For adult children, going home for the holidays is usually a time filled with family togetherness and remembrances of past times. It’s a chance to reconnect with parents and other family members. It’s also a great opportunity to observe first hand how your parents are doing both physically and mentally and also assess if they need any help. Don’t be shy about checking on them — in fact, be nosey. Look in the refrigerator to see if any of the food is expired and check if the pantry is well stocked with nutritious foods or if there are containers of half eaten fast foods. How’s the housekeeping? Is it at its usual level of cleanliness or is there more visible clutter? Notice if there are piled up dishes or garbage that isn’t being taken out. Trust your gut feelings. Does it look like your parents need a housekeeper? If they’re still driving, get a quick look at the car. Are there any unexplained dents or scratches? Have they ever gotten lost while on their way to a familiar location? Check the medicine cabinet and medication dispenser if they have one. Are medications being taken as prescribed? Ask your parent what their medication schedule is. Verify that they know what it is and check if it actually matches what medications are there. Take a close look at your loved one. Are they well groomed and wearing clean clothes? Do they seem like their usual selves or are they more confused, less energetic, or even depressed? Observe how your loved one moves around. Is it hard for them to get up from a chair or do they seem to wince in pain as they make their way across the room? Take note of how they communicate with you. Are they able to maintain a conversation or do they need you to fill in the names of people or things when they talk to you. These are all red flags that something may be going on and that they may now need some assistance. Take this opportunity to make arrangements with you family members and siblings to have a frank discussion about your loved one’s future. Your family members may note more changes they noticed themselves. Get together after the holiday and share concerns and discuss what your options are and how you can best help your loved ones whether it involves making modification to the home or getting outside help. Don’t miss this opportunity to be proactive versus waiting for a crisis to occur. Share your thoughts below and visit us at http://www.trilliumhomecare.com
As our parents and loved ones grow older it may become apparent that it’s getting harder to communicate with them. As they age, communication becomes more difficult due to changes in their physical health, some cognitive decline, or even bouts of depression. Half of adults over the age of 75 have some hearing loss. In fact, it’s the third most common chronic condition in seniors. Fourteen percent of seniors over the age of 71 have some degree of dementia which affects communication because of the gradual deterioration of memory, attention, and perception which accompanies the dementia.
With some extra time and patience on our part we can compensate for these communication issues. This is so important because communication is vital to perform many of the functions of day-to-day life. First and foremost, try to be aware of your senior’s health issues and make an effort to overcome any barriers to clear communication. Pay attention to the environment you’re in. Reduce any background noises that can serve as distractions such as the television or radio. If need be, move to a quieter location or different room. Sit face-to-face with the person you’re talking with. Reading lips is actually used by all of us to some degree and facing each other allows your senior to readily see your lips. It also allows you to maintain eye contact and allows the other person to read your facial expressions. Speak clearly and pronounce your words carefully at a moderate rate. Speak with a comfortable volume without shouting.
Make your statements clear and uncomplicated. You may have to rephrase something if it’s clear you’re not being understood. Complicated phrases or questions can easily confuse someone who has some hearing loss or short-term memory issues. Stick to one topic at a time and keep your sentences and questions short. Be patient and give your senior the time and opportunity to respond. If they want to reminisce a bit, don’t cut them off. Remember to smile and speak to your loved one with respect and kindness. Do you have any other tips for good communication? Share below and visit us at http://www.trilliumhomecare.com
If you are caring for an elderly parent or a relative who can’t live on his or her own, you’ll soon been entering the most stressful time of the year for you. The traditional holiday season between Thanksgiving and New Year simply compounds your already stressful life in a number of ways. You’re already trying to keep the delicate balance between your job, your family life with its demanding schedule, and your efforts to properly care for your loved one. Add to this mix all the holiday preparations, family get togethers, and dicey winter weather, and you’ve got the perfect combination for caregiver stress. With some planning you can increase your chances of surviving or even enjoying the holidays.
Perhaps the best thing you can do is accept the fact that the holidays needn’t follow the same cookie cutter pattern every year. Different is okay. Endless days of cooking and baking followed by hours and hours of gift buying excursions aren’t necessary. Take some short cuts – shop online, order out, and enlist the help of family and friends. You don’t have to accept every holiday invitation you receive nor do you have to invite a massive crowd to family gatherings. Sometimes just dealing with family dynamics during gatherings can be enough to wear you down. There may be those who are long on criticizing what you do as a caregiver but short on actually offering any help. If so, take the opportunity to ask for help and be specific about what would be helpful to you. You may be surprised with a cooperative response. Don’t be shy about getting family members on board.
There are practical things you can do to make the season run more smoothly. Simplify, simplify, simplify. Cut back on how much holiday decorating you’ve traditionally done. Keep gatherings at a smaller, more manageable scale, and suggest potluck meals with everyone bringing a dish. Try to stay organized by keeping a to-do list to help you stay in control of your time. Adjust the time of day gatherings are held to accommodate what works well for your loved one. Don’t neglect yourself. Eat well and get enough sleep. Try to fit in some “me-time” so you can de-stress. Use the resources that are out there whether you call on family and friends or enlist the aid of an in-home agency. Give yourself a break. After all, caregivers deserve a holiday too. Do you have any tips for surviving the holidays? Share below and visit us at http://www.trilliumhomecare.com
If you’re caring for a parent or a senior, there will come a time when you will have to become involved in managing their medication. When the opportunity arises, check the medicine cabinet or drawer where they keep their medications. Are there any duplicate bottles of drugs with some missing while other bottles of the same medicine are full? This is a sign that medications are not being taken as prescribed but prescriptions are just being refilled. Do any bottles have a mixture of medications? This is dangerous because some medications may interact with each other before they’re even consumed. Are there any bottles of expired medications? Are there any unlabeled containers or baggies with a jelly bean assortment of drugs in them? These are all warning signs that it’s time for you to become involved in managing your loved one’s medications.
This is a particularly important issue for seniors because seniors over 65 are responsible for the purchase of 30% of all prescription drugs and over 40% of all over the counter drugs. They typically deal with multiple chronic conditions that result in taking several medications often prescribed in multiple doses. Studies have shown that between 40% and 75% of seniors fail to take their medications at the right dosage and on the prescribed schedule.
The first and most important step to take to successfully manage the medications is to make a list of every drug your senior consumes. This includes prescription drugs, over the counter medications, and any vitamins and herbal supplements. This list needs to be taken to the doctor every time the senior goes to the doctor. It needs to be reviewed by the doctor and the pharmacist for any possible interactions or side effects like dizziness or lightheadedness. Check the labels of the medication bottles. Are any of the same drugs found in several medications? For example, many over the counter medications for colds and sinus problems contain acetaminophen which is the drug in Tylenol. If your loved one uses both at the same time, they’re doubling up on medications. That can be dangerous. Check with the doctor whether a prescribed drug continues to be needed and don’t make any changes or adjustments on your own. Be sure to let the doctor know if you notice any medication affecting your senior in some new or unsafe manner.
Use the same pharmacy for all prescriptions so their computer system can check for possible drug interactions and open the bag the prescription comes in right there at the pharmacy before you go home. According to the University of Connecticut School of Pharmacy, up to 5% of filled prescriptions involve some sort of error. Make sure the name on the prescription bottle matches the name on the bag. If the pills look different from what you’re used to, talk to the pharmacist. Don’t pass up the counseling from the pharmacist. You need to be clear on how the drug should be taken, for how long it should be taken, and what side effects may be expected. If your senior has multiple medications, a divided pill box can serve to remind them of what to take and when to take it. Following these steps will help you manage your senior’s medication and make sure they get the right medications at the right time and in the right amount. Share your experiences below and visit us at http://www.trilliumhomecare.com
According to the Center for Disease Control (CDC), in seniors over the age of 65, falls are to be blamed most often for non-fatal injuries and hospital admissions. Even worse, two thirds of senior accidental deaths result from injuries sustained from a fall. In hard numbers, that’s almost 20,000 deaths and more than two million emergency room visits at a medical cost of over $28 billion dollars a year. Of fall related injuries, hip fractures are the most common and have the most long term effects with only a quarter of seniors who suffer a hip fracture making a full recovery. Almost half of these seniors will lose their ability to walk and 40% of them will require care in a nursing home. This is definitely a major concern for our rapidly increasing senior population that needs to be addressed.
Preventive measures can be taken once you can identify the major risk factors for falls. Medical issues such as poor vision, heart disease, arthritis, dementia, and diabetic neuropathy can cause mobility and sensory problems that can lead to falls. General inactivity on the part of the senior also leads to muscle weakness and inflexibility and increases fall risks also. Certain behaviors, such as alcohol use and interactions of medications pose a fall risk. Perhaps the most controllable risk is the senior’s environment. This includes hazards in the home and improperly sized walkers and canes.
By reducing these risk factors, falls among seniors can be significantly reduced. Several studies have show that an exercise program such as Tai Chi combined with strength training exercises increases mobility and flexibility while increasing muscle strength. Basically, moving more allows you to not only move more but also to do so with increased safety. Having medications reviewed by the senior’s doctor and pharmacist can identify possible side effects and problematic interactions. If necessary, alternative medications may be prescribed. Taking vitamin D3 supplements has been shown to reduce the risk of sustaining a fracture among women. A comprehensive vision exam can detect the presence of glaucoma, macular degeneration, and other vision issues that can increase the risk of falls. The senior’s home can be modified by adding stair railing, increasing lighting, eliminating clutter, and removing scatter rugs. Adding grab bars in the tub/shower area provide stability for getting in and out of the tub. A combination of these strategies can reduce fall risks on many levels and go a long way toward allowing a senior to remain safely at home. Please share your thoughts below and visit us at http://www.trilliumhomecare.com
According to AARP, over 70% of the wealth in this country is controlled by seniors. That statistic alone is more than enough reason for senior citizens to be targeted by scammers. In fact, while most crime victims fall in the 18-35 year old age bracket, the victims of the scammers are disproportionately senior citizens. Scams targeting senior citizens generally spike during the summer months.
Some of the most common scams include the “grandparent” scam, the “lottery scam”, and the “utility” scam. In the grandparent scam, the con artist typically calls a senior and tricks them into providing personal information by saying something like “Hi Grandma, this is your favorite grandson”. When Grandma responds with “Hi Tony” (freely supplying a grandchild’s name) the con artist then claims to be that grandchild and lets Grandma know he needs cash for some sort of emergency while swearing Grandma to secrecy so his parents won’t find out. Scammers prey on the grandparent’s fear that their grandchild may be in trouble and needs help. In the lottery scam, the scammer informs the senior that they’ve won a foreign lottery. They then request money to be wired to cover taxes and fees. In addition, the scammer may ask for banking information in order to supposedly direct deposit the winnings. Foreign lotteries are illegal and this scam steals a person’s identity and allows access to personal finances. According to the Better Business Bureau, over $100 million dollars is scammed from unsuspecting “winners” on a yearly basis. In the utility scam, a caller pretends to be from one of the local utility companies and claim there’s a past due amount. They demand immediate payment to prevent a service shut off and require the payment be made through a Western Union MoneyGram. These scams and others like them have cost senior citizens over 2.9 billion dollars a year. This figure will certainly rise as more an more baby boomers reach their senior years and the pool of available victims grows.
The best defense against scammers is knowledge. With that in mind, the Better Business Bureau will now be producing a series of videos with reenactments of scams that target seniors. The videos will include alerts and information on how to recognize the signs of a particular scam. The first video reenacts the “lottery” scam and can be viewed on BBB’s Facebook page at Facebook.com/bbb1936. When it comes to senior scams, knowledge definitely is power. Please share your thoughts below and visit us at http://www.trilliumhomecare.com
In our culture, getting your driver’s license at 16 is a rite of passage that most teens look forward to. It’s a symbol of independence and represents the freedom to go places and do things. It becomes a major key to social activities, shopping, and even getting a job. This is true throughout our entire adult lives and especially true for aging seniors. That’s why seniors are so reluctant to give up their car keys, even if they suspect they should.
Although there is no specific age at which seniors need to stop driving, statistics by the Hartford Insurance Corporation show that in seniors over the age of 75 there’s a much greater risk of being in a car accident with every mile driven. The risk is about the same as for new drivers between the ages of 16 and 24. This increase in accidents is due primarily to the aging drivers’ decrease in senses, multiple chronic health conditions, and increased medication consumption. There are warning signs to look for that will let you know your loved one needs to give up the keys or to at least decrease the amount of driving they do. It’s a good idea to take a ride with them and see for yourself how they’re doing. Do they drift into other lanes or straddle two lanes? Do they drive particularly slowly or unduly fast for the road conditions? Do they fail to use their turn signal or do they leave it on without changing lanes? Do they ignore or miss traffic signs or traffic signals? Do they make sudden lane changes? Does your senior get disoriented easily, even when in familiar places? Have there been any “warnings” by the police? Are there any unexplained dents or scrapes on the car?
If you see any of these warning signs, it’s time to have that dreaded conversation about giving up the keys or at the very least minimize the amount of driving your senior does. Until that time when your loved one gives up their keys there are things they can do to help minimize the risks. Encourage them to limit their driving time to the daytime and not during rush hours. Get them to drive only during good weather and optimal road conditions. Make the trips short and use the most direct but safe routes. Keep the radio turned off and minimize the number of passengers in order to reduce distractions. Basically, apply the same strategies with your senior driver that you would apply to a novice teenaged driver. It’s also a good idea to have the pharmacist review your senior’s medications to determine if they can affect their driving. Making these gradual changes may allow your senior to ease into giving up driving. Surrendering the car keys is a major life change. It makes good sense to reduce the risks well before a major crisis mandates an immediate change. Please share your thoughts and experiences below. Visit us at www.trilliumhomecare.com