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Older Adults and Depression

by Kendall VanBlarcom
written by Kendall VanBlarcom

Depression can happen at any age and many older adults find they are experiencing symptoms, including a decrease in energy and a reduced interest in hobbies and friendships.

Feeling sad and lonely isn’t a normal part of aging. The truth is having hard times can happen to anyone, at any point in life, regardless of their societal status, income level, or achievements. The difference is, sometimes when you get older, there can be more life challenges. Losing a loved one or having health issues, for example, may exacerbate depression symptoms. If this sounds familiar, reach out for help to improve your life.

Grief and Depression

Loss is incredibly painful, and this is true of losing someone we love or losing something within our own experience, such as our independence or career.

Grief can manifest in a wide range of emotions. You might be happy for a day or two and then feel bad again. Know that grieving is normal, but if your feelings of sadness extend over a long period of time, is constant, and negates all feelings of joy in your life, you could be an older adult suffering from depression.

What Are the Symptoms of Depression?

If you recognize the signs of depression it can lead to getting help sooner. While symptoms can vary from person to person (some experience one or two, others more) keep in mind the following are all signs something is wrong.

  1. Feelings of sadness
  2. Physical aches and pains, unrelated to a physical issue
  3. Not being interested in hobbies or friends
  4. Lack of energy
  5. Oversleeping or not being able to sleep enough
  6. Feelings of worthlessness
  7. Using alcohol or drugs to try to lessen pain
  8. Not bathing or taking care of personal hygiene
  9. Memory issues
  10. Weight loss or weight gain

Older Adults Can Improve Their Lives

You can always make lifestyle changes, whatever phase of life you are in. Just as a young person can learn and change so can older adults. The brain is always adapting and you can take steps to make changes for the better, even when you are an older adult with depression. Talk to a professional and work to make adjustments on your own, if you can.

Engage with the world through volunteering. Or join friends or family members for a meal, a concert, or a walk through the neighborhood. If you can’t think of who to call, consider joining a support group to be around others who are experiencing similar issues.

Also, try to infuse meaning into your life by learning new things and getting involved in the community you live in (and not dwell on missing a community from your past). You could learn to paint or take a foreign language class.

As you feel better, it will be easier to change your daily physical habits as well. Get exercise, moving your body every day when possible, and eat healthy meals by reducing carbs and sugars while boosting proteins and complex carbohydrates.

You don’t have to be an older adult experiencing depression, you deserve a happy life.

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Senior man looking at doctor adjusting bed while sitting on wheelchair

Diabetic Wound Management in Long-Term Care

by Guest Blogger
written by Guest Blogger

Caring for a wound is important for people of any age, but for diabetics, and especially seniors it’s crucial. Older patients living in long term care facilities are often not physically active, and some are completely bed bound. According to the American Diabetes Association (ADA), long term care facilities are host to a larger number of seniors dealing with diabetes.

For these patients, the risk for developing pressure ulcers or bed sores, and diabetic foot ulcers (DFUs) is much higher than the general public. Since many are not up and moving around regularly, blood flow is decreased. Remaining prone or sitting in one position too long can open the door to skin irritations which could lead to infection.

During this time of uncertainty surrounding the coronavirus and social distancing, many may wonder about the care they or their loved ones will receive from healthcare professionals at a long-term care facility. When regular checks are done, it’s difficult if not impossible to maintain social distancing. Top healthcare providers have had to adapt to this new threat and are making great strides in this area of wound management.

Who’s at Risk

Wound care is considered for those who have developed a wound that hasn’t begun to heal within two weeks or is not completely healed at the six-week mark. For diabetics, it’s difficult to manage wounds as high blood sugar (hyperglycemia) could lead to nerve damage and a loss of feeling.

Chronic wounds such as pressure ulcers (bed sores) and diabetic foot ulcers are quite common in long term care facilities according to the National Center for Biotechnology Information (NCBI) website. These types of facilities tend to see higher numbers of patients with type 2 diabetes. Uncontrolled diabetes can result in an impaired healing processes.

The rise in occurrence can be attributed to wounds such as venous leg ulcers, arterial insufficiency, DFLs and pressure ulcers, as well as the fact that the numbers are on the rise for seniors requiring surgery. This puts them at higher risk for infection and wound healing complications.

Many residents have compromised immune systems, which in the current time of social distancing makes them at high risk for developing the coronavirus. These patients have a higher likelihood of developing serious complications. Too much stress can also play a part in the body’s ability to heal. Changes in facilities, new care team members, and the worries about the pandemic can put added stress on older patients.

Careful Evaluation

The complication of potential wounds makes careful patient evaluation a requirement. Skin assessments and risk evaluation for those who are at risk of developing pressure ulcers is crucial, especially when a patient changes facility.

The NCBI suggests evaluating patients on the following Braden Scale criteria:

  • Sensory – how well they communicate sensory input and sensation level
  • Moisture – the degree of moisture the skin is exposed to
  • Activity – how active the patient can be considering the degree of allowable mobility
  • Mobility – how easily they able to change positions
  • Nutrition – patients normal diet intake
  • Friction or shear – how the patient moves

 

Senior patients must be observed regularly, even while maintaining safety precautions and proper distancing. Healthcare professionals are required to answer several short questions, pass a temperature check, and are expected to follow CDC and hospital recommendations for safety and sanitization during these unprecedented times.

Secondary complications can lead to a slow down in the ability to heal. Long term care facility staff need to be aware of any additional complications so they can properly evaluate and treat these issues. By working to control secondary issues, they can increase the chances of timely healing of wounds.

Delivery of Care

Reducing complications is key to wound healing and avoiding infection while battling the risk of the coronavirus. By treating the conditions of both diabetes and wound care, seniors will have a higher chance of healing. According to the National Institute of Diabetes and Digestive Kidney Diseases (NIDDK), diet is a key component for controlling diabetes. If left uncontrolled, diabetes could hinder healing.

Healthcare professions should take into consideration a patient’s nutritional and fitness needs when evaluating them. Ensure a proper diet is being followed and caloric intake is monitored. While many long-term care facility residents are unable to exercise, physical therapy can help to keep the body moving and promote healing. Through proper care and consideration, wound care can be managed, and diabetes can be controlled in a long term care setting.

 

Author: Tracy Rairigh is a medical, business, and technical writer with a Writing in the Sciences Certificate from the University of Stanford Medical. With over 150 published articles in wound care, health and wellness and a degree in Engineering, she has a vast array of knowledge to pull from.

 

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How Dangerous is Social Media to Seniors’ Well-Being?
Aging

How Dangerous is Social Media to Seniors’ Well-Being?

by Richard Bitner
written by Richard Bitner

Ten years ago, few people would have predicted that seniors would become some of social media’s most passionate users. But a study last year by Pew Research Center found that 62% of online seniors are on Facebook. Other studies show that social media use among seniors is rising at a rapid rate. How Dangerous is Social Media to Seniors’ Well-Being?

As more and more seniors use social media, there are growing concerns. Most research indicates that social media improves quality of life for elderly adults. But some senior care professionals are increasingly worried about the dangers that social media could pose to seniors’ well-being.

Is Social Media Good or Bad for Seniors?

On the whole, social media seems to have a positive effect on seniors’ well-being. Internet use has been shown to reduce seniors’ risk of depression by as much as 33%. One study found that seniors who use Facebook show marked improvements in cognitive function. Another study found similar results when seniors were trained to use email, Skype, and Facebook.

Social media also opens new avenues for seniors separated from children and grandchildren by long distances. Facebook makes it easy to keep in touch with family members. Video-calling is particularly popular with seniors, who use services like Skype to connect with their grandchildren. And in recent years, tech-focused senior care services have made using social media easier and safer than ever for elderly adults.

So why are some people concerned about the dangers of social media for elderly well-being?

Social Media and Depression in Seniors

One common concern is that social media could, over time, make seniors more depressed. When researchers have surveyed social media users of all ages, they’ve found that more social media use is linked with higher risk of depression. However, this concern might be overblown among the elderly — after all, research has found that online seniors are less depressed than others.

A study out of the University of Missouri might explain why. In that study, researchers found that the risk of depression only rose in social media users who were using sites like Facebook to compare themselves to others. Depression was tied to an increase of jealous feelings and lower self-esteem. If users were using social media primarily to keep in contact with others, their risk of depression did not increase. Since most seniors use social media for keeping in contact with family and friends, it makes sense that most seniors aren’t at high risk of depression due to social media use.

Social Media and Senior Isolation

A much bigger concern is how social media affects seniors’ in-person interactions. Senior isolation is a serious problem among the elderly, one with devastating health effects. Social media use can alleviate some of these effects, but it’s not enough. Seniors need to regularly spend time in the physical presence of others to avoid the emotional, mental, and physical effects of senior isolation.

If seniors and their families start to treat social media as a replacement for in-person interaction, that could put a greater percentage of seniors at risk for feelings of isolation and loneliness.
“There are obvious benefits to social media use among seniors,” says Larry Meigs, CEO and President of Visiting Angels. “If social media is used to augment in-person contact, that’s fantastic. But there’s a real concern that seniors and their family members might have less of these interactions the more they rely on social media.”

Senior Care Tips for Social Media

Ultimately, social media is a positive tool for seniors, families, and senior care providers. But it’s something that should be approached with a degree of caution. If social media is your loved one’s main avenue for social interaction, or if you’ve noticed they’re spending less time with others now that they’re on Facebook, it may be time to consider a change.

Spending more time with your loved one is always a welcome solution. But it might not be enough. If you live far away or have a busy schedule, frequent visits aren’t always practical. In these cases, you might encourage your loved one to spend more time with friends and acquaintances. You could even suggest they join a local club or organization that you think they’d find enjoyable.

Finally, you might consider companion care services, a specialized form of senior care that helps the elderly avoid isolation by providing conversation and companionship in the comfort of home.

To learn more about social media assistance for seniors and companion care services offered in your area, contact your local Visiting Angels today.

How Dangerous is Social Media to Seniors’ Well-Being?

How Dangerous is Social Media to Seniors’ Well-Being? How Dangerous is Social Media to Seniors’ Well-Being? How Dangerous is Social Media to Seniors’ Well-Being? How Dangerous is Social Media to Seniors’ Well-Being? How Dangerous is Social Media to Seniors’ Well-Being? How Dangerous is Social Media to Seniors’ Well-Being?

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Walk Your Way to a Clean Bill of Health
Exercise & Fitness

Walk Your Way to a Clean Bill of Health

by Guest Blogger
written by Guest Blogger

Do you think you could walk 4 extra steps per minute while you’re awake each day? That’s 4 steps, not city blocks or country miles.

Because research shows those 4 extra steps could drop your risk of; diabetes by 23%, stroke by 22%, and even heart disease by 17%!¹

Here’s how we know that:

A few years back, the Mayo Clinic published a startling chart that revealed how various diseases could be avoided by walking an extra 3,000 and 6,000 steps each day. If that sounds like a lot, in the grand scheme of things, it’s not!

According to an international study of 717,527 people in the journal Nature, Americans walk an average of 4,774 steps per day . And to enjoy the 23% decreased risk of diabetes the Mayo Clinic calculated in their study, you’d need to add 3,000 steps to your current total.

It’s Easier Than You Think

Now, let’s assume you’re up for 12 hours in a day. You wake at 7am and go to bed at 7pm. Perhaps it’s more, but let’s say 12 hours for the sake of argument:

That means you’re awake for 720 minutes. So if you walked 4.2 extra steps in each of those minutes, you’d reach the 3,000 extra step mark!

And get this:

If you doubled that to 6,000 extra steps per day, you’d nearly HALVE the chance of dying from diabetes — decreasing your risk a whopping 46%! What a small “price” to pay to avoid a possibly life-threatening disease.

While the research shows the most impressive improvements with diabetes, there’s also positive news for other common ailments. An extra 6000 steps a day decreases your risk of stroke by 30%, heart attack by 20%, and heart disease by 25%.¹

For those who prefer not to slave at a gym or who aren’t as mobile as they once were, this is great news. And if you already love walking, then this news is a bonus. Plus, it reinforces the great work you’ve been doing!

How To Tell If You Will Benefit

Now, you may be wondering, “How do I know whether I’ve walked an extra 3,000 steps or more?” Good question. As you may know, there are several technologies that can track your steps (the “Fitbit” watch is a popular one). If you have a smartphone like an iPhone or an Android, there are applications you can download that can also track your steps for you:

iPhone: Argus, Stepz, and even the “Health” icon on all iPhones can count steps and distances.

Android: Runkeeper, Step Counter, Pedometer, and more.

Another “bonus” about walking is that it’s good for your bones ! In fact, walking is probably the simplest, most accessible thing most folks can do to strengthen their bones.

You can’t increase bone density by walking, but you can help maintain bone density and strengthen existing bone with weight-bearing exercises like walking.

So why not try to fit 4 more steps into each minute of your day? It could literally save your life!

By Monica Straith, BS, PT

Monica is the Content Manager and Fitness Lead at AlgaeCal . She’s an ACE Certified Personal Trainer and has a B.S. and B.A. from the University of Wisconsin-Madison. She pulls from her experience in athletics and health to provide science-backed information for readers.

Sources:
1 Moderate exercise: A little goes a long way.Mayo Clinic Health Letter 12(1): 1—2, 2008.

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Senior couple relaxing at a resort
Destinations

How to Find the Best All-Inclusive Resorts for Seniors

by My Senior Health Plan
written by My Senior Health Plan

Last month, we shared all about cruises and why they’re a great choice for winter vacations. But as nice as cruises are, not everyone is up for a voyage at sea. For those not interested in cruising, but who still want the benefit of minimum planning, all-inclusive resorts are a wonderful option. So this month we’re looking at how to find the best all-inclusive resorts for seniors.

With so many to choose from, you’ll definitely be able to find the perfect all-inclusive resort for your preferred vacation style. These havens of leisure take the guesswork out of travel planning, provide everything you need in one place and come in all different sizes, styles and price points. But, with so many options, how do you know which is the right resort for you?

Even with their convenience, there are a few things every senior should know before booking an all-inclusive resort. Here’s how to find the all-inclusive resort for a perfect getaway.

Adults-only or family-friendly?

If you’ve never stayed at an all-inclusive resort before, you may not even realize adults-only is an option. And don’t worry, you won’t be limiting yourself if you only consider adults-only properties. There are several beautiful adults-only resorts offering great experiences and activities.

Even if going to an adults-only resort isn’t important to you, do check to see if the resort in which you’re interested has a quiet pool, just in case you change your mind and want to escape the hubbub of loud children and families.

Accessibility and healthcare

Whenever you’re traveling, whether in the United States or abroad, access to quality medical services is important. So take the time to check the area around the resort to make sure you know where the nearest hospital is. You should also be aware of whether or not the resort keeps medical personnel on staff. Since you never know when a health emergency may occur, you’ll want to be near a good medical facility should the need arise.

Handicapped guests should easily find a resort meeting their needs. If you’re in need of handicap facilities, call head and confirm your room is handicap-accessible. Also ask if the common areas are handicap-friendly, too.

Activities and dining

One of the best parts of staying at an all-inclusive resort is the many activities available to you. Whether you’re interested in outdoor sports, beachfront fitness classes, cultural excursions, spa treatments or evening entertainment and shows, there’s truly no end to the fun and excitement awaiting you.

Do be sure you fully understand what the resort includes in your package, though. Yes, most activities, like fitness classes and evening entertainment are included, but spa treatments and most off-site excursions usually cost extra. Thoroughly examine the resort’s website to learn what is and isn’t included in your stay before you purchase.

Fortunately, dining and drinking are usually fully covered, and you’ll be glad they are! With most resorts having multiple choices for restaurants, 24-hour room service and well-trained baristas and bartenders, you’ll be hard-pressed to end your days hungry (or thirsty).

Shop around

Finding the best all-inclusive resort for you can be a challenging task. There are quite a few options, and your first priority should be knowing what you want to get out of your trip. Then determine the best place to accommodate those desires at a competitive price.

There are several hotel chains around the world offering discounts for seniors. Best Western Hotels and Resorts, for example, offers 15 percent off stays for guests aged 55 and older. Marriott Hotels and Resorts offer the same discount for guests 62 and older. Wyndham Hotels and Resorts offers a similar discount for guests aged 60 and older.

All-inclusive vacations can get pricey, which is why travel insurance is so very important. Protect your investment, and don’t book a trip without first securing travel insurance. Learn more about plans that can work for you here.

Going on an all-inclusive vacation is a truly wonderful experience! With preparation and know-how, you’ll be well on your way to making memories that will last a lifetime.

 

 

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Cruise Liners On Geiranger fjord, Norway
Cruises

Five Tips You Should Know Before Booking Your Winter Cruise

by My Senior Health Plan
written by My Senior Health Plan

For many seniors, cruising is ideal. You don’t need to do a lot of planning to enjoy a top-notch trip, and you can sit back and enjoy while almost everything is taken care of for you. You want a fun-filled vacation but don’t want to plan the activities yourself. Who can blame you?

Winter cruises are especially fun with exciting seasonal destinations like The Bahamas, Costa Rica, Belize, Cabo San Lucas, Cozumel, Asia and even Antarctica. But before you click “Buy!,” we have five tips to help you make the most of your winter cruise.

Tip #1: Don’t count out the little guy

There are hundreds of cruise lines with ships in every imaginable shape and size—each one offering something different. Typically larger ships have more to offer in terms of activities and restaurants. But that doesn’t make large ships the best choice for you.

Many senior travelers prefer cruising on smaller ships because the decks are easier to navigate. And there aren’t as many passengers! There may be fewer amenities, but if you’re simply looking for relaxation and nice excursions, a small boat should fit the bill.

You might want to consider booking an adults-only cruise though. This type of cruise is a great way to cut down on some of the crowds and noise sometimes associated with cruising.

Tip #2: Thoughtfully select your cabin

Once you’ve selected your cruise ship, you’ll need to decide where to stay once you’re onboard. With some cruise lines offering as many as 20 different cabin configurations, the decision can be daunting.

Narrow your search for the best room by how many people it should sleep, whether you prefer (or need) a window or balcony, and how close you want to be to the elevators, pool, restaurants and other entertainment. Of course, you probably won’t be spending much time in your cabin, so you may be able to trade the balcony for a window room that costs less.

As you search for the right cabin, you may notice extremely competitive pricing. If you see a surprisingly low price, be sure to read all the fine print before booking. No matter how great the bargain, you’d hate to spend your trip in a windowless cabin below a nightclub.

Tip #3: Plan excursions and activities in advance

You might be tempted to leave planning your activities and excursions until you’re on the boat. After all, not having to plan is the reason you’re cruising in the first place, right? But waiting until you get to the ship can be a mistake.

Space will be limited for the most popular activities, whether you want to zipline through a jungle, visit a cultural site or get a relaxing couples massage during a day at sea. So think about what you want to do on your winter cruise, and make your reservations as early as possible!

Tip #4: Get to the port early

Don’t fly into your port of call the day you embark. Delays happen, flights are canceled, taxis get stuck behind road work… The last thing you want to do is start your trip stressed and worried about making the port on time.

So get to your port of call a day early, and rent a hotel room the night before. You’ll be relaxed and ready to leisurely make your way to the ship when boarding begins. And don’t forget to check if priority boarding is available for seniors. You’ll be glad you did!

Tip #5: Invest in travel insurance

Despite your best efforts to plan and prepare for your vacation, there are some things that are simply out of your control. Whether it’s a family crisis, unfortunate winter weather or a medical emergency all you can do about those scenarios is insure against them. If something happens while on the trip, and you need medical care beyond what’s available on the ship, you don’t want to be responsible for those costs.*

Don’t book your winter cruise without securing travel insurance. Learn more about plans that can work for you here.

Winter cruising is a great way to vacation while avoiding chilly weather back home. So as you plan your cruise, keep these five tips in mind. You’ll be well on your way to enjoying the trip of a lifetime!

*There are a few coverage exceptions, but Medicare doesn’t provide healthcare coverage while you’re on a cruise.

 

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modern race car interior
Aging

New Docu-Series Showcases Older Adults Pursuing Their Passions

by Guest Blogger
written by Guest Blogger

“I’m 57 years old, and I think this is the best year of my life.”

Dean Neuls may be in his fifth decade, but he’s determined to pursue his dreams and wring every last drop of life out of the present moment. So despite a hip replacement and the aches and pains that come with osteoarthritis, Dean is fulfilling his childhood ‘need for speed’.

Two years ago, he took to the racetrack in Porsche’s Racing Experience One. It was exhilarating, terrifying, and the culmination of a lifelong dream…

Now, Dean is sharing his story in a new docu-series called At Any Age, in the hopes that it may ignite a spark of inspiration in his fellow older adults.

Click on the video below to watch episode 1 of At Any Age and experience Dean’s story for yourself:

 

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Senior woman driving car
Driving

Road Safety for Older Drivers

by Guest Blogger
written by Guest Blogger

Road safety is an absolute priority at every age with so many factors both inside and outside our control affecting our wellbeing while we’re traveling. The reality is that even with education and legislative precautions, road accidents happen and in some cases even fatalities. Regardless of how far we progress, road safety remains a community responsibility that we should all prioritize as more than 38,000 people still die annually in the US due to road accidents.

While we are all committed to prioritizing health and safety in our cars and other vehicles there is always more that we can be doing. Even with adherence to road rules and speed limits, making sure to take regular driving breaks, and observing road conditions, we can’t ignore the additional risk factors that affect our older drivers in particular. In fact, uniting around this and finding ways we can support our older drivers to stay safe without compromising their independence is an essential conversation for us to have with our family and friends, as well as our wider community. Keep in mind though, that these conversations centered around our older drivers need to be empathetic and inclusive. The organization Arrive Alive emphasizes that we can’t take a one size fits all approach saying, “Rigid age boundaries do not take into consideration the fact that aging is a process that does not start at the same age for each and every individual, nor does it progress at the same pace.”

To help make these conversations possible, the experienced team at Hussey Fraser Solicitors has shared this infographic, ‘Road Safety For Older Drivers’. The graphic explains different medical conditions that can affect older drivers, prompts for how to talk about safe driving, and essential statistics that can be used for health promotion no matter what age bracket you fall into. Above all, this helpful graphic is a great road map, if you will, to start working together to have supportive, informed conversations that encourage safe driving whether you’re behind the wheel, a passenger or a concerned relative. Stay safe and look out for the ones you love wherever they’re going and whatever stage of their driving journey they’re at.

Road safety for Older Drivers

 

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Aging: Help Planning for Your Future
Aging

Aging: Help Planning for Your Future

by Carol Marak
written by Carol Marak

Aging happens naturally, but aging well takes careful planning. Take steps to ensure that your financial, living, and medical needs are met in old age.

When thinking about the elderly years and how they will play out usually starts after caregiving. It’s when people understand the difficulties of growing older. Some see their parents deal with heart problems while others confront dementia and Alzheimer’s disease. Observing decline is heart-wrenching. Caregivers feel parents are invincible but soon find out the contrary.

What families learn about growing older is that getting organized and prepared for the golden years will help them the most when navigating aging services. And to better understand the services covered, I’ve outlined below:

  • Medicare does not pay for long-term custodial care services – it only pays for acute medical care, doctor visits, drugs, and hospital stays.
  • Medicaid is a combined program offered by the federal and state governments. It helps individuals living with low-income and assets.
  • Paying out-of-pocket is a common option.
  • Health insurance covers the restricted and particular types of long-term care.
  • Long-term care insurance pays for long-term supports and services.

 

Professionals believe that people need to learn the issues they’ll face in the later years.

If you are in the early stages of preparation, consider:

  • Your home may be easy for you to navigate and comfortable for you now, but think about how that may change when you get older. A big house with lots of stairs to climb may present a serious challenge if you have health or physical problems.
  • Draw up legal documents: a will, a living will, a healthcare proxy and a power of attorney.
  • Find a trustworthy person or family you can depend on for support and care. Work out a payment strategy and put it in writing. Get legal advice before implementing a plan. An elder law attorney can steer you in the right direction. Perform comprehensive due diligence on the strategy and the person(s) before signing anything.
  • Hire a chronic care advocate if you live with a prolonged medical condition, preferably an attorney specializing in elder law.
  • Eat fresh, healthy foods.
  • Keep your brain sharp by getting involved.
  • Volunteer and help those in need.

 

Older adults face many decisions in the last decades of their lives. Taking time to look at the issues ahead and plan accordingly can make the future easier and more enjoyable for both you and the family.

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