caregivers from the community. They are all looking forward to taking part in the program, and the volunteers are excited to give back to Family Caregivers in the community. Thanks for stopping by, Salvattore Morello, Chief of Staff of Senator Jamaal Bailey's office, and Building President Idalia Reyes.

We want to recognize Essen Health Care's support of Family Caregivers. Family caregivers make a difference in our home, community, and healthcare system. Their daily sacrifices, commitment, and dedication are commendable and go unnoticed. Thank you, Essen Health Care, for caring for those who are caring for others.

We invite you to consider honoring a family caregiver from your organization. We are the village. Let's do this together because Caregivers Need Caring, Too!

To get more information about sponsorship or to purchase tickets, click on the link https://www.betterunite.com/comeoutreach-comeannualgala2024

The Bronx Caregivers Volunteer Respite Program is hosting a kickoff event where you can meet the program's volunteers and network with those in the community. This is an excellent opportunity to learn about the program and how you can support family caregivers in the community or your organization. Kudos to the volunteers.

Male family caregivers are doing it and doing well. Dr. Odell Glenn Jr. from Lexington, S.C., is a 2017 Leon David Simmons Award recipient. He is a professional, a son, a spiritual leader, and a family caregiver. He grew up in Brooklyn, New York, and obtained a bachelor’s degree in mechanical engineering in Long Island, New York. He received two Masters of Science degrees in New Jersey in manufacturing systems and electrical engineering. He then worked as an engineer and later as an associate professor in Connecticut and recently finished a doctorate in chemical engineering in Columbia, South Carolina. In addition to being an ordained minister, for the past ten years, his primary focus has been caring for two loving parents, ages 83 and 84. He believes that nothing he has learned or gained in life should be for himself. He believes this so much that he wrote a book entitled, “Caregiving: The Inspirational Manual.” The wisdom and experience that he has gained are intended to be shared to help, shape, inform, or guide someone else along life’s tedious journey. He states that he gets through each day with prayer each morning and by giving God thanks for all things. Prayer, wisdom, and guidance have given him strength, hope, and direction along the journey.

His encouraging tips to caregivers come from a chapter in his book, “Care for the Caregivers.”
Tip # 79: Accept offers of help from others. Be proactive by suggesting things for people to do with the care recipient. These tips are a lifeline for caregivers, offering guidance on self-care and managing responsibilities. Tip #80: “Give yourself credit, treat yourself, and pat yourself on the back now and then for doing the best you can in one of the toughest jobs there is. Never wait until everything is perfect before you decide to enjoy your life. Tip #83: Be realistic about how much of your time you can give. Set clear limits and communicate those limits to doctors, family members, and others involved. Tip #84: “Emotions such as anger, fear, resentment, guilt, helplessness and grief may show up. Remind yourself that His strength gives you the grace to do it. Trust the process. Trust for today and tomorrow.” Tip #87: “Exercise regularly.” Tip #88: “Eat right.” Tip #89: “Get enough sleep.” Tip #91: “Participate in a support group.” These tips are just a few that have gotten me through each hour, day, and throughout the years.

Do you know a male family caregiver? Consider nominating them for the Leon David Simmons Recognition Award to be honored on November 16, 2024, at our 18th Annual Family Caregivers Award Gala. Please visit the website to nominate a caregiver or purchase tickets. www.comeoutreach.org

Diane Cooper

Are you caring for a loved one with Dementia or Alzheimer’s disease? Are you up to date about the latest research that is taking place? Did you know there is a difference between the two diagnoses? Are you trying to make sense of it all, or are you in denial and hoping the situation will improve?

Only another caregiver knows that because you don’t address an issue, it does not mean it doesn’t exist. Knowledge alongside preparation is the key. “Let’s Talk,” listen, learn, and be empowered. You are just a click away. https://www.comeoutreach.org/upcoming-events.

Are you a caregiver? Have you experienced the benefit of receiving respite services? Click on the link to listen to Ms. Green's experience. https://www.nyscrc.org/caregiver-video

Respite services are a lifeline for those caring for loved ones, friends, co-workers, neighbors, or partners. Please feel free to contact us to volunteer to support a caregiver or receive caregiver respite services. Volunteers must be at least eighteen years old, and college students are welcome. Transportation stipends will be available, and volunteers will undergo background checks, fingerprinting, a Certificate of Recognition, and other incentives upon completion.

For more information about the program, to volunteer, or to receive caregiver respite support, please call 718-379-3159 or email [email protected]

Facing Life Challenges

It is not easy to see your loved one's cognitive abilities decline. Dad has always been a vital force within the family. I would go to him and talk to him about anything. He taught me how to swim, play chess, and drive a car. I cannot imagine that my Dad can no longer drive his car and sometimes cannot remember my name. Mom has always been the one to keep the family bound together. I have always considered my Mom a strong, independent, and wise woman. I used to love her cooking. She would make the most delicious cakes and cookies. I cannot imagine she could not remember how to prepare a simple meal. She cannot remember speaking to me several times during the day. We just took away her keys to her car.

Have you made these statements recently? "Let us wait and see what happens. It is not that bad. It is just old age. My loved one is not hurting anyone. They will be ok. I am not ready to deal with this just yet." What are you waiting for? Are you waiting for that telephone call from the police to inform you that your loved one is lost in another borough or state? Are you waiting for that phone call to tell you that your loved one house is on fire? Are you waiting for a stranger to notice that your loved one is confused and follow them home or, even worse, take them to the ATM? Are you waiting for a call from a neighbor to report that your loved one is outdoors in their pajamas looking for their grandmother?
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Just because you do not acknowledge an issue, it does not mean it is not present. It is not easy to see a loved one steadily losing their ability to function as usual. It is understood that addressing the problem will force you to deal with your thoughts, feelings, fears, and limitations. There will be decisions, choices, and lifestyle changes to consider. Do not wait for a crisis to make significant decisions impacting you and your loved one's lives.
Acknowledge that there is a problem. This may mean meeting with all involved in the care and safety of your loved one. Include your loved one in the decision-making process. Be prepared for resistance from your loved one if they feel they can no longer set the rules, control their situation, or fear losing independence. Let them know there is a concern about their cognitive and safety status. Ask them to express what they are feeling or going through. Ask them if they notice any changes in their memory. Do they have any concerns or fears? How can you help them get through their day?

Schedule an appointment for your loved one to be seen by their doctor for a neurological workup so that your concerns can be confirmed with a diagnosis. Know that dementia is not always the cause of all cognitive deficient behaviors. Establish a Plan. What needs to occur to ensure your loved one is safe and able to enjoy life to its full potential? What needs to occur to ensure you can enjoy life to the fullest? Establish a reliable support system comprising your children, friends, and other family members and available community services.

Join us on September 19, 2024, at 7 pm for our monthly 45-minute caregivers support and information Zoom. Connect with a community of caregivers who understand what you're going through. You are not alone in this journey.

Presenter Paula Rice, MBA. Senior Community Engagement Specialist Depts of Neurology, Epidemiology Sergievsky Center, Taub Institute for Research on Aging Brain. Prior caregiver for her mother. Visit the website www.comeoutreach.org and click on the event.

Diane Cooper

Are you assisting a neighbor, friend, family or church member by sitting with their loved one while they run to the store or attend their doctor's appointment? Are you assisting a family caregiver by giving them time to rest by visiting their loved one in the nursing home? Your acts of kindness and assistance play a vital role in the support of family caregivers. Feel free to call us to learn more about The Bronx Caregiver Volunteer Respite Program. 718-379-3159

It is that time of the year to recognize unsung heroes—family caregivers (spouses, sons, daughters, partners, neighbors, co-workers, and youth). As health care providers, we provide service to those needing assistance. However, we forget the individuals significantly impacting our client's health and wellness. Family caregivers make a difference in our home, community, and health care system. Their daily sacrifices, commitment, and dedication are commendable and go unnoticed.

In recognition of National Family Caregivers Month and with the support of community organizations and sponsors, Caregivers Outreach Mentorship Empowerment has, for the past 18 years, recognized and honored "ordinary people doing extraordinary things."

We invite you to consider honoring a family caregiver from your organization. We are the village. Let's do this together because caregivers need caring, too! To get more information on how you can become a sponsor, contact us at 718-379-3159 or email Katrice [email protected]

We are excited to share that, thanks to a grant from the New York State Caregiving and Respite Coalition (NYSCRC), managed by Lifespan of Greater Rochester, Inc., Caregivers Outreach Mentorship Empowerment (COME) has recently been subcontracted to implement The Bronx Caregiver Volunteer Respite Program. We extend our gratitude to our partners, AARP Peachtree Chapter 4997, Essen Health Care, JASA, and Co-op City NORCE, for their collaboration in supporting family caregivers.

The program offers in-home or nursing home respite visits provided by volunteers, a crucial support system that allows caregivers to take a much-needed break, run personal errands, or attend medical appointments. This initiative is a lifeline for those caring for loved ones, friends, family, co-workers, or neighbors. We also welcome college students interested in social services, nursing, or community project initiatives to get involved. Volunteers must be at least eighteen years old. Transportation stipends will be available, and all volunteers will undergo background checks and fingerprinting. The program runs from July 5, 2024, to June 30, 2025, and participants will receive a Certificate of Recognition and other incentives upon completion.

For more information about the program or to get involved as a volunteer or caregiver, please don't hesitate to contact us at 718-379-3159 or email [email protected]. We are here to answer your questions and guide you through the process of becoming a volunteer or enrolling as a caregiver.

We are heading into our second week with four weeks to go. Remember to call the office to schedule a one-on-one session with SYEP youths. Give us a call at 718-320- 1946. The feedback has been great. Walk-ins are also welcomed. Please take advantage of this opportunity to learn more about your electronic devices.

WOW, we are proud of you, Bianca. Let's celebrate another youth caregiver who is getting through unexpected and challenging times as they take on the role of caring. Here is Bianca's story.

Since middle school, I have cared for my younger siblings and grandmother. My grandma was never taught how to read or write, and she has had numerous surgeries in addition to having asthma. She's not able to distinguish between her medications, so I help her by giving the appropriate dosage at the prescribed times. My grandmother has always placed a high value on looks and strives always to look her best. I choose her clothes, dye her hair, and straighten her head scarves since this makes her happy despite her physical condition. Whenever I do this, she always jumps with excitement. It makes me happy knowing that I am improving her daily life.

After watching my elder sister participate, I knew I had to join SHARKS Youth, a program that supported young caregivers like me. I haven't looked back on that choice since. We help other young caregivers who are anxious and self-conscious about what they do for their loved ones, and we spread awareness about illnesses like Alzheimer's. Along with SHARKS, I have assisted in planning numerous events to educate kids about Alzheimer's and how they may support people in need. SHARKS has given me a sense of awareness. We discuss our problems and devise strategies to overcome them at our monthly meetings.

In addition, my parents are providing for my four younger siblings while I attend college and for my older sister, who is away at college. Thanks to the scholarship, I will become more financially independent. It will also help me lower my Baruch College expenses. With this scholarship, I'll be able to concentrate on my education and interact with new people.

Participating in more clubs is a goal that will help me finish my major in advertising. Thanks to this club, I can communicate better and connect with people with similar interests. I can connect with many people and discover their passions and goals while pursuing mine. I've always found it exciting to think that I could assist businesses in achieving their goals by working in advertising. I aim to gain more knowledge about the business world in the process, and this scholarship will enable me to do so without worrying about money. Bianca Gjongecaj

Every June, the world celebrates Father's Day, which plays a significant role in bringing families together and honoring the incredible man who works as the backbone of the family.

This particular day is dedicated to all fathers, grandfathers, uncles, godfathers, and stepdads, recognizing their love, support, and guidance. Father's Day serves as an occasion to appreciate every father who has been a mentor, protector, and role model.