A Fond Farewell

To all the Trillium HomeCare staff, clients, fellow bloggers, and extended Trillium family, it’s time to say good-bye. After twelve incredible years, Trillium HomeCare will be closing operations. Making this decision has been extremely difficult but I will always be grateful for the many friends I have made along the way and for the wonderful memories I will take with me. To our clients, it has been an honor to serve you. We feel privileged to have been entrusted with your care. To our employees, your hard work and dedication to our clients have always made me proud to represent Trillium HomeCare. Providing our clients with the best care has been central to Trillium’s mission and couldn’t have been accomplished without your dedication to excellence. Take pride in your special calling as caregivers. I thank all of you and wish you the very best for the future.

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Identifying as a Caregiver

Currently in the United States, over 44 million Americans spend on average 20 hours per week caring for a loved one whether it’s a family member or a close friend. This care ranges from doing a few helpful things like preparing an extra meal or helping with shopping and house cleaning to more personal chores like bathing, toileting, dispensing medications and helping with medical matters. According to AARP, it’s family caregivers who provide over 75% of the unpaid “informal” care to those who need it. This amounts to an incredible 37 billion hours of unpaid care. For many caregivers the journey to caregiving is slow and gradual as they take on more and more of the daily responsibilities of helping a loved one age comfortably in their own home. For others, the route to “caregiver” happens in a tragic instant after their loved one faces a medical crisis. The average caregiver provides personal care and performs household maintenance chores for at least twelve hours a week for an average of 4.3 years. Despite all these figures, caregivers don’t see themselves as such. They view themselves as daughters or sons helping out or temporarily stepping in after some crisis. They’re doing what’s considered to be the norm as a loving family member. Yet this is all done despite the fact that they are juggling their own personal family life and a job. They can be certain of one thing – the caregiving doesn’t get easier. It generally gets more complicated and takes up more and more of their limited time. Eventually there is a price to be paid. The ever-growing burden of caregiving often results in stress related illness, emotional or mental health problems, and stressed family relations. For these reasons, it’s important for family caregivers to identify themselves as such. If you don’t think of yourself as a “caregiver”, you probably won’t take the next step of looking for support and information to help you along your journey. Fortunately, help is out there. A good starting point would be a family meeting to identify your loved ones needs and problems and to develop a plan for sharing responsibilities. There are many caregiver support groups, some of them on-line, that offer educational information and emotional support. You can connect with others who are also dealing with the same issues that you are facing. Adult respite care is available whether through a senior center or a home care agency. This would give you a temporary mental and physical break. So recognize your role and realize you are not alone and know that YOU ARE A CAREGIVER. Share below and visit us at http://www.trilliumhomecare.com

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The Spring Scammer

Spring has officially arrived today and along with the arrival of warmer weather, you can expect the onslaught of springtime scammers, especially if you are a senior. Seniors are in fact targeted disproportionately by scammers for several reasons. According to AARP, they control over 70% of the wealth in this country and are readily available since they’re retired and usually at home. Many are widows or widowers and not adverse to any friendly conversation. Seniors often have land line phones and generally don’t register with the “do not call” registry and this makes them easy targets for phone scams. Almost 3 billion dollars a year is lost by senior citizens as a result of scams!

The most common scam is the door-to-door sales pitch. Typically, someone shows up at the door offering a greatly discounted rate on services or products because they’re already working in the neighborhood and have leftover materials. Of course, this is a limited time offer and you have to act fast. The senior may be asked to pay up front. The problem is these salespeople move on and if there’s a problem with the work or if you don’t receive what they’ve sold you, you’re out of luck finding them. A variation on this scheme consists of what appears to be a utility worker claiming to be from the city or your utility company and claiming they need entry into the senior’s home or back yard to perform some sort of test or check some equipment. While the senior is occupied by the worker, an accomplice can easily ransack the house in search of valuables. Very often, the victim doesn’t know they’ve been robbed until days or weeks later when the scammers have long gone. If you are a senior or care for one, it’s important to take some preventive measures. Never allow a stranger entry into the home and be sure to demand identification from “city workers” along with a phone number you can use to verify what they’re claiming. If you’re caring for a parent or senior, stay informed about who they’re giving information to and caution them not to answer the door to strangers. It’s also a good idea to pull their free credit report to check if their identity has been stolen or their credit rating has been compromised by some illegal activity. Be safe and remember that if it sounds too good to be true, then it probably isn’t true. Do you have any other tips for dealing with scammers? Share below and visit us at http://www.trilliumhomecare.com

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Caring For The Caregiver

According to a report by Emblem Health, there are close to sixty six million caregivers in the United States. That means almost one in every three people provides personal care to a loved one or family member. Typically a caregiver’s job includes helping with transportation, grocery shopping, preparing meals, helping with medication, and doing housework. Personal care often includes helping their loved one get dressed, helping with a bath or shower, or help with getting to and from the toilet. The burden of providing all this care usually falls to family members who also have jobs to go to, their own homes and families to take care of, and often their own personal health issues to deal with. The stresses of dealing with all of these responsibilities can in fact turn a caregiver into a patient in need of help. It’s important for caregivers to realize that they must care for themselves and take steps to maintain their own health and well being if they want to be effective in caring for their loved one.

The most effective things a caregiver can do to help their own well-being is first, to accept the fact that they are human and cannot fix everything and second, take a break. A caregiver is not a miracle worker and needs to be realistic about what can be accomplished. Taking a break from caregiving responsibilities relieves caregiver stress and improves the ability to provide care. A break can be something as simple as taking some time to read a book or take a walk or getting some extra scheduled down time. Scheduling down time can be a few hours off or even better, getting regularly scheduled respite care. The respite care may involve using adult day care services for your loved one or regularly scheduling a home health care aide to take care of some of the responsibilities. The bottom line is that its important that the caregiver attends to their own personal health and well being without feeling guilty about getting some much needed help. What steps have you taken to care for the caregiver? Share below and visit us at http://www.trilliumhomecare.com

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Daylight Saving Time and Seniors


This Sunday, March 8th, starts the beginning of Daylight Saving Time for this year. Be sure to set your clocks forward one hour before going to bed Saturday night. Most of us get accustomed to this yearly time change with a few extra cups of coffee or if possible, an afternoon nap. Within a couple of days our bodies have adjusted and we’re back to the usual schedule. This isn’t the case with many seniors who are already dealing with sleep issues as they age and may have chronic conditions that lead to insomnia. Additional sources of sleep problems include medications, psychological issues like depression, and neurological illnesses such as dementia. Compounding these problems is the fact that as seniors get older they often develop “advanced sleep phase syndrome”. Their internal clock makes them sleepy earlier in the evening and wakes them earlier in the morning. Moving the clock ahead affects the senior’s circadian rhythm or natural sleep cycle. Because of daylight saving time, your loved one may have difficulty falling asleep earlier in the evening and more wakefulness in the early part of the night. This kind of sleep disruption can lead to grogginess, disorientation, and decreased ability to concentrate.

There are several things that can be done to adjust to the new “spring forward” time. Most importantly, get as much exposure to light during the day as possible. Natural sunlight suppresses your body’s production of melatonin which induces sleep. Keep window blinds open to sunlight and get outdoors if possible. Dim lights in the evening and avoid the bright lights of the television or computer screen before bed and be sure to use a night light in the bathroom at night instead of turning on overhead lights. If you find that you must take a nap, be sure it’s short and that you take it earlier in the day rather than later. You’ll be feeling hungry later in the day but be careful to avoid a heavy meal at least two to three hours before your bedtime. Stay away from caffeine after noon because it can affect your sleep for ten to twelve hours after consumption. Avoid alcohol before bed. Although it may help you fall asleep by relaxing you, it will actually make it harder for you to stay asleep. Limit the amount of liquids you consume for a couple of hours before you go to bed. Getting up to go to the bathroom is the major cause of waking at night for seniors. Following these suggestions should help your senior adjust more quickly to the time change but if the sleep schedule doesn’t return to normal in a few weeks, it may be time to consult your doctor. How do you adjust to the time change? Share below and visit us at http://www.trilliumhomecare.com

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Getting Family On Board

Being a caregiver for an aging friend or relative can often be a time consuming and daunting job. At least forty two percent of family caregivers spend more than thirty hours a week providing care and seventy six percent of family caregivers say they don’t receive help from other family members. This can make an already tiring job even more stressful not to mention the natural resentment that builds when you feel your siblings are leaving you alone to handle everything. Family dynamics can often play a part in determining who the primary caregiver is. According to the National Association of Geriatric Case Managers, in 99.9% of families, only one sibling takes on the responsibilities of providing care and it’s usually based on geography….the closer you live to mom and dad, the more likely you’ll be the one filling the role of caregiver. Other factors include your work and family situations, your own finances, and your marital status. Very often the problem of getting help from uninvolved siblings can be traced to an issue with communication. Once you take on the role of caregiver, the natural progression of things results in you taking on more and more work as your loved one ages and their health declines. If you just go about your daily tasks and don’t let your siblings know of any changes in your loved one’s condition over time, your siblings may just assume everything is fine and you don’t need any help. So they don’t offer any. It’s best to have a family meeting early in your journey to caregiving….before you are burned out and resentful. It would allow you to openly discuss what the future may hold and would allow family members to identify what their contributions to caregiving would be. Different family members have different talents and different ideas of what “help” means. It would also allow siblings the chance to indicate if there are any personal issues no one is aware of that may limit how much they can help. It’s important to be specific when talking about what would be helpful to you — general pleas for help are just too vague. If you need someone to drive your loved one to appointments or help with the grocery shopping, be clear about it. Don’t assume anyone instinctively knows what needs to be done. It’s important to be honest and try to understand differing points of view while keeping lines of communication open with your siblings. If you get to the point where you aren’t communicating with each other, your loved one is the person who will end up suffering the most. If siblings remain unresponsive or unhelpful, despite your best efforts to communicate with them, consider other options for getting help. Check into getting some in-home services and arranging some respite care. If you allow yourself to get burned out, you won’t be able to help your loved one. How have you gotten siblings on board with caring for your loved one? Share below and visit us at http://www.trilliumhomecare.com

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Cold Outside? Be Safe Inside

It seems like this winter is never going to end. Oddly enough, there seems to be no mention of Polar Vortexes on the weather forecasts. Maybe it’s just not newsworthy this year. We seem to get a fresh blast of frigid air every two or three days. With that in mind, we need to be especially vigilant about the problem of dealing with low temperatures while caring for a senior friend or relative. Most people know about the dangers of broken bones from slip and falls or the breathing problems older people can experience outside in the cold air. What we generally don’t think about is the hypothermia that can occur inside your own home.

Hypothermia is an unusually low body temperature which can result in illness or death. According to the National Institute on Aging, over 2.5 million seniors are especially vulnerable to hypothermia. As many as 25,000 of them die each year. According to the Center for Disease Control, when body temperature falls too low, it affects the brain and makes the victim of hypothermia unable to think clearly or move well. That means the affected senior doesn’t know what’s happening and isn’t therefore able to help themselves. When the body temperature drops to just a few degrees lower than the 98.6F that is normal, it can cause an irregular heartbeat leading to heart problems and death. Symptoms of hypothermia include shivering, confusion, fumbling hands, memory loss, slurred speech, and drowsiness.

Your loved one may be susceptible to hypothermia because older adults make less body heat due to a slow metabolism and less physical activity on their part. Their ability to feel a change in temperature decreases with age and some medicines they use can increase their risk of accidental hypothermia. These medications include drugs used to treat anxiety, depression, nausea, or heart problems. To make sure your loved one stays safe from hypothermia indoors, keep the thermostat between 68 and 70 degrees Fahrenheit. Make sure they wear several layers of loose clothing that will trap warm air between layers. Be sure they avoid alcohol and caffeine which can make them lose body heat. Place an easy-to-read thermometer in and indoor location so your loved one can check the temperature of the home often. Be especially careful that you check on your senior regularly since isolation can be life threatening in cold weather. Try to set up a regular call schedule so if a call-in is missed you’ll be alerted to a possible problem. Do you have any other tips for preventing hypothermia indoors? Share below and visit us at http://www.trilliumhomecare.com

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Communicating with the Elderly


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

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Saying “No” to Caregiving

According to a study by the National Alliance for Caregiving and AARP, there are over 44 million unpaid caregivers taking care of elders or someone with disabilities. Statistics show that the majority of care is provided by a family member with the primary caregiver being the youngest unmarried daughter or the oldest son. The closer the child lives to their parent, the more likely they are to become responsible for their parent’s welfare. If there are no local family members, friends often become caregivers. The path to becoming a caregiver can be slow with the caregiver gradually taking on more and more of the responsibility of caring for a parent as they age, or it can be sudden if a parent has a health crisis or suddenly becomes incapacitated. In both cases, neither the parent nor their child realizes there is a caregiver relationship going on. The ongoing care is basically born from a desire to keep a loved one safe and to provide the best care possible.

Very often, it’s not until the caregiver starts developing “symptoms” that they realize they are fully engulfed in their role as caregiver and are in fact dealing with the stress of that role. Some of the symptoms of caregiver stress include anger, fatigue, poor sleep or health, irritability, and depression. The caregiver may feel hopeless, thinking there’s no light at the end of the tunnel and may in fact want to avoid their loved one. If you are losing yourself to the job of caregiving, it may be time to say “no”. Even though you may be overwhelmed, that’s a pretty hard thing to do. After all, you’ve come to believe that only you can do the best for your parent. In fact, that’s not true. You need to realize and accept that you can’t fix everything that is wrong and there are limits to what you can do. Becoming a martyr helps no one. Your role as a primary caregiver is critical enough that your poor health will surely put your elder at risk also. It’s important to decide what’s reasonable for you to do and to assess other aspects of your personal life and see where your role as caregiver fits in. Set boundaries for your role and get help before you reach a breaking point. Getting help doesn’t mean you’ve failed as a caregiver or left a parent to fend for themselves. It just means that something has to change so that you can continue to be useful to the one you love. Have you had to say “no” as a caregiver? Please share your thoughts below and visit us at http://www.trilliumhomecare.com.

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SAD and the Elderly

During the winter season, you need to be on the lookout for signs of SAD in your elderly loved ones. SAD is the acronym for “seasonal affective disorder”. This is a form of depression usually seen in the late fall and especially in the winter. It is more common in women and those people who live in colder climates which generally get less sunlight and shorter days. SAD is not that typical let-down feeling you get after all the holiday rushing around is over. It lasts for many weeks and is characterized by a loss of energy, lethargy, sadness, increased sleepiness and an increased desire to eat carbohydrates. Doctors and mental health professionals believe that SAD is caused by the shorter days and longer nights of winter which disturb the body’s natural sleep cycle and result in less exposure to sunlight. In addition, the vitamin D that is produced by our bodies is greatly reduced due to the diminished amount of sunlight in the winter season. Vitamin D deficiency has been linked to both depression and obesity. Decreased sunlight also increases the level of melatonin in our bodies which in turn increases a tendency to sleepiness and to some extent depression. Seniors are more likely to be affected by these factors since they often are housebound and generally less active outdoors during the cold winter weather. In addition, as they age, their bodies become less efficient in producing vitamin D. If your loved one has SAD, the doctor may prescribe antidepressants but there are non-pharmacological things that can be done to greatly improve your senior’s mood. Using a “light box” for 30 to 45 minutes a day decreases the amount of melatonin that circulates in the body. The light box mimics the light spectrum of natural sunlight and makes up for its shortage in the dark winter days. Be sure to keep blinds and curtains open as much as possible to let in what sunlight there is. Set the chairs and furniture your senior uses in a location closer to windows to take advantage of any sunny days. Be sure they eat foods rich in Vitamin D such as fortified milk, tuna, salmon, mushrooms, and eggs. Check with your doctor as to whether a vitamin D supplement is needed. Perhaps the most natural aid for SAD is simply getting more sunlight. If weather conditions permit and your loved one’s mobility can accommodate it, try to get them outside for a period during daylight hours, particularly on sunny days. Both the sunlight and the exercise can help relieve the symptoms of depression. What have you found to be helpful in dealing with SAD? Please share your thoughts below and visit at http://www.trilliumhomecare.com

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