Staying Active During Winter

For many of us, winter can seem like never-ending gloom, with little sunshine and rainy, cold weather. And although it is nice to hunker down by a warm fire with a good book or a favorite television show, we still need to move our bodies. I know you may be thinking… it’s far too cold to exercise, right? Or is it?

For seniors, staying active during the winter months can go a long way toward staying healthy. But “active” doesn’t have to mean running a marathon — or even heading into the cold for a walk or jog. Simple exercise several times a day is enough to keep muscles and joints in shape. Fear of getting hurt is actually what causes many seniors to stay in – and be more inactive – during the winter months, but, in reality, it is really a ‘move-it-or-lose-it’ scenario.

It is suggested that seniors try and squeeze in exercise at least once a day, though more often is optimal. A lot of people, when they get older, think they can’t do something, and they stop moving forever. I say, if it feels good, go for it. If it hurts, pay attention to those signals your body is giving you. When you don’t move, your body will stiffen up, so it is important to keep moving — even if you do only tiny things every day. Start the day by stretching, whether standing or in a chair, to get the blood flowing to your heart and lungs and loosen those joints and muscles that have tightened up from lying in bed all night.

If weakness or balance is an issue, using a chair for support or try chair yoga or chair cardio classes that can be found at the local gym, or on YouTube. You can find any type of exercise videos on YouTube these days that can be pulled up on a smart TV – and many streaming services offer an exercise channel or programming, as well. Balance issues or fear of falling, that is still no excuse. Sit in a chair and move your arms, stomp your feet, bend your knees or do jumping jacks sitting down. The important thing is to keep your muscles moving.

Even arthritis pain can be stemmed by small movements. Almost all of us will experience arthritis pain at some point. Keeping our joints moving will help with that. It can be as simple as opening and closing our fingers to make a fist or making circles with our wrists to ease the pain in our hands, or flexing elbows, knees and ankles several times a day.

For those seniors who are not homebound, consider joining a walking club at the local mall or an indoor track or find a water aerobics class at a gym or community center. Water aerobics are a great way to stay active – whether in summer or winter – because seniors are in a warm pool where the resistance of the water helps joints and muscles move freely, but without the low impact of jumping around on a floor.

But keeping your body active is not enough. We need to keep our mind active as well to stay healthy.  Socialization is an important piece of staying healthy and active. We all saw what isolation did to our mental health during COVID. Depression can set in when we stay to ourselves, but it can have an even bigger impact on a senior’s memory if they don’t keep their mind working, so if they can get out and join a club or exercise class at a senior center, it will do a lot for your overall health.

And while we have all heard the mantra to “check with your doctor before beginning any exercise program,” it is even more important to “listen to your body.” If you have heart or lung or a mobility issue, an individual should talk to their doctor to learn their limitations, but limitations don’t mean you should stop moving. Exercise doesn’t have to be crazy or strenuous to be beneficial. As long as you know your body and don’t push yourself too hard, movement will always make you feel better.

If you think you’re too old to do something, you are probably not. A lot is mental attitude: ‘I can do this, I am strong enough, age is just a number!

Source: Cleveland.com

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.

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

How to Cultivate New Friends as You Age

As baby boomers age, more and more folks will reach their 80s, 90s—and beyond. They will not only lose friends but face the daunting task of making new friends at an advanced age.

Even in your 90s, the notion of being a sole survivor can seem surprising. Perhaps that’s why 91-year-old Lucille Simmons of Lakeland, Fla., halts, midsentence, as she traces the multiple losses of friends and family members. She has not only lost her two closest friends, but a granddaughter, a daughter and her husband of 68 years. “There’s only one living sibling—and I’m having dinner with him tonight,” said Simmons.

Five years ago, Simmons left her native Hamilton, Ohio, to move in with her son and his wife. She had to learn how to make friends all over again. Simmons takes classes and plays games at her community. She also putters around her community on a golf cart (which she won in a raffle) inviting folks to ride along with her. She spends quality time with relatives (whom she regards as friends) and non-family friends.

Friendship in old age plays a critical role in health and well-being, according to recent findings from the Stanford Center on Longevity’s Sightlines Project. Socially isolated individuals face health risks comparable to those of smokers, and their mortality risk is twice that of obese individuals, the study notes.

Baby boomers are more disengaged with their neighbors and even their loved ones than any other generation, said Dr. Laura Carstensen, who is director of the Stanford Center on Longevity and herself a boomer, in her 60s. “If we’re disengaged, it’s going to be harder to make new friends,” she said. Carstensen said that going back to school can be one of the most successful ways for an older person to make a new friend.

Genuine friendships at any age typically require repeated contact, said Dr. Andrea Bonior, author of “The Friendship Fix: The Complete Guide to Choosing, Losing and Keeping Up with Your Friends.” She advises older folks to join group exercise classes or knitting or book clubs.

She also suggests that seniors get involved in “altruistic behavior” like volunteering in a soup kitchen or an animal shelter or tutoring English as a second language.

“Friendships don’t happen in a vacuum,” she said. “You don’t meet someone at Starbucks and suddenly become best friends.”

Perhaps few understand the need for friendship in older years better than Carstensen, who, besides directing the Stanford Center on Longevity, is author of “A Long Bright Future: Happiness, Health and Financial Security in an Age of Increased Longevity.”

Carstensen said that going back to school can be one of the most successful ways for an older person to make a new friend.

Bonior recommends that seniors embrace social media. These social media connections can help older people strike up new friendships with nieces, nephews and even grandchildren, said Alan Wolfelt, an author, educator and founder of the Center for Loss and Life Transition.

“It’s important to create support systems that don’t isolate you with your own generation.”

Many older folks count their children as their best friends — and Carstensen said this can be a big positive on several levels.

“I don’t think it matters who your friends are,” she said. “It’s the quality of the relationship that matters most.”

By Bruce Horovitz

https://khn.org/news/feel-like-the-last-friend-standing-heres-how-to-cultivate-new-buds-as-you-age/

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

Lowering Your Tax Burden on Retirement Savings

You worked hard to put money away for retirement, so it is important that you understand the various strategies available to you to make sure you maximize that savings by minimizing taxes and avoiding penalties. Here are several tips to maximize your retirement savings:

Avoid early withdrawal penalties. Over and above the income tax due on your withdrawals, you must wait until age 59 ½ before tapping your retirement savings to avoid the 10% early withdrawal penalty. However, you can take penalty-free 401(k) withdrawals beginning at age 55 if you leave the job associated with that 401(k) account at age 55 or later.

Roll over your 401(k) when changing jobs. If you withdraw money from your 401(k) when you change jobs, 20 percent will be withheld for income tax, as well as paying a penalty for early withdrawals. The mechanism to avoid these costs is to roll over your 401(k) into either a new 401(k) or an IRA.

Mixing your types of retirement accounts. If you qualify for a Roth IRA, these accounts have a variety of benefits a traditional IRA does not, including more flexibility on penalty-free withdrawals and no required minimum distributions. However the biggest difference between the two types of accounts is how they are taxed. IRAs are tax-deferred, so they provide you with an immediate tax benefit, but you must pay taxes when you withdraw the money during retirement. Roth IRA accounts require paying taxes when you deposit the savings, but that means you don’t pay taxes on them during retirement. Diversifying your money in a traditional IRA as well as a Roth IRA will allow you to moderate your tax burden during retirement. Also, if you expect to be in a higher tax bracket during retirement, maximizing your retirement funds in a Roth account will allow you to lock in today’s low tax rate.

Understanding minimum distribution. You are required to withdraw money from your traditional 401(k) and IRA after age 70 1/2. If you miss a required withdrawal, you must pay a 50 percent penalty on the amount that should have been withdrawn. Make sure you mark your calendar for that cutoff date and make arrangements with your financial institution to remind you automatically about your required distribution.

Understanding the rules on your first distribution. Your first required minimum distribution is due by April 1 of the year after you turn 70 ½. All subsequent distributions must be taken by Dec. 31 each year. If you delay your first distribution until the same tax year as your second distribution, you will be required to take both distributions in the same tax year, which could result in an unusually high tax bill.

Start withdrawals in your 60s. While you must begin traditional retirement account withdrawals at age 70 ½, you can lower your tax burden by take smaller distributions starting at age 59 ½, which can spread the tax bill over more years, potentially allowing you to stay in a lower tax bracket and reducing your lifetime tax bill. Check with your financial advisor to find out if this option would make sense for you.

Calculate your tax burden with added Social Security or Pension Benefits. If you’re going to be receiving Social Security benefits or regular payouts from a pension, it’s important to incorporate them when planning your withdrawal strategy. Even if you’re receiving a relatively small amount each month from these sources, the extra income may increase your tax burden.

Keep tax-preferred investments outside retirement accounts. Investments that generate long-term capital gains receive preferential tax treatment when held outside of a retirement account. However, if you put them in a retirement account, you will pay your typically higher regular income tax rate when you withdraw the money from the account. In contrast, you can lower your tax bill by holding more highly taxed investments, including Treasury inflation-protected securities, corporate and government bonds and funds that generate short-term capital gains, inside retirement accounts.

By Caren Parnes, for the Senior’s Choice

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

Reevaluating Your Investments in an Uncertain Market

While most economic experts agree that the fundamentals of the economy are sound, many market watchers are beginning to ask the question: Is this Bull coming to an end? 2018 has been a year of uncertainty, and most financial advisors are recommending investors revisit their portfolios with at least an eye to rebalancing. Here are some suggestions for weathering a potential downturn in the market.

Know that you have the resources to weather a crisis. If you’re retired, knowing that you have the next couple years’ worth of living expenses in a bank account—and several more years in bonds that mature when you need the money—can help keep you calm and clear-headed. You might think you are risk tolerant, but if you haven’t structured your investments to handle a sharp drop, your financial capacity to handle risk may change your attitude when the market does drop.

Match your money to your goals. Map out a plan that takes into account what you’re saving for, whether near-term expenses or future financial goals like retirement. Structure your portfolio to match those goals. Money that you’ll need in the short term or that you can’t afford to lose—the down payment on a home, for example—is best invested in relatively stable assets, such as money market funds, certificates of deposit (CDs) or Treasury bills. Goals that need funding in three to five years should be addressed with a mixture of investment-grade bonds and CDs. For money you won’t need for five or more years, consider assets with the potential to grow, such as stocks, which are more volatile. Your allocation should also account for your time horizon and risk tolerance.

Remember: Downturns don’t last. The Schwab Center for Financial Research looked at both bull and bear markets in the S&P 500 going back to the late ’60s and found that the average bull ran for more than four years, delivering an average return of nearly 140%. The average bear market lasted a little longer than a year, delivering an average loss of 34.7%. The longest of the bears was a little more than two years—and was followed by a nearly five-year bull run. No bull market endures forever, but neither does a bear. And historically the market’s upward movement has prevailed over the declines.

Keep your portfolio diversified. Let’s say there is a slump—what is the best way to insulate against losses? Being well diversified is a preventive measure you can take now. Being diversified means you have a wide variety of investment grade bonds—corporate, municipals, Treasuries and possibly foreign issues. And they should have varying maturity dates, from short-term to mid-term, so you always have some bonds maturing and providing you with either income or money to reinvest. Your long-term assets should be divvied up among a wide array of domestic stocks—big and small, fast-growing and dividend-paying—as well as international stocks, real estate investment trusts (REITs) and commodities. This mix of assets gives you enough diversity that it provides a cushion in your portfolio if specific parts of the market are taking a hit so your exposure in a downturn is lessened.

Include cash in your portfolio. Cash in your portfolio offers protection against volatility, and cash reserves can come in handy in down markets. With cash you can buy in when prices are attractively low—without having to sell securities at a loss, if they are also at a low point.

Find an expert you can count on. If you’re not sure how to structure your portfolio correctly, or you think you’d be tempted to do something rash in a market slide, you should find a financial professional you trust to collaborate with you. That person can walk you through a complete portfolio review and help prepare you and your portfolio for times when the market gets tough.

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

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

Improving Senior Financial Literacy

In 2004, the American Society on Aging sponsored a study to evaluate the financial knowledge of Americans age 50+ which included a survey of three simple yes/no questions that assessed the knowledge of the respondents on concepts such as inflation, risk diversification and interest rates.* At that time only one third of respondents could answer all three questions correctly. Since 2009, broader studies have been made within the wider population and the results were similarly dismal, but there was a clear correlation between age and a failure to understand some basic financial concepts that make up financial literacy. This is especially worrisome given that money and debt management issues are most consequential to this most vulnerable population.

This may seem an overwhelming topic to tackle, certainly for a senior at such a late stage in life, but also for their families. And while getting sound financial advice is one of the first things most money professionals recommend, that can be easier said than done. Many older adults rely on the advice of relatives, friends or neighbors, which is a strategy that as many as 70 percent of fraud victims report having used. In the end, becoming as informed as possible yourself, and then considering getting further educated by an accredited and referred professional Financial Advisor are the best first steps to improve one’s financial literacy. One online resource for understanding some of the basics is ConsumerCredit.com (http:/ /www.consumercredit.com/financial-education/55plus/resources/. This site offers useful tools designed for the 50+ population

To get the ball rolling, here are several topics which seniors and their families may wish to consider when evaluating their financial health.

Know where your money’s going. Based on a 2014 survey by the National Foundation for Credit Counseling, over 60% of Americans don’t have a budget. This is the first place to start in developing financial literacy. You can’t make informed choices about your money if you don’t know where it is going.

Address your debt. Now that you know where your money is going, if you carry significant debt, it’s time to develop a strategy to start eliminating it. For most seniors on a fixed budget, this means identifying expenses in your budget that you can trim, and developing strategies to change your spending habits.

Check your credit report. Because these days your credit report can impact not just your ability to get a loan, but to rent an apartment or land a job, it is critical that you check your credit report at least once a year and understand the factors that effect it. If your score is low, there are many agencies available to help you start improving it.

Understand your retirement portfolio. For those seniors with retirement portfolios, it is important to understand your risk and regularly evaluate your investment choices. While the safety of bonds has always been attractive to seniors, a perfect storm may be upon the bond market in the form of anticipated increases in interest rates, tax cuts and a ballooning national debt which will all impact the value of bonds. If your portfolio heavily favors bonds, it may be time to consider a more diversified financial plan, and evaluate whether your total living expenses could ride out a drop in value.

Be prepared. We’ve all heard the rule— you should have three to six months of expenses on hand for an emergency or change in life circumstances. If you don’t think you can get there, start somewhere. Target at least a thousand dollars to set aside so if you have an accident or car trouble you have something to fall back on.

* For more information on this study, and a more in-depth discussion on the topic of financial literacy, go to http:// www.asaging.org/ blog/financial-literacy-and-financial-decision-making-older-adults.

—By Caren Parnes

Contributor for The Senior’s Choice

Urinary Tract Infections in the Elderly

Urinary tract infections (UTIs) aren’t just a nuisance in the elderly—they can cause serious health problems. A UTI happens when bacteria in the urethra, bladder or kidneys multiplies in the urine. If left untreated, a UTI can lead to acute or chronic kidney infections, which could permanently damage these vital organs and even lead to kidney failure. These common infections are also a leading cause of sepsis, a potentially life-threatening infection of the bloodstream.

Seniors Are Prone to UTIs

The population most likely to experience UTIs is the elderly. Older individuals are more vulnerable for many reasons, including their overall susceptibility to infections due to a weakened immune system. Elderly men and women also experience a weakening of the muscles of the bladder and pelvic floor, which can lead to increased urine retention (incomplete emptying of the bladder) and incontinence. These things all contribute to infection.

Typical Symptoms of UTIs are as follows: Frequent or urgent need to urinate; pain or burning during urination; urine that appears cloudy or dark; bloody urine; strong or foul-smelling urine; feelings of pressure in the lower pelvis; low-grade fever; night sweats, shaking or chills.

Lesser-Known UTI Symptoms in Seniors

Older individuals with UTIs may not exhibit any of the hallmark signs listed above because their immune systems are unable to mount a significant response to the infection. On top of the lack of noticeable symptoms, many seniors cannot express their discomfort to their caregivers.

Since aging adults’ bodies respond differently to infection, it is important to look for different signs and symptoms. One symptom of UTIs in the elderly is often mistaken for the early stages of dementia or Alzheimer’s disease, according to National Institutes of Health (NIH). Indicators of infection in seniors include the following: Confusion or delirium; agitation; hallucinations; poor motor skills or loss of coordination; dizziness; falling; and other atypical behavior.

These are often the only symptoms that present in the elderly, so it is crucial to keep an eye out for these sudden changes in behavior and mental state.

Diagnosis & Treatment

In most cases, diagnosing and treating an elderly urinary tract infection is relatively straightforward: a simple urinalysis can confirm the infection’s presence and, for someone in good health, antibiotics are the first choice of treatment. UTIs often clear up in only a few days. But depending on the age and health of the patient—and the severity of the infection—the course of treatment can take weeks and perhaps involve hospitalization for the administration of intravenous antibiotics.

Risk Factors & Prevention

Older adults at greater risk for getting a UTI include: Those who require a catheter in the urethra and bladder; those who are diabetic; anyone with kidney stones; and, women who’ve gone through menopause.

After menopause, women produce less estrogen, which helps protect against UTIs. Hormone replacement therapy (HRT) or a topical estrogen cream can help protect post-menopausal women from UTIs. However HRT may increase other health risks, so may not be appropriate for all women. About 20 percent of women who’ve had a UTI will experience a second one, and 30 percent of those women will get third.

Other steps to take to reduce the risk of UTIs:

  • Drink plenty of fluids (Older adults should drink four to six 8-ounce glasses of water a day).
  • Drink cranberry juice (without added sugar) or D-Mannose tablets (which is the glucose-like compound in cranberry juice that help reduce the occurrence of UTIs.)
  • Avoid or at least limit caffeine and alcohol intake, which irritates the bladder.
  • Do not douche or use other feminine hygiene products.
  • Always wipe from front to back (for women).
  • Wear breathable cotton underwear and change them at least once a day.
  • Take showers instead of baths.

By Caren Parnes

Contributor for The Senior’s Choice

The New Senior Transportation: Ride-Sharing Services

It’s a too-common scenario for seniors: Places to go, things to see, and a life to lead—but limited mobility or the inability to drive prevents them from getting out. Fortunately, ride-hailing services such as Lyft and Uber—and a new service tailored to the needs of seniors called SilverRide (which has launched in San Francisco, CA but is planning expansion in the US)—are all addressing senior transportation with new initiatives.

The Community Transportation Association estimates that 26 million older Americans rely on others for their transportation. With the elderly population growing, this number will only increase in coming years. Not being able to drive can affect more than just self-esteem. It can take a toll on physical health as well. In fact, a 2004 report found that seniors who don’t drive make 15% fewer trips to the doctor than their driving counterparts.

Ride sharing services could close that gap. How? With a little technology, senior housing partnerships, and special services for the mobility-impaired.

How to Use Lyft and Uber

Lyft and Uber are operated via drivers using their personal vehicles. They originally gained popularity among young urban dwellers as a safe option for those who have had too much to drink. However, these personal ride sharing options expanded very quickly in geographical range and popularity of use. While these services do require a little bit of tech savvy, that shouldn’t deter seniors from taking advantage of these services. All you need to catch a ride is a smartphone with the Lyft or Uber apps. Ask your children, grandchildren or a tech-savvy friend if you need a little help downloading and setting up the app.

Once a phone is equipped with the app, Lyft and Uber are easy to use. Provide a payment method (usually a credit card or PayPal) and then just type in the address of where you want to go. The app will automatically calculate the rate for the ride, so the cost is known upfront. A driver’s description and car model will be provided, as well as the estimated time of arrival.

For more cost savings, you can take advantage of Lyft’s Lyft Line, in which you carpool with other consumers riding the same route to split the tab. Uber’s version of that option is uberPOOL.

Once at your destination, just say thank you and goodbye. The cost will be charged to your credit card. The entire transaction is handled online, so there is no need to exchange cash or give a tip (unless you want to). Ready to come home? Just perform the same action in reverse, using your home address.

Special Services for Senior Transportation

For seniors who need extra assistance, Uber offers uberASSIST. This service uses drivers who are trained to help riders get into and out of the vehicle and can accommodate folding wheelchairs, walkers and scooters.

Given that seniors with limited transportation options might need to use ride-hailing often, Lyft and Uber have both been working to develop partnerships with local senior advocates, organizations, local retirement communities and municipalities around the country with the goal of increasing affordability. In many cities, programs are being tested in which seniors can get discounted—or even free—rides due to city support. Some of these initiatives also address ride-hailing options for seniors without smartphones. Check in your area for specific options.

by Mark Edelen

https://www.after55.com/blog/senior-transportation-uber-lyft/

Personal Care Agreements

Many families reach a point when they recognize that an ill or older relative needs more than occasional assistance—they need full-time care. But who will provide that care? The answer is usually close to home: an adult child. A child might be the default choice, or is selected because he or she lives closer or has fewer family responsibilities.

The person providing care for a loved one may make a significant sacrifice: giving up a job and employment benefits. A formal agreement among family members can provide a way to compensate a person providing care if he or she is no longer able to hold other employment. While most family members may wish to help care for a loved one, it is a job with heavy time commitments and responsibilities. One way of protecting the caregiver as well as the person receiving care is by putting the care relationship in writing. This binding agreement is most often referred to as a “personal care agreement.”

What Is a Personal Care Agreement?

The agreement is a contract, typically between a family member who agrees to provide caregiver services for a disabled or aging relative and the person receiving care. The personal care agreement is most commonly between an adult child and his/her parent, but other relatives may be involved, such as an adult grandchild caring for a grandparent.

Drawing up an agreement clarifies for a family what tasks are expected in return for a stated compensation. It can help avoid family conflicts about who will provide care and how much money will change hands. For this reason, the agreement should be discussed with other family members to resolve any concerns before an agreement is drafted.

When contracting with a family member, it is wise to treat the agreement as a legal document. If your relative is receiving state supported in-home care, the agreement will show the state where the money is going and for what kind of services. In addition, a caregiver agreement can offset potential confusion among family members concerned about bequests to heirs, and avoid misunderstandings later over the reduction of the amount of money that may be inherited.

Components of a Personal Care

Agreement

A personal care agreement has three basic requirements for a person to pay a family member for care:

  1. The agreement must be in writing.
  2. The payment must be for care provided  in the future (not for services already performed).
  3. Compensation for care must be reasonable. This means tasks performed should match “reasonable”or “customary”fees typically paid to a third party for the same care in your geographic area.

A properly drafted personal care agreement will contain the following information: Date the care begins; detailed description of services to be provided, for example, “transportation and errands” (driving to medical, dental, adult day care, and other appointments) or “food preparation”; how often services will be provided (allow for flexibility in care needs by using language such as, “no less than 20 hours a week” or “up to 80 hours a month”); how much and when the caregiver will be compensated (weekly or biweekly); how long the agreement is to be in effect (the agreement should set time, such as a year or two years, or even over a person’s lifetime); a statement that the terms of the agreement can be modified only by mutual agreement of the parties in writing,; and, the location where services are to be provided (home of elder/adult with disabilities, caregiver’s own home, other location)–allow for the location of the care to change in response to increasing care receiver needs); signatures by the parties; and date of the agreement
.

Do I Need a Lawyer?

You don’t necessarily need to hire an attorney, but it may be advisable when entering into a contractual relationship. It depends on how complex an agreement your family requires.

A legal agreement template is available through nolo.com: https://store.nolo.com/ products/elder-care/elder-care-agreements

This article was reworked from a more extensive discussion of the topic at the Caregiver’s Alliance:

https://www. caregiver.org/personal-care-agreements