Tag Archives: caregiver

What She Has To Offer

I’m in the kitchen starting the coffee when Mom comes in. “What can I do to help?” she asks before she even clears the door.

It is very important to Mom to feel useful. She doesn’t like others doing things for her. I try to make sure there is always a job she is able to do. Sometimes that is difficult, but this morning I am prepared.

“There’s Windex and paper towels on the table there,” I say. “Can you just wipe the table off for me?” She cleaned it last night, but she won’t remember that.

“K.O., I’ll do it!” she says, tearing off several paper towels with alacrity. “Is this the Windex?” She motions toward the blue spray bottle.

I turn from the coffeemaker. “Yep, that’s it.”

But before she can start, Mom sits abruptly in the large kitchen armchair, wincing. “Oooh,” she murmurs, rubbing her legs, the paper towels still in one hand.

Mom does not show pain often, so I’m alarmed. “What?”

“Well, it’s just …” She pulls both soft cotton pant legs up to her thighs. Her lower legs are puffy above her tight ankle socks and around her knees.

For the full article

Thanks to the NY Post Blog for this article!

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Several Bills Currently In Congress

There are several bills currently in Congress that will impact Medicare and senior service providers:

The first is a reintro­duced initiative to forgive student loans for those medical professionals who agree to service seniors in underserved ar­eas.

The second is a bill which would modify the new rule requiring a face to face doctor visit for ordering Medicare home health nursing services, by expanding the rule to allow nurse practitioners to order the visits as well.

Third, patients, families, and facilities are negatively impacted by the arcane rule requiring a three day stay in the hospital in order for Medicare to pay for the skilled nursing facility charges. There is a bill before Congress that would change this requirement to include “observation” time.

Thanks to Robin Smith Consulting for these valuable updates

Caring For Loved Ones With Alzheimer’s

http://www.thetakeaway.org/2011/jun/21/caring-loved-ones-alzheimers/.

Never an easy task, the above link offers support and help from Julie Noonan-Lawson. Julie talks openly about her families struggles and how they have handled the illness in her family.  The interview was conducted by Sean Corcoran, the lead reporter for WCAI radio on Cape Cod.

What Is Home Health Care?

Simply stated it is the physical and mental supportive system and care services provided to those persons wishing to remain in their homes or assisted living apartments by a caregiver, caregiving agency, and/or assisted living environment when they can no longer perform (without help) the day-to-day activities of everyday living.

Today, many persons are opting for home care, and or home care assistance in assisted living environments as outpatient care has become the ‘norm’ for hospitals and insurance companies. Home care is appealing to many of us as we most often feel that our home is an extension of ourselves.  Receiving ‘in-home-health-care’ can be a great benefit to those recovering from surgery or other medical procedures that can limit their ability to easily take care of themselves, or maybe they just require a little extra help managing things as they grow older or maybe they are learning to live with a medical condition or disability. Whatever the scenario, I urge you to review and consider the questions below as this ‘issue’ nears closer to you and yours.

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Time To Stay Hydrated!

Heat waves are upon us and summer has yet to be officially announced so be sure to alert the seniors around you (as well as others) to stay hydrated! Dehydration is dangerous and specifically more so in the summer months when seniors are most vulnerable. Seniors often forget to drink enough fluids and now when the temperatures are soaring it is even more crucial to their good health to be well hydrated…

Dehydration impacts our senior population frequently because
· Those with dementia often ignore the body’s cue for thirst
· Chronic illness, such as diabetes, and taking certain medications are risk factors.
· Even those seniors in good health tend to underestimate how much water they need
· Seniors may be weak and/or tired and may not have the energy to get up and get a glass of water.
· Seniors many times suffer from incontinence and hence limit their water intake to prevent ‘accidents’

Dehydration may cause:
· Confusion, fatigue, fainting, and unconsciousness.
· Kidney, bladder and bowel problems
· Muscle cramping
· (Depending on illnesses and medications being taken) toxin build up

To stay hydrated in it is best to:
· Limit caffeine and alcohol consumption
· Encourage seniors (and others) to keep a glass or bottle of water handy
· Eat lots of fruits and vegetables, as they are high in water content.

Answering The Call

Family caregivers understand the apprehension that often comes with worrying about their senior parents…the anticipation of a midnight phone call can be nerve-racking for anyone. According to the American Society of Consultant Pharmacists (ASCP) even though seniors represent just over 13 percent of the population, they consume 40 percent of prescription drugs and 35 percent of all over-the-counter drugs…

Most often family caregivers don’t know what their loved ones’ are taking and to add to the confusion, they are in the dark about their parents and financial and legal information. Home Instead Senior Care® surveyed future family caregivers…those individuals who plan on caring for their parents when the need arises to determine their level of knowledge and awareness when it comes to important information about their parents…What we found was that:

While survey participants overall feel informed about their parents’ health situation, there were ‘knowledge gaps’

A significant number of survey participants predict that they will begin caring for their parents within the next three years; nearly one in 10 says he or she could be called into action literally any minute.

Less than one-half of future caregivers say that they are knowledgeable about their parents’ medical histories in case of an emergency.

Even though a majority of future caregivers say their parents are healthier than other people their age, nearly two-thirds of the parents have two or more medical or health conditions, and nearly one-half takes at least three medications.

Nearly one-half of the parents exhibit three or more “risk factors” that could lead to medication-related problems.

Future caregivers have varying degrees of knowledge about their parents’ advisors and service providers; they are most likely to know their parents’ banker, primary care physician and health insurance provider.

Knowledge of important documents runs hot and cold, with nearly one-third of future caregivers reporting that they don’t know where their parents keep their will and testament or don’t know if they have one.

A significant number of future caregivers say they have not tried to ask their parents for information related to their parents’ health histories or their parents’ plans for the future.

As a result of this study, the Home Instead Senior Care network worked with the American Society of Consultant Pharmacists (ASCP) to provide additional information about the relevant topic of medication management. Also, the Home Instead Senior Care network and Humana Points of Caregiving® worked together to develop the Caring for Your Seniors: Senior Emergency Kit; an information management tool and website to help family caregivers track medications and other important financial information regarding a senior loved one’s health. This toolkit includes checklists and worksheets for medications, conditions, allergies, doctors, health advisors and a place to store other vital records.

Home Instead Senior Care Is On Cable!

Finally, we are ON AIR! Just wanted to let our BLOG, TWITTER and FACEBOOK friends and readers know that the Home Instead Senior Care cable show is on! Hope you enjoy watching and hearing from those business’ and people who offer additional support and help to the growing population of seniors. It is my hope that the cable show will offer insight into better managing our families as we all enter into the ‘golden years.’ Here’s the cable station internet, AACS link where you may view the shows that have previously aired. Each week additional shows will be added. Lots more to come…guests are already booked through August. Any ideas for what you may want to know more about, your comments and/or input is always appreciated!

Caregiver Strategies!

Below are some strategies that may help family caregivers turn resistance into assistance! And always feel free to call on us as well for support and resources.

1. Understand where the resistance is coming from. Ask your parent why he or she is resisting. “Mom, I notice that every time I bring up the idea of someone coming in to help, you resist it. Why is that?” Oftentimes older adults don’t realize they are being resistant.

2. Explain your goals. Remind your loved one that you both want the same thing. Explain that a little extra help can keep her at home longer and will help put your mind at ease as well. Have a candid conversation with him about the impact this care is having on your life. Oftentimes seniors don’t understand the time commitment of a caregiver.

3. Bring in outside help. If a relationship with a parent is deteriorating, ask a professional, such as a geriatric care manager, for an assessment. A third-party professional can provide valuable input. If you are having problems getting through to your older adult, consider asking another family member or close friend to intervene. If you’re not making headway, perhaps there’s someone better to talk with your parents.

4. Research your options to find the best resources for your loved one. If you decide outside help is needed, reassure your parents and tell them you have researched caregivers and you are confident you have found the best one you can find to come into the home to help.

5. Respect your parent’s decisions. Sometimes you won’t agree with your parent’s decisions and that’s O.K. As long as your loved one is of sound mind, he or she should have the final say.

Elder Mediation: Helping Adult Familes Resolve Conflict

The disputes may start quietly, but they can and do brew into hot and heated arguments and believe it or not they have split families apart.

Take for example:

Mom left a pot boiling on the stove again…you are fearful she’ll burn the house down.

Dad is getting forgetful and isn’t paying his monthly bills. You, and your siblings live far away and through neighbors find out that the heat and electricity were turned off.

Dad’s got more scrapes and scratches on his car than the grandkids do on their knees…you want him to STOP driving.

As adult children you are concerned and decide amongst yourselves to take-over…One of you wants to get Dad declared mentally incompetent, so the family can take control of his finances. One of you threatens to take Dad’s car keys. He threatens to write you out of his will. Another one of your siblings wants the house to be sold and Mom to enter assisted living.

Dad is now very angry…Mom thinks you’re over-reacting. Both parents are mortified…Dad because his kids are looking into how much money he has and how his finances are organized and Mom because she feels as though the children are trying to control her life.

For More:

Living with Alzheimer’s: Who Decides?

It’s imperative that we take responsibility for our senior ‘living situation’. If you don’t want others making this decision for you…be pro-active. With a little advanced planning it is possible to stay in your home even with Alzheimer’s as there are many additional support services available.

Having been regarded as competent, intelligent and able throughout my life I would hate to be relegated to only being allowed to make decisions as to what color to wear, where to place my furniture or where to keep photos and mementos…wouldn’t you?

Adult children should not have to shoulder the burden of ‘a decision’ their parents should have made or at the very least should have acknowledge as the ‘elephant’ in the room. They have lots on their minds these days and may forget to take into consideration that you (who might have some diminished capacity) may want to continue living at home. Although it is true that a balance must be found as to the family’s ability (financially, emotionally and physically) to accommodate ‘aging’ at home the problem is whether you or your family know what ‘aging at home’ means and have you given any consideration (even marginally) to the factors involved.

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