Happy March!

Since last month was all about love, it made me think… what comes to mind when I think of March? The first thing I thought of was happiness. I mean, how could one not be happy when winter is almost behind us, all the beautiful spring colors are popping, and the weather is warming up!

Which leads us into one of our favorite times of the year… Daylight Savings. Now I know this semi-annual ritual can be a bit of a nuisance (springing forward costs us an hour of sleep) and it affects people one way or the other. But the silver lining is we get more daylight which gives us more time for outdoor activities, and we could all use some Vitamin D.

Below are some reminders and tips to help prepare for the transition on March 13th. While the loss of an hour’s sleep Saturday night can affect everyone differently it hits older adults a little harder than most. Sleep problems already are a struggle for many older people, and an additional disruption to their schedules can be more than a little inconvenience. With a little thought and preparation, you can handle the time change with little disruption.

Sleep patterns: These are a concern for all of us, but if naps are taken during the day, make sure there are some changes to this schedule. Over napping to make up for the short overnight just prolongs the adjustment time and any accompanying disorientation.

Driving: Nobody is safe behind the wheel when they’re sleepy. Some studies have looked at whether traffic accidents, and in particular fatal accidents, increase significantly following the start of Daylight Savings Time. Whether a cause-and-effect relationship is there, or if other factors play a role, it’s always a good idea to check our own readiness – and that of those in our care – before we take to the roads.

Meal times: It can be a struggle to convince yourself to take a meal when they’re not hungry. But skipping the breakfast or lunch routine even for a day or two can encourage other eating decisions throughout the day that are less favorable. Even if you decide to go with lighter fare for the first couple of meals, maintain the regular pattern as closely as possible.

Medication times: Taking prescribed medicines and performing other doctor-directed activities at the appropriate times throughout the day is an important part of any health and wellness care plan. Some directives, like taking a specific medication at meal times, may be easy enough to adjust, but many older adults rely on electronic medical reminders throughout the day. Make sure the time is adjusted appropriately on this equipment to avoid getting off schedule.

Timers: Speaking of timers, in modern homes, many more devices have built-in clocks than ever before. Things like phones and television tuners often update automatically, but others like light timers, cook timers, coffee makers, video recorders may not. It is important to double check all devices around the home.

Battery check: The American Red Cross and other safety officials also remind us that the semiannual time change is a good time to test and replace the batteries in smoke alarms, carbon monoxide detectors and other safety equipment.

Thanksgiving Day Tips for Seniors and Their Families

Thanksgiving is a great occasion to get together with family members, young and old. It’s one of the most enjoyable holidays of the year, but it can also bring its share of challenges. With some advance planning, it can be a very special time for you and your loved ones.

Holidays and other events that change the daily routine may be tiring for your Senior loved one, so make sure he or she has a little extra help, arranging for a Caregiver to help your loved one get dressed and ready to go to the event help put them at ease.

Preparation

There are many ways you can prepare to make the home safe and comfortable for a senior friendly gathering. Hazards that could lead to trips or falls should be removed. Arrange for a special seat at the end of the table with extra room as walkers and canes can make getting up and down from the dinner table difficult.

Helping Out

Seniors should never feel left out of the equation, especially when it comes to holidays. There are ways they can help in the kitchen without getting in the way or hurt, and they will be thrilled to be able to contribute. Something as simple as picking the menu, a no bake side dish, setting the table or helping with dessert are great ways to get involved.

Connecting

Connecting with family is key. During the meal, try to bridge generation gaps by asking each other to share something, such as their proudest moment, the first president they remember, or a fun story from the past that left a lasting impression. Give thanks! This is the best time of year to consider the people and things you appreciate in life. Studies have shown that gratitude can have a positive impact on your health! It can relieve depression, lower blood pressure, improve immune function, and even facilitate more efficient sleep.

8 Autumn Health and Home Safety Tips for Seniors

Regions around the country are starting to experience their first tastes of the cooler temperatures and shorter days fall has in store for them. Don’t miss this quick essential checklist for seniors looking to safeguard their health and safety this season.

 

Get a Flu Vaccine

Last year’s flu was a brutal one killing upwards of 80,000 people in the U.S. according to the Centers for Disease Control and hospitalizing close to 900,000. While older adults and children are more susceptible to flu complications, researchers found that even young adults were severely affected during last year’s flu season. It is critical that everyone get the flu shot sooner rather than later. Seniors may also want to check with their doctor about the pneumonia vaccines available to them and whether they should get them or not.

Organize Your Medicine Cabinet

Autumn is a great time to get your medicine cabinet organized and stock up on flu prevention essentials like hand sanitizer, antiseptic wipes, Kleenex, and over-the-counter supplements you may use to boost your immune system like vitamin C or zinc. Discard old prescriptions you are not using, especially antibiotics. You may be inclined to take an antibiotic if you are feeling ill, but you could possibly be helping your body build up a bacterial resistance when really you have a virus at work. Always talk to your doctor first.

Cold proof Your Home

As the temperatures outside drop, you may be noticing more drafts in your home. Windows and doors that don’t properly shut or seal could be letting cold drafts in through your home that can make you cold as well as increase your vulnerability for getting sick. Address any visible drafts you can find, rearrange furniture to block cooler air coming in from windows. Get out your favorite throw-blanket to have handy.

Check Batteries

Everyone, especially seniors who utilize wood stoves, fireplaces, and space heaters, should check their carbon monoxide and smoke detector batteries this fall. Plan on testing the alarms on these detectors every month to make sure they are working properly as well. If you are a senior who has trouble affording high heating bills during the winter, don’t risk your health safety. Talk to your local Council on Aging or utility company to find out if there are heating assistance resources available for older adults in your area.

Protect Against Falls

It’s not just inclement icy weather that can put seniors at a higher risk for falling during cold weather months. Factors like increased joint pain or difficulty exercising because of cooler weather can also make seniors with chronic conditions like arthritis, diabetes, and heart disease more likely to experience a fall inside their home.

Make Sure You Can See

Ensuring your visibility this fall is a three-fold operation. One, make sure you have gotten your annual vision checkup done so that you know you are seeing correctly or have the prescription aids to do so. This will lower your risk of falling or having a driving accident. Two, test the lighting throughout your home and replace bulbs that are dimming or simply aren’t bright enough. Three, don’t forget that clocks fall back an hour in early November which means that your evenings get quite a bit darker. You may want to plan outings and travel accordingly.

Plan for Solitude

Even with holidays like Thanksgiving and Christmas, the fall and winter months can still leave many seniors on their own, especially when freezing temperatures or bad weather make it difficult to get out and about. For seniors, fall may be the perfect time to learn how to use technology to maintain contact with the outside world and stay connected with friends and family. This may include learning to live video chat with Skype or Facetime, or simply joining social media platforms like Facebook.

Prep for Bad Weather

Are you ready for bad weather? In addition to coats, scarves, hats, gloves, and boots, you’ll want to make sure that you have backup supplies of water, food, prescription medicines, and first aid items both in your home and in your car. Don’t forget battery-operated flashlights and candles that will come in handy in a pinch if your power is knocked out in a snowstorm. It may also be a good idea to have an action plan in place with your family or care network so people know how to get a hold of you or check on you should you live alone when nasty winter weather strikes.

Source: seniordirectory            

Fall Prevention

“Each year more than one in four adults aged 65 and older will fall. This represents 29 million falls,3 million emergency room visits and 800,000 hospitalizations

Falls and accidents seldom “just happen.” The more you take care of your overall health and well-being, the more likely you’ll be to lower your chances of falling. Here are a few hints:

  • Talk with your doctor and plan an exercise program that is right for you. Regular exercise helps keep you strong and improves muscle tone. It also helps keep your joints, tendons, and ligaments flexible.
  • Have your vision and hearing tested often. Even small changes in sight and hearing can make you less stable.
  • Find out about the possible side effects of medicines you take. Some medicines may affect your coordination and/or balance.
  • Limit the amount of alcohol you drink. Even a small amount can affect your balance and reflexes.
  • Always stand up slowly after eating, lying down, or resting. Getting up too quickly can cause your blood pressure to drop, which can make you feel faint.
  • Don’t let your home get too cold or too hot… it can cause you to become lightheaded or dizzy.
  • Using a cane, walking stick, or walker can help you feel steadier when you walk. This is very important when you’re walking in areas you don’t know well or in places where the walkways are uneven.
  • Wear rubber-soled, low-heeled shoes that fully support your feet. Wearing only socks or shoes with smooth soles on stairs or waxed floors can be unsafe.
  • Hold handrails when using the stairs. If you must carry something while going up or down, hold it in one hand and use the handrail with the other.
Source: National Institute on Aging

MAKE YOUR HOME SAFE

You can help prevent falls by making changes to unsafe areas in your home with these home safety tips.

In stairways, hallways, and pathways:

  • Make sure there is good lighting with light switches at the top and bottom of the stairs.
  • Keep areas where you walk tidy.
  • Check that all carpets are pressed firmly to the floor, so they won’t slip. Put no-slip strips on tile and wooden floors. You can buy these strips at the hardware store.
  • Have handrails on both sides of all stairs from top to bottom, and be sure they’re tightly fastened.

In bathrooms and powder rooms:

  • Mount grab bars near toilets and on both the inside and outside of your tub and shower.
  • Place non-skid mats, strips, or carpet on all surfaces that may get wet.
  • Keep night lights on.
  • In your bedroom: Put night lights and light switches close to your bed.
  • Keep your telephone near your bed.

In other living areas:

  • Keep electric cords and telephone wires near walls and away from walking paths.
  • Tack down all carpets and area rugs firmly to the floor.
  • Arrange your furniture (i.e. low coffee tables) and other objects so they are not in your way when you walk.
  • Make sure your sofas and chairs are a good height for you, so that you can get into and out of them easily.

Autumn: The Cooling Off Season

Sandwiched between blazing summer and chilly winter, Autumn is known as the “cooling off season.”  Night-time arrives earlier, temperatures begin to drop, and most noticeably our surrounding landscapes turn to beautiful hues of orange, yellow and red.

The best part of welcoming Autumn is the variety of sights, smells, flavors, and activities.  As we age, one of the most important things we can do for our health is to remain active with both our mind and bodies. Take this time to try new things.

Have you heard the buzz about Hygge (pronounced HOO-gah)? It’s the Danish word for “cozy” and it is a popular lifestyle trend that involves friends coming together by firelight or candlelight to delight in the warmth of camaraderie and activeness such as games, reading, knitting, or simply enjoying a cup of tea with friends.  Hygge pastimes are a creative way to keep you social and active.

Another great way to take in the fall season is to take a walk and enjoy the crisp air and beautiful colors. If it’s too strenuous on your own, ask your caregiver to accompany you, invite a friend, neighbor or grandchild.

We hope  you enjoy a happy, healthy and fun fall season!

5 Natural Ways to Improve Oxygen Levels

The feeling of being out of breath (dyspnea) is a sensation that is well known to those who suffer from Chronic Obstructive Pulmonary Disease. Although it is common for those experiencing shortness of breath to use oxygen therapy (oxygen tanks) to cope, the downsides can include fatigue, headaches, and dry or bloody noses. Further, when depending on oxygen tanks as a primary oxygen supplement, there exists a severe risk: the body can learn to actively suppress its natural respiratory system. Following is a list of 5 natural ways to improve your oxygen levels that should help in reducing your dependence on tanks.

Change Your Diet: Antioxidants allow the body to use oxygen more efficiently increasing oxygen intake in digestion. When looking to boost antioxidant intake, the foods to focus on are blueberries, cranberries, red kidney beans, artichoke hearts, strawberries, plums and blackberries, most of which can be consumed in various juices and smoothies. Another critical protein to consider are essential fatty acids like Vitamin F, which work to increase the amount of oxygen the hemoglobin in the bloodstream can carry. These acids can be found in soybeans, walnuts and flaxseeds.

Get Active: Exercise is key to a healthy life. Through aerobic exercise, such as simple walking, the body is able to better utilize oxygen while removing waste through the lymphatic system. As recommended by the American Heart Association, 30 minutes a day of regular walking has greater effects on the circulatory system than spending an hour or more in the gym 2 to 3 times a week. Aside from the physical health benefits, walking has been shown to improve mood, confidence, and reduce stress.

Change Your Breathing: Exercising your lungs regularly is crucial to maintaining ones respiratory health. However, what is often an impediment to one’s breathing is the method in which they breathe. It’s recently been discovered that sick people breathe using the upper chest and inhale more air, which causes reduced oxygen levels in the body. In contrast, the correct method to proper breathing, is slow, from the diaphragm, and through the nose, rather than the mouth.

Cleanse the Air: Often the triggers of flare-ups in those with COPD is poor air quality. Because of this, it is imperative to maintain the purest quality of air possible within the home and workplace. There are a number of air purifiers on the market that can filter the worst of our environmental pollutants. Another helpful “low-tech” tool in reducing pollution in the air and purifying oxygen is a beeswax candle. Unlike traditional candles, beeswax candles do not emit smoke. Instead they produce negative ions that help in the removal of air pollution.

Hydrate: The human body is roughly 60 percent water, so it cannot be understated how critical water is to how the body functions: allowing body cells to grow, lubricating our joints and regulating body temperature. When looking to get the full benefits of oxygenation, drink filtered water. Restructured or ionized water is micro-clustered with smaller groupings of water molecules. This provides high levels of hydration and oxygenation at the cellular level. Keep in mind that caffeinated beverages, alcohol and high sodium foods all dehydrate the body, so keep water with you during the day and get in the habit of drinking it throughout the day. Health professionals recommend 8 8-oz. glasses of water a day.

http://seniordirectory.com/articles/info/5-natural-ways-to-improve-your-oxygen-levels

Advice from a Caregiver on Stress Reduction Strategies

Lisa Bailey is a kindergarten teacher and caregiver to children and her husband who is undergoing cancer treatment. She shares her top coping strategies in this article for living a balanced life as a caregiver. You may find some of these strategies helpful in your own journey.

  • Make all choices from a solid base of integrity. I try to make medical and personal choices from the base of my Christian faith, which helps free me from second-guessing myself.
  • Be clear about today’s reality. Don’t imagine things are worse than they are.  Enjoy the good parts of today and don’t let worries for tomorrow take over your emotions and thoughts.
  • Talk honestly to family and friends. Honest, frequent communication with close family and friends about caregiving concerns is much easier than trying to play catch-up later.
  • Learn the medical lingo. It will help you as a caregiver and a medical advocate to learn as much as you can about your loved one’s medical situation. The Internet is a helpful resource but be cautious about which websites can be trusted. Ask questions of the doctors and nurses. Check the accuracy of your information if you are at all troubled or in doubt.
  • Be aware that pain, stress and medications may release the patient from their social “filter” and they may say some difficult things at times. Listen and be compassionate as best you can.
  • Control what you can control. Lots of articles about stress-management advise letting go of control; I have found that being in control of some areas of my life has greatly reduced my stress.
  • Let go of what you cannot control. For me this means leaning on my faith; for others it may be working with meditation or other techniques that will focus and center you.
  • Get help with house work and yard work—paid or unpaid.  Help with household chores has helped me prioritize my most important tasks.
  • Prepare meals in advance and freeze them.  I do bulk cooking and freeze pre-prepared meals.
  • Plan your work; then work your plan.  Keep bills and insurance paperwork organized and pay bills on time. Be proactive about taking care of tasks and errands.  Don’t let things pile up.
  • Nest.  Everyone needs a comfy place to relax and rest. Make a comfortable nest for your loved one and for yourself by having a comfy chair with afghans, pillows, fresh flowers, candles, books and great music to your nest.
  • Journal for yourself. There are so many ways to re-center yourself, but none works as well for me as journaling.  Even if you have never kept a journal, try starting one to help you clarify feelings, manage your stress and plan the work you need to do as caregiver.
  • Find joy in living life, whatever the circumstances. Whether illness or infirmity limit the scope of you and your charge’s activities—remember to bring meaning to your lives through activities you both enjoy: a good meal, movies and shows, music, reading aloud, playing card or board games, and trying new activities that may be creative and enriching.
  • Keep a vision for the future.  None of us comes here to stay; we know that.  But we also know that we can “grow until we go,” and we should.  We make plans for our future.
  • Give. While I have learned through my husband’s illness to receive the gifts of help, encouragement, prayer and love from other people, giving to others in return keeps us feeling emotionally and spiritually full and is always worth the effort.
  • Release yourself from expectations for perfection. As humans, we all experience “feet of clay” when we do not have infinite energy, wisdom or capabilities to manage our lives. This is normal. Get through each day as best you can, and don’t dwell on mistakes.
  • Take good care of yourself. Eat good food, remember to exercise, rest and learn to say no to outside demands.  See your doctor and dentist for checkups. Get away from the house regularly—and not just to run errands, but to do an activity you enjoy to renew your spirit.

https://caregiver.com/articles/stress-reduction-strategies/

Trim Your Electric Bill with These Energy-Saving Tips

As of the summer of 2018, the average US household spends $183 a month on their electric bill alone, and prices are steadily rising, according to the US Department of Energy.

The first step to demystifying your electricity bill, and hopefully reducing it, is to take stock of where you use the most energy. You can find a professional energy auditor to help you assess your home’s energy use, potentially for free, through your electric company or the Department of Energy’s website: www.energy.gov/ energysaver/heat-and-cool/home-energy-audits. If you follow their efficiency upgrade recommendations, you could reduce up to 30% off your energy bill.

Here are their top tips:

Heating/Cooling

Heating and cooling take up the largest chunk of your monthly energy bill, but these tips can save you money while staying comfortable.

  • Clean your heating, ventilation and air conditioning (HVAC) unit every 30 days to keep the system running efficiently.
  • Keep the blinds open in the winter and closed in the summer to minimize the need for running the air conditioner.
  • Using a ceiling or floor fan instead of your air conditioner can help to keep temperatures and costs lower in the summer.
  • Seal leaks, doors and windows. Weather-stripping and sealing leaks can reduce energy use by 15% to 30% a year, estimates the Department of Energy.
  • Buy a programmable thermostat. For as little as $20, you can automatically set your thermostat back 7°-10°F for 8 hours a day. Doing so can save up to 10% on your heating and cooling costs

Water Heaters

Water heaters are typically large energy consumers. The Department of Energy suggests lowering the temperature on your water heater from the standard 140°F to 120°F. This can reduce water heating costs by 4%-22% annually, without any noticeable difference in water temperature.

Lighting

One of the simplest and most cost-effective ways of saving money is to use LED bulbs, which last as much as 50 times longer and are 90% more efficient than traditional bulbs. Replacing your five most used lights with Energy Star approved LED bulbs can save you $75 per year.

Appliances

Washing your clothes in cold water can substantially cut costs, since about 90% of the electricity used by washing machines is used to heat the water. The average household can save up to $40 per year using this tip. Also consider air drying your clothes when possible. Dryers are the most energy-hungry appliance in the average home. A typical dryer can consume as much energy per year as an energy efficient refrigerator, washing machine, and dishwasher combined.

When it comes time to replace your old appliances, consider an Energy Star efficient unit. While it might cost more for the initial investment, an Energy Star certified refrigerator will yield an average savings of $270 in energy costs over five years.

Energy Vampires

A typical American home has 40 products that are constantly drawing power, even if they’re not in use. Energy vampires like your phone charger, computer, television and coffeemaker, are responsible for 10% of your electricity use and can cost the average household $100 a year, according to the Department of Energy. Use a “smart” power strip and keep everything plugged into this single source, making it easy to turn off everything at once when these appliances are not in use. Smart power strips also automatically cut power to devices that are in standby mode.

Discounts

It is also worth contacting your utility company about potential senior and low-income discount programs, energy-efficiency rebates and off-peak rates which can provide up to 30% discounts on standard rates.

Contributor for The Senior’s Choice

Greetings from Scheduling!

We would like to welcome our new Scheduling Assistant, Darlene MacDonald.  Darlene has been a fabulous addition to our team.  She has a kind heart and cheerful spirit that our caregivers and clients enjoy.  Darlene was a caregiver with HomeLife for many years prior to becoming a scheduling assistant.  Her caregiving experience has contributed to a well-rounded understanding of client needs and the importance of caregiver placement.

We would like to thank our clients and caregivers for communicating with us regarding their schedules.  We enjoy getting to know everyone and the feedback we receive.  We have many caregivers working around the clock to care for our clients and we appreciate every one of them!

 

Wendy Carrasco, Scheduling Director

News from the Home Care Aide Team

Summer greetings from the Home Care Aide team! In June 2019 our department celebrated the retirement of our Hiring Recruiter, Angela Spinelli.  She will be greatly missed, but we wish her all the best with her retirement.  We are excited to announce that her position has been filled by Racheal Gonzalez.  Racheal is doing a wonderful job as our new recruiter and is continuing to hire fantastic caregivers.

Each month we offer training classes on topics such as dementia,  Alzheimer’s and how to improve personal care skills. We would like to invite our clients’ loved ones to attend these trainings as well. If you’re interested, please contact our office for more information.  We would be honored to have you join us.

Our training department welcomes another new addition to the team, Simon! Simon is a patient care simulator and is used to provide our caregivers with quality, hands-on training.  We pride ourselves on employing well trained caregivers and Simon has been a great addition to our program.

This year HomeLife Senior Care donated a brand new patient care simulator, Rescue Randy, to the East Contra Costa Fire Portection District Association.  We are grateful to have been able to give back to our wonderful community.

 

Kara Escobedo, Home Care Aide Director

Hospice Care Might Benefit Your Loved One Sooner Than You Think

Promoting independence and “successful aging” is a laudable goal for many. But it’s not the reality for people caring for anyone diagnosed with a terminal illness or a relative who struggles to manage day to day as a result of debilitating health conditions and growing frailty. Most people would prefer to talk about wellness rather than illness, so we tend to avoid planning for advanced illness and ultimately death. One valuable, often overlooked, and generous Medicare benefit for those caring for a family member or friend is hospice care.

Medicare coverage for hospice

Since 1983, Medicare has paid for most hospice care received in the United States. Other payers of hospice care include Medicaid (in most states), the Department of Veterans Affairs and most private insurance plans. Typically, no one is turned away from receiving hospice. Private contributions and donations are used to help cover the cost of care for those who have no other ways to pay for this service.

Beneficiaries are eligible for hospice care when they are entitled to Medicare Part A and are certified by a physician as having a life expectancy of six months or less if the illness runs its normal course. However, living longer than six months doesn’t mean the patient loses the benefit. After the initial certification period, each beneficiary receives an unlimited number of additional 60-day periods.

Although cancer patients used to make up the vast majority of hospice recipients, that is no long the case. An increasing number of people diagnosed with late-stage Alzheimer’s disease, non-Alzheimer’s dementia, heart disease, stroke, Parkinson’s and other conditions benefit from hospice.

Hospice is underutilized

People often wait too long before seeking hospice care. In the United States, the average length of hospice care is less than 60 days with 30 percent of those who elect hospice care dying in seven days or fewer. It seems that misinformation about the benefit coupled with our general discomfort talking about end of life prevents Medicare beneficiaries and their family from taking advantage of the valuable benefit.

What services are provided?

An interdisciplinary team of health and social service professionals joined by volunteers work together to provide the following:

  • Comfort care for pain and symptom management
  • Maintenance care for existing chronic conditions such as diabetes or emphysema
  • Support for emotional, social, psychological and spiritual needs and issues related to dying
  • Needed drugs, medical supplies and equipment
  • Mentoring for the individual, his or her family, and friends on best practices in patient care
  • Services like speech and physical therapy, which can be accessed when needed
  • If receiving hospice at home, payment for short-term inpatient care is available when symptoms become too much to manage or when caregivers need a respite break to take care of themselves
  • Grief counseling is available and can take the form of a support group, one-to-one therapeutic counseling, spiritual counseling, phone check-in calls and educational materials to surviving family and friends.

Those receiving care are allowed to keep their regular physician or nurse practitioner to oversee their care or to receive care from the doctor associated with the hospice organization.

Hospice is offered by both for-profit and not-for-profit organizations and can take place:

  • At the home of the patient, a family member, or friend
  • At a stand-alone hospice center
  • In a hospital
  • In a skilled nursing facility or other assisted care residence

Pursuing the Medicare benefit and accepting help from hospice can feel like a major change in how the person receiving care and their family considers the remaining time they have together. Caring for someone with serious illness and at the end of life is a daunting task, both mentally and physically. Having a dedicated, skilled and caring team of professionals to help can allow you to focus more on quality time with the person and less on the care and maintenance of the disease. Accepting help can make a difference in everyone’s well-being.

By Leah Eskenazi, Family Caregiver Alliance, for PBS.org

https://www.pbs.org/newshour/nation/hospice-care-might-benefit-loved-one-sooner-think

Our Brains Need Exercise, Too

Although life expectancy has more than doubled since 1900, our “mindspan”—how long we stay cognitively healthy—hasn’t kept pace. Forgetfulness, slower processing and feeling less sharp plague most of us as we age. One in five people develops mild cognitive impairment, a decline in thinking skills beyond normal aging, which may or may not advance to dementia. After 65, your odds of developing Alzheimer’s disease are one in 10. It doesn’t have to be that way, mounting research suggests.

“The very term ‘age-related memory loss’ may be a misnomer,” says neurologist Dr. Richard Isaacson, an Alzheimer’s specialist at Weill Cornell Medicine in New York.

Time and genetics alone don’t erode brain functions. How we spend our lives managing the modifiable risk factors that affect our genes is highly significant for our brain health, researchers say.

Brain health: Stop thinking there’s nothing you can do. “Awareness of the steps to improve cognitive brain function is at least a generation behind that of heart health,” says cognitive neuroscientist Sandra Bond Chapman, director of the Center for Brain Health at the University of Texas at Dallas.

In a review of public awareness studies by PLOS One, a nonprofit, peer-reviewed, online scientific journal, nearly half of the respondents mistakenly believed Alzheimer’s disease is a normal process of aging that you can’t do anything about. In reality, a third or more of dementia cases can be delayed or prevented by lifestyle factors, according to a 2017 report sponsored by the Lancet Commission on Dementia Prevention, Intervention and Care.

Use brain health to motivate your health habits. Advances in neuroimaging kicked off this new era of brain health by allowing scientists to see inside the brain. What’s become clear: All aspects of physical and emotional health affect cognitive ability. That’s powerful motivation the next time you’re tempted to skip a workout or not opt for a healthy meal, do nothing about stress or loneliness, or avoid treatment for conditions like depression, anxiety, diabetes and sleep apnea. Effects of all of these choices, and many others, travel north.

Resist too much habit and routine. Hallmarks of brain-stimulating activities that improve cognitive abilities, according to a 2017 report by the Global Council on Brain Health (GCBH) are novelty, high engagement, mental challenge and enjoyableness. If you like crosswords, fine, but push beyond to new games and challenges. Good examples from the GCBH: Tai chi, researching genealogy, picking up an old hobby you dropped, making art and community volunteering. When activities include a social component, so much the better.

Be aggressive about blood pressure. In 2018 researchers at Wake Forest University in Winston-Salem, N.C., showed for the first time that lowering blood pressure to below 120 can significantly reduce the risk of mild cognitive impairment (MCI).

Work your brain harder, but not by multitasking. Your brain grooves on doing— but only one thing at a time. Multitasking stresses it. Researchers say one better alternative is a cognitive exercise called “strategic attention.” The Strategic Memory Advanced Reasoning Training program at the University of Texas at Dallas, advises this: Every day, pick two substantial tasks requiring fairly deep thinking. They might be tracking and analyzing your household budget, planning a vacation, writing a memo or following a complex new recipe. Then carve out two 30-minute sessions to focus without interruption.

Turn off email alerts. Shut the door. No quick scrolls through your news feed that will take you off your task. It takes up to 20 minutes to refocus after a disruption. Over time, you’ll find that you’ll achieve much more, and much more quickly, with improved attention.

Do (the right kind of) nothing. It’s not all about activity. The brain needs two kinds of downtime to function optimally: Rest and sleep. Rest means taking breaks from active thinking. Try taking five minutes, five times a day, to sit still and do nothing. Other routes to mental R&R include mindfulness, meditation and yoga nidra (also known as iRest and sleep yoga). Not least, there’s sleep itself. Our awareness of how important it is to the brain grew with the discovery of the body’s glymphatic system—a kind of internal trash-hauling system—less than a decade ago. The system’s pace increases by over 60 percent during sleep, a possible link to why getting more sleep is linked with a reduced dementia risk. Alzheimer’s prevention experts recommend eight to nine hours a night.

By Paula Spencer Scott, for Nextavenue

https://www.nextavenue.org/you-affect-brain-health/

The Benefits of a Therapy Pet for Seniors

For many older adults, mobility limitations, health issues and low energy can keep them from the social engagement they once enjoyed. Especially in seniors who live alone, social isolation can lead to loneliness, depression and poor physical health. Pet therapy has been shown to benefit seniors by improving depression and anxiety symptoms, increasing self-care, and even improving heart-health. It turns out giving and receiving unconditional love is literally good for your heart.

Proven Benefits of Pet Companionship

The Pets for the Elderly Foundation, a nationwide charity committed to connecting seniors with therapy animals, has collected research on pet therapy for seniors. These studies discuss the physiological and psychological impact of animals on seniors’ quality of life. Here are their findings:

Physical Benefits

Heart Health—Frequent interaction with a pet can lower blood pressure and cholesterol, decreasing the risk of cardiovascular disease.

Improved Activity—Walking, grooming or playing with a pet increases the frequency of physical activity and exercise, which in turn has countless health benefits.

Healthy Behavior—Those who own a pet tend to take better care of themselves. Caring for a pet helps to develop a routine, encouraging owners to eat regularly or complete chores and other tasks.

Social & Emotional Benefits

Increased Interaction—Walking a dog gets senior owners out of the house and increases their opportunities to socialize with neighbors.

Decreased Loneliness—Pets provide companionship, giving isolated seniors a source for affection, conversation and activity.

Stress Relief—Being with a pet increases levels of serotonin, the “feel good” hormone that relieves stress. It also provides physical contact, which helps to calm anxiety.

Better Self-Esteem —For seniors discouraged by their age, appearance or limited abilities, pets are welcome company, reminding seniors that they are still capable of being loved and needed.

Sense of Purpose—The company of an animal provides a reason to get up in the morning. Pets combat depression symptoms by eliminating feelings of worthlessness or helplessness. Knowing that they are loved and needed enhances seniors’ mental health.

Things to Consider Before Getting a Pet

If you think your loved one would benefit from owning a pet, ask yourself these questions to help you make a wise decision:

What is the best choice for a pet? If your loved one has trouble walking or is more limited in their ability to provide constant attention to a pet, a cat might be a better choice than a dog.

Is my loved one an experienced pet owner? Taking on the responsibilities of owning a pet could be overwhelming for a senior who has never had one before.

Are finances an issue? Consider your loved one’s financial situation. Animal care can be expensive, and if your loved one is on a fixed income, owning a pet could cause financial burdens. Assess the costs before you commit.

Choose the right pet. Do your research to find a pet whose age, size, personality and energy level fit well with your loved one’s.

Could I adopt an animal in need? Older animals in shelters have a lower adoption rate than puppies or kittens and have a greater risk of being euthanized. Adopting an adult, healthy pet for your loved one can eliminates the stress of training, match your loved one’s energy level and save the life of a loving animal.

By Caren Parnes, for The Senior’s Choice

Healthy Caregiving During the Holidays

Many caregivers are perpetually tired from the demands that result from caring for their loved one. Just the thought of your normal routine plus decorating the house, attending special events, shop­ping for gifts, and preparing special food for the holidays can be overwhelming.

But what if you had more control over the events, expectations, and relationships that often make holiday times so stressful? This could make a huge difference in the way you and your loved one experience the season. It requires exercising some choices you may not be accustomed to. Here are some suggestions to help make this holiday season a joyous, healthful and manageable one for you and your loved one.

Set realistic expectations for yourself and your loved one

Take control of the holidays by deciding what you and your loved one want. How many events, if any, can you both attend or host without overdoing it? Who are the people you most want to be with? What contributions are you capable of making in terms of food, drink and gifts? These are basic questions that most caregivers don’t ask themselves. Instead of making decisions that are in their best interest, many wait for others to tell them where to go, what to bring, and so on. This year, give yourself permission to say ‘no’ to unwanted demands.

Let others know when you need help

Caregivers typically try to do everything themselves. But during the holidays there are often family and friends around who are eager to help. If you want help, such as time away for relaxation or an extra hand or two in the kitchen, don’t be afraid to ask. Not only does this help you, but it can be very stimulating and enjoyable for your loved one to have others to interact with and share in his or her care.

Express your emotions with family and friends

The holidays can trigger emotions ranging from joy to depression in caregivers. A strong sense of loss may work its way into your life during the holidays. It might involve coming to grips with the permanent loss of your loved one’s mental or physical abilities. Or perhaps you have a strong feeling that this may be your loved one’s last holiday. Maybe it is the loss of your own freedom with caregiver responsibilities that hits hardest during the holidays. Regardless, talk with others about how you feel. By expressing your feelings with others you can lighten your emotional burden.

Take time out for yourself

Everyone seems extra busy during the holidays but for caregivers this can literally mean no rest from morning to night. Start with the essentials: Get adequate sleep, eat well and take time on most days for some physical activity. If possible, get out of the house for brief periods to maintain perspective. Consider shopping online or by catalogue for many of your gifts this holiday season. Then use the extra time and energy you would have spent fighting traffic and standing in check-out lines on taking better care of yourself.

Practice rituals that you and your loved one find meaningful

Rituals are important ways to add meaning to your holidays. Yet it’s very easy for the busyness of the holidays to squeeze out any real meaning in the season. Practice rituals that you and your loved one find meaningful, even if no one else is there to share it. This might involve a favorite holiday meal, listening to a song together, visiting a place with special memories for you both, etc. It can also involve family and friends. And don’t be afraid to create new rituals as old ones may have painful memories attached to them.

Celebrate what you and your loved one have right now

Caregiving often involves the loss of things you want to hold onto, which can create a sense of helplessness and anxiety. When we experience these emotions, it signals that we are probably either mourning the past or worried about the future. But there is little we can do about either—we can only address what’s happening in the present moment. Celebrate what you and your loved one share right now, even though it’s not what you might ultimately prefer. Try to let go of what was or what could be and make the most of what you have.

It really boils down to making choices. You only have a limited amount of time, energy and resources available. The question is: How are you and your loved one going to spend these? With a little planning and clear communication with friends or family on your intentions, it’s possible to care for your loved one, take care of yourself, and still take joy in celebrating the holidays.

By Gary Gilles, LCPC

Contributor, mentalhealth.net

https://www.mentalhelp.net/blogs/healthy-caregiving-during-the-holidays/

15 Myths About the Flu Vaccine

Flu season is here. And along with the coughing, fevers and aches, you can expect a lot of unreliable or downright wrong information about the flu vaccine. Many people underestimate the health risks from flu. Flu and pneumonia combined consistently rank among the top 10 causes of death in the U.S., according to the U.S. Centers for Disease Control and Prevention. Thousands of Americans die from flu-related complications in a typical year. The flu season typically lasts from October to April.

Getting a shot isn’t a perfect defense against flu. Some years the strains used to make vaccines aren’t a good match for the type of flu that eventually strikes. But vaccination remains the most reliable way to reduce the risk for illness. The Centers for Disease Control and Prevention recommends that everyone 6 months of age and older gets vaccinated against flu every year, with rare exceptions, such as those with life-threatening allergies to flu vaccine ingredients or potentially those with a history of Guillain-Barré syndrome.

Following is a list of common misconceptions about the flu vaccine and the corresponding facts. If you have specific questions about vaccination, consult your doctor or other health professional.

Myth #1: You don’t need the flu vaccine this year if you got it last year. Fact: You need a new flu shot each year because the circulating strains change and immunity from the vaccine fades.

Myth #2: The flu shot is the only option available. Fact: You have several flu vaccine options, such as the shot, including egg-free versions, and a nasal spray.

Myth #3: The flu vaccine can give you the flu. Fact: The flu shot can’t give you the flu because the virus it contains has been inactivated or severely weakened.

Myth #4: The flu shot doesn’t work for me because last time I got it, I got the flu anyway. Fact: The flu shot cannot offer 100 percent protection against the flu, but it reduces your risk of getting it. Many people mistake symptoms from colds and other illnesses for the flu.

Myth #5: Pharmaceutical companies make a massive profit off flu vaccines. Fact: They’re a tiny source of profit and are made by only a handful of companies.

Myth #6: Flu vaccines don’t work for children. Fact: Flu vaccines effectively reduce the risk of flu for children ages 6 months and up.

Myth #7: Flu vaccines cause heart problems and strokes. Fact: Flu shots reduce the risk of heart attacks, strokes and other cardiovascular events.

Myth #8: The flu vaccine weakens your body’s immune response. Fact: The flu vaccine prepares your immune system to fight influenza by stimulating antibody production.

Myth #9: The flu vaccine causes nerve disorders such as Guillain-Barré syndrome. Fact: Only the 1976 swine flu vaccine was linked to Guillain-Barré syndrome, and influenza is more likely to cause the nerve disorder than the flu vaccine; the CDC says those with the Guillain-Barré should consult a doctor before getting the flu shot.

Myth #10: People don’t die from the flu unless they have another underlying condition already. Fact: Otherwise healthy people do die from the flu. The elderly and young children are most vulnerable.

Myth #11: People with egg allergies can’t get vaccinated against flu.

Fact: People with egg allergies can get a flu shot but should consult their doctor or allergist on options if their allergy is severe.

Myth #12: I can protect myself from the flu by eating right and washing my hands regularly. Fact: A good diet and good hygiene are healthful habits that reduce the risk of illness but cannot prevent the flu on their own.

Myth #13: If I do get the flu, I’ll just stay home so I’m not infecting others. Fact: You can transmit the flu without showing symptoms.

Myth #14: The “stomach flu” is the flu. Fact: The stomach flu refers to a variety of gastrointestinal illnesses unrelated to influenza.

Myth #15: If you haven’t gotten a flu shot by November, there’s no point in getting one. Fact: Getting the flu shot any time during flu season will reduce your risk of getting the flu.

https://www.npr.org/sections/health-shots/2014/10/10/354627818/32-myths-about-the-flu-vaccine-you-dont-need-to-fear

Capturing Family Memories with Oral Histories

We find ourselves in a world-wide genealogy craze, as a variety of DNA testing options have become available and increasingly affordable, and a wide array of genealogy websites invite those who are mildly curious about their ancestry to dive in—sometimes hooking them into a life-long passion. But what many people discover when they begin their genealogy research is that the most important source of information about your family is your living relatives’ memories—of their own family experiences as well as the stories passed down to them through the generations. Increasingly our Greatest Generation is passing on, taking vital information about relatives and our family stories with them.

Capturing the facts and stories about our family by asking our relatives questions is called an “oral history.” These can take the form of relatively informal question and answer sessions around a dinner table recorded by hand, to a more structured interview involving audio or video recordings that can later be edited together to provide a valuable family media archive. However you choose to approach gathering and compiling this information, there are a few basic “best practices” to keep in mind as follows.

Collaborate with other family members. Brainstorm with as many family members as you can before starting an oral history. Discuss who are the most important people to interview and what people think the key things are that need to be recorded—whether that be missing facts about relatives who have passed—names, places and dates which will be helpful in building a picture of your family tree, or the more personal family stories and traditions. It is also useful to include as many accounts of the same information as possible, since people will have different memories of the same event.

Define your project. Clarity is key. Telling an entire family history in any form is a daunting project, so start with specific questions on information you wish to know. Start by gathering short vignettes. Maybe there’s a critical aspect of your own childhood you’d like to recapture such as a memorable family vacation. Often we are trying to identify facts we may not know about specific relatives, or where our family originated and how we got to where we are today. The whole story can’t be told overnight, but as you collect these separate anecdotes, the larger story will begin to emerge.

Have a list of questions ready. Experts advise framing questions in a way that invites expansive answers. Ask about early memories, or about happiest (and saddest) moments. The idea is to get a conversation started. StoryCorps, the oral history project created by the American Folklife Center, offers suggested questions and an interactive guide (https://storycorps.org/participate/ great-questions).

Techniques for recording information. While hand-written notes may be necessary when trying to record information on the fly, you probably already have the most useful tool for an oral history in your pocket. Smartphones can be used very successfully for video or audio documentation. Also, video conferencing services such as Skype and FaceTime offer recording options for interviewing distant relatives. If you choose to create a video of your interviews, easy-to-use software such as Apple’s iMovie and Microsoft’s Movie Maker are preinstalled on your computer.

Collecting and compiling oral histories entail effort and planning, but in the end, they bring generations of families together and foster an appreciation for listening and telling stories.

By Caren Parnes

For The Senior’s Choice

Tips for Organizing Health Information

 

A trip to the emergency room made me realize why caregivers are advised to organize heath information. When Mom broke her hip, I called an ambulance. When it arrived, I confidently recited Mom’s Medicare number. When asked what medications she took, I pulled out our basket of pill bottles. At the hospital, the questions got more complicated. Still, I knew enough to fill out the forms.
However, while I did not know it then, I would be joining Mom in the hospital the next day with an emergency of my own that kept me in the hospital for six weeks. As we both recovered, I looked for the best way to store her health information. I especially wanted an easy way to share it with others in case I am not around.

I now have a folder for paperwork that is portable and easy to maintain. It isn’t just for emergencies. We take it to every doctor visit. Now anyone who has the folder can see when Mom had her last flu shot, what medications she takes and that she had a malignant mole removed in 1981. We can all see when all medical appointments are scheduled. Even my brother, who lives at a distance, could answer medical questions if he had to take Mom to the doctor while visiting.

Information to collect

You probably have most of this information readily available. If not, begin with what you have and add information as you can. Useful information to collect includes: A medical history; health insurance and Medicare cards; a list of medications including dosages, frequency, date started and reason; a list of emergency contacts, relationship, addresses and all phone numbers; any special logs such as blood pressure readings, blood sugar levels or symptoms; a copy of a health care proxy, advanced directives or living will; and a power-of-attorney, if one is used.

What should you keep in a medical history?

Names of all physicians; known allergies or reactions to medications; all medications, including over-the-counter medicines, vitamins and herbs; health conditions and date of diagnosis; dates of most recent exams, tests and immunizations; dates and reasons for hospitalizations; dates and details of surgeries; dates and length of major illnesses; history of smoking and use of alcohol; location of living will or medical directives; history of exposure to dangerous conditions or hazards; family history including illnesses or conditions of parents and siblings; cause of death of parents and siblings and their age at death.

Recording and storing the information

While the primary copy of the health information is more practical to keep in physical form due to various cards, forms and original documents that are part of the medical record, it is highly recommended that at least the medical history also be recorded digitally so that a “backup” copy is available in case of emergencies, disasters, or as the need arises to provide other family members or doctors with the information if needed remotely.

  • For the primary copy, use a pocket folder or small three-ring binder that will hold several pages. We purchased a multi-page presentation folder with clear pockets from an office supply store.
  • Use a bold color for the cover, such as red or yellow, so that it is easy to distinguish from other papers. Label the front clearly: EMERGENCY MEDICAL INFORMATION.
  • Keep the folder in a handy location, such as a desk drawer near the entry. Make sure every potential caregiver knows where it is kept.
  • Use top loading, clear sheet protectors to hold papers. These make it easy to remove papers for photocopying or for handing to a healthcare worker.
  • Pick up a business card from each healthcare provider you see. Cards usually contain the name, specialty, address, phone and fax number. There are vinyl business card holders available at office supply stores that are the most practical way to store business cards.
  • Each time you have an appointment, take the reminder card or jot the appointment details on a 3X5 card. Slip these cards into a page protector just as you did the business cards to keep a record of the visit.
  • When you add any information to a document, put the date at the top of the page to show how current the data is.

With a Medical History in hand,  I will never again have to phone a doctor’s office to relay information I didn’t have with me at the appointment, and I’m confident that if I’m not around, someone else can tell the emergency room doctors what they need to know about my loved one.

by Kathy Porter

https://caregiver.com/articles/organizing-medical-history/

How to Safely Assist a Loved One After a Fall

Senior falls can be very frightening for both the senior and the caregiver. And once in this situation, caregivers are often unprepared for how to get an aging loved one safely back on their feet. How to proceed will depends upon whether the senior was injured in the fall. If there is any question, it is always wisest to call 911 for help. If you do not feel able to assist your loved one, first responders are experienced in getting patients on their feet safely, and can confirm that they don’t need to go to the hospital. If you do wish to assist your loved one yourself, it is best to educate yourself on the steps necessary to safely get your loved one up after a fall, and avoid injuring yourself in the process.

Following are steps that can help you get a loved one upright, without hurting them or yourself in the process. Only attempt to help the person if you feel that both of you are able to safely work together. Otherwise, call for assistance. Again, these strategies should only be used when you are confident your loved one hasn’t sustained an injury. Excess movement can cause further harm.

Steps for Assisting a Senior After a Fall

  • Have your loved one lie still for a few moments. Stay calm yourself, and help your loved one to remain calm by encouraging them to take slow, deep breaths.
  • While lying in place, have them perform a self-assessment to determine if they are injured. Ask them if they are experiencing any pain, where it is located and how severe it is. Examine them yourself for injuries like bruises, bleeding, possible sprains and broken bones.
  • If they have a serious injury (like a broken bone), then don’t move them. Call 911 and keep your loved one as warm, comfortable and as still as possible until help arrives.
  • If they aren’t hurt and they want to get up, proceed slowly. Stop and call for help if at any point they experience pain or become too fatigued to get all the way up.
  • Note: Your responsibility in this process is to guide them through these steps and keep them steady, not lift their weight. Your loved one needs to be capable of doing the physical work required to get up. If they cannot do this, then call 911.
  • Find two sturdy chairs. Place one near the senior’s head and the other down by their feet. First, help your loved one roll over onto their side. Have them rest on their side for a few moments to allow their body and blood pressure to adjust.
  • Next, assist them in getting from their side onto their hands and knees. You may wish to place a towel beneath their knees to make this step more comfortable.
  • Move the chair closest to their head directly in front of where they are so that they can place their hands evenly on the seat and assume a kneeling position.
  • Ask your loved one to lean forward on the seat and help them bring their strongest leg forward, leading with the knee to place their foot flat on the floor. The senior should look like they are in a kneeling lunge at the end of this step.
  • Move the second chair directly behind the senior, and have them use both their arms and legs to push themselves up and sit back into the second chair. You can help keep your loved one steady, but keep your back upright and make sure they are doing the physical work to lift themselves.
  • Let the senior rest in a seated position until you are confident they can stand and move around without falling again.
  • It is important to notify their doctor that they have had a fall, and to monitor them for emerging pain or any signs of injury.
  • The following link provides a video that gives visual step-by-step instruction for a slightly modified procedure for getting the senior off the floor when a bed or sofa is close by:  https://www.youtube.com/watch?v=10jR0zjl19Y

    Fall Prevention Strategies

    Family members can work together to devise solutions to minimize the risk of falls in your loved one’s home. Small modifications like eliminating trip hazards, installing grab bars and improving lighting can greatly reduce risk. We have resources available to assess a senior’s risk for falls and provide strategies to avoid them. We invite you to call for more information about this topic.

    By Caren Parnes for The Senior’s Choice

Some of the Ways Wearables are Helping Seniors

Most of us think of wearables in terms of smartwatches and fitness trackers, gadgets that can help us be fitter and more efficient. But for some people, they’re far more important than that—these wearables are the difference between dependency and freedom. Wearables for seniors are fast becoming an essential way to keep them safe and healthy. There is some impressive technologically available—or on the horizon—to improve the lives of those later in life, and they are easy enough for even the most averse of technophobes to use safely and happily.

1. Keeping them safe

One of the best-known uses for wearables for seniors safely connects them to relatives or emergency services in the event of an accident, even if they’re unable to call for help themselves. UnaliWear’s KanegaWatch can detect falls and long periods of non-movement and raise the alarm. Working through voice control, the watch notices if the wearer has been immobile for a while and asks if they’re OK. If there’s no response, the device can contact designated people or the emergency services. It also records some location information so it can guide the wearer home if they get lost. The wearable even offers medication reminders at appropriate times, reading out dosage instructions if the user asks for them. Similarly, the CarePredict wearable monitors sleep, personal care and daily patterns, alerting caregivers if something seems out of the ordinary: If the wearer used the bathroom more than usual last night, for instance, or got up later than they normally do. Lively’s Safety Watch system goes a step further, using a home hub connected to a series of sensors around the home to check that medication’s been taken, meals haven’t been missed and the user is moving around as normal.

2. Keeping them nearby

To monitor seniors with conditions like dementia, a critical need can now be met through technology. The upcoming Proximity Button, invented by the daughter of a dementia caregiver, is designed to be an effective and affordable way to keep loved ones safe without intrusive tracking. Connecting to the caregiver’s phone with Bluetooth, the button simply sends an alert when the patient goes out of bounds. The Proximity Button will begin crowdfunding this summer through Indiegogo.

3. Saving them from falls

One of the biggest concerns for older people is the risk of falls. One of the more radical ways tech firms are addressing this is by developing wearable airbags that automatically deploy when a fall is detected. Products by companies like ActiveProtective and the Wolk Company are worn as belts, making them less intrusive and noticeable. Packed inside the ActiveProtective belt is a folded airbag, a fall-detection system and a gas inflation mechanism to quickly open the airbag when the wearer is falling.

4. Giving them freedom

Some of the health problems that can affect older people aren’t so easy to talk about. The Japanese manufacturer Triple W opens their Dfree website with the memorable words: “Two years ago I got sudden diarrhea and pooped my pants on the street.” While most of us would never speak of this again, in this case it led to the development of a device that claims to predict bowel movements, allowing users to plan ahead and get to a bathroom in time. Using an ultrasound wearable belted around your stomach, Dfree sends a notification to the accompanying app on your phone to let you know how much time you have. This could avoid the kind of incident that decimates older people’s confidence and makes them less willing to leave the house.

This is just a sampling of the variety of tech solutions for senior care that are now coming available—and we should expect more innovations in the years to come.

https://www.techradar.com/news/wearables/5-ways-wearables-will-transform-the-lives-of-the-elderly-1321898

A Great Summer Activity: Aquatic Exercise for Seniors

Many seniors have found that working out in the water is an excellent way to improve their overall well-being, from providing a variety of physical benefits to offering social time and a trip out of the house. The unique properties of water provide seniors with the opportunity to get relief from painful physical conditions such as arthritis and circulatory problems while deriving the benefits of low-impact exercise in an environment that minimizes the risk of injury.

Why Water?

Cardiovascular exercise and weight loss are common benefits of any type of aerobic exercise, but exercising while submerged in water provides some distinct advantages that set aquatic exercise apart from land-based activity.

Age-related joint conditions like arthritis can be a painful impediment to a senior’s capability (and enthusiasm) for exercising. But water-based exercise puts significantly less stress on joints, allowing them to enjoy these activities for longer periods of time, and can also provide some relief from these chronic conditions. Swimming can also be relaxing and meditative, which may offer some stress relief, adding to its cardiovascular benefits.

The Physical Benefits of Water Exercise

Cardio: It doesn’t matter if a senior is water-jogging or swimming—using the water to get their heart rate up will increase aerobic capacity, burn fat, and decrease their risk for heart disease.

Balance: Reduced muscle tone and vision loss can affect senior coordination and increase their risk of falling. Aquatic exercise is a great way to help improve balance. Doing specific balance exercises in water helps build strength and coordination. Water provides the ideal environment for this type of exercise, safely allowing for a loss of balance, since their water-induced buoyancy will prevent them from falling.

Strength: Working with water “bar bells” or wrist bands can provide a great form of resistance-training which helps build muscle strength and endurance without injury.

Work Out and Get Out

Socializing is an overlooked added benefit of many types of senior group activities, and aquatic exercise is a prime opportunity to get out of the isolation of the home and into a social environment—and in the case of outdoor pools, enjoying some sun (with sun protection, of course).

Studies have shown that the opportunity to socialize is one of the key reasons elderly people will maintain a successful exercise program. Group exercise classes provide an ideal opportunity for conversation.

Whether that be an exercise class, individual standing exercises, or swimmers using kickboards to kick side-by-side, there are many opportunities in the pool to socialize.

Getting Started

If you haven’t been swimming in a while, start slowly. Try swimming laps for just five to ten minutes while coordinating your breathing, strokes, and kicking. A pair of well-fitting goggles is a must. A less strenuous option is just walking or running in water. Water aerobics classes are offered at a variety of levels, and often specifically for seniors. Check out your local senior center, community center, or YMCA for their Summer offerings for seniors.

 

By Caren Parnes

For The Senior’s Choice

“Self-Care” with the Help of a Caregiver Support Group

Of the many challenges that family caregivers must face on a daily basis, perhaps the greatest—and least addressed—is the mental and emotional health of the caregivers themselves. Self-care is often the last thing that caregivers address, and living with stress, a sense of overwhelm, and bouts of depression seem to come with the job description. But self-care is not something to ignore. Just as a parent is instructed on the airplane to put the oxygen mask on themselves before their child, we must build self-care into our routine, not only for our own well-being, but for the ultimate benefit of those we care for.

An often overlooked resource that can provide both emotional support and useful advise for the caregiver are Caregiver Support Groups. These are community-based gatherings, sometimes run by a professional moderator, but often self-organized, that meet on an ongoing basis. Often, a support group can be a life-saver, allowing caregivers to talk to others who are experiencing the same challenges, and who can not only empathize, but offer valuable insights and suggestions. While friends are essential, it turns out that other primary caregivers who share your emotional and physical roller coaster ride may offer the best source of support. And even on your most frazzled days, you may be a source of help to them as well.

Caregivers in support groups report these key benefits:
• Feeling less isolated by hearing stories from others in similar situations.
• Having a space to vent and safely voice frustrations.
• Gaining a sense of empowerment and control.
• Learning new coping methods for stress.
• Getting practical advice on caregiving strategies.
• Improving caregiving ability.

Experts believe that these groups are one of the most effective ways for caregivers to cope with the stress that comes with caregiving. Unfortunately, seeking outside help can be a challenge for the typical caregiver, who often feels as though he or she must rely on themselves first and foremost. Family caregivers often isolate themselves—turning down coffee invitations, date nights and workouts at the gym. “There’s no time,” is the typical excuse. But the moment we surrender the notion of being “The One” who must handle it all and we ask for help, we immediately become a less stressed-out caregiver.  Those who have chosen to share the burden have found great benefits from the experience.

But to see these benefits, family caregivers first need to find a caregiver support group. That can be difficult if you don’t know where to start your search.

How to find a local caregiver support group

  • Local hospitals or community centers almost always have handouts with lists of local support groups. Check there first.
  • The online Enter Eldercare Locator (eldercare.gov) is a great resource to find your local Area Agency on Aging for your city. Call them to ask about local support groups, which many include general caregiver support and respite, as well as specific needs groups such as dementia care.
  • If you find that there is not a support group in your community, partner with your local senior community organizations to start one up!

Every caregiver struggles with the day-to-day challenges of their role. Instead of feeling overwhelmed and isolated and suffering through the experience on your own, try a caregiver support group. It may just make your life easier.

—By Caren Parnes

Contributor for The Senior’s Choice

The Power of Touch in Elder Caregiving

When Kay Olson checked her husband, John, age 66, into Lakeview Ranch in Dassel, Minnesota, caregivers greeted both of them with a hug. They immediately helped John into the bathroom, washing him gently. He came out crying what he told Kay were “happy tears.” John, who suffers from dementia, was kicked out of his previous facility for aggressive behavior. He would strike out at staff members, especially if someone tried to back him into a corner to force him to take medicine. That doesn’t happen at Lakeview, where caregivers sit with residents, holding their hands or tucking them into bed at night. Since John’s eyes are often closed and he rarely talks, touch “comforts him and makes him know he’s not alone,” Kay says. Judy Berry, founder of Lakeview Ranch, says touch is an integral component of her care. She is one of many who have seen the positive impacts of touch. A growing body of research is demonstrating the merits of this basic approach.

We’re Wired to Give and Receive Touch

Dacher Keltner, a professor of psychology at the University of California at Berkeley, says, as a species, humans are hardwired to give and receive touch and to benefit from it. He describes how touch triggers the activation of the orbitofrontal cortex and the release of oxytocin and endorphins, the “biological platforms of social connection.” He points to studies that show that massage has the same impact as the antidepressant Prozac, increasing levels of the neurotransmitter serotonin while reducing stress hormone levels.

Touch Can Reduce Symptoms of Illness

Tiffany Field, director of the Touch Research Institute in the Department of Pediatrics at the University of Miami School of Medicine, says studies show that touch reduces pain, especially following strokes, and lowers blood pressure. A study she conducted evaluating the effectiveness of massage found significant decreases in Parkinson’s tremors. Massage therapy also decreased pacing, wandering, and combative behavior, symptoms associated with Alzheimer’s disease. Field says that many elderly patients are deprived of touch, having lost spouses, and “a lot of illnesses of the elderly may relate to their being touch deprived.”

A 2012 study in Supportive Care in Cancer showed that cancer patients, after being given a massage by their caregivers, reported reductions in pain, stress, nausea, fatigue, anxiety, and depression. “When you reduce stress and provide relaxation, all the symptoms are reduced,” says William Collinge, an author of the study. Massages also empower caregivers by providing them with a concrete way to help their loved ones, says Collinge. He says his is the first completely online caregiver education program of its kind and allows anyone to be easily trained to give an effective massage.

How to Provide the Best Use of Touch When Caregiving

Touch can be more difficult when adult children need to parent their parents, assisting with dressing them or taking them to the bathroom. Judy Berry suggests validating emotions on both ends, saying something like, “I know this is uncomfortable for both of us, but we’ll get through this together.” It’s important to recognize that not everybody is up for these tasks, and adult children should ask for help when it becomes insurmountable.

Ask permission. Say, “Can I give you a hug?” That gives the senior a sense of control and doesn’t violate their personal space, says Berry. Then, read their body language along the way to make sure they’re enjoying the experience.

Assess the senior’s nature. Some are more receptive to touch than others. Look for signs. If they recoil when you reach for their hand, don’t be insistent.

Keep it simple. The act of touch need not involve a professional-caliber massage. It can be as basic as giving a hand massage with scented lotion, says Drew.

Be passive, not aggressive. Drew suggests extending your hand and letting them take it, instead of grabbing theirs. Look them in the eye. Approach them from the front instead of behind. “All of those things help to respect the other person and let them know that they’re going to be encountering you,” she says.

By Julie Halpert, Caring.com Contributor

https://www.caring.com/articles/elder-caregiving-effects-of-touch

The Rewards of Decluttering

There are obvious reasons to declutter. Safety: Clutter can trip us up. Efficiency: With declining eyesight, it gets hard to find things we use everyday. Focus: Messy environments can make it hard to process information.

Clutter is a growing problem today among all populations, and especially the elderly. To help your loved one downsize, create more room in their home and/or just make it safer to age in place, it is important to note the difference between hoarders and clutterers. Hoarders are obsessive and will often need a trained professional specializing in obsessive compulsive disorder to let go. Clutterers, the more common type, are more apt to let go with a little encouragement and support. This article deals with the latter.

Why Is It So Hard to Do?

Whether you want to pare down the stuff in your home, garage, or a storage unit, one problem is knowing where to start. The more we have, the more overwhelming it is. And for some of us the idea can be extremely anxiety-producing. A recent Yale study found that for some people, a part of our brain reacts the same way to the anticipated loss of valued possessions as it does to the idea of quitting an addiction. And there is the additional factor for  the elderly of not wanting to lose a connection with the past, whether that be old school papers or a favorite jar opener you’ve had in the family since 1969 (most of us have at least one of these things still hanging around the house!)

Some Tips for Success

  1. Get “buy in” from your loved one. Discuss the benefits for paring down, including potentially making some money from reselling your “stuff.” That can be through a yard sale, consignment shop, Craig’s List, or eBay. According to the New York Times, a well-planned garage sale typically nets between $500 and $1,000.
  2. Share the process. Come up with ways to make it an enjoyable activity you share, such as reviewing old photos or school papers together, or doing a “fashion show” to see what clothes to keep. Create incentives—such as an outing or meal after doing a certain amount of “work.”
  3. Don’t try to tackle too much at once. Help your loved one develop a strategy that addresses a room at a time, and then a single task at a time, so they are not overwhelmed. A good rule of thumb is to do no more than three hours of sorting a day, which is about how long we can sustain focus without a break.
  4. Get organized. Consider preparing three bags or boxes and labeling them Keep, Toss, and Sell/Donate. You might add a fourth box for things that need repairing, mending or dry cleaning, but don’t add more options than that. Put away what’s in your Keep pile at the end of each day and throw out or recycle what’s in your Toss pile.
  5. Be decisive. When it doubt, throw it out. Organizers often use the rule of thumb that if you haven’t used it/worn it/looked at it in a year, it’s time for it to go. When it comes to ornamental items or keepsakes, the other common standard is to only keep those things you really love and that give you pleasure. If that knick-knack your Aunt Marge gave you makes you cringe, it has no place in your home, regardless of the sentiment attached to it.
  6. Get professional help. If the job is just too big or you need direction, consider hiring a professional organizer. They can give you an overall strategy, or guide you through the process. Do a local search for “Certified Professional Organizers,” if you don’t have a referral for a professional.

Going through our possessions and ridding ourselves of things that no longer fit our lives is a process we can all benefit from. You may find that going through this process with your loved one will be a positive and rewarding experience for both of you. And you may just find you are motivated to do it for yourself as well!

—By Caren Parnes

Contributor for The Senior’s Choice

Funeral Arrangements: Decisions to Make Now

No one wants to think about dying, but it’s going to happen to each of us sooner or later. While approaching the topic of death and dying may be difficult for caregivers, family members as well as the elderly should try to organize and prepare for the end ahead of time, to reduce the stress, confusion and the necessity of making serious and sometimes confusing decisions regarding the care and disposition of a loved one.

A variety of checklists for seniors or their caregivers may help to organize funeral arrangements and decisions regarding funeral services, contacting relatives, selling a home, shutting off utilities, down to where lists of insurance policies and bank account information are kept, right on down to who will deliver the eulogy at the funeral service.

Pre-Death Planning Checklist

While this list is by no means all-inclusive, it should give you an idea or help guide you to determining what type of arrangements need to be made prior to the death of a loved one.

  1. Prepare a phone list or address list of individuals you want to be notified in the event of a terminal illness or death.
  2. Designate a trusted family member, child, or friend to serve as your executor. This person needs to have information and locations for your insurance policies, bank accounts, safety deposit boxes, and bills, so that accounts may be canceled, closed, or paid off.
  3. Place a reminder in your file to contact the Social Security Administration or the Veterans Administration of the death along with any relevant Social Security or identification numbers.
  4. Create a contact list of utility service providers, newspaper delivery, and postal service delivery for easy cancellation of services.
  5. If your parent or loved one has pets, make arrangements ahead of time about who will take on the care of those pets.

6. Designate a Durable Power of Attorney to make health care decisions in the event your parent or yourself is unable to make rational medical decisions regarding health care. At this time, make sure any Advance Directives or DNR (Do Not Resuscitate) documents are placed in an easy-to-access file and that a copy of such documents is/are made available to your parent’s physicians.

  1. As part of the funeral arrangements, ask your parent what information he or she would like provided in an obituary, or whether or not they even want one. At the same time, ask your parent to determine what type of funeral or memorial service they would prefer.
  2. Purchase burial plots or make arrangements for cremation or burial ahead of time. Discuss such arrangements with your parents or with spouses.
  3. Organize your finances ahead of time and make sure records are up-to-date and easily accessible to whomever is designated to take care of closing accounts or paying off balances. Documents should be together in one location and include bank details, life insurance policies, birth certificates, wills, deeds to the house, or any other pertinent information that may be necessary for the executor to close accounts, make payment disbursements, access funds and so forth.
  4. Talk about any special needs or requirements of your parent in regard to their burial or cremation. Do they want their ashes scattered? Do they want to be buried in a traditional casket or in the increasingly popular ” green burial” method?

Funeral Arrangements – Putting It All Together

Talking about the death of a loved one is difficult, but don’t leave things to chance.  Whether or not your parent has been diagnosed with a terminal illness, it always pays to talk about such concerns ahead of time.

Seniors and adult caregivers over 40 years of age should have some type of death planning arranged or at least in the discussion phase. Write it down, keep track of it, and designate someone to organize the information and put it together into an easily accessible format for family members.

http://www.boomers-with-elderly-parents.com/funeral-arrangements.html

6 Tips to Prevent Senior Falls

 

Falls are a leading cause of injury among older adults. As you get older, physical changes and health conditions—and medications used to treat those conditions—may make falls more likely. Consider six simple fall-prevention strategies.

1. Make an appointment with your doctor

Be prepared to answer questions such as:

  • What medications are you taking? Make a list of your medications and supplements, and review with your doctor for side effects that may increase your risk of falling.
  • Have you fallen before? Write down the details, including when, where and how you fell. The details may help your doctor identify specific fall-prevention strategies.
  • Could your health conditions cause a fall? Be prepared to discuss your health conditions and how comfortable you are when you walk—for example, do you feel any dizziness, joint pain, shortness of breath, or numbness in your feet and legs when you walk? Your doctor may evaluate your muscle strength, balance and walking style (gait) as well.

2. Keep moving

Physical activity is important for fall prevention. With your doctor’s approval, consider activities such as walking or water workouts or a home exercise routine. Such activities reduce the risk of falls by improving strength, coordination and flexibility. If you have specific concerns about your risk for falling, your doctor may refer you to a physical therapist who can create a custom exercise program aimed at improving your balance, flexibility, muscle strength and gait.

3. Wear sensible shoes

Evaluate your footwear as part of your fall- prevention plan. Wear properly fitting, sturdy shoes with nonskid soles. Sensible shoes may also reduce joint pain.

4. Remove home hazards

Take a look around your home. Your living areas may be filled with hazards. To make your home safer:

  • Remove boxes, newspapers, electrical cords and phone cords from walkways.
  • Move coffee tables, magazine racks and plant stands from high-traffic areas.
  • Secure loose rugs with double-faced tape, tacks or a slip-resistant backing—or remove loose rugs from your home all together.
  • Repair loose, wooden floorboards and carpeting.
  • Store clothing, dishes, food and other necessities within easy reach.
  • Immediately clean spilled liquids or food.

5. Light up your living space

Keep your home brightly lit to avoid tripping on objects that are hard to see. Also:

  • Place night lights in your bedroom, bathroom and hallways.
  • Turn on the lights before going up or down stairs.
  • Store flashlights in easy-to-find places in case of power outages.

    6. Use assistive devices

    Your doctor might recommend using a cane or walker to keep you steady. Other assistive devices can help, too. For example:

    • Hand rails for both sides of stairways
    • Nonslip treads for bare-wood steps
    • Nonslip mats in your bathtub or shower.
    • A raised toilet seat or one with armrests
    • Grab bars for the shower or tub
    • A sturdy plastic seat for the shower or tub — plus a hand-held shower nozzle for bathing while sitting down

    If necessary, ask your doctor for a referral to an occupational therapist. He or she can help you brainstorm other fall-prevention strategies. Some solutions are easily installed and relatively inexpensive. Others may require professional help or a larger investment. If you’re concerned about the cost, remember that an investment in fall prevention is an investment in your independence.

     

    By Mayo Clinic Staff

    https://www.mayoclinic.org/healthy-lifestyle/ healthy-aging/in-depth/fall-prevention/art-20047358?pg=2