Alzheimer’s is a real problem facing real people every day. If you or someone you know has faced it, you understand the emotional toll it takes. When we came across one couple’s journey, it touched us so deeply that we spent two full days capturing their love story to be shared with the world. His Love was Stronger than Alzheimer’s
John and Kerry McNeely learned of Kerry’s Alzheimer’s in 2014, shortly after a trip to Europe. Soon after, John sought help for her at Silverado. At the memory care community, he was able join a family support group to openly discuss his experience. During one of those meetings, he put his thoughts on paper — words he didn’t realize at the time would touch more than 100,000 lives.
Elder Care
Chores can be a struggle for elderly adults. When elderly adults can’t keep up with housekeeping, or no longer wish to perform certain chores, they often turn to family members or care professionals. Some of the most common tasks seniors need help with include doing the dishes, running laundry, changing the bed, vacuuming the house, and running errands. Should Family Caregivers Perform Household Chores
When should family caregivers or care professionals help with chores for seniors? And when should seniors be handling housekeeping tasks on their own? While the answer’s not always clear cut, here are a few things to consider when it comes to elderly health and household chores.
Chores Have Risks & Benefits for Seniors
There’s a range of reasons why family caregivers should help elderly adults with chores. At the top of the list are health concerns. Chores can be physically strenuous tasks, some more so than others. Seniors with physical limitations, like limited mobility, may not be able to perform certain chores. Other health conditions can lead to safety risks. For instance, frail seniors could risk serious injury if they overexert themselves.
Lower down the list of reasons seniors may need assistance with chores is comfort. Elderly adults with arthritis, for example, may request assistance with housekeeping tasks that aggravate joint pain. Others may say that they don’t have the energy to keep up with chores any longer. Finally, there are cases of personal preference. Many older adults wish to spend less time on chores in their golden years, allowing them to spend more time on activities that bring them joy.
This is where things can get tricky for family caregivers. Why? Because chores play a crucial role in elderly health and well-being. Simple chores — like folding clothes, doing the dishes, or tidying up around the house — all count as light physical exercise. In one recent study, all it took was 30 minutes a day of light exercise to lower seniors’ risk of mortality by 12%.
Here’s where things get even more interesting. According to the study’s authors, chores accounted for more than 55% of how seniors got physical exercise. In other words, if your average senior stopped doing household chores all together, they’d get less than half as much physical activity. That’s why what is often the best solution is for family or professional caregivers to provide supportive assistance to ensure chores are being completed.
Housekeeping Guidelines for Family Caregivers
Given the above information, some family caregivers may feel uncertain or uneasy about whether or not they should help with certain housekeeping tasks. Here are some simple guidelines that you can keep in mind to simplify the issue.
- Household chores aren’t the only way to get light physical activity. If seniors already get plenty of light and moderate exercise, they don’t need to worry as much if they stop performing chores or receive assistance to make completing chores easier.
- Likewise, seniors who wish to perform fewer housekeeping tasks can offset the health drawbacks by taking up other forms of exercise, like walking or gardening.
- If seniors aren’t keeping up with housekeeping tasks, it is often the healthier choice to have family or friends help to get chores completed. Healthy seniors need healthy homes, and this way, you know that chores are being completed.
- If seniors suffer significant pain or discomfort from certain chores, family caregivers shouldn’t hesitate to perform these chores when asked.
- It is crucial that housekeeping assistance is provided to seniors who cannot perform certain chores on their own, or who cannot perform chores safely.
If an elderly loved one requires assistance with housekeeping, family caregivers or friends may be able to perform these tasks instead. Otherwise, families may need to look into professional caregiver services.
Companion care services are a popular option in these situations. Companion care is provided by professional caregivers, who are knowledgeable in caring for elderly adults. These services typically cover tasks like helping to make meals, wash dishes, do laundry, and do light housekeeping. Companion care also provides the added benefit of friendly conversation, transportation to activities or appointments, and someone to spend time with.
To connect with a qualified companion care provider in your area, we encourage you to contact your local Visiting Angels®. Simply call 800-365-4189 today or find your local Visiting Angels office to learn more and schedule a free in-home consultation.
Should Family Caregivers Perform Household Chores
Should Family Caregivers Perform Household Chores Should Family Caregivers Perform Household Chores Should Family Caregivers Perform Household Chores Should Family Caregivers Perform Household Chores Should Family Caregivers Perform Household Chores Should Family Caregivers Perform Household Chores Should Family Caregivers Perform Household Chores Should Family Caregivers Perform Household Chores Should Family Caregivers Perform Household Chores Should Family Caregivers Perform Household Chores
If you are a caregiver to your aging parent, you know that you need to be organized to juggle everything on your plate. However, did you know that it will be beneficial to everyone involved if your aging parent or loved one is also organized?
Many people think that once they retire, they don’t need to be organized anymore. The thing is, if you have appointments and rely on people to assist you, the more organized you are, the better off everyone is. A caree’s organization system doesn’t have to be as in depth as a caregiver’s system. They just need to figure out a system for managing appointments, medical needs, transportation and everything else that it takes to run their home.
I had several clients who were formerly executive assistants in their careers. I also had clients who ran a home like a business. The thing that they had in common was that they knew how to keep track of things when they had a lot of balls in the air. Now, if your aging parent has never really had an organization system – which, let’s face it, many people don’t – it can be hard to get started.
Organization Strategies for Aging Parents
If your loved one isn’t used to having a system, he/she may be resistant. I get it. While I’m a total organizing geek, my mom is not. She runs late for everything, she has little slips of paper with notes everywhere and we usually have to make at least two trips to the grocery store on a holiday for forgotten items. Now, I’ll never make her a list-making, planner geek like me, which is perfectly fine, but I do try to find ways to help her get important things sorted.
Here are some organization tips that can help your aging loved one manage their care and life.
(This post contains affiliate links, which means I may receive a small commission if you make a purchase at no additional cost to you. Your purchase helps me provide caregiving advice free of charge.)
- Keep a calendar. If your loved one has several appointments, they need some sort of calendar system to stay organized. I’ve seen everything from a large desk pad calendar that has plenty of room for notes and is good for those with vision problems, to a small pocket calendar that fits in a handbag, to a desk-size appointment book. It doesn’t matter what your caree uses as long as there is enough room to write notes and they keep it in a place that they –and you – can easily access.
Don’t rely on memory alone. As we know, our brains change with age, so relying exclusively on your memory can be challenging. If your parent is defensive about memory issues, here’s another reason to get them to write things down – writing things down takes things out of their brain, which can reduce their stress levels. In addition to writing down things like medical appointments, your caree can write down when and where to refill prescriptions, make a list of medications, times and doses and keep track of when bills are due. If you haven’t downloaded them before, give them a copy of my free Caregiving Made Easy Prescription Tracker and FamilyMedicalFile to help them get started. - Create a routine or daily system. Your aging parent may not go to work every day, but there are still things that he/she may need to handle that may get forgotten. I had a client who did specific activities on specific days. For example, Mondays were laundry day, Tuesdays were bill paying day, Wednesdays were bathroom cleaning day, etc. While it may seem extremely type A, it actually was great because she never over did it and she never forgot to do something. Your caree may also want to have a daily routine to stay on task and feel productive. A sample routine can look like this: breakfast, medication, clean up kitchen, free time, lunch, daily walk, daily task, free time, dinner prep, kitchen clean up. This way, your parent doesn’t lose the day in front of the TV every day.
- Make lists. Even if your aging parent isn’t normally a list maker or planner, keeping lists is a great idea. Consider picking up a small notebook for your aging mother’s purse or a regular notebook for the kitchen table. Title the tops of the pages for them and they can then just write things down as they come up. For example, there can be a list of “Things to discuss with the doctor,” or “Things that need repair at home,” or “Appointments to make,” or “Groceries.” The “list” goes on and on. That way, when they are going to the doctor, they can tear out that list and take it with them or you can pick up the grocery list before you head out on a shopping trip.
- Make information easily accessible. I know these days we all have phone numbers stored in our phones, but it is still a good idea to keep a list of phone numbers easily accessible next to the phone. I had a client whose children taped a long list of phone numbers next to the phone. The list included everything from each of their home, work and cell numbers to phone numbers for doctors, pharmacies, service providers (plumber, landscaper, etc.). That way, if a paid caregiver is in their home, they can reach a family member easily or call the plumber if necessary. You can also do this with a TV schedule (your parent’s favorite show, time and network) or instructions to use the TV, tablet or computer.
- Have homes for important things. If your aging parent is a bit of a clutterbug, create a few spaces that are just for specific things. My parents have a tray where all of their mail goes. Mail may stay in there for months and months, but at least they know where to look if they need to find a bill or invitation. If your parent takes many medications, put them all in one place with the list of medical information. You don’t need to go in and re-organize their home or declutter everything, just make sure that important things are in easily accessible places and everyone knows where they live.
- Create a medication system. If your aging parent takes a variety of medication, it can be difficult to stay on top of everything. Keeping track of medication with the Caregiving Made Easy Prescription Tracker is critical. It can be dangerous to miss a medication or take it improperly.
Once you have the basics down, there are small organization tweaks you can make to ensure your parent is organized enough. Again, you aren’t trying to change your caree, you’re trying to help them manage their condition or maintain their independence.
Here are some helpful tweaks they can make to simplify things even more:
- Put together a medication schedule, which includes times to take medication and any details specific to that medication (example, take with food, don’t take with citrus, etc.). Keep the list next to the medication and keep everything together.
- Use nail polish to write the first letter of medication on the top of the bottle so that your parent can see what they’re taking if the lights are low or if they have vision problems.
- Consider a pill distribution tool that rings when it is time to take a pill if your parent forgets to take medication.
- Come up with a weekly schedule for household chores together and put it up where your parent can see it.
- Purchase automated tools to help take some of the load off your parents. For example, gift your parent a Roomba so that they don’t have to keep up with regular vacuuming or purchase cleaning wipes for different rooms so that they don’t have to lug cleaning products around. You may even want to consider getting your parent an Amazon Echo so that your parent can order things like paper towels or dish soap when they run out (if they have Amazon Prime, shipping is free).
Organization doesn’t have to be hard. Find organization strategies that will work for your aging parent to make sure they are able to follow through. The more organized your caree is, the easier things will be for you.
For example, if your parent books a medical appointment and immediately puts in on his/her calendar, you can check the calendar during your visit to see if you need to take time off to take them to an appointment or if someone else can handle it. No more last-minute scrambling.
Study Finds Seniors Need In-Home Medical Care — But Face Few Options
At Visiting Angels, we know the importance of in-home care, and we know that for millions of American seniors, it is important that care comes to them and not the other way around. Thankfully, the market for non-medical in-home care is bigger than ever. Now, housebound or mobility-limited seniors are able to get much of the support and care they need in the comfort of their own homes.
But when it comes to doctor’s visits, it’s a completely different story. These days, it’s almost impossible for seniors to receive an in-home visit from a physician — something that would have seemed unthinkable mere decades ago.
According to a new study, American seniors have almost no options when it comes to in-home medical care. This has left housebound, frail, and mobility-limited seniors — a number researchers estimate may be as high as four million — incredibly vulnerable in terms of their personal health. Home Care Options
Fewer than 1% of Doctors Offer Routine House Calls
There was a time in America where you didn’t go to the doctor — instead, the doctor came to you. As recently as the 1960s, house calls made up 40% of all doctor-patient visits. But nowadays, few physicians will even make a house call, and even fewer offer house calls as a regular part of their routine.
According to Medicare data compiled, analyzed, and reported by researchers from three institutions (the University of Virginia, Johns Hopkins, and UCSF), fewer than 1 out of every 100 American physicians offers routine house calls. This leaves housebound or mobility-limited seniors with few options for in-home medical care — if any at all.
In fact, the researchers found that the majority of housebound seniors live more than 30 miles from a physician who performs regular house calls. This means that they are more or less out of reach when it comes to regular check-ups and medical care.
The study’s authors say that their findings reflect a major shortcoming of the health care system. The researchers say this not only puts housebound seniors at risk but also contributes to ballooning health care costs. The authors argue that increased house call availability would reduce the emergency calls placed by housebound seniors, who make up many of Medicare’s costliest patients. Home Care Options
Non-Medical In-Home Care Readily Available
Ironically, while medical in-home care is now near-impossible to acquire, there is currently a wealth of non-medical in-home care options for American seniors. At Visiting Angels alone, our caregivers serve the non-medical needs of thousands of American seniors every day.
But as America’s choice in home care, we’re also aware that senior health and well-being depends on high-quality medical care for our clients, many of whom suffer from mobility limitations or disadvantages.
“Non-medical in-home care services go a long way toward keeping seniors comfortable and healthy — but high-quality medical care is essential,” says Visiting Angels President and CEO, Larry Meigs. “It’s our hope that the type of care needed by our clients becomes more readily available in the coming years.”
The authors of the study agree. Aaron Yao, the lead author of the study, says that expanding house calls by physicians would not only be cost-effective, it would also have a positive impact on quality of life.
Visiting Angels non-medical in-home care services are offered in communities across the United States. Get in touch with us today to connect with your local provider.
Home Care Options
A few weeks ago, a reader asked, “Can you tell me the differences between a geriatric care manager and a patient advocate? I hear the two terms frequently and wonder if they are the same?” Here are the basic differences:
A Patient Advocate can assist anyone of any age – not limited to someone who is elderly, or at least over a ‘certain age,’ as a geriatric case manager would be.
A Geriatric Care Manager does not focus strictly on healthcare. Their work is broader with some emphasis on finances, housing, and other aspects of life that change as we age.
A Geriatric Care Manager serves as stand-in provider when families cannot be around.
The list of tasks include:
- Conduct care-planning assessments to identify needs.
- Put a care plan together; executing that plan.
- Screen and monitor hired personal caregivers.
- Act as a liaison to families.
- Assist with moving clients to or from different care settings.
- Review financial, legal, or medical issues and referring clients to experts.
- Provide crisis intervention.–Provide client and family education.
- Visit clients on a regular, routine basis to make sure they are safe, doing well, eating properly, and taking needed medications.
- Make necessary medical appointments and assure client gets to them.
- Identify agencies and/or social services and other programs that the client can use.
- Monitor the elder’s finances and paying bills.
Patient advocates help navigate all areas of the healthcare industry including,
- Help you research and select the best health insurance.
- Track paperwork and records.
- Review medical bills for accuracy.
- Negotiate medical bills with your providers.
- File insurance, social security, and disability claims.
- Dispute and negotiate claim denials.
- Research diagnosis and all treatment options.
- Assist you in getting a second opinion.
- Prepare and accompany you to doctor’s appointments.
- Provide hospital bedside monitoring.
- Review your medications.
- Provide End of Life planning, and assist with the paperwork (i.e. living wills, POST, DNRs, Advance Directives, etc.)
- Make recommendations for in-home care, assisted living facilities, or nursing homes.
The individuals who hire a geriatric care manager include families and adult children of relatives too far away, banks and trust officers, physicians, attorneys, hospitals, social service providers, gerontology professionals, and senior housing communities.
Individuals hire patient advocates when they want help finding a new doctor, in the hospital and have no one nearby to check on them, confused about the medications and concerned about allergic reactions, need help searching and selecting a specialist, need help navigating the clinical trial landscape, or need help securing financial resources for treatments.
Carol Marak, aging advocate, syndicated columnist, and editor at Seniorcare.com. She earned the Fundamentals of Gerontology Certificate from UC Davis, School of Gerontology.
Get on the waitlist for my Facebook subscription group or my weekly newsletter and learn how to plan for aging well. Send an email to carol@seniorcare.com and say you’re interested in the group or newsletter.
Top 3 Tips for Fall Prevention
Falls can cause serious injuries that take a long time to heal. They can lead to permanent mobility problems that prevent your enjoyment of hobbies and/or limit your ability to drive, shop, cook or bathe. Top 3 Tips for Fall Prevention
Falls are usually the result of spatial orientation miscalculations, dizziness, vision issues, imbalance, poor mobility and/or foot traffic obstacles.
Check Your Health
If you have arthritis, osteoporosis, hypoglycemia, diabetes, blood pressure fluctuation or another condition that can affect your ability to walk, ask your doctor about symptom management methods. If you’re otherwise experiencing symptoms that make you feel like you’re going to fall, see your doctor immediately for an examination. Lastly, ask your doctor or pharmacist about stand-alone and combination medication side effects that can cause falls and any available alternatives. If you have limited options, change lifestyle habits to improve your chances of staying upright.
Stay Physically Active
You’ve probably heard the statement: “If I stop moving, I’m done.”
This attitude is actually good because those words are correct and relevant at any age.
Sedentary behavior causes leg and overall body weakness. It can also cause dizziness by compressing veins and arteries; thereby, stopping the movement of important oxygen-rich blood. Low activity can also damage the nerves responsible for movement and pain management. When these issues occur, they reduce your strength, flexibility, coordination and ability to walk confidently without wobbling, tilting or falling.
Regular physical activities like walking, water workouts or Tai Chi can go a long way toward fall prevention. A physical therapist can help you find the best types of activities to prevent falls based on your health, age and other factors.
Change Home Habits
Your home’s layout and the types of appliances and other items you use can also cause falls.
Move or remove anything that can cause you to slip or trip, such as throw rugs, coffee tables, book piles and umbrella stands, and re-position cords and cables along baseboards. Choose assistive devices that make walking safer like canes and walkers. Glue a non-slip bath mat to the floor of your tub or shower. Additionally, install handrails in places where you walk or rise from a seated position so you have something to grasp if you feel like you’re about to fall.
Some of our favorite products to prevent falls include:
Top 3 Tips for Fall Prevention
Top 3 Tips for Fall Prevention Top 3 Tips for Fall Prevention Top 3 Tips for Fall Prevention Top 3 Tips for Fall Prevention Top 3 Tips for Fall Prevention Top 3 Tips for Fall Prevention Top 3 Tips for Fall Prevention Top 3 Tips for Fall Prevention Top 3 Tips for Fall Prevention Top 3 Tips for Fall Prevention Top 3 Tips for Fall Prevention
When people think and talk about senior care, they usually focus on physical support services. Care is typically framed as assistance for seniors with frailty, disability, or mobility concerns. But physical assistance is only half of the equation to quality senior care. Caring for seniors’ mental and emotional health is often just as, or even more, important than physical care and support. Elderly Mental Health: The Forgotten Half of Senior Care
That has been underscored by a recent study out of Munich, Germany. Researchers found that a person’s psychological health had a far bigger impact on how they rated their own well-being than their physical health. Elderly Mental Health: The Forgotten Half of Senior Care
The goal of senior care shouldn’t just be keeping seniors physically healthy — it should also allow seniors to enjoy their golden years and feel comfortable while aging in place. To do that, the conversation around senior care needs to include a wider and more serious focus on seniors’ mental health.
Expanding the Conversation Around Seniors’ Mental Health
In recent years, conversations around elderly mental health have helped change the way people think about senior care. Issues that used to be brushed off — like anxiety, insomnia, and loneliness — are now regularly talked about. These issues and their effects on elderly well-being are also subject to an increasing amount of research. That research has made clear that mental health issues can seriously impact seniors’ ability to find joy, comfort, and a sense of purpose in their later years.
But studies haven’t just found a link between psychological health and emotional well-being. Research has also shown that mental health can have a serious impact on seniors’ physical welfare. Studies have demonstrated that loneliness, depression, anxiety, stress, addiction, and insomnia are all linked to poor physical health outcomes in seniors. Seniors who suffer from senior isolation, for instance, have their average lifespan reduced at a similar rate to those who smoke or suffer from obesity.
Despite progress and increased awareness, there is still plenty of room for growth. We still attach far too much stigma to mental health — in the elderly and everyone else. As a result, seniors hide mental health concerns and family members often avoid asking questions when they sense something might be wrong.
That means we need to push the conversation forward. We need to treat issues like elderly depression with the same compassion, attentiveness, and urgency that we treat conditions like emphysema or diabetes. Only then will we be able to give seniors the care they need.
Changing the Way We Approach Senior Care
Changing the way we approach elderly mental health starts with all of us. Everyone — from senior care professionals to family caregivers, to seniors themselves — has a role to play in addressing this issue. Here are just a few ways we can start:
- Families can have more open conversations about mental health. Make a conscious decision to educate yourself on different conditions and to approach these conversations with a non-judgmental mindset.
- Family caregivers can start paying closer attention to signs of emotional and mental health concerns. That involves asking elderly loved ones questions about how they’re feeling, then making those feelings a core focus of care.
- Family caregivers should also focus on self-care for their own emotional and psychological needs. Doing so will help them become better caregivers, avoid caregiver burnout, and get more out of life.
- Senior care providers and professionals should encourage industry-wide education about how elderly mental health affects the well-being of seniors.
- Professional education and training should be encouraged so that caregivers understand the best strategies for managing these concerns.
- Senior care agencies and independent caregivers should expand their range of programs to include more services that focus on seniors’ psychological and mental well-being.
At Visiting Angels, we’ve incorporated these takeaways into our senior care services. When designing a custom care program for each client, we adopt a comprehensive perspective that includes physical, mental, and emotional needs. We also offer senior care programs that are built specifically for mental and emotional health concerns. Our companion care program, for instance, provides the regular human contact, compassion, and assistance that many seniors need to overcome feelings of loneliness, isolation, and reduced self-worth.
As always, if you believe a loved one is in danger due to depression, anxiety or another mental health concern, please contact their doctor immediately.
If you feel that senior care services could help your loved one remain engaged, upbeat and positive, we encourage you to contact your local Visiting Angels office and learn more about services available in your area. Elderly Mental Health: The Forgotten Half of Senior Care
Elderly Mental Health: The Forgotten Half of Senior Care
Elderly Mental Health: The Forgotten Half of Senior Care Elderly Mental Health: The Forgotten Half of Senior Care Elderly Mental Health: The Forgotten Half of Senior Care Elderly Mental Health: The Forgotten Half of Senior Care Elderly Mental Health: The Forgotten Half of Senior Care
In a recent study, Shannon Hallaway, Ph.D., a researcher at Rush University School of Nursing, found that higher levels of physical activity done as a part of normal life is associated with more gray matter in the brain. This randomized control group of 262 participants with a mean age of 81 participated in activities and common daily undertakings such as gardening, walking pets and doing general housework. As volume of gray matter in the brain decreases with aging, anything that provides an increase in a valuable tool – particularly when dealing with Alzheimer’s and other diseases that cause large decreases in brain mass.
While we can’t be sure that it will hold true for those who are younger, it still holds promise that the specific physical activity is less important for cognitive health than the fact that physical activities are done. So, let’s all get moving!
The aging population rapidly increases and between 2015 and 2050, the number of older adults will double from about 12% to 22%. This is an expected increase from 900 million to 2 billion people over the age of 60. Older people face special physical and mental health challenges which need attention.
The World Health Organization says over 20% of adults aged 60 and over suffer from a mental or neurological disorder, excluding headache disorders, and 6.6% of all disability attributes to mental and neurological disorders. The most common mental and neurological disorders in this age group are dementia and depression, which affect approximately 5% and 7% of the world’s older population. Anxiety disorders affect 3.8% of the older population, substance use problems affect almost 1% and around a quarter of deaths from self-harm are among people aged 60 or above.
Maintaining your mental health is vital because mental health effects every aspect of your life. When your mental health is in good shape, your physical health, relationships and overall quality of life tend to also be in good shape.
Health promotion – The mental health of older adults improves as one becomes more active and focuses on healthy aging activities. Mental health-specific well-being for older adults involves creating living conditions and environments that support healthy lives. Promoting mental health depends largely on strategies to ensure that older people have the necessary resources to meet their needs, such as:
- Provide security and freedom;
- Adequate housing through supportive housing policy;
- Social support for older people and their caregivers;
- Health and social programs targeted at vulnerable groups such as those who live alone and rural populations or who suffer from a chronic or relapsing mental or physical illness;
- Programs to prevent and deal with elder abuse.
Tools and Tips for Maintaining Good Mental Health
Enhance Sleep – As people age they tend to have a harder time falling asleep. It is a common misconception that sleep needs decline with age. So, what’s keeping seniors awake? Changes in the patterns of our sleep – what specialists call “sleep architecture” – occur as we age. Sleep disturbance among the elderly attributes to physical and psychiatric illnesses and the medications used to treat them.
Add meditation to your daily regime, along with exercise.