This is an AMAZING story from the NY times about the impact a Caregiver can have.
http://www.nytimes.com/2009/03/31/health/31case.html?_r=3&th&emc=th
Wednesday, April 8, 2009
Tuesday, March 24, 2009
April is National Donate Life Month
!~APRIL~!
April is National Donate Life Month! Are you an organ donor, do you want to be one? Do you know what each organ donor can improve, or even save as many as 50 lives? One person deciding to become a donor can touch THAT many lives! This Month Homewatch Caregivers is working with http://organdonor.gov/ to educated people on the selfless gift that being a donor is. Please, I encourage everyone to look over the Organ donor site and learn about all the ways you could help someone. Even sign up to be a donor.
April is National Donate Life Month! Are you an organ donor, do you want to be one? Do you know what each organ donor can improve, or even save as many as 50 lives? One person deciding to become a donor can touch THAT many lives! This Month Homewatch Caregivers is working with http://organdonor.gov/ to educated people on the selfless gift that being a donor is. Please, I encourage everyone to look over the Organ donor site and learn about all the ways you could help someone. Even sign up to be a donor.
Cardiac Caregiving Tips
Cardiac Caregiving Tips from Homewatch CareGivers
To Help Women, Families Providing Elder Care
Strategies to Take Care of your Heart
—Stress and age are the leading causes of high blood pressure. As experts working with older adults and senior citizens, Homewatch CareGivers offers cardiac caregiving tips to help women and families who provide elder care so they can reduce a loved one’s risks for high blood pressure.
High blood pressure, or hypertension, can strike a person in any age group, but older adults—those above the age of 60—are at a higher risk for stroke and related serious disability. Plus, coronary heart disease and stroke share many of the same risk factors such as high LDL (“bad”) cholesterol levels, low HDL (“good”) cholesterol levels, high blood pressure, smoking, diabetes, physical inactivity, and being overweight or obese, according to the American Stroke Association, a division of the American Heart Association (http://www.strokeassociation.org).
Homewatch CareGivers (www.homewatchcaregivers.com) presents three risks and reductions to take in caregiving for seniors:
1. Risk: Loss of senses leads to over-consumption
Older adults lose sensory functions slowly, starting with the sense of smell and taste. Family caregivers need to watch for a change in diet or an increase in salt and sugar intake. The New England Journal of Medicine reports that over-consumption of salt leads to high blood pressure; over-consumption of sugar leads to weight gain and possible weight-related diabetes.
Reduction:
· Overhaul eating habits—eliminate high salt and sugar pre-packaged foods, read labels for sodium levels, eat larger portions of natural foods and fruit for natural sugar intake and avoid convenience foods.
· Adopt 3 new dietary strategies--substitute nonhydrogenated unsaturated fats for saturated and trans-fats; increase omega-3 fatty acids from fish, fish oil supplements, or plants; and consume a diet high in fruits, vegetables, nuts, and whole grains. Seniors aged 70 to 90 who followed a Mediterranean-style diet and had greater physical activity had 65% to 73% lower rate of mortality from coronary related diseases (http://jama.ama-assn.org).
2. Risk: Sedentary lifestyle increases risk of heart disease, depression
Being inactive, obese or both can increase a senior’s risk of high blood pressure, high blood cholesterol, diabetes, heart disease, depression and stroke.
--more—
Reduction:
· Walk 10 minutes daily—Federal Physical Activities Guidelines call for 2.5 hours of moderate-intensity physical activity each week. Seniors who are overweight or struggle physically because of heart disease, hypertension or other age-related diseases should start slowly, building from walking inside the home, to outside for several minutes, building up to 5 minutes and then up to 10 minutes per day to start.
· Add 1 minute per week—consistency with increased physical activity by adding 1 minute a week will help a senior reach the 20 minutes of recommended daily activity, which can lead to lowered blood pressure.
3. Risk: Fear of loss of independence leads to stress
As people reach retirement age and beyond, they go through an intense emotional cycle of change as they face new pressures--finances, changing family roles, loss of a loved one and struggles to age in-home. Stress leads to anxiety and depression in seniors.
Reduction:
· Create solutions for independence and socialization—family members can plan a social calendar to make sure their senior engages with friends and their community.
· Find volunteer opportunities—from schools to churches to libraries, seniors are a valuable volunteer resource for those community resources that face budget and funding issues during tough economic times.
· Get out of the house—self-isolation leads to depression; withdrawal form the world can lead to unhealthy lifestyle habits, like self-medication or alcohol dependency. Getting out is linked to overall wellbeing.
· Make a plan for in-home care in advance—family caregivers and the seniors they care for need to prepare a clear plan for the future to ensure the senior’s desire for independence. Respect the senior’s rights and feelings and get advice and support from an in-home care provider like Homewatch CareGivers to get an in-home assessment to help a senior age in-home and get the elder care they need.
To Help Women, Families Providing Elder Care
Strategies to Take Care of your Heart
—Stress and age are the leading causes of high blood pressure. As experts working with older adults and senior citizens, Homewatch CareGivers offers cardiac caregiving tips to help women and families who provide elder care so they can reduce a loved one’s risks for high blood pressure.
High blood pressure, or hypertension, can strike a person in any age group, but older adults—those above the age of 60—are at a higher risk for stroke and related serious disability. Plus, coronary heart disease and stroke share many of the same risk factors such as high LDL (“bad”) cholesterol levels, low HDL (“good”) cholesterol levels, high blood pressure, smoking, diabetes, physical inactivity, and being overweight or obese, according to the American Stroke Association, a division of the American Heart Association (http://www.strokeassociation.org).
Homewatch CareGivers (www.homewatchcaregivers.com) presents three risks and reductions to take in caregiving for seniors:
1. Risk: Loss of senses leads to over-consumption
Older adults lose sensory functions slowly, starting with the sense of smell and taste. Family caregivers need to watch for a change in diet or an increase in salt and sugar intake. The New England Journal of Medicine reports that over-consumption of salt leads to high blood pressure; over-consumption of sugar leads to weight gain and possible weight-related diabetes.
Reduction:
· Overhaul eating habits—eliminate high salt and sugar pre-packaged foods, read labels for sodium levels, eat larger portions of natural foods and fruit for natural sugar intake and avoid convenience foods.
· Adopt 3 new dietary strategies--substitute nonhydrogenated unsaturated fats for saturated and trans-fats; increase omega-3 fatty acids from fish, fish oil supplements, or plants; and consume a diet high in fruits, vegetables, nuts, and whole grains. Seniors aged 70 to 90 who followed a Mediterranean-style diet and had greater physical activity had 65% to 73% lower rate of mortality from coronary related diseases (http://jama.ama-assn.org).
2. Risk: Sedentary lifestyle increases risk of heart disease, depression
Being inactive, obese or both can increase a senior’s risk of high blood pressure, high blood cholesterol, diabetes, heart disease, depression and stroke.
--more—
Reduction:
· Walk 10 minutes daily—Federal Physical Activities Guidelines call for 2.5 hours of moderate-intensity physical activity each week. Seniors who are overweight or struggle physically because of heart disease, hypertension or other age-related diseases should start slowly, building from walking inside the home, to outside for several minutes, building up to 5 minutes and then up to 10 minutes per day to start.
· Add 1 minute per week—consistency with increased physical activity by adding 1 minute a week will help a senior reach the 20 minutes of recommended daily activity, which can lead to lowered blood pressure.
3. Risk: Fear of loss of independence leads to stress
As people reach retirement age and beyond, they go through an intense emotional cycle of change as they face new pressures--finances, changing family roles, loss of a loved one and struggles to age in-home. Stress leads to anxiety and depression in seniors.
Reduction:
· Create solutions for independence and socialization—family members can plan a social calendar to make sure their senior engages with friends and their community.
· Find volunteer opportunities—from schools to churches to libraries, seniors are a valuable volunteer resource for those community resources that face budget and funding issues during tough economic times.
· Get out of the house—self-isolation leads to depression; withdrawal form the world can lead to unhealthy lifestyle habits, like self-medication or alcohol dependency. Getting out is linked to overall wellbeing.
· Make a plan for in-home care in advance—family caregivers and the seniors they care for need to prepare a clear plan for the future to ensure the senior’s desire for independence. Respect the senior’s rights and feelings and get advice and support from an in-home care provider like Homewatch CareGivers to get an in-home assessment to help a senior age in-home and get the elder care they need.
About Homewatch CareGivers
Founded in 1980, Homewatch CareGivers is the largest, most experienced international provider of full-service in-home care for people of all ages, including seniors, children, veterans, the chronically ill, and those recovering from medical procedures. Caregivers are triple-screened and continually trained and supervised by healthcare professionals to provide reliable, compassionate and highly skilled services in companion, personal and comprehensive care. In-home care services are personalized for each client and customized care plans are administered through an international network with 172 territories which includes 19 international territories. Each office is locally owned and dedicated to ensuring quality of life for clients and peace of mind for their loved ones. Call 1-800-777-9770, visit www.homewatchcaregivers.com for franchise, company and caregiver information, or learn more from http://www.youtube.com/watch?v=UwSRiMuM2DA
#####
Resources:
Among individuals 70 to 90 years of age, adherence to a Mediterranean-style diet and greater PA are associated with 65% to 73% lower rates of all-cause mortality, as wellas lower mortality rates due to CHD, CVD, and cancer.61 Knoops KT, de Groot LC, Kromhout D, Perrin AE, Moreiras-Varela O,Menotti A, van Staveren WA. Mediterranean diet, lifestyle factors, and10-year mortality in elderly European men and women: the HALE project.JAMA. 2004;292:1433–1439.
Founded in 1980, Homewatch CareGivers is the largest, most experienced international provider of full-service in-home care for people of all ages, including seniors, children, veterans, the chronically ill, and those recovering from medical procedures. Caregivers are triple-screened and continually trained and supervised by healthcare professionals to provide reliable, compassionate and highly skilled services in companion, personal and comprehensive care. In-home care services are personalized for each client and customized care plans are administered through an international network with 172 territories which includes 19 international territories. Each office is locally owned and dedicated to ensuring quality of life for clients and peace of mind for their loved ones. Call 1-800-777-9770, visit www.homewatchcaregivers.com for franchise, company and caregiver information, or learn more from http://www.youtube.com/watch?v=UwSRiMuM2DA
#####
Resources:
Among individuals 70 to 90 years of age, adherence to a Mediterranean-style diet and greater PA are associated with 65% to 73% lower rates of all-cause mortality, as wellas lower mortality rates due to CHD, CVD, and cancer.61 Knoops KT, de Groot LC, Kromhout D, Perrin AE, Moreiras-Varela O,Menotti A, van Staveren WA. Mediterranean diet, lifestyle factors, and10-year mortality in elderly European men and women: the HALE project.JAMA. 2004;292:1433–1439.
Monday, February 16, 2009
UPDATES!
CAREGIVERS
This Saturday we had our first in office training for our cargivers. We went over Cancer, Cardiovasular Disease, and Oral care; what to look for, warning signs to report, and how to manage and prevent. Only seven Caregivers showed up, though many others couldn't make it and requested the material be sent to them, (with a quiz to make sure they do in fact read it.)
It went REALLY well, we all had a fun time. We ate healthy snacks, and drank coffe. The training was fun since everyone was interactive. Afterwards everyone stay for a while longer just to talk and get to know each other. Since all our caregivers work independently very few even know each other. This is another reason to our in-office training, and the luncheons we'll be starting when weather permits - we want them to get to know each other. To make friends and find support from others that work in the same feild.
Even with only 7 Cargivers showing up, it went excellent. We're hoping for a better turn out next month.
WHOLE FOODS
In March, Homewatch Caregivers is joining with Whole Foods Market in Torrance to give a presentation on healthy meals for seniors on a budget. Vanadana Sheth is a Registered Dietician from Torrance that will be joining us and giving the presentation. She will discuss nutrition for seniors, and show us how to make at least two meals, for two people, that cost under ten dollars. There will be healthy snacks available. PLEASE JOIN US! For more information or to RSVP call - 866-608-9500
Alzheimer's Memory Walk
Homewatch Caregivers of Garden Grove is putting together a team for the Alzheimer's memory walk in Fullerton, CA on 10/17/2009. If you can join us, PLEASE DO - you can go to our site and join our team. Or if you could donate something to the foundation for Alzheimer's be it even a dollar, please do. THANK YOU!
http://memorywalk.kintera.org/csuf/homewatchcaregivers
This Saturday we had our first in office training for our cargivers. We went over Cancer, Cardiovasular Disease, and Oral care; what to look for, warning signs to report, and how to manage and prevent. Only seven Caregivers showed up, though many others couldn't make it and requested the material be sent to them, (with a quiz to make sure they do in fact read it.)
It went REALLY well, we all had a fun time. We ate healthy snacks, and drank coffe. The training was fun since everyone was interactive. Afterwards everyone stay for a while longer just to talk and get to know each other. Since all our caregivers work independently very few even know each other. This is another reason to our in-office training, and the luncheons we'll be starting when weather permits - we want them to get to know each other. To make friends and find support from others that work in the same feild.
Even with only 7 Cargivers showing up, it went excellent. We're hoping for a better turn out next month.
WHOLE FOODS
In March, Homewatch Caregivers is joining with Whole Foods Market in Torrance to give a presentation on healthy meals for seniors on a budget. Vanadana Sheth is a Registered Dietician from Torrance that will be joining us and giving the presentation. She will discuss nutrition for seniors, and show us how to make at least two meals, for two people, that cost under ten dollars. There will be healthy snacks available. PLEASE JOIN US! For more information or to RSVP call - 866-608-9500
Alzheimer's Memory Walk
Homewatch Caregivers of Garden Grove is putting together a team for the Alzheimer's memory walk in Fullerton, CA on 10/17/2009. If you can join us, PLEASE DO - you can go to our site and join our team. Or if you could donate something to the foundation for Alzheimer's be it even a dollar, please do. THANK YOU!
http://memorywalk.kintera.org/csuf/homewatchcaregivers
Wednesday, February 11, 2009
Senior safety. Preventing crime
Crime Prevention Tips For Seniors
At Home
Never open your door automatically. Install and use
a peephole. Lock your doors and windows. Vary your
daily routine. Use "Neighbor Watch" to keep an eye on
your neighborhood. Don't leave notes on the door when
going out. Leave lights on when going out at night; use a
timer to turn lights on and off when you are away for an
extended period. Notify neighbors and the police when
going away on a trip When you are away remember to
cancel deliveries such as newspapers and arrange for
someone - a neighbor's child, perhaps - to mow the lawn
if need be. Arrange for your mail to be held by the Post
Office, or ask a neighbor to collect it for you.
Be wary of unsolicited offers to make repairs to your
home. Deal only with reputable businesses. Keep an
inventory with serial numbers and photographs of resaleable
appliances, antiques and furniture. Leave
copies in a safe place.
Don't hesitate to report crime or suspicious
activities.
Install deadbolt locks on all your doors.
Keep your home well lit at night, inside and out; keep
curtains closed.
Ask for proper identification from delivery persons
or strangers. If a stranger asks to use your telephone,
offer to place the call for him other yourself.
Never let a stranger into your home.
Do not leave notes on your door when you are gone.
Do not hide your keys under the mat or in other
conspicuous places.
Never give out information over the phone
indicating you are alone or that you won't be home at a
certain time.
If you arrive at home and suspect a stranger may be
inside, DON'T GO IN. Leave quietly and call 911 to report
the crime.
Walking
If you are attacked on the street, make as much
noise as possible by calling for help or blowing a whistle.
Do not pursue your attacker. Call 911 and report the
crime as soon as possible.
Avoid walking alone at night. Try to have a friend
accompany you in high risk areas . . . even during the
daytime.
Avoid carrying weapons . . . they may be used
against you.
Always plan your route and stay alert to your
surroundings. Walk confidently. Have a companion
accompany you. Stay away from buildings and
doorways; walk in well-lighted areas.
Have your key ready when approaching your front
door. Don't dangle your purse away from your body.
(Twelve percent of all crimes against the elderly are
purse snatchings and street robberies.)
Don't carry large, bulky shoulder bags; carry only
what you need. Better yet, sew a small pocket inside
your jacket or coat. If you don't have a purse, no one will
try to snatch it.
Shopping
Carry your purse very close to you . . . don't dangle it
from your arm. Never leave your purse in a shopping
cart. Never leave your purse unattended.
Don't carry any more cash than is necessary. Many
grocery stores now accept checks and automatic teller
cards instead of cash.Don't display large sums of cash.
In Your Car
Always keep your car doors locked, whether you are
in or out of your car.
Keep your gas tank full and your engine properly
maintained to avoid breakdowns. If your car breaks
down, pull over to the right as far as possible, raise
the hood, and wait INSIDE the car for help. Avoid
getting out of the car and making yourself a target
before police arrive.
At stop signs and traffic lights, keep the car in gear
Travel well-lit and busy streets. Plan your route.
Don't leave your purse on the seat beside you; put it on
the floor, where it is more difficult for someone to grab
it. Lock bundles or bags in the trunk. If interesting
packages are out of sight, a thief will be less tempted to
break in to steal them.
When returning to your car, check the front and
back seat before entering.
Never pick up hitchhikers.
Banking
Many criminals know exactly when government
checks arrive each month, and may pick that day to
attack. Avoid this by using Direct Deposit, which
sends your money directly from the government to the
bank of your choice. And, at many banks, free checking
accounts are available to senior citizens. Your bank has
all the information.
Never withdraw money from your bank accounts for
anyone except YOURSELF.
Be wary of con artists and get-rich schemes that
probably are too-good-to-be- true.
You should store valuables in a Safe Deposit Box.
Never give your money to someone who calls on you,
identifying himself as a bank official. A bank will never
ask you to remove your money
If you have been swindled or conned, report the crime to
your local police or Prosecuting Attorney's office.
At Home
Never open your door automatically. Install and use
a peephole. Lock your doors and windows. Vary your
daily routine. Use "Neighbor Watch" to keep an eye on
your neighborhood. Don't leave notes on the door when
going out. Leave lights on when going out at night; use a
timer to turn lights on and off when you are away for an
extended period. Notify neighbors and the police when
going away on a trip When you are away remember to
cancel deliveries such as newspapers and arrange for
someone - a neighbor's child, perhaps - to mow the lawn
if need be. Arrange for your mail to be held by the Post
Office, or ask a neighbor to collect it for you.
Be wary of unsolicited offers to make repairs to your
home. Deal only with reputable businesses. Keep an
inventory with serial numbers and photographs of resaleable
appliances, antiques and furniture. Leave
copies in a safe place.
Don't hesitate to report crime or suspicious
activities.
Install deadbolt locks on all your doors.
Keep your home well lit at night, inside and out; keep
curtains closed.
Ask for proper identification from delivery persons
or strangers. If a stranger asks to use your telephone,
offer to place the call for him other yourself.
Never let a stranger into your home.
Do not leave notes on your door when you are gone.
Do not hide your keys under the mat or in other
conspicuous places.
Never give out information over the phone
indicating you are alone or that you won't be home at a
certain time.
If you arrive at home and suspect a stranger may be
inside, DON'T GO IN. Leave quietly and call 911 to report
the crime.
Walking
If you are attacked on the street, make as much
noise as possible by calling for help or blowing a whistle.
Do not pursue your attacker. Call 911 and report the
crime as soon as possible.
Avoid walking alone at night. Try to have a friend
accompany you in high risk areas . . . even during the
daytime.
Avoid carrying weapons . . . they may be used
against you.
Always plan your route and stay alert to your
surroundings. Walk confidently. Have a companion
accompany you. Stay away from buildings and
doorways; walk in well-lighted areas.
Have your key ready when approaching your front
door. Don't dangle your purse away from your body.
(Twelve percent of all crimes against the elderly are
purse snatchings and street robberies.)
Don't carry large, bulky shoulder bags; carry only
what you need. Better yet, sew a small pocket inside
your jacket or coat. If you don't have a purse, no one will
try to snatch it.
Shopping
Carry your purse very close to you . . . don't dangle it
from your arm. Never leave your purse in a shopping
cart. Never leave your purse unattended.
Don't carry any more cash than is necessary. Many
grocery stores now accept checks and automatic teller
cards instead of cash.Don't display large sums of cash.
In Your Car
Always keep your car doors locked, whether you are
in or out of your car.
Keep your gas tank full and your engine properly
maintained to avoid breakdowns. If your car breaks
down, pull over to the right as far as possible, raise
the hood, and wait INSIDE the car for help. Avoid
getting out of the car and making yourself a target
before police arrive.
At stop signs and traffic lights, keep the car in gear
Travel well-lit and busy streets. Plan your route.
Don't leave your purse on the seat beside you; put it on
the floor, where it is more difficult for someone to grab
it. Lock bundles or bags in the trunk. If interesting
packages are out of sight, a thief will be less tempted to
break in to steal them.
When returning to your car, check the front and
back seat before entering.
Never pick up hitchhikers.
Banking
Many criminals know exactly when government
checks arrive each month, and may pick that day to
attack. Avoid this by using Direct Deposit, which
sends your money directly from the government to the
bank of your choice. And, at many banks, free checking
accounts are available to senior citizens. Your bank has
all the information.
Never withdraw money from your bank accounts for
anyone except YOURSELF.
Be wary of con artists and get-rich schemes that
probably are too-good-to-be- true.
You should store valuables in a Safe Deposit Box.
Never give your money to someone who calls on you,
identifying himself as a bank official. A bank will never
ask you to remove your money
If you have been swindled or conned, report the crime to
your local police or Prosecuting Attorney's office.
Keeping the youthful mind of the elderly; suggestions for seniors to avoid dementia.
AWESOME atricle! A woman talks about her experience with her aging mother, and learns lessons from her as to how to keep our mind active as we age.
http://www.associatedcontent.com/article/212856/keeping_the_youthful_mind_of_the_elderly.html?cat=5
http://www.associatedcontent.com/article/212856/keeping_the_youthful_mind_of_the_elderly.html?cat=5
Friday, January 23, 2009
Alzheimer's warning signs
http://www.alzfdn.org/AboutAlzheimers/warningsigns.html
Alzheimer's Foundation of America - article on Alzheimer's warning signs.
Alzheimer's Foundation of America - article on Alzheimer's warning signs.
Great report on Alzheimer's, Dementia, and related causes of memory loss.
http://www.alzfdn.org/documents/memorymatters.pdf
http://www.alzfdn.org/documents/memorymatters.pdf
Monday, January 19, 2009
Depression in Older Adults
Experts estimate that 15 out of every 100
adults will experience a depressive episode at
some point during their elderly years.
Depression is not a normal part of aging, and
it should not go overlooked and untreated in
older adults. If you are an older adult with
depression, help is available. Let’s try and
understand this condition a little better.
Sometimes people get sad, have a brief blue
mood, become disappointed, and experience
grief after losing a loved one. Depression is
different. Depression is not just a case of the
“blues”. People who are sad or grieving
typically can continue with their usual daily
routines. Depressed people have symptoms
over a longer period of time that interferes
with their ability to function like they
normally do.
Depression is a disease that requires medical
attention and treatment. If left untreated in
older adults, depression can:
Lead to disability
Worsen symptoms of other illnesses
Increase the possibility of premature death
Increase the risk of suicide
Depression is often overlooked and left
untreated. This sometimes happens because
people may believe that depression is a
normal part of aging. As a result, older adults
continue holding onto the belief that they
have to “stay strong and tough it out.”
People of all ages need to understand that
telling loved ones or healthcare professionals
about symptoms of depression is not a sign of
personal weakness or a character flaw. Telling
people that you are having symptoms of
depression is an extremely important first step
to getting help and getting better.
Among older adults suffering from
depression, the following symptoms may be
seen:
Persistent sadness
Feelings of worthlessness or helplessness
Feeling slowed down
Excessive worries about health and
financial problems
Frequent tearfulness
Changes in weight
Pacing and fidgeting
Difficulty sleeping
Difficulty concentrating
Physical problems
Recurring thoughts of suicide or death
Some of the following medical conditions can
trigger depression in older adults:
Cancer
Parkinson’s disease
Heart disease
Stroke
Alzheimer’s disease
Arthritis
Diabetes
Physical disabilities
There are 2 main treatments for depression:
Counseling – psychotherapy
Medication – antidepressants
For some people, either treatment may be
sufficient. For others, the most effective
therapy is a combination of the two.
In addition to therapy and medication, there
are other things depressed people can do to
start feeling better.
These include:
Exercising
Improving their diet
Establishing a full-night sleeping schedule
Reducing or eliminating caffeine and
alcohol.
To find out which of these options might be
right for you, talk with your healthcare
provider.
For more information about depression,
contact the following organizations:
National Institute of Mental Health
1-800-421-4211 or www.nimh.nih.gov
National Mental Health Association
1-800-969-6642 or www.NMHA.org
http://www.homewatchcaregivers.com/SouthBay-homecare
adults will experience a depressive episode at
some point during their elderly years.
Depression is not a normal part of aging, and
it should not go overlooked and untreated in
older adults. If you are an older adult with
depression, help is available. Let’s try and
understand this condition a little better.
Sometimes people get sad, have a brief blue
mood, become disappointed, and experience
grief after losing a loved one. Depression is
different. Depression is not just a case of the
“blues”. People who are sad or grieving
typically can continue with their usual daily
routines. Depressed people have symptoms
over a longer period of time that interferes
with their ability to function like they
normally do.
Depression is a disease that requires medical
attention and treatment. If left untreated in
older adults, depression can:
Lead to disability
Worsen symptoms of other illnesses
Increase the possibility of premature death
Increase the risk of suicide
Depression is often overlooked and left
untreated. This sometimes happens because
people may believe that depression is a
normal part of aging. As a result, older adults
continue holding onto the belief that they
have to “stay strong and tough it out.”
People of all ages need to understand that
telling loved ones or healthcare professionals
about symptoms of depression is not a sign of
personal weakness or a character flaw. Telling
people that you are having symptoms of
depression is an extremely important first step
to getting help and getting better.
Among older adults suffering from
depression, the following symptoms may be
seen:
Persistent sadness
Feelings of worthlessness or helplessness
Feeling slowed down
Excessive worries about health and
financial problems
Frequent tearfulness
Changes in weight
Pacing and fidgeting
Difficulty sleeping
Difficulty concentrating
Physical problems
Recurring thoughts of suicide or death
Some of the following medical conditions can
trigger depression in older adults:
Cancer
Parkinson’s disease
Heart disease
Stroke
Alzheimer’s disease
Arthritis
Diabetes
Physical disabilities
There are 2 main treatments for depression:
Counseling – psychotherapy
Medication – antidepressants
For some people, either treatment may be
sufficient. For others, the most effective
therapy is a combination of the two.
In addition to therapy and medication, there
are other things depressed people can do to
start feeling better.
These include:
Exercising
Improving their diet
Establishing a full-night sleeping schedule
Reducing or eliminating caffeine and
alcohol.
To find out which of these options might be
right for you, talk with your healthcare
provider.
For more information about depression,
contact the following organizations:
National Institute of Mental Health
1-800-421-4211 or www.nimh.nih.gov
National Mental Health Association
1-800-969-6642 or www.NMHA.org
http://www.homewatchcaregivers.com/SouthBay-homecare
Tough choices with aging parents
By David Solie
Making difficult decisions for parents who are losing control is never easy. At some point in the lives of our aging parents, things slip out of control. They begin having minor car accidents, they become depressed after the loss of a spouse, they forget to pay their bills, or have a serious medical setback like a stroke. The changes may be subtle over time or sudden. As much as we want them to remain independent, events take them off course, and tough decisions need to be made about the quality of their lives.
But how do we let them know that the time has come for them to relinquish at least some measure of control? While there are no easy answers, there are ways to improve the chances that our aging parents will eventually participate in and successfully survive these tough choices.
Work with their developmental agenda to ease decision-makingOur aging parents are navigating two powerful currents that influence every aspect of the final phase of their life: the need for control and the need to discover their life's legacy. This is the developmental agenda of the last stage of life. If you step in and try to take away whatever control they have left, you will only make the situation worse.
Two of the strategies described below—reframing and using familiar stories—will help aging parents realize that the unmanageable situation they are now struggling with is in fact undermining their control. The third strategy—supporting them in their life review—will help them to discover their legacy.
Take a gradual approach to reframing conversationsFirst, help parents recast the situation they’re in. Begin this reframing process by clearly acknowledging that control is critical to their well being and you fully support their need to have control. Your goal is to convince them that you understand their situation. You can say things like:
Mom and Dad, I know you both are proud of your independence and have always made your own decisions. I want to do everything possible to support your independence.
Dad, you know what's best for you. My job is to help you figure out your choices and then let you decide what you want to do.
Mom, no one wanted this to happen. But it did. The important thing is to determine how you want to handle it. This isn't something you have to do alone. All of us will help with whatever you choose.
Next, describe the behavior or circumstances that present a "clear and present danger" to their control. Your goal is to signal that you are concerned about a specific area of their life that is threatened by a loss of control:
Dad, mom is forgetting to take her medication and that has caused her diabetes to get out of control. According to the doctor, if she has a stroke or heart attack you both could lose your independence.
While I am glad the fall wasn't more serious, it looks like you are going to need to have surgery on your right hand. For six weeks after surgery you are not going to be able to use your right hand for even the basic things like eating, bathing, and general chores. Given that you live alone and are very protective of your privacy, this is going to challenge your ability to live independently.
I know it started out as fun, a chance to be with your friends and get out the house. But the trips to the local casino have cost you nearly half of your savings. At this rate, you won't have any savings in six months and will have to get by on social security, sending things further out of control.
Finally, explain how making a tough choice is actually a "control preservation strategy" to prevent the above scenarios from happening. Your goal is to signal there's a way to regain control and you are dedicated to helping them accomplish it:
You both have a chance to bring this situation under better control. Let's talk about the three options that will ensure that mom takes her diabetic medication, and you tell me which one sounds the best to you.
Let's talk about some ways that you can stay in your home as you recover from surgery. While you may need to be flexible about your privacy, it can offer you the chance to control where and how you recover from this operation.
The most important thing right now is to determine what you need to do to regain control of the situation. There are some tough choices, but if you allow me to work with you, we can develop a financial plan to preserve your remaining assets and manage your monthly bills.
Use familiar family stories to reinforce reframingSuccessfully reframing tough choices as opportunities to preserve control is only half the battle. Change is daunting at any age, but especially distressing for older adults who are experiencing losses on so many fronts. Even when it is clear that a tough choice is in their best interest, they may feel overwhelmed by what it will take to actually do it. They need realistic encouragement instead of false reassurance that "things will all work out" or that they shouldn’t worry.
But the encouragement needs to come from someone they trust and believe, someone with whom they have an immediate emotional connection. Finding a well-chosen family story, particularly of older adults, perhaps family members, who have faced similar setbacks but persevered and regained a new measure of control in their lives, can provide both comfort and inspiration.
For example, you could say: Do you two remember when Aunt Ethel found out she had heart failure and was told she might have to go into a nursing home? Remember how she was determined to get better and even her doctors could not believe how much improvement she made? She found a way to stay in control of her medical problem and lived in her own home all those years before she passed away. Dad, remember when granddad had hip surgery? Remember how mad he was when a nurse came in to help him? As hard as that was, granddad made a great recovery and said that his nurse "kept him out of the nursing home." I don’t think you know that Linda’s mom had the same gambling problem. She didn’t tell Linda until most of her money was gone. But together they figured out how to save what her mom had left and worked out a way for her mom to socialize that didn’t involve gambling. Linda was just glad she could help while there was still a chance to regain control of the situation for her mom.
By including these suggestions for conversations, I don’t mean to suggest that tough choices can be managed in such a brief exchange. Rather these suggestions lay out a reframing sequence and signaling strategy that is crafted to resonate with the developmental needs of the older adult.
Remembering that other older adults have faced a loss of control, made tough choices, and gone on to a better life is critical to preserving their hope that they can do the same.
Help them with their ongoing life reviewThe second item on aging parents’ agenda is creating a legacy in a world in which time is running short. Our aging parents are trying to sort out the meaning of their lives and how they will be remembered. To do this, they are actively engaged in constant life review, a reconsideration of the most important experiences of their lives. The very process of making tough choices can evoke strong emotions about the last phases of their lives and what it all means. Asking sensitive questions can help them review their lives and see their current choices in the context of all that came before.
You can say, for example:
Aunt Ethel overcame congestive heart failure to live many productive and happy years before she passed away. What is your favorite memory of Ethel? Was she always so sure of herself as I remember her?
Didn't you say that granddad was a ranch hand at one point in his life? Where was that and how did he get that job?
When I was growing up, you said Linda reminded you of your sister Beth. How is Linda like Aunt Beth?
Legacy is all about discovery, and discovery begins with the right questions. Life review questions like these provide an emotional forum to gather important memories from childhood and reconsider what they mean now.
The tough choices our aging parents face at the end of their lives do not get easier. But we can help them both preserve control and to discover their legacy. Protecting and preserving their sense of control reduces their anxiety, while helping them with their life review opens their hearts and ours to what matters the most.
he tough choices remind all of us that there is a large inventory of events in life we do not control. What we can control is how they are framed and communicated, and this gives all of us the best opportunity to capture their meaning and purpose.
David Solie is the medical director for Marsh Private Client Services in Woodland Hills, California. He is the author of How To Say It to Seniors: Closing the Communication Gap with Our Elders, published by Prentice Hall Press. For more than 20 years Solie has created and been the primary instructor for a variety of educational courses for the insurance and financial services industries. He is a graduate of the University of Colorado Medical School and a licensed physicians assistant with an advanced degree in clinical medicine. He can be contacted at dsolie@covad.net.
Making difficult decisions for parents who are losing control is never easy. At some point in the lives of our aging parents, things slip out of control. They begin having minor car accidents, they become depressed after the loss of a spouse, they forget to pay their bills, or have a serious medical setback like a stroke. The changes may be subtle over time or sudden. As much as we want them to remain independent, events take them off course, and tough decisions need to be made about the quality of their lives.
But how do we let them know that the time has come for them to relinquish at least some measure of control? While there are no easy answers, there are ways to improve the chances that our aging parents will eventually participate in and successfully survive these tough choices.
Work with their developmental agenda to ease decision-makingOur aging parents are navigating two powerful currents that influence every aspect of the final phase of their life: the need for control and the need to discover their life's legacy. This is the developmental agenda of the last stage of life. If you step in and try to take away whatever control they have left, you will only make the situation worse.
Two of the strategies described below—reframing and using familiar stories—will help aging parents realize that the unmanageable situation they are now struggling with is in fact undermining their control. The third strategy—supporting them in their life review—will help them to discover their legacy.
Take a gradual approach to reframing conversationsFirst, help parents recast the situation they’re in. Begin this reframing process by clearly acknowledging that control is critical to their well being and you fully support their need to have control. Your goal is to convince them that you understand their situation. You can say things like:
Mom and Dad, I know you both are proud of your independence and have always made your own decisions. I want to do everything possible to support your independence.
Dad, you know what's best for you. My job is to help you figure out your choices and then let you decide what you want to do.
Mom, no one wanted this to happen. But it did. The important thing is to determine how you want to handle it. This isn't something you have to do alone. All of us will help with whatever you choose.
Next, describe the behavior or circumstances that present a "clear and present danger" to their control. Your goal is to signal that you are concerned about a specific area of their life that is threatened by a loss of control:
Dad, mom is forgetting to take her medication and that has caused her diabetes to get out of control. According to the doctor, if she has a stroke or heart attack you both could lose your independence.
While I am glad the fall wasn't more serious, it looks like you are going to need to have surgery on your right hand. For six weeks after surgery you are not going to be able to use your right hand for even the basic things like eating, bathing, and general chores. Given that you live alone and are very protective of your privacy, this is going to challenge your ability to live independently.
I know it started out as fun, a chance to be with your friends and get out the house. But the trips to the local casino have cost you nearly half of your savings. At this rate, you won't have any savings in six months and will have to get by on social security, sending things further out of control.
Finally, explain how making a tough choice is actually a "control preservation strategy" to prevent the above scenarios from happening. Your goal is to signal there's a way to regain control and you are dedicated to helping them accomplish it:
You both have a chance to bring this situation under better control. Let's talk about the three options that will ensure that mom takes her diabetic medication, and you tell me which one sounds the best to you.
Let's talk about some ways that you can stay in your home as you recover from surgery. While you may need to be flexible about your privacy, it can offer you the chance to control where and how you recover from this operation.
The most important thing right now is to determine what you need to do to regain control of the situation. There are some tough choices, but if you allow me to work with you, we can develop a financial plan to preserve your remaining assets and manage your monthly bills.
Use familiar family stories to reinforce reframingSuccessfully reframing tough choices as opportunities to preserve control is only half the battle. Change is daunting at any age, but especially distressing for older adults who are experiencing losses on so many fronts. Even when it is clear that a tough choice is in their best interest, they may feel overwhelmed by what it will take to actually do it. They need realistic encouragement instead of false reassurance that "things will all work out" or that they shouldn’t worry.
But the encouragement needs to come from someone they trust and believe, someone with whom they have an immediate emotional connection. Finding a well-chosen family story, particularly of older adults, perhaps family members, who have faced similar setbacks but persevered and regained a new measure of control in their lives, can provide both comfort and inspiration.
For example, you could say: Do you two remember when Aunt Ethel found out she had heart failure and was told she might have to go into a nursing home? Remember how she was determined to get better and even her doctors could not believe how much improvement she made? She found a way to stay in control of her medical problem and lived in her own home all those years before she passed away. Dad, remember when granddad had hip surgery? Remember how mad he was when a nurse came in to help him? As hard as that was, granddad made a great recovery and said that his nurse "kept him out of the nursing home." I don’t think you know that Linda’s mom had the same gambling problem. She didn’t tell Linda until most of her money was gone. But together they figured out how to save what her mom had left and worked out a way for her mom to socialize that didn’t involve gambling. Linda was just glad she could help while there was still a chance to regain control of the situation for her mom.
By including these suggestions for conversations, I don’t mean to suggest that tough choices can be managed in such a brief exchange. Rather these suggestions lay out a reframing sequence and signaling strategy that is crafted to resonate with the developmental needs of the older adult.
Remembering that other older adults have faced a loss of control, made tough choices, and gone on to a better life is critical to preserving their hope that they can do the same.
Help them with their ongoing life reviewThe second item on aging parents’ agenda is creating a legacy in a world in which time is running short. Our aging parents are trying to sort out the meaning of their lives and how they will be remembered. To do this, they are actively engaged in constant life review, a reconsideration of the most important experiences of their lives. The very process of making tough choices can evoke strong emotions about the last phases of their lives and what it all means. Asking sensitive questions can help them review their lives and see their current choices in the context of all that came before.
You can say, for example:
Aunt Ethel overcame congestive heart failure to live many productive and happy years before she passed away. What is your favorite memory of Ethel? Was she always so sure of herself as I remember her?
Didn't you say that granddad was a ranch hand at one point in his life? Where was that and how did he get that job?
When I was growing up, you said Linda reminded you of your sister Beth. How is Linda like Aunt Beth?
Legacy is all about discovery, and discovery begins with the right questions. Life review questions like these provide an emotional forum to gather important memories from childhood and reconsider what they mean now.
The tough choices our aging parents face at the end of their lives do not get easier. But we can help them both preserve control and to discover their legacy. Protecting and preserving their sense of control reduces their anxiety, while helping them with their life review opens their hearts and ours to what matters the most.
he tough choices remind all of us that there is a large inventory of events in life we do not control. What we can control is how they are framed and communicated, and this gives all of us the best opportunity to capture their meaning and purpose.
David Solie is the medical director for Marsh Private Client Services in Woodland Hills, California. He is the author of How To Say It to Seniors: Closing the Communication Gap with Our Elders, published by Prentice Hall Press. For more than 20 years Solie has created and been the primary instructor for a variety of educational courses for the insurance and financial services industries. He is a graduate of the University of Colorado Medical School and a licensed physicians assistant with an advanced degree in clinical medicine. He can be contacted at dsolie@covad.net.
Holiday Blues - Depression in the Elderly
The holiday season is quickly coming upon us. If you are a caregiver for an elderly loved one, you may notice a change in your loved one's mood as the holidays approach. Perhaps you are one of many, who visit elderly parents and family during the holidays who live a distance away. When you visit you may notice that loved ones are not as physically active, or they show symptoms of fatigue or sadness and have no interest in the holiday or in their surroundings.
According to the National Institutes of Health; of the 35 million Americans age 65 or older, about 2 million suffer from full-blown depression. Another 5 million suffer from less severe forms of the illness. This represents about 20% of the senior population -- a significant proportion.
Depression in the elderly is difficult to diagnose and is frequently untreated. The symptoms may be confused with a medical illness, dementia, or malnutrition due to a poor diet. Many older people will not accept the idea that they have depression and refuse to seek treatment.
What causes depression in the elderly?It is not the actual holiday that causes depression, but the fact that holidays tend to bring memories of earlier, perhaps happier times. Additional contributing factors that bring on depression may be the loss of a spouse or close friend, or a move from a home to assisted living, or a change with an older person's routine.
Depression may also be a sign of a medical problem. Chronic pain or complications of an illness or memory loss can also cause depression. In addition, diet can also be a factor when proper nutrition and vitamins are lacking.
As an example, Selma’s husband passed away, a few months before Christmas. Her family lived close by and would call or drop in often to check on her. Selma seemed a little preoccupied and tired, but this was to be expected as she had been the caregiver for her husband for many years. It wasn’t until the family noticed that her holiday decorations were not out and her yearly routine of Christmas card writing was not happening that they began questioning her mental and physical well being.
A trip to her physician confirmed depression, caused by not only the loss of her spouse, but a vitamin B12 deficiency. There were both mental and physical reasons for her depression.
Symptoms to look for in depression might include:
Depressed or irritable mood
Feelings of worthlessness or sadness
Expressions of helplessness
Anxiety
Loss of interest in daily activities
Loss of appetite
Weight loss
Lack of attending to personal care and hygiene
Fatigue
Difficulty concentrating
Irresponsible behavior
Obsessive thoughts about death
Talk about suicide
How do you know if it is depression or dementia?Depression and dementia share similar symptoms. A recent article on Helpguide.org gives some specific differences:
In depression there is a rapid mental decline, but memory of time, date and awareness of the environment remains. Motor skills are slow, but normal in depression. Concern with concentrating and worry about impaired memory may occur.
On the other hand, dementia symptoms reveal a slow mental decline with confusion and loss of recognizing familiar locations. Writing, speaking and motor skills are impaired and memory loss is not acknowledged as a being problem by the person suffering dementia.
Whether it is depression or dementia, prompt treatment is recommended. A physical exam will help determine if there is a medical cause for depression. A geriatric medical practitioner is skilled in diagnosing depression and illnesses in the elderly. If you are a care taker of an elderly person it may be beneficial for you to seek out a geriatric health care specialist.
For more information on senior health services go to http://www.longtermcarelink.net/about_senior_health_services.htm
Treating depression in older people.Once the cause of depression is identified, a treatment program can be implemented. Treatment may be as simple as relieving loneliness through visitations, outings and involvement in family activities. In more severe cases antidepressant drugs have been known to improve the quality of life in depressed elderly people. Cognitive therapy sessions with a counselor may also be effective.
As a care giver or family member of a depressed older person, make it your responsibility to get involved. The elder person generally denies any problems or may fear being mentally ill. You can make the difference in and remove the Holiday Blues from seniors suffering from depression.
The Geriatric Mental Health Foundation offers a “Depression Tool Kit.” To read more about the tool kit and depression in the elderly go to http://www.gmhfonline.org/gmhf/consumer/depression_toolkit.html
According to the National Institutes of Health; of the 35 million Americans age 65 or older, about 2 million suffer from full-blown depression. Another 5 million suffer from less severe forms of the illness. This represents about 20% of the senior population -- a significant proportion.
Depression in the elderly is difficult to diagnose and is frequently untreated. The symptoms may be confused with a medical illness, dementia, or malnutrition due to a poor diet. Many older people will not accept the idea that they have depression and refuse to seek treatment.
What causes depression in the elderly?It is not the actual holiday that causes depression, but the fact that holidays tend to bring memories of earlier, perhaps happier times. Additional contributing factors that bring on depression may be the loss of a spouse or close friend, or a move from a home to assisted living, or a change with an older person's routine.
Depression may also be a sign of a medical problem. Chronic pain or complications of an illness or memory loss can also cause depression. In addition, diet can also be a factor when proper nutrition and vitamins are lacking.
As an example, Selma’s husband passed away, a few months before Christmas. Her family lived close by and would call or drop in often to check on her. Selma seemed a little preoccupied and tired, but this was to be expected as she had been the caregiver for her husband for many years. It wasn’t until the family noticed that her holiday decorations were not out and her yearly routine of Christmas card writing was not happening that they began questioning her mental and physical well being.
A trip to her physician confirmed depression, caused by not only the loss of her spouse, but a vitamin B12 deficiency. There were both mental and physical reasons for her depression.
Symptoms to look for in depression might include:
Depressed or irritable mood
Feelings of worthlessness or sadness
Expressions of helplessness
Anxiety
Loss of interest in daily activities
Loss of appetite
Weight loss
Lack of attending to personal care and hygiene
Fatigue
Difficulty concentrating
Irresponsible behavior
Obsessive thoughts about death
Talk about suicide
How do you know if it is depression or dementia?Depression and dementia share similar symptoms. A recent article on Helpguide.org gives some specific differences:
In depression there is a rapid mental decline, but memory of time, date and awareness of the environment remains. Motor skills are slow, but normal in depression. Concern with concentrating and worry about impaired memory may occur.
On the other hand, dementia symptoms reveal a slow mental decline with confusion and loss of recognizing familiar locations. Writing, speaking and motor skills are impaired and memory loss is not acknowledged as a being problem by the person suffering dementia.
Whether it is depression or dementia, prompt treatment is recommended. A physical exam will help determine if there is a medical cause for depression. A geriatric medical practitioner is skilled in diagnosing depression and illnesses in the elderly. If you are a care taker of an elderly person it may be beneficial for you to seek out a geriatric health care specialist.
For more information on senior health services go to http://www.longtermcarelink.net/about_senior_health_services.htm
Treating depression in older people.Once the cause of depression is identified, a treatment program can be implemented. Treatment may be as simple as relieving loneliness through visitations, outings and involvement in family activities. In more severe cases antidepressant drugs have been known to improve the quality of life in depressed elderly people. Cognitive therapy sessions with a counselor may also be effective.
As a care giver or family member of a depressed older person, make it your responsibility to get involved. The elder person generally denies any problems or may fear being mentally ill. You can make the difference in and remove the Holiday Blues from seniors suffering from depression.
The Geriatric Mental Health Foundation offers a “Depression Tool Kit.” To read more about the tool kit and depression in the elderly go to http://www.gmhfonline.org/gmhf/consumer/depression_toolkit.html
Friday, January 16, 2009
Caregiver Burnout - Adult Day Care Services to the Rescue
If you are a primary caregiver for a loved one, you are well aware of the daily stress and emotional and physical impact it can have on your health.
Susan learned this first hand when she and her husband, Tom, brought his Mom home to live with them. Mom suffered from dementia and had to be watched constantly. Susan found that when you become a caregiver, you start by giving up a few things you usually do for yourself to make up for the time needed for caregiving. Even though your service is one of love and you are willing to do the sacrifice on behalf of your loved one, you find yourself giving up a lot more as time goes on.
“As a caregiver,” Susan laments, “You are often frustrated that you can’t do enough for your loved one and so guilt and feelings of inadequacy set in. Couple that with feelings of being unduly burdened, of resentment, of stress and then of more guilt at having those feelings."
She continues, "Now don’t get me wrong, I am very glad that I spent those years in caregiving. There were many cherished moments with Mom that only I experienced.”
In order to enjoy those moments and sustain your caregiving momentum, a little respite is essential.
An article posted on About.com by Carrie Hill, PhD states:
“Caregivers who use respite care often tell me that although caregiving is one of the hardest jobs they've ever had, they wouldn't trade the experience for anything. Helping a family member or close friend who has Alzheimer's disease can provide a sense of purpose and great satisfaction. Still, the emotional and physical demands of caregiving make it hard to be a caregiver 24 hours a day, 7 days a week. Without respite care -- a temporary break from the demands of caregiving -- you may be more susceptible to the effects of caregiver stress, such as depression, exhaustion and other health problems.
Carrie Hill, PhD, About.com “Why Caregivers Need Respite CareGiving Yourself a Break Helps You and Your Loved One” Updated: August 3, 2008
Be on the lookout for caregiver burnout. It can creep up on you without your noticing it. Caregiver burnout symptoms can include:
depression
anxiety, irritability, or anger
feelings of exhaustion
self-criticism
Withdrawal from usual activities
trouble with handling caregiving responsibilities
substance abuse
The need for support for caregivers at home has received national recognition. State Human Resource Departments and Area Agency on Aging Services are offering more counseling and respite services for caregivers. The ARCH National Respite Services is also an organization that is reaching out to educate and support caregivers in many states. There is, however, one service that is highly valuable but very underused:
Adult Day Care to the Rescue!
Adult Day Care respite is two-fold. It gives the caregivers much needed time to themselves and gives their loved ones social and interactive therapy with their peers.
Many adult day services offer such things as:
Social activities; music, movies, crafts, excursions
Meals
Fellowship support
Assistance with daily living
Nursing care
Help with activities of daily living
Medications
Physical therapy
Transportation
Finding an Adult Day Services provider takes a little investigating on your part. It is important to know what you are getting and that your loved one is comfortable with his or her new surroundings.
First: Ask for recommendations.
Check with your local Senior Center, Area Agency on Aging Services, Mental Health Centers, Doctor, Clinic, Family, Friends and neighbors. The best recommendation is by someone who has used the adult day services or is familiar with those who run it.
Second: Call and ask the facility to send you information.
Ask specifically to be sent the application, eligibility requirements and payment information.
Ask to see the calendar of activities, menus, hours and days of operation are needed to be sure to fit your schedule.
Ask about availability of transportation to and from the location and what is the cost.
Ask who runs the facility. Is it private, non-profit or a franchise or part of an assisted living facility or a nursing home?
Third: Visit the Adult Day Care facility.
Go visit the provider location along with the person you are caring for.
See if the staff is friendly.
Check that it is clean and odor free.
Ask about the experience of the staff.
Request a list of references.
Fourth: Find out the cost and payment requirements.
A survey from NCOA/NADSA provides the following information on fees:
“Fees for Adult Day Care providers range from $25 per day to $70 per day, with the average around $50 per day. Many facilities provide services with a sliding fee scale.”
One last word of advice. Don’t feel guilty about taking your loved one to adult day care.
Susan’s mother-in-law complained bitterly about leaving home and going to the adult day care facility, expounding on how Susan just didn’t want her around anymore. This only increased the guilt Susan was already feeling, but Susan was also determined that she needed the respite time the day care would provide and they pressed forward. That evening as Susan picked up Mom and helped her into the car, Mom -- who suffered from dementia -- exclaimed, “That was the nicest resort I have ever been to!”
Susan learned this first hand when she and her husband, Tom, brought his Mom home to live with them. Mom suffered from dementia and had to be watched constantly. Susan found that when you become a caregiver, you start by giving up a few things you usually do for yourself to make up for the time needed for caregiving. Even though your service is one of love and you are willing to do the sacrifice on behalf of your loved one, you find yourself giving up a lot more as time goes on.
“As a caregiver,” Susan laments, “You are often frustrated that you can’t do enough for your loved one and so guilt and feelings of inadequacy set in. Couple that with feelings of being unduly burdened, of resentment, of stress and then of more guilt at having those feelings."
She continues, "Now don’t get me wrong, I am very glad that I spent those years in caregiving. There were many cherished moments with Mom that only I experienced.”
In order to enjoy those moments and sustain your caregiving momentum, a little respite is essential.
An article posted on About.com by Carrie Hill, PhD states:
“Caregivers who use respite care often tell me that although caregiving is one of the hardest jobs they've ever had, they wouldn't trade the experience for anything. Helping a family member or close friend who has Alzheimer's disease can provide a sense of purpose and great satisfaction. Still, the emotional and physical demands of caregiving make it hard to be a caregiver 24 hours a day, 7 days a week. Without respite care -- a temporary break from the demands of caregiving -- you may be more susceptible to the effects of caregiver stress, such as depression, exhaustion and other health problems.
Carrie Hill, PhD, About.com “Why Caregivers Need Respite CareGiving Yourself a Break Helps You and Your Loved One” Updated: August 3, 2008
Be on the lookout for caregiver burnout. It can creep up on you without your noticing it. Caregiver burnout symptoms can include:
depression
anxiety, irritability, or anger
feelings of exhaustion
self-criticism
Withdrawal from usual activities
trouble with handling caregiving responsibilities
substance abuse
The need for support for caregivers at home has received national recognition. State Human Resource Departments and Area Agency on Aging Services are offering more counseling and respite services for caregivers. The ARCH National Respite Services is also an organization that is reaching out to educate and support caregivers in many states. There is, however, one service that is highly valuable but very underused:
Adult Day Care to the Rescue!
Adult Day Care respite is two-fold. It gives the caregivers much needed time to themselves and gives their loved ones social and interactive therapy with their peers.
Many adult day services offer such things as:
Social activities; music, movies, crafts, excursions
Meals
Fellowship support
Assistance with daily living
Nursing care
Help with activities of daily living
Medications
Physical therapy
Transportation
Finding an Adult Day Services provider takes a little investigating on your part. It is important to know what you are getting and that your loved one is comfortable with his or her new surroundings.
First: Ask for recommendations.
Check with your local Senior Center, Area Agency on Aging Services, Mental Health Centers, Doctor, Clinic, Family, Friends and neighbors. The best recommendation is by someone who has used the adult day services or is familiar with those who run it.
Second: Call and ask the facility to send you information.
Ask specifically to be sent the application, eligibility requirements and payment information.
Ask to see the calendar of activities, menus, hours and days of operation are needed to be sure to fit your schedule.
Ask about availability of transportation to and from the location and what is the cost.
Ask who runs the facility. Is it private, non-profit or a franchise or part of an assisted living facility or a nursing home?
Third: Visit the Adult Day Care facility.
Go visit the provider location along with the person you are caring for.
See if the staff is friendly.
Check that it is clean and odor free.
Ask about the experience of the staff.
Request a list of references.
Fourth: Find out the cost and payment requirements.
A survey from NCOA/NADSA provides the following information on fees:
“Fees for Adult Day Care providers range from $25 per day to $70 per day, with the average around $50 per day. Many facilities provide services with a sliding fee scale.”
One last word of advice. Don’t feel guilty about taking your loved one to adult day care.
Susan’s mother-in-law complained bitterly about leaving home and going to the adult day care facility, expounding on how Susan just didn’t want her around anymore. This only increased the guilt Susan was already feeling, but Susan was also determined that she needed the respite time the day care would provide and they pressed forward. That evening as Susan picked up Mom and helped her into the car, Mom -- who suffered from dementia -- exclaimed, “That was the nicest resort I have ever been to!”
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