Tag Archives: independence

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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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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The Road To Caregiving

According to the US Department of Labor, over half of America’s workforce is involved in some way with caring for an aging parent or relative. Up to eighty percent of this help is unpaid and according to AARP, the average caregiver provides personal care and does household maintenance chores for at least twelve hours per week. The road to becoming a caregiver for a loved one is often winding with a son or daughter occasionally “helping out”. Your parents slowly age and adaptations are made to accommodate gradual changes in their abilities. Perhaps you offer to help with their banking or write out the bills. If they need groceries you offer to drive them to the store or pick up a few things for them yourself. Maybe you go to the doctor with them to make sure they clearly understand what the doctor has to say. At this point, you don’t view yourself as a “caregiver”. You’re just being a helpful child.

As time goes by and your “helping out” becomes a necessity, it will dawn on you that you are in fact a caregiver. You realize one day that if you stop doing all those helpful things, your loved one won’t be able to function on their own. You now feel obligated to do all these things or to make arrangements so that they do get done. Your loved one’s daily functioning is now your personal responsibility. Welcome to the world of caregiving. You will soon realize what a demanding job this is particularly because you’ll also be juggling a job, family, and personal issues of your own. If your parent or loved one suffers a medical crisis, your level of providing care will rise dramatically. Although your desire may be to tackle this job totally on your own, doing that will surely result in stress, exhaustion, and even physical illness. No matter how much you love someone, where will you find all the hours in the day that you and your loved one need? Be careful not to allow yourself to reach the point of total exhaustion. If you use up all your time and energy to be a caregiver, you will no doubt be robbing you and your loved one of quality time that could otherwise be spent with each other. Be aware there will come a time when it makes sense to get some help. Be wary of taking on so much that you lose sight of your well meant goal of providing the best of care which your loved one both needs and deserves. The road to caregiving is long and full of potholes. Don’t let yourself get run over. Please share your thoughts and experiences below. Visit us at http://www.trilliumhomecare.com

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The Caregiver at the Doctor Visit

According to the Census Bureau, there are over 43.1 million persons in the United States that are 65 years of age or older. The elderly population is expected to double to 80 million when all the “baby boomers” have reached their elderly years. Due to advances in medical science these baby boomers will be living longer and that translates into huge numbers of people living with chronic conditions like arthritis, diabetes, osteoporosis, or dementia. A large population of chronically ill older people means that more and more seniors will be dependant on others for help with their activities of daily living – in short, they’ll have a caregiver whether it’s a family member or a professional from an agency.

Caregivers are now and will increasingly in the future be an important component of doctor visits for the elderly. According to a study by Jennifer Wolff, PhD of the Johns Hopkins Bloomberg School of Public Health, doctor visits that include caregivers are an increasing trend that has important benefits. Her study showed that visits that included a caregiver lasted at least 20% longer and resulted in less social conversation between the doctor and the senior and more biomedical information being given to the patient. This is really important because a trip to the doctor is all about communication and the exchange of information. Doctors need information from patients to provide an accurate diagnosis and to provide treatment options. The patient needs to be able to clearly discuss and understand what’s going on. This is where the caregiver’s presence can be very valuable.
A caregiver can help the senior with every aspect of the visit beginning with getting ready for the visit by gathering all the necessary medical history information and making a list of current medications and by preparing a list of symptoms for the doctor along with any questions the senior may have. During the visit, the caregiver can make notes for the senior and can remind them of any symptoms they may have forgotten and can relate to the doctor any changes in the senior’s general health and abilities. In effect, the caregiver is a second set of eyes and ears and can request further clarification about the diagnosis, treatment options, and what can be expected down the line. After the visit, a caregiver can support the senior’s compliance with the doctor’s instructions by encouraging them to follow the prescribed course of treatment along with taking their medications as prescribed and by helping them further understand the doctor’s instructions if necessary. This in turn can help reduce possible hospital readmissions.

According to the study by Dr. Wolff, seniors and loved ones who have been accompanied by a caregiver to a doctor ended up being more satisfied with their overall care and were shown to be more likely to remember important information after their visit to the doctor. Please share your thoughts and experiences below and visit us at http://www.trilliumhomecare.com

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Time To Hire A Professional Caregiver?

Hindsight is 20/20 but it’s important not to get to that point when it comes to making care decisions for an elderly parent or loved one. Very often, by the time you’ve made the decision to get some help from a professional caregiver, you’re already past the point of burnout. You’re more exhausted than you ever thought could be possible and you wonder why you didn’t get help sooner. Guilt very often plays a part in your delayed decision because you feel it’s something you should have been able to do for your loved one so they could remain comfortably in their homes as they aged. Your role as caregiver slowly and almost imperceptibly increases and perhaps on a deeper level you don’t want to see that your loved one needs more help than you can give. Be careful not to miss the signs that your parent or loved one can’t go it alone.

*How’s their personal hygiene? Do they bathe regularly or is there an odor about them? Is hair combed and are teeth brushed? Are they wearing the same clothes for days on end?
*Is the house clean and being maintained? Is there a lot of clutter or unopened mail? Is the garbage taken out on a regular schedule? Is there an odor of urine when you step inside?
*Are nutritional needs being taken care of? Is there any spoiled food in the refrigerator? Is there food in the cupboard? Have they lost any weight and are they remembering to eat?
*Is your loved one able to drive safely? Are there any unexplained dings or dents in the car? Do they get to where they’re going without incident? Do they get lost in familiar location or when traveling a route they’ve taken many times before?
*Do they miss any doctor or dentist appointments? Are they able to follow the doctor’s directions? Do they take their medications as prescribed? Do they remember to get prescriptions filled?
*Is your loved one maintaining a social life? Do they stay in contact with friends and relatives or have you become their sole source of human interaction? Have old hobbies or interests gone by the wayside?

If you see some of these changes, it may be time to get some help. There is nothing to be gained from ignoring the signs. Getting some help to keep your loved one safely in the home they want to be in, is truly an act of love. Please share your thoughts and experiences below. http://www.trilliumhomecare.com

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Older Adults and Medications – Part I

When you are younger and in need of medication for an illness or injury, things are pretty simple. You go to the doctor, get a diagnosis, fill your prescription, and a few days later you’re feeling better. If you get a headache or pull a muscle at the gym, you pick up some over-the-counter analgesics and in a bit you’re back to your busy life good as new. It never occurs to you to monitor what you’re taking because you’re not taking a lot of medications with a lot of frequency. That changes as you reach your senior years. As you get older, it’s typical to be dealing with more than one chronic condition resulting in taking multiple medications which are very often prescribed in multiple doses. In fact, the average older person takes at least four prescription medications and at least two over-the-counter drugs on a regular basis. Seniors over 65 are responsible for the purchase of 30% of all prescription drugs and over 40% of all over-the-counter drugs. You can see where this is going. As you get older or someone you care for enters their senior years, it becomes increasingly important to manage medications.

Seniors are particularly vulnerable to problems with medications for a variety of reasons. The more medications are taken, the greater the odds are that they may have an interaction that could be dangerous if not unpleasant. It’s not uncommon for a senior to simply stop taking a medication because of its side effects. Between 40% and 75% of seniors stop taking their medications at the right dosage and the right schedule. This issue is compounded by the fact that older adults are more sensitive to drugs because of their now slower metabolisms and organ functions, thus keeping drugs in their system for longer periods of time. Physical problems such as poor vision or a weak grip due to arthritis can result in dosing errors. Cognitive and memory issues can prevent the older adult from following the doctor’s orders and since so many seniors live alone there’s no one to assist them with nor monitor their use of drugs. Simply forgetting is a major reason medication doses are skipped by the elderly. With an increased number of chronic conditions the typical older adult sees a number of different physicians — the endocrinologist for their thyroid, the cardiologist for their heart problems, and so on. Multiple doctors equal multiple medications that can conflict with each other. You can see why studies have shown that any combination of these factors causes 30% of hospital admissions of older adults. It’s apparent that being able to manage an older adult’s medications is critical to their well being and even their ability to remain independently in their own home. Next time we’ll talk about which medications to be especially cautious about and what action you can take to help keep your senior safe with their medication. Visit us at www.trilliumhomecare.com

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Isolation In The Elderly

According to the study “A Review of Social Isolation” by Nicholas R. Nicholson, which was published in The Journal of Primary Prevention, over 40% of Seniors who live at home are living in isolation. This is an alarming statistic in light of the fact that there is an increasing trend for seniors to “age in place” and the senior population in the over 65 age group is predicted to more than double in the next 25 years. The alarming part is that social isolation is a major health problem in older adults and is expected to dramatically increase in the near future. Studies have proven that this isolation and resulting lack of social activities can be directly linked to an increase in cognitive decline. In addition, by not belonging to a social network seniors don’t benefit from the positive encouragement of their friends to comply with healthy practices such as not smoking or staying active. Another health risk of isolation is depression which can worsen many conditions that seniors suffer from such as chronic pain, diabetes, heart disease and dementia.

Isolation can happen for a variety of reasons—some by choice and some as a result of unexpected events. The death of a spouse often leaves the mate feeling alone and so sad that they can’t bear to keep up their old friendships with others. It’s also not uncommon for children to live a long distance away leaving get-togethers something that happens during the holidays or vacations. Getting older with now impaired vision or hearing can prevent a senior from driving and thus limit opportunities to get out. Problems with urinary incontinence may make it seem inconvenient to go anywhere and sleeping issues at night may make daytime drowsiness a deterrent from outside activities. If there are any safety issues with crime in the neighborhood, the senior may be reluctant to leave their home.

If you know or care for a senior living alone, there are things you can do to help prevent their isolation from the community. Encourage them to stay connected whether by phone or email or Skype. Make sure to regularly schedule and keep doctor and optometrist appointments so that vision or health problems are dealt with and won’t keep the senior house bound. Encourage involvement with others, whether it’s the local senior center or church group. If transportation is a problem, check into public transportation or community based volunteer drivers.If your senior is capable of and interested in caring for a pet it can give them a sense of purpose. It’s amazing how many people you meet just out walking the dog! You may also consider hiring a companion from a home care agency to assist with transportation and running errands or simply to provide some social contact and interaction. Small changes add up and make a big difference. Social isolation doesn’t happen overnight and can’t be remedied overnight. Do you have any tips on how to keep your loved one involved in life? Share below and visit us at www.trilliumhomecare.com

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The Spring-Time Visitor

Now that it’s officially Spring, although you wouldn’t know it judging by the temperatures, it’ll soon be time for all the door-to-door salesmen to make their appearances in your neighborhood. Not all door-to-door salespeople are scammers, but many unfortunately are. If your elderly parent or loved one lives alone there are some alarming statistics you need to be aware of. According to the Federal Trade Commission, over 25 million Americans are victims of fraud every year. Over thirty percent of them are seniors despite the fact that they make up only eleven percent of the population. According to AARP seniors make especially good targets for a variety of reasons. For one thing, they’re easier to get to since more of them are at home at any one time than other age groups that aren’t retired. Statistically, they’re widows or widowers who may be lonely and more receptive to someone striking up a friendly conversation. Most importantly, older people own more than half of the assets, such as homes and savings accounts, in the United States. This all makes them the perfect target of scammers.

There are some warning flags to look for when that smiling face tries to sell you a magazine subscription or warns you that there are some exterior repairs your home needs that you didn’t know about. And don’t forget the uniformed “utility workers” offering the free energy audit. Be cautious about what personal or financial information is revealed if you hear any lines similar to these:

*This is a limited time offer and you need to act fast.
*You need to pay up front.
*We’re working in the neighborhood and noticed you have a problem.
*The price is discounted because we had leftover materials from a job down the street.
*We can take care of the paperwork when the job is done.
*If I sell the most, I’ll win a prize.

No matter what, don’t let a stranger into your home and be aware that all legitimate sales offers include documentation. This includes identification for both the sales person and the “company” they represent and a permit if required by the city you live in. Be sure there is a written contract and all the terms are spelled out clearly, including price and warranties. If you are inclined to being a soft touch, just don’t answer the door to strangers. No one’s life has ever been negatively impacted by not responding to a door-to-door salesperson. Be safe. Share any tips you may have and visit us at http://www.trilliumhomecare.com

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A Caregiver Crisis?

There’s been a lot in the news lately about an impending “caregiver crisis”. What is this crisis and why are we going to have it? Basically, the caregiver crisis refers to the fact that in the foreseeable future we’re going to have more people needing caregivers than the number of caregivers that will be available. According to a report by the Paraprofessional Healthcare Institute, there will be a need for 1.6 million more direct-care workers in 2020 than were needed in 2010. That’s a whopping increase of 48 percent. The AARP corroborates this statistic. It estimates that currently there are 7 people aged 45-64 available as caregivers for anyone who is 80 years old or older. By 2030 there will only be 4 people available. There will soon be more of us needing help with fewer family members or “informal” caregivers available to give it.

Why is this happening? The major cause is the change in population demographics. According to AARP, women who were in their early 80’s in 2010 had an average of 3 children. By 2030 that average will be down to 2. There will be fewer younger people to take care of the older ones with more than 8,000 Americans turning 65 every day. With this in mind, the Weinberg Foundation predicts that by 2020, the United States will need more caregivers than either law enforcement professionals or teachers. The demographics of family members now often living long distances from each other also increases the need for paid caregivers. The close knit family with grandma or grandpa living with immediate family no longer is the norm. The days of the “Waltons” are over.

Changes in healthcare have also played a role in this crisis. People are being discharged from hospitals sooner and sooner, often with complicated care needs. As a result, families bear more and more responsibility for caring for family members recovering from serious illnesses or living with chronic health concerns. Advances in health care mean that we are living longer and caregiving is no longer a short-term process but rather something that can last decades. Are you prepared to deal with this impending disaster? Share below and visit us at http://www.trilliumhomecare.com

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