Monday, July 29, 2013

Trying to get back on topic, I came across this piece. I keep forgetting that even though I am in another state I am a caregiver for my mother. I notice I am experiencing a few of these symptoms myself....

©Family Caregiver Alliance

Fact Sheet : Caregiving and Depression

Introduction

Could the sadness, loneliness or anger you feel today be a warning sign of depression? It’s possible. It is not unusual for caregivers to develop mild or more serious depression as a result of the constant demands they face in providing care.

Caregiving does not cause depression, nor will everyone who provides care experience the negative feelings that go with depression. But in an effort to provide the best possible care for a family member or friend, caregivers often sacrifice their own physical and emotional needs and the emotional and physical experiences involved with providing care can strain even the most capable person. The resulting feelings of anger, anxiety, sadness, isolation, exhaustion—and then guilt for having these feelings—can exact a heavy toll.

Everyone has negative feelings that come and go over time, but when these feelings become more intense and leave caregivers totally drained of energy, crying frequently or easily angered by their loved one or other people, it may well be a warning sign of depression. Concerns about depression arise when the sadness and crying don’t go away or when those negative feelings are unrelenting.

Unfortunately, feelings of depression are often seen as a sign of weakness rather than a sign that something is out of balance. Comments such as “snap out of it” or “it’s all in your head” are not helpful, and reflect a belief that mental health concerns are not real. Ignoring or denying your feelings will not make them go away.

Early attention to symptoms of depression through exercise, a healthy diet, positive support of family and friends, or consultation with a trained health or mental health professional may help to prevent the development of a more serious depression over time.

Symptoms of Depression

People experience depression in different ways. Some may feel a general low-level sadness for months, while others suffer a more sudden and intense negative change in their outlook. The type and degree of symptoms vary by individual and can change over time. Consider these common symptoms of depression. Have you experienced any of the following for longer than two weeks?

A change in eating habits resulting in unwanted weight gain or loss
A change in sleep patterns—too much sleep or not enough
Feeling tired all the time
A loss of interest in people and/or activities that once brought you pleasure
Becoming easily agitated or angered
Feeling that nothing you do is good enough
Thoughts of death or suicide, or attempting suicide
Ongoing physical symptoms that do not respond to treatment, such as headaches, digestive disorders and chronic pain.

Special Caregiver Concerns

What do lack of sleep, dementia and whether you are male or female have in common? Each can contribute in its own way to a caregiver’s increased risk for depression.

Dementia and Care

Researchers have found that a person who provides care for someone with dementia is twice as likely to suffer from depression as a person providing care for someone without dementia. The more severe the case of dementia such as that caused by Alzheimer’s disease, the more likely the caregiver is to experience depression. It is critical for caregivers, especially in these situations, to receive consistent and dependable support.

Caring for a person with dementia can be all consuming. It is different from other types of caregiving. Not only do caregivers spend significantly more hours per week providing care, they report more employment problems, personal stress, mental and physical health problems, less time to do the things they enjoy, less time to spend with other family members, and more family conflict than nondementia caregivers. As stressful as the deterioration of a loved one’s mental and physical abilities may be for the caregiver, dealing with dementia-related behavior is an even bigger contributor to developing symptoms of depression. Dementia-related symptoms such as wandering, agitation, hoarding and embarrassing conduct makes every day challenging and makes it harder for a caregiver to get rest or assistance in providing care.
Women experience depression at a higher rate than men. Women, primarily wives and daughters, provide the majority of caregiving. In the United States, approximately 12 million women experience clinical depression each year, at approximately twice the rate of men. A National Mental Health Association survey on the public’s attitude and beliefs about clinical depression found that more than one-half of women surveyed still believe it is "normal" for a woman to be depressed during menopause.

The study also found that many women do not seek treatment for depression because they are embarrassed or in denial about being depressed. In fact, 41% of women surveyed cited embarrassment or shame as barriers to treatment.

Men who are caregivers deal with depression differently. Men are less likely to admit to depression and doctors are less likely to diagnose depression in men. Men will more often “self treat” their depressive symptoms of anger, irritability or powerlessness with alcohol or overwork. Although male caregivers tend to be more willing than female caregivers to hire outside help for assistance with home care duties, they tend to have fewer friends to confide in or positive activities outside the home. The assumption that depressive symptoms are a sign of weakness can make it especially difficult for men to seek help.
Lack of sleep contributes to depression. While sleep needs vary, most people need eight hours a day. Loss of sleep as a result of caring for a loved one can lead to serious depression. The important thing to remember is that even though you may not be able to get your loved one to rest throughout the night, you can arrange to get much needed sleep. Hiring a respite worker to be with your loved one while you take a nap or finding a care center or scheduling a stay over with another family member for a few nights are ways to keep your caregiving commitment while getting the sleep you need.
Depression can persist after placement in a care facility. Making the decision to move a loved one to a care center is very stressful. While many caregivers are finally able to catch up on much needed rest, loneliness, guilt and monitoring the care a loved one receives in this new location can add new stress. Many caregivers feel depressed at the time of placement and some continue to feel depressed for a long time after.

People assume that once caregiving is over, the stress from providing hands-on care will go away. Yet, researchers found that even three years after the death of a spouse with dementia, some former caregivers continued to experience depression and loneliness. In an effort to return their life to normal, former caregivers may need to seek out help for depression as well.

What to Do If You Think You Have Depression

Depression deserves to be treated with the same attention afforded any other illness, such as diabetes or high blood pressure. If you feel uncomfortable using the term depression, tell the professional that you are “feeling blue” or “feeling down.” The professional will get the message. The important thing is to seek help.

Those with chronic illnesses also may suffer from depression. If you suspect this is the case with your loved one, look for an opportunity to share your concern with him or her. If they are reluctant to talk about it with you, encourage a trusted friend to talk with them or consider leaving a message for their doctor regarding your concern prior to their next appointment.

How is Depression Treated?

The first step to getting the best treatment for depression is to meet with a mental health professional such as a psychiatrist, psychologist, or social worker. At the same time, schedule a physical exam with your doctor. Certain medications, as well as some medical conditions such as viral infection, can cause the same symptoms as depression, and can be evaluated by your physician during an exam. The exam should include lab tests and an interview that tests for mental status to determine if speech, memory or thought patterns have been affected.

Although it’s not unusual for a physician to prescribe antidepressant medication, medication alone may not be the most effective treatment for depression. The guidance of a mental health professional throughout your treatment is strongly recommended. The therapist or counselor will listen to your concerns, screen you for symptoms of depression and assist you in setting up an appropriate course of treatment.

One way to find a professional is to ask a friend for the name of someone they know and trust. You may also find someone by asking your minister or rabbi, your doctor, or, if you are employed, you may check your employer’s health insurance provider list or EAP program. In addition, national organizations can provide contact information for mental health professionals in your community. (See “Finding a Professional in your Area” in this fact sheet.)

It is important to trust and feel comfortable with the professional you see. It is not uncommon to request a free introductory phone or in-person meeting to help determine if the professional is the right match for your particular needs and style. It is appropriate to clarify what the cost will be, how much your insurance will pay and how many scheduled sessions you should expect to have with the mental health therapist. Any treatment should be evaluated regularly to ensure that it continues to contribute towards your improved health and growth.

Questions to Expect in a Mental Health Exam for Depression

Tell me why you think you may be experiencing depression.
- When did you first notice these symptoms? How long have you experienced them?
- How do they affect you? Are there things you don’t or can’t do anymore?
- Have you ever experienced these feelings before?
- If you have, did you receive treatment? What type?

How often do you use alcohol or drugs (both prescription and nonprescription) to help during the week?

Have you had any thoughts about death or considered suicide?

Do you have any family members who have experienced depression?

If so, did they receive treatment? What type?

Have you experienced any serious loss, difficult relationships, financial problems or other recent changes in your life?

Is there anything else you’d like to add to help me understand your situation better?

Treatment Options

Upon review of the physical and mental evaluation, a course of treatment will be recommended. Primary treatment options are psychotherapy (also referred to as mental health therapy) and antidepressant medication. These treatments are used alone or in combination with one another. (Electroconvulsive therapy or shock therapy is used for severe cases of depression and is recommended only when other approaches have not been effective.) The most frequent treatment for depressive symptoms that have progressed beyond the mild stage is antidepressant medication, which provides relatively quick symptom relief, in conjunction with ongoing psychotherapy, which offers new strategies for a more satisfying life. Following are the most common treatments used today:

Psychotherapy

Cognitive & Behavioral Therapy – The therapist will focus on identifying and changing persistent, self-defeating thinking and behaviors. The ultimate goal is to help caregivers recognize and enjoy positive events in their lives and learn practical skills to deal with the problems they are facing.
Interpersonal Therapy – The therapist helps the caregiver self-evaluate problems in their communication, or lack of communication, with other people. The caregiver will come to better understand his or her own communication style and learn how to improve relationships with others.
Psychodynamic Therapy – Although sometimes used to treat depression, this therapy is thought to be less effective than the other two therapies already mentioned. Its goal is to surface deeply held conflicted feelings to better experience and understand them.

Medication and ECT Therapy

Selective Serotonin Reuptake Inhibitors (SSRIs) (Examples: Prozac, Zoloft, Paxil) – Medications that work by stabilizing levels of serotonin, a neurotransmitter. Low levels of serotonin have been linked to depression. Fewer side effects than tricyclic medications.
Tricyclics (Examples: Norpramin, Pamelor, Sinequan) – An earlier family of antidepressant drugs, tricyclics increase levels of neurotransmitters in the brain. May cause more side effects.
Monoamine Oxidase Inhibitors (MAOI) (Examples: Nardil, Parnate) – These therapies are not often used today. MAOIs are drugs that increase the level of neurotransmitters in the brain. They are most often used when other medication isn’t effective or tolerated.
Electroconvulsive Therapy (ECT) – A brief pulse of electricity is delivered through electrodes on the scalp over a period of several days to produce changes in the brain function. ECT is used only for serious (possibly life-threatening) depression and when medication doesn’t work.

If drug therapy is recommended, a certain amount of trial and error is necessary to find the right type and dosage of medication for each individual and it may take several weeks before effects are felt. Good communication between patient and doctor is important. Older adults should be especially careful to watch for medication side effects caused from too high a dosage or interactions with other medications.

Complementary and Alternative Therapies

St. John’s wort. One of the most studied alternative treatments for depressive symptoms is St. John’s wort (Hypericum perforatum). It is an herb used extensively in the treatment of mild to moderate depression in Europe and is now undergoing studies in the United States. St. John's wort extract is sold “over the counter” in the U.S. as a nutritional supplement.

It is promoted as a "natural” way to improve mood, and as a treatment for mild to moderate depression. Researchers are studying it for possibly having fewer and less severe side effects than antidepressant drugs.

Yet, questions remain regarding whether St. John's wort really does what its promoters claim. For nonprescription drugs in the U.S. there are no established criteria for determining the amount of active ingredient a company puts in their product or what dose is right for a given person. The Food and Drug Administration issued a warning stating that St. John’s wort may affect the metabolic pathway used by many prescription drugs prescribed to treat a number of conditions, including heart disease, depression, and HIV infections. If you are taking St. John’s wort or considering its use, talk with your health care provider to ensure it will not interfere with any other treatment you are receiving.

Seasonal Affective Disorder. Caregivers who feel “the blues” when confined indoors or in response to winter’s gray days may suffer from Seasonal Affective Disorder (SAD), also referred to as “winter depression.” As seasons change, there is a shift in our biological internal clocks or circadian rhythms, partly in response to the changes in sunlight patterns. This can cause our biological clocks to be out of sync with our daily schedules. People with SAD have a difficult time adjusting to the shortage of sunlight in the winter months. SAD symptoms are most pronounced in January and February, when the days are shortest. SAD is often misdiagnosed as hypothyroidism, hypoglycemia, infectious mononucleosis and other viral infections.

Phototherapy, using specially designed bright fluorescent lights, has been shown to reverse SAD’s depressive symptoms. Experts believe that the light therapy works by altering the levels of certain brain chemicals, specifically melatonin. Antidepressant medication along with other treatments, including exercise, may be helpful as well. If you experience mild depressive symptoms seasonally, experiment with increasing the light in your surroundings, using lamps or other sources. If the symptoms are strong enough to impair your day-to-day functioning, seek out a mental health professional with expertise in treating SAD.

Physical Exercise. Exercise has been found to reduce the effects of depression. Walking three times a week for 30 to 45 minutes has been linked to reducing or alleviating symptoms of depression. It is unknown whether physical activity prevents the onset of depression or just helps modify the effects. Arranging time for exercise is sometimes difficult for caregivers. It is often seen as a “value added” activity—something to do when everything else is done. You might consider adding it to your “to do” list, asking a friend to give you a “walk date” each week as a gift, or requesting that your doctor write a prescription for walking or joining an exercise class. All the research shows that for a healthier life, it makes good sense to make time for exercise.

Paying for Treatment

Private health insurance and Medicare will typically pay for some mental health care. It’s best to call the mental health professional directly to find out if they accept your insurance for payment. Health insurance providers will usually list mental health professionals in the same insurance material that lists health plan medical doctors. Medicare recipients will find the booklet titled, “Medicare and Your Mental Health Benefits” a helpful source of information. See the “Resources” section of this Fact Sheet to find out how to obtaina copy.

The “covered services” of the insurance plan will specify mental health coverage for inpatient (hospital, treatment center) and outpatient (professional’s office) care, how many visits are paid for, and at what rate of reimbursement. Employed caregivers may also have access to an Employee Assistance Program, where licensed professionals (usually psychologists and social workers) are available for confidential sessions to discuss personal or professional problems.

Caregivers without health insurance or who pay out of pocket for care will find that fees vary by professional, with psychiatrists charging at the higher end of the fee scale and psychologists and social workers offering their services at a more moderate rate. In some instances, a mental health center will apply a fee based on your ability to pay. In any case, find out what the fee is up front to avoid any misunderstandings later on.

Strategies to Help Yourself

Depressive disorders can make one feel exhausted, helpless and hopeless. Such negative thoughts and feelings make some people feel like giving up. It is important to realize that these negative views are part of the depression and may not accurately reflect the situation. The National Institute of Mental Health offers the following recommendations for dealing with depression:

Set realistic goals in light of the depression and assume a reasonable amount of responsibility.
Break large tasks into small ones, set some priorities, and do what you can as you can.
Try to be with other people and to confide in someone; it is usually better than being alone and secretive.
Participate in activities that may make you feel better, such as mild exercise, going to a movie or ballgame, or attending a religious, social or community event.
Expect your mood to improve gradually, not immediately. Feeling better takes time.
It is advisable to postpone important decisions until the depression has lifted. Before deciding to make a significant transition—change jobs, get married or divorced—discuss it with others who know you well and have a more objective view of your situation.
People rarely "snap out of" a depression. But they can feel a little better day-by-day.
Remember, positive thinking will replace the negative thinking that is part of the depression. The negative thinking will be reduced as your depression responds to treatment.
Let your family and friends help you.

Direct assistance in providing care for your loved one, such as respite care relief, as well as positive feedback from others, positive self-talk, and recreational activities are linked to lower levels of depression. Look for classes and support groups available through caregiver support organizations to help you learn or practice effective problem-solving and coping strategies needed for caregiving. For your health and the health of those around you, take some time to care for yourself.

Sources for online depression screening checklists:

National Mental Health Association depression screening checklist
depression-screening.org National Depression Screening Day websitewww.nmisp.org/depression.htm

Finding a Professional in your area:

Psychiatrist (MD): A psychiatrist is a medical doctor who specializes in the diagnosis, treatment, and prevention of mental illnesses, including substance abuse and addiction.

American Psychiatric Association
www.psych.org
Provides free information on depression and referrals to psychiatrists in your area.

Psychologist (Ph.D.): Licensed to practice psychotherapy and has special training in psychological testing. Although referred to as “doctor,” a psychologist cannot prescribe medications.

American Psychological Association
www.apa.org
(800) 964-2000Visit APA's website for more information about depression or call the toll-free number to be referred to a psychologist in your area.

Licensed Clinical Social Worker (L.C.S.W.): Has specialized training in human behavior, family behavior, psychology, and problem solving. Has a Master's degree in Social Work (M.S.W.) with two years of supervised postgraduate work providing clinical treatment.

National Association of Social Workers
www.naswdc.org
(800) 638-8799
Provides free information on depression and referrals to social workers in your area.

Note: Additional professionals may be licensed to practice psychotherapy in your state or county. Check with the local mental health department or hospital in your community for more information.

Other resources:

Medicare
www.medicare.gov
Call 1-800-MEDICARE (1-800-633-4227) to request a copy of “Medicare and Your Mental Health Benefits.”
National Institute of Mental Health
www.nimh.nih.gov
(800) 421-4211
Provides free information on depression and other mental illnesses in English and Spanish.
Exercise Guide for Older Adults
Exercise and Your Health: A Personal Guide to Health and Fitness (Spanish)Exercise: A Guide for the National Institute on Aging (NIA). Includes a chapter on exercises to do at home (English). National Institute of Health. Available free of charge. (800) 222-2225 or www.nih.gov/nia

Websites

American Geriatrics Association
www.americangeriatrics.org/education/forum/alzcare.shtml
National Institute for Complimentary and Alternative Medicinenccam.nih.gov
National Institute of Mental Healthwww.nimh.nih.gov
National Alliance for the Mentally Illwww.nami.org
National Mental Health Associationwww.nmha.org
National Library of Medicinewww.nlm.nih.gov/medlineplus/druginformation.html

References

Gallagher-Thompson, Coon, Rivera, Powers and Zeiss. (1998). Family Caregiving: Stress, Coping and Intervention. Handbook of Clinical Geropsychology, Chapter 21, Plenum Press, New York.

National Institute of Mental Health (2001). Depression. Publication No. 00-3561, Bethesda, MD. National Institute of Mental Health (2001). Women Hold Up Half the Sky. Publication No. 01-460,7 Bethesda, MD.

Ory M., Hoffman R., Yee J., Tennstedt S. and Schultz R. (1999) Prevalence and Impact of Caregiving: A Detailed Comparison Between Dementia and Nondementia Caregivers. The Gerontologist Vol. 39, No 2 177-185

Schultz R., O’Brien A.T., Bookwala J., et al. (1995) Psychiatric and physical morbidity effects of dementia caregiving: prevalence, correlates and causes. Gerontologist. Vol. 35, 771-791.

Resources

Family Caregiver Alliance785 Market Street, Suite 750
San Francisco, CA 94103
(415) 434-3388
(800) 445-8106
Web Site: www.caregiver.org
E-mail: info@caregiver.org

Family Caregiver Alliance (FCA) seeks to improve the quality of life for caregivers through education, services, research and advocacy.

Through its National Center on Caregiving, FCA offers information on current social, public policy and caregiving issues and provides assistance in the development of public and private programs for caregivers.

For residents of the greater San Francisco Bay Area, FCA provides direct family support services for caregivers of those with Alzheimer's disease, stroke, head injury, Parkinson's and other debilitating disorders that strike adults.

Prepared by Family Caregiver Alliance in cooperation with California's Caregiver Resource Centers. Reviewed by Steven H. Zarit, Ph.D. Professor of Human Development and Assistant Director, Gerontology Center, Pennsylvania State University. Funded by the California Department of Mental Health and the Archstone Foundation. March 2002. © All rights reserved.

BILL O'REILLY COMMENTS

Sadly there is some truth to this. First, I have to say I still think George Zimmerman is guilty. No matter what his perspective Trayvon Martin deserves to be alive. However Bill O'Reilly no matter how crass or how offensive he may sound in this interview does offer some valid points and I can appreciate his honesty. It beats having thousands of folks just agreeing with me when they feel otherwise. And truth be told the image of young Black men was also on trial during that hearing. A generation of sagging and thug worship along with a stunning amount of Black on Black murders was probably on the jurors' mind. It still doesn't make the verdict right since all evidence shows Martin should have been able to defend himself.

Monday, July 22, 2013

CONFERENCE ON HOMELESSNESS

http://www.cnn.com/2013/07/15/justice/zimmerman-juror-book

http://mobile.nytimes.com/2013/07/16/us/zimmerman-juror-discusses-how-verdict-was-reached.html?gl=us&client=ms-android-sprint-us&source=android-unknown&action=devloc&q=zimmerman%20jurors&

Homeless information

http://www.endhomelessness.org/

Thursday, July 18, 2013

Trayvon Martin Facts (courtesy CNN)

from: http://www.cnn.com/2013/06/05/us/trayvon-martin-shooting-fast-facts

Trayvon Martin Shooting Fast Facts

By CNN Library

updated 8:20 PM EDT, Tue July 16, 2013

(CNN) -- Here's a look at what you need to know about the shooting death of 17-year-old Trayvon Martin in February 2012. Former neighborhood watch captain George Zimmerman was acquitted of the crime in July 2013.

Facts:
Trayvon Benjamin Martin, born February 5, 1995, was a 17-year-old African-American high school student who lived in Miami Gardens, Florida with his mother Sybrina Fulton. In February 2012, Martin was visting his father Tracy Martin in Sanford, Florida after receiving a ten-day suspension from Krop Senior High School. The suspension stemmed from the discovery of drug residue in Martin's book bag.

George Michael Zimmerman, born October 5, 1983, was a part-time student at Seminole State College and a neighborhood watch captain at the Retreat at Twin Lakes gated community in Sanford at the time of the shooting. He is married to Shellie (Dean) Zimmerman and is the son of Robert and Gladys Zimmerman.

Timeline:
February 26, 2012 - George Zimmerman, a neighborhood watch captain in Sanford, Florida, calls 911 to report "a suspicious person" in the neighborhood. He is instructed not to get out of his SUV or approach the person. Zimmerman disregards the instructions. Moments later, neighbors report hearing gunfire. Zimmerman acknowledges that he shot Martin, claiming it was in self-defense. In a police report, Officer Timothy Smith writes that Zimmerman was bleeding from the nose and back of the head.

February 27, 2012 - Martin's father, Tracy Martin, files a missing persons report. Officers with the Sanford Police Department visit Tracy Martin. He is able to identify Trayvon Martin's body using a photo.

March 8, 2102 - Investigators receive a fax from the Altamonte Family Practice containing the medical records identifying the injuries sustained by Zimmerman on the night of the shooting: Open wound of scalp, without mention of complication; nasal bones, closed fracture; assault by other specified means.

March 12, 2012 - Sanford Police Chief Bill Lee says that Zimmerman has not been charged because there are no grounds to disprove his story of the events.

March 13, 2012 - Sanford Police Department's homicide detective Christopher Serino recommends Zimmerman be charged with manslaughter.
Zimmerman "failed to identify himself" as a concerned citizen or neighborhood watch member on two occasions that night. Serino reports that he thought Zimmerman's head injuries were "marginally consistent with a life-threatening episode, as described by him, during which neither a deadly weapon nor deadly force were deployed by Trayvon Martin."

March 14, 2012 - The case is turned over to the Florida State Attorney Norm Wolfinger.

March 15, 2012 - In a letter to the Orlando Sentinel, Robert Zimmerman, George Zimmerman's father, writes that George has been unfairly portrayed as a racist, and that George is Hispanic and grew up in a multiracial family.

March 16, 2012 - Authorities release seven 911 calls from the night of the shooting. In one of the 911 recordings, Zimmerman, against the advice of the 911 dispatcher, follows Martin. In one of the recordings, a voice screams "Help, help!" in the background, followed by the sound of a gunshot.

March 19, 2012 - The Justice Department and the FBI announce that they have launched an investigation into Martin's death.

March 20, 2012 - A lawyer for the Martin family, Benjamin Crump, holds a news conference, telling reporters that Trayvon was on the phone with his 16-year-old girlfriend at the time of the shooting. The girl, who wishes to remain anonymous, says she heard someone ask Martin what he was doing and heard Martin ask why the person was following him, according to Crump. The girl then got the impression that there was an altercation in which the earpiece fell out of Martin's ear and the connection went dead.

March 21, 2012 - CNN analyzes one of the tapes of Zimmerman's call to dispatch, in which he is purported to have used a racial slur against blacks. The results are inconclusive.

March 22, 2012 - A petition on Change.org calling for the arrest of Zimmerman, created by the parents of Trayvon Martin, surpasses 1.3 million people.

March 22, 2012 - Sanford Police Chief Bill Lee announces he is stepping down "temporarily" as head of the department, which has been criticized for its handling of the fatal shooting.

March 22, 2012 - Florida Gov. Rick Scott announces he is appointing Angela B. Corey of the 4th Judicial Circuit as state attorney in the investigation, replacing Norman Wolfinger, state attorney for Florida's 18th District, which includes Sanford.

March 23, 2012 - President Barack Obama speaks out publicly for the first time on the growing controversy over the shooting of Trayvon Martin, saying that the incident requires national "soul-searching."

March 24, 2012 - A handful of members from the New Black Panther Party (NBPP) offer a $10,000 reward for the "capture" of George Zimmerman.

March 26, 2012 - Exactly one month after Trayvon Martin's death, rallies take place in cities across the country, including Sanford, where the City Commission holds a town hall meeting on the incident and its aftermath. Martin's parents speak at the meeting.

March 28, 2012 - Zimmerman's father, Robert, appears on television and says that Martin threatened to kill Zimmerman and then beat him so badly Zimmerman was forced to shoot.

March 29, 2012 - Zimmerman's brother, Robert Zimmerman Jr., appears on CNN and says medical records will prove that his brother was attacked and his nose was broken by Trayvon Martin before he fatally shot the teen.

April 2, 2012 - FBI agents interview Martin's girlfriend, the 16-year-old girl who, phone records show, was on the cell phone with him shortly before the fatal confrontation.

April 3, 2012 - Zimmerman's legal adviser, Craig Sonner, says that criminal defense lawyer Hal Uhrig will represent Zimmerman and that Sonner will serve as co-counsel if the case proceeds.

April 7-8, 2012 - George Zimmerman launches a website warning supporters about groups falsely claiming to be raising funds for his defense. The site includes a link through which donations can be made to pay for Zimmerman's lawyers and living expenses.

April 9, 2012 - Prosecutor Angela Corey announces that she will not present the case to a grand jury.

April 10, 2012 - Attorneys Hal Uhrig and Craig Sonner announce that they have lost contact with Zimmerman and no longer represent him.

April 11, 2012 - Zimmerman is charged with second-degree murder. His new lawyer, Mark O'Mara, tells CNN that Zimmerman has turned himself in.

April 18, 2012 - Seminole Circuit Court Judge Jessica Recksiedler, who was assigned to Zimmerman's case, approves a motion to disqualify herself from the criminal case because her husband works as a CNN legal analyst.

April 18, 2012 - It is announced that Seminole County Circuit Judge Kenneth Lester Jr. will take over George Zimmerman's case.

April 20, 2012 - Zimmerman's bond hearing is held. Judge Lester sets Zimmerman's bond at $150,000. During the hearing, Zimmerman apologizes to the family of Trayvon Martin for the loss of their son.

April 23, 2012 - Zimmerman is released on bail at 12:05 AM. Later in the day, Zimmerman enters a written not guilty plea and waves his right to appear at his arraignment.

May 8, 2012 - Judge Kenneth Lester accepts Zimmerman's written plea of not guilty.

May 15, 2012 - A medical report by George Zimmerman's family doctor, taken a day after the February 26 shooting, shows Zimmerman was diagnosed with a fractured nose, two black eyes and two lacerations on the back of his head.

June 1, 2012 - Judge Kenneth Lester Jr. revokes Zimmerman's bond and orders him to surrender within 48 hours after the prosecution argues that Zimmerman and his wife, Shellie, misrepresented their finances when Zimmerman's bond was originally set in April.

June 3, 2012 - At 1:45 PM, Zimmerman surrenders to authorities and is taken into custody at the John E. Polk Correctional Facility in Seminole County.

June 12, 2012 - George Zimmerman's wife Shellie is arrested and charged with perjury.

June 18, 2012 - Audio of six phone calls between Zimmerman and his wife Shellie are released, along with bank statements.

June 20, 2012 - Sanford Police Chief Bill Lee is officially fired.

June 25, 2012 - Zimmerman's attorney files a motion requesting a "reasonable bond" be set for Zimmerman's release from jail.

July 5, 2012 - The judge sets Zimmerman's bond at $1 million.

July 6, 2012 - Zimmerman is released from jail after posting the required 10% of the $1 million bond ($100,000).

July 13, 2012 - Zimmerman's legal team files a motion requesting Judge Lester step down from the case. The motion claims Zimmerman cannot get a fair trial because Lester used "gratuitous, disparaging" language in the previous week's bail order.

July 18, 2012 - Zimmerman, appearing on Fox News "Hannity" show, does his first television interview since the shooting. He says he would not do anything differently.

August 9, 2012 - A photo of Trayvon Martin's body and George Zimmerman's school records are mistakenly released by prosecutors. Special Prosecutor Angela Corey's office issues a statement asking reporters to "please disregard and do not use the information contained in the initial e-mail. It was inadvertently attached."

August 13, 2012 - George Zimmerman appeals Judge Lester's refusal to recuse himself with the Fifth District Court of Appeals.

August 29, 2012 - A Florida appeals court grants Zimmerman's request for a new judge, saying Judge Kenneth Lester's remarks in a bail order put Zimmerman in reasonable fear of a fair trial.

August 30, 2012 - Judge Debra Nelson is assigned to replace Judge Kenneth Lester in the case of George Zimmerman.

December 7, 2012 - Zimmerman sues NBC Universal for allegedly editing the 911 call he placed on the night of the tragic event. He states in the lawsuit that NBC unfairly made it appear that "Zimmerman was a racist, and that he was racially profiling Trayvon Martin".

February 9, 2013 - The Justice for Trayvon Martin Foundation hosts a "Day of Remembrance Community Peace Walk and Forum" in Miami. It takes place four days after what would have been Martin's 18th birthday.

March 5, 2013 - Lawyer Mark O'Mara decides against seeking a pretrial Stand your Ground immunity hearing for George Zimmerman citing lack of preparation time.

April 5, 2013 - Martin's parents settle a wrongful-death claim against the homeowners association of the Florida subdivision where their son was killed.

April 30, 2013 - George Zimmerman waives his right to a "stand your ground" pretrial immunity hearing. Zimmerman's attorneys decide they will instead try this as a self-defense case. If Zimmerman had had a pretrial immunity hearing, a judge would have ruled whether his actions were protected under the "stand your ground" law. If the judge had ruled in favor of Zimmerman, it would have meant that no criminal or civil trial could proceed.

May 28, 2013 - Judge Debra Nelson rules on several motions brought by the defense. Nelson rules that Trayvon Martin's familiarity with guns, his marijuana use, and fights he may have been in cannot be brought up in Zimmerman's trial. She also denies a request to take the jury to the crime scene. Nelson, however, rules that jurors will remain anonymous and will be referred to by numbers only.

June 20, 2013 - An all-female jury is selected.

June 24, 2013 - The trial begins with opening statements.

July 13, 2013 - The six woman jury finds George Zimmerman not guilty. They had three choices: to find Zimmerman guilty of second-degree murder; to find him guilty of the lesser charge of manslaughter; or to find him not guilty. The jurors deliberated for more than 16 hours total, including 13 on Saturday alone.

Tuesday, July 16, 2013

George Zimmerman verdict I

I am not going to spend a lot of time on this especially since it is way off topic.
Over the weekend the jury ruled George Zimmerman not guilty. He was was charged with Manslaughter and Murder in the second degree. Naturally people were shocked when they heard the verdict. I wasn't. I was a younger adult when I heard the Rodney King verdict and not much older than that when I lived through the OJ Simpson case. Nothing surprises me.
People think they hear everything on the news, however, when it comes to these high profile cases you don't necessarily hear whet you need to hear. In fact I asked an attorney where I can look up the facts on the Zimmerman case and he wasn't even able to tell me. He did tell me that he once was a assistant district attorney and would be in court taking notes on a case. He told me reporters would be sitting in on the same case and when the paper would come out the next day the facts of the case would be at times be totally different. That told me you can't trust outside sources. Without reading transcripts from the court you do not know anything and you cannot believe anything.
Upon hearing the verdict people took to social media. Local news also interviewed a lot of folks, quite a few screaming about the justice system. I see it differently.
If the case didn't go to trial I would say the system is screwed up. It went to trial and up to now I heard nothing about the judge being unfair to the prosecution or showing favoritism so the system works. When I heard the verdict I determined one of a few things must have happened:
1. The prosecution was weak
2. Zimmerman's defense was superb
3. The jury was tainted
I personally lean towards the first two. I listened to an African American radio personality yesterday who confirmed my theory by saying that some people thought the prosecution threw the case. I haven't heard one minute of the actual case so I can't judge one way or the other. I have to give the defense a lot of props though. They chose an all-female jury. Had I been the prosecuting attorney I would not have proceeded until I had at least two members of those six were African American and one of the two were male. After a year of watching information on this case on virtually every channel Zimmerman's attorneys somehow managed to convince six women that Zimmerman acted in self defense, even after being told by 911 operators to not follow Martin. Even worse, the prosecution was unable to prove that an unarmed boy didn't pose a threat.
I am as disturbed as everyone else but I know this is not really over yet. Like in the Rodney King situation after the cops were found not guilty in the criminal case the federal government got involved and hit the cops with civil rights violations and won. Zimmerman might have been better off if he was found guilty in his criminal case. I believe the sentencing in federal cases are harsher.
Plus the family of Trayvon can still go after Zimmerman in a civil suit. Zimmerman can pull a Bernhard Goetz and file bankruptcy but he would be financially ruined
Lastly Zimmerman has to spend the rest of his life. Looking over his shoulders. For a young man, not even 30 years old, that is a hard way to spend the rest of your life

Wednesday, July 10, 2013

THE IMPORTANCE OF COUNSELING FOR CAREGIVER BURNOUT (from agingcare..com)

courtesy Agingcare.com

The Importance of Counseling for Caregiver Burnout

Denise Clark

Caregivers are in a unique position to provide care for the physical, mental and spiritual needs of parents and other loved ones. However, who cares for the caregiver's needs? Caregiving is a mentally and physically demanding task (and often thankless) that takes its toll, not only in aching muscles and bones, but also in the psyche and spirit. Understanding the need for counseling, when necessary, helps caregivers to maintain quality of care and positive outlooks when charged with another's care.
Many caregivers go through periods of burnout, depression, and frustration. These are normal human responses. Feeling them does not in any way mean that a caregiver is inadequate. Most caregivers pour their heart and soul into their task, and the emotional toll can sometimes be quite devastating.
When asked about signs of caregiver "burnout" or stress, Shawn Hertz, of the Los Angeles Caregiver Resource Center says, "They become more resentful… there are quite a few red flags, and they cut across medical symptoms, physical symptoms, psychological symptoms and social symptoms. That's the important thing to remember about stress: it doesn't just affect one aspect of our lives. It affects all the major aspects of our lives that make us a whole person."
Caregivers who receive regular emotional support are much more apt to be able to handle difficult decisions, situations, and to help clarify needs of care receivers. Whether such emotional support is personal, through one-on-one contact with a supervisor, counselor, religious member of the community, or group support, the availability of counseling may prove invaluable to maintaining high-quality care.

Why Counseling is a Necessity for Caregivers

Caring for loved ones often brings caregivers a great sense of accomplishment, but at times, overwhelming demands may affect a caregiver's physical condition, in addition to many other aspects of their life. It is not uncommon for caregivers to occasionally feel anger, frustration, and then grow anxious or guilty for those feelings.
One of the most devastating effects of the demands of caregiving, however, is depression. The Family Caregiver Alliance has estimated that nearly 20 percent of family caregivers suffer from some form of depression, and that over 40 percent of caregivers of Alzheimer's patients suffer from mild to moderate stages of depression during and after extended periods of care.
Of course, not all caregivers will suffer from depression, anxiety, or feelings of inadequacy, but for those who do, learning how to understand and address those feelings is one of the greatest benefits of counseling.
Being able to confide in someone about emotions or frustrations often helps to head off depression and feelings of confinement in many caregivers. The responsibilities of caring for a family member, especially one suffering from various stages of Alzheimer's, can feel like a jail sentence to many. This has nothing to do with how much someone loves their family member, but with the constant and needy demands of those suffering from it.
Counseling for caregivers comes in many different shapes and forms. For some, participating in Family Counseling is a great way to share feelings of inadequacy, stress and frustration. Others do better in individual therapy sessions, where they feel they can truly vent without feeling guilty.
Counseling is offered in professional therapy, or through support groups, one-on-one discussions with friends or other family members. Remember, skilled therapists can elicit insight and enhance communication between family members in all types of caregiving situations.
Other forms of counseling may be found in:

Respite care opportunities
Caregiver support groups
Participating in activities outside the caregiving environment

Counseling Options and Opportunities For Caregivers

Ignoring feelings of grief, frustration or anger when dealing with home care situations will not help either the caregiver or the care receiver. Understanding that a wide range of human emotions regarding short or long-term care scenarios are normal goes a long way toward relieving such emotions in those dealing with them.
The National Institute of Mental Health suggests that caregivers try to find someone they can talk to or confide in. In this way, more than one pair of shoulders can share the emotional burden of care, regardless of scenario. In addition, if a caregiver experiences changes in eating or sleeping habits, or loses interest in aspects of life or activities they used to take pleasure in, seek help. Don't wait, expecting that things will change in a few days. Often times, days have a way of turning into weeks, and then months.
"It's important to set limits," says Donna Benton, a geropsychologist at the University of Southern California. "Caregivers often do not set boundaries." Saying no to ever-growing requests and expectations is one of the best things that a stressed out caregiver can do – for themselves and their families. A caregiver needs to be able to express their needs and be very specific." Everyone needs a break once in a while. This is nothing to feel inadequate or guilty about.
Don't expect to be able to do everything. Setting realistic goals and breaking large tasks into smaller, more manageable chunks often helps to relieve the stress of trying to get everything done in a short period of time. Various coping strategies are suggested for all caregivers, especially those caring for victims suffering from various stages of Alzheimer's.

Learn to say "no"
Try to maintain a sense of humor
Realize limitations to physical and emotional endurance
Take care of your health

If you decide that talking with a professional is the way to go, you can check with your health insurance company for a list of providers that are covered under your plan. In addition, check with your Area Agency on Aging (it's listed in your local phone book) to see if there are resources they recommend.
Discussing the emotional as well as physical challenges of providing quality care for your loved one with friends, family members, family counselors or religious figures is vital to long-term health, emotional stability and peace of mind. While a caregiver is focused on providing loving care for a parent, a spouse, or other member of the family, don't forget to take care of yourself in the process.

Denise Clark has written about health and medical issues, including caring for seniors. She has experience as a certified nursing assistant who has worked a long-term care facility for geriatric residents.

The Community for Family Caregivers is an online forum created to Support Caregivers of Elderly and Aging Parents. The material of this web site is provided for informational purposes only. AgingCare.com does not provide medical advice, diagnosis or treatment; or legal, financial or any other professional services advice.

Friday, July 5, 2013

George Zimmerman trial live video: Prosecutors wrapping up case in Zimmerman trial

According to the news the prosecutors are close to wrapping up there case against George Zimmerman, the man accused of shooting 17 year old Trayvon Martin to deal last year. When it comes to court cases I tend to distrust the media with the facts. I only trust court documents. News media can and will put a slant on everything. However, most of the reports are saying the same thing with the basic facts so I formed an opinion based on those facts. FROM WHAT I HAVE READ, Zimmerman's defense attorneys had better prove that Zimmerman did not follow and engage Martin into a confrontation or he gets a guilty vote. To me the hoodie protests are meaningless. This case comes down to who approached who. So far the facts are showing that Zimmerman thought Martin was suspicious and followed him and a confrontation happened as a result of Zimmerman following Martin. I have no problem with Zimmerman finding Martin suspicious. That's his right. I could find an 89 year old white lady suspicious. However I do not have the right to engage that 89 year old and according to the reports Zimmerman had no right to pursue. If he thought Martin was suspicious all he needed to do was call the police and identify Martin and keep it moving. Instead, it appears that Zimmerman played detective and followed Martin and that caused Martin to have to stand HIS ground. But as I said, MY verdict is based on the news reports, which can be wrong. However, Zimmerman is supposed to be a volunteer neighborhood watch man, not a cop.

George Zimmerman trial live video: Prosecutors wrapping up case in Zimmerman trial

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