Category: Practical Tips and Resources

The What, Why, When, Where, and How of Caregiver Help at Home

Blog Post by Mike Brunt

A couple of weeks ago, I had the pleasure of taking part in a seminar series put on by Penny Holcomb at Hearthstone at Murrayhill. My presentation to the seniors and their adult children was titled, “Life’s Easier with a Little Help from a Friend,” and was a sort of primer on in-home care.

One of the common misperceptions about in-home care is that only seniors still living in their own private homes need to hire caregivers to provide extra help. People often don’t realize that the cost of living in a retirement community doesn’t normally include any one-on-one help for the seniors. Whether the help is in the form of standby shower assistance, medication help, or driving to shopping and appointments, seniors living in retirement communities often still need support to maintain their independent lifestyles.

Another big question for families needing support from caregivers is “Should I find and hire a caregiver, or should I use an agency like Home Instead Senior Care?” The loving family friend who is currently unemployed may be able and willing to provide paid caregiving services. But, what about her payroll taxes and health insurance. Worse yet, what if she accidentally breaks a valuable antique or gets hurt on the job? It’s important for families to realize that when they directly hire caregivers, they put themselves in the position of “employer” with all its attendant risks and responsibilities.

If you know of a group who would like me to hear my presentation, please let me know by calling 503-530-1527. My slides below contain some good resource links.

Mike Brunt Presentation – Life’s Easier with a Little Help from a Friend (PDF)

You can find more about the basics of in-home care by downloading this printable guide called The Home Care Solution.

 

 

Vitamin D for Seniors’ Bones, Joints, Hearts, Moods, and Energy Levels

Blog Post by Mike Brunt

About a year ago, my family and I discovered Cruise In Country Diner on the corner of Farmington and River Roads in Hillsboro. The place is a unique in that it has the classic car theme but it is also has a very health conscious menu including grass-fed beef, fries cooked in rice oil, and pure ice cream from a local dairy. It’s a family friendly place, and the owner is a gregarious fellow who overflows with positivity and gratitude as he chats with customers. His name is Terry Hummel, and you can’t help but to like the guy.

What I soon found out in talking to Terry is that he’s not just a restaurant owner, but he’s also a scientist and and educator. He particularly loves to talk about the health benefits of Vitamin D. On the back of my napkin, he wrote down what he thought was the best web resource for Vitamin D information www.vitamindcouncil.org. Naturally, I asked him if Vitamin D has any unique benefits for seniors, and I was amazed at what I learned. I continued gathering information online, and I’d like to share some of what I found.

 

Vitamin D
Strengthens Bones; Limits Joint Pain, Arthritis, and Back Pain; Cuts Risk of Heart Disease; Improves Mood; Increases Energy

http://vitamindsources.org/vitamin-d-benefits/ (source for info below)

 

Among the many vitamin D benefits  is that it aids in the absorption of calcium, helping to form and maintain strong bones.  Vitamin D deficiency can make bones thin, brittle, soft and easily prone to fractures.  Vitamin D helps to control the movement of calcium between bone and blood, and vice versa.  It helps bone mineralization along with a number of other vitamins, minerals, and hormones of the body.

In addition, vitamin D acts like a hormone, thus regulating the absorption of calcium and phosphorus from the intestine.  Without sufficient vitamin D, our body cannot absorb calcium, rendering calcium supplements useless. Researchers have shown that consuming sufficient quantities of vitamin D  will cause  people to have a lower probability of suffering from joint pain and osteoporosis than those who don’t.

Vitamin D benefits  those who suffer from arthritis due to its ability  to slow down the effects of arthritis as well as, decrease the associated back pain felt by a lot of persons.

In recent studies researchers have discovered that among the many vitamin D benefits, cutting the risk of heart disease may be one of those benefits.  These studies have show with some certainty that taking vitamin D supplements can be a possible treatment option for anyone at risk or with a history of heart disease or who may already have a deficiency of vitamin D.

In a study conducted by the University of Amsterdam, vitamin D was was shown to have an impact on mood.  This was evident in particular with older persons participating in the study.  Older participants with lower levels of vitamin D showed an increased liklihood of depression.

In another University study concerning vitamin D benefits and older people, the nutrient was shown to increase energy and physical performance.

With all the available facts about vitamin D benefits, medical statistics reveal that in the United States of America, 75% of adults and teenagers have a vitamin D deficiency.

 

More About Why We Need Vitamin D

http://www.medicalnewstoday.com/articles/161618.php (source for info below)

 

I Can’t Get Ready to Move to a Retirement Community In A Week!

Post by Kim Megorden, CRTS, with KARE Transitions, LLC

Member:  Senior Resource Alliance Northwest

Betty was ready to move into a Retirement Community–or so the Marketing Director thought.  The move date was set, the movers had been booked, and the new apartment was ready.  Betty was not.  She had lived in her home for 30 years and had a lot of memories to sort through.  She could not accomplish this in a week.

So, the Retirement Community called a Senior Move Manager who got in touch with her right away.  Betty was very agitated and stressed.  She was convinced that all of the work that had to be done could not happen in this short time frame.   The Move Manager assured her that it could be done.

When the Move Manager arrived at Betty’s home the following day, Betty was quite distressed.  Standing in her living room, looking around, Betty was overwhelmed.  So, they started by sorting through Betty’s artwork to determine which pieces she would like to take with her.  For the next three hours, they went from room to room together, choosing and tagging the items to be moved.  Betty enjoyed talking about the things they were sorting–every piece had a story.  The Move Manager listened while she sorted and tagged.  Everything was clearly labeled for the movers so they would know where it would be placed in the new residence.  A copy of the floor plan and the color codes for the tagging system was taped to the refrigerator.  An area was set up for the Estate Sale service with items to be sold.  The Move Manager packed some items to be shipped to Betty’s family.  When they finished, Betty was all smiles.  What she thought was impossible now looked very doable.  She gave the Move Manager a big hug and thanked her.  Betty said, “I am ready to move; I am going to take a nap!”

If you are faced with the daunting task of sorting and packing a lifetime of memories, a Senior Move Manager can make this task a lot easier and more enjoyable.  The Move Manager works with clients to get everything sorted and packed according to their wishes.  They work closely with the Movers, Estate Sales, Realtors and Retirement Communities to ensure that all needs are covered for the clients. 

Kim Megorden, CRTS, (503) 819-2650, www.karetransitions.com

“I Will Remember For You” Alzheimer’s Music Video

Blog Post by Home Instead Senior Care offices in the Portland Metro Area

Oh the places you used to go,
All the people you used to know,
The stories that you loved to tell
About a life that you lived so well.
It’s fine, you can rest if you want to.
I will remember for you,
I will remember too.

Music is just a story with a melody. The song “I Will Remember for You” played in the video above tells the story of a couple touched by Alzheimer’s disease. It was written and performed by Home Instead Senior Care staff member Dave Mainelli, and is inspired by all the families who are keeping the memories alive for loved ones experiencing memory loss. Music powerfully communicates emotion and narrative, making it an excellent tool to evoke memories for those living with Alzheimer’s or other dementias.

More about the benefits of music for people with Alzheimer’s disease or other dementias

 

Website Offers Help for Alzheimer’s Families

Blog Post by Home Instead Senior Care offices in the Portland Metro Area

In my six and a half years of providing caregiving services to seniors at home, I have supported many families affected by Alzheimer’s disease as they struggle to understand and cope with the changes the disease brings to their senior loved ones. My desire is always to help the families know that while their journey will test their emotional and physical stamina, they are not alone and that help is available.

The families I have observed who were most centered in facing Alzheimer’s disease were the ones who had an understanding of the nature of the disease and who sought for and found emotional support through peer groups or professionals.

Because knowledge and understanding are so imperative for families coping with Alzheimer’s, I am pleased to refer you to an excellent online resource: http://www.helpforalzheimersfamilies.com.

The site answers questions such as -

  • What is the difference between Alzheimer’s disease & dementia?
  • What are the stages of Alzheimer’s and dementia?
  • Is Alzheimer’s inherited?

 

But it also goes beyond the basics to provide practical advice on topics such as  -

  • Capturing Memories for Someone with Alzheimer’s or Dementia
  • Alzheimer’s Conversation Tips
  • Creating a Memory Box

 

If you are a member of a family affected by Alzheimer’s disease, this site is for you. If you know a member of such a family, please do them a favor and point them to this thoughtful resource.

http://www.helpforalzheimersfamilies.com

 

 

 

Elderly “Experts” Share Life Advice in Cornell Project

Article by by Jane E. Brody of the New York Times - January 9, 2012
Link to Full Article

Eventually, most of us learn valuable lessons about how to conduct a successful and satisfying life. But for far too many people, the learning comes too late to help them avoid painful mistakes and decades of wasted time and effort.

Enter an invaluable source of help, if anyone is willing to listen while there is still time to take corrective action. It is a new book called “30 Lessons for Living” (Hudson Street Press) that offers practical advice from more than 1,000 older Americans from different economic, educational and occupational strata who were interviewed as part of the ongoing Cornell Legacy Project.

Its author, Karl Pillemer, a professor of human development at the College of Human Ecology at Cornell and a gerontologist at the Weill Cornell Medical College, calls his subjects “the experts,” and their advice is based on what they did right and wrong in their long lives. Many of the interviews can be viewed at legacyproject.human.cornell.edu.

Here is a summary of their most salient thoughts…

On Marriage

On Careers

On Parenting

On Aging

On Regrets

On Happiness

Link to Full Article

 

 

Community Energy Project

Blog posted by: Sherrie Smith

 

 

The poor economy has been difficult for many people, but low-income seniors and people with disabilities have been hit especially hard. Many struggle with rising energy costs and homes falling into disrepair, and the impacts on physical and emotional health have been evident to those of us who work with the elderly. Fortunately, in Portland, there are some great programs that have survived budget cuts and are still providing necessary services for these vulnerable populations.

Community Energy Project (CEP) provides free small-scale weatherization and safety repairs for low-income seniors and people with disabilities. They provide and install vinyl storm window kits, door weatherstripping, pipe foam, furnace filters, and more. They can also make small safety-related repairs to railing, stairs, wheelchair ramps, and install grab bars, hand-held shower heads, elevated toilet seats, and more. These simple measures are available to renters as well as homeowners, and those living in nearly every kind of home from trailers and mobile homes to houses and apartments at no cost.

At this time, CEP can serve people in the Lents Urban Renewal Area and the Interstate Corridor Urban Renewal Area only. To determine if you are in the service area, visit www.portlandmaps.com,enter your address, and then once it loads click on the “development” tab. Call CEP at 503.284.6827 for questions, or to sign up for services.

Web: Community Energy Project

 

Age in Place with Home Instead Senior Care – Beaverton Valley Times

Blog Post by Mike Brunt

Many of us are remodeling to age in place

Start with a safety assessment by a Home Instead caregiver

BY BY POLINA OLSEN

The Times, Nov 10, 2011

(news photo)

Nancy Watts and her dog Cruiser show off a set of wheelchair-friendly French doors that replaced single doors in her Beaverton home.

 

Nancy and Ivan Watts always said there’s no place like home.

That’s why moving to their one-level Beaverton house and remodeling for aging-in-place made sense. Experience with Ivan Watt’s elderly parents gave them insight. They started long before necessity dictated. Now both partially disabled, they find their comfortable home ready for them.

According to daughter Lynnae Rhoades, manager of Washington County Home Instead Senior Care, more than 90 percent of seniors want to remain at home. She helps people like her parents every day.

“If you let it go, you’ll get into an emergency situation and a fire drill,” she warned. “But, if you think ahead, you’ll have perspective and control.”

Control starts with a safety assessment by a Home Instead caregiver, Rhoades said. They look for trip hazards, like throw rugs and places where grab bars can help.

“We make it clear that grab bars should be installed by a professional. They need to be in the wall with studs. Seniors can rent or build a wheelchair ramp.

Rhoades believes falls are the greatest hazard. Often the elderly misjudge small things, like picking up their dog. Surprisingly, she finds they seldom fall down stairs.

“You’re taught since you were little that stairs are dangerous, and banisters are professionally installed,” she said. “But people don’t want to rearrange furniture, don’t want to use walkers, or don’t want to give up those throw rugs, and they end up falling. Bathtubs are the biggest problem. It gets unstable to stand on one foot to lift the other. Sometimes people get in the bathtub and can’t get out. They pull the towel rack off the wall because that’s how they usually support themselves. If they don’t have a medical alert or cell phone, they’re stuck until someone finds them.”

Rhoades’ advice is simple: “Don’t skimp on safety measures. Some people have the urge to do things partially. If you want to stay at home, plan and budget for each project, and have it completed well. Make sure grab bars are secure and doors are wide enough. There’s lift chairs, several kinds of walkers, you can look at putting railings on your bed. Both from studying research and knowing seniors, I can say they thrive and are much happier in their homes.”

Her mother, Nancy Watts, agrees. “Most things were not expensive,” she said. With Rhoades’ help, she and husband Ivan doubled door width by replacing single doors with attractive French doors. They removed the kitchen island so a wheelchair can pass and converted a little-used breakfast nook into a pantry complete with pullout shelves.

“Fortunately, the hall already was wide enough,” Watts said. They replaced the tub with a walk-in shower complete with a bench. A low toilet makes transfer easy.

The bedroom was also setup for the family. Sliding glass doors open to a hot tub complete with grab bars and lifts. The king-size hospital bed features separate controls on each side so one person can sit while the other lies flat. Even miniature pinchers Penny and Cruiser are set to age in place. A doggy staircase from the pet store makes it easy for them to climb up and cuddle on the bed.

 
TIPS FOR AN AGING-IN-PLACE REMODEL

1. Have grab bars professionally installed.

2. Remove throw rugs or choose models with non-slip backs.

3. Watch out for floor surfaces. Make sure carpet is low pile and tiles are non-slip.

4. Cover stairs with rough material. A light strip along each edge helps you see where each stair ends.

5. Replace the bathtub with a walk-in shower with a bench inside. Or install a bathtub slide board.

6. Don’t use ladders or stepstools.

7. Do use a grabber to reach lightweight objects on high shelves.

8. Keep it light: Think about installing motion sensor lights, and make sure the path from your garage to the house is well illuminated.

9. Pullout storage means no more crawling into cabinets.

10. Lever style handles on your doors and faucets may be easier to manage than knobs.

11. Have someone regularly check on you.

12. Use a medical alert service or carry a cell phone at all times. Remember, you designate whom the service calls first. The service will try a family member or neighbor before calling an ambulance, if you prefer.

13. Make sure your contractor is a certified aging-in-place specialist.

 

(For more information, or to find a certified aging in place specialist, visit portlandonline.com, type aging-in-place in the upper right corner search box, click the right arrow and then select Aging-In-Place Tools. Contact Washington County Home Instead Senior Care at 503-530-1527 or www.homeinstead.com/606.)

 

Table Talk: Tips for Mealtime Conversations with Seniors

Blog Post by Home Instead Senior Care offices in the Portland Metro Area

Companionship through Meaningful Conversation

The shopping is done, and the meal is ready and on the table. Your work is complete, right? And now comes the fun part. You sit down to dine with an older loved one. But what is there to talk about? A senior’s world may have shrunk to the size of their four walls. Even so, mealtime conversations are an important part of the dining experience. Without that, elderly depression could be a problem.

Sharing memories is one way to get the conversation going, according to Dr. Amy D’Aprix, a life transition consultant, author, corporate speaker, facilitator, coach, and an expert in aging, retirement and caregiving. “Sharing memories is a great way to deepen your relationship with an aging relative,” D’Aprix said. “But sometimes we all need help thinking of new and meaningful things to talk about.”

That’s why D’Aprix created Caring CardsTM. This packet of playing card look-alikes features more than 50 questions on a wide range of topics that can help you engage a senior loved one in meaningful conversation and provide companionship. Featured below are two Caring Card questions and D’Aprix’s comments about ways that you can use them to start up table talk with older adults.

(For a free set of “Caring Cards” call Mike Brunt at 503-530-1527. I’ll send the cards to the first five callers.)

What are some of the most valuable things you learned from your parents?

Many of us enjoy remembering our parents and the impact they had on our lives. Whether our relationship with our parents was easy or difficult, or more likely a combination of both, most of us recognize that who we are as adults was at least partially formed by what we learned from our parents. This question gives seniors the opportunity to talk about some of the most impactful things they learned from their parents. Follow-up questions could include:

  • How did your parents teach you about “X”?
  • Why do you think it was important to your parents that you learned “X”?
  • Do you think they learned “X” from their parents?

For example, if the senior mentions the “importance of hard work” as something valuable they learned from their parents, you could ask whether their parents worked hard and in what ways. You could ask if their parents required them to work hard as a child. You could also ask if their parents had to work hard as kids and if their grandparents taught them it was important to work hard. This question could lead to many questions about how much time was spent working versus leisure time, and whether the parents thought people who didn’t work hard were lazy.

What was a major turning point in your life and how did it affect you?

As Kierkegaard said, “Life can only be understood backward, but must be lived forward.” By the time they have reached their senior years, many older adults have had numerous turning points. Reminiscing about these turning points allows seniors to make sense of their lives and their choices, and to gain peace of mind now. Natural follow-up questions include exploring more fully one or more of the turning points the person mentions and asking more details about the importance of that turning point in their lives and how they felt after taking the particular path they took.

 

Other questions include asking whether they would take that particular path again knowing what they now know and how they thought their lives might have turned out differently if they had taken a different route. When exploring this topic, it is important to be sensitive to whether a turning point was emotionally difficult or had outcomes that were not easy. Allow the senior to reveal only as much as they are comfortable revealing without pushing too hard or probing beyond his or her comfort zone.

 

Care Transitions Program Extended Through End of Year

Blog Post by Mike Brunt

 

I’m pleased to announce that Home Instead Senior Care and Lifeline have extended the special “Hospital to Home” promotion through the end of the year. For only $99, this program offers 4 hours of caregiving to get the client home and settled and then includes a month of Lifeline (Personal Emergency Response System) with free activation.

See previous announcement for more details.

 

A Senior Safe Home for the Holidays

Post by Barbara Murphy

Member, Senior Resource Alliance Northwest

As you plan for your family gatherings this year, give some thought to how easy (or difficult) it is for everyone to enter and navigate around your home.  Has your brother-in-law with the trick knee been having a hard time with the front steps?  Remember the difficulty Grandma had using the bathroom last year?

This may be a good time to consider a safety assessment of your home.

Start at the entry.  Would a handrail make  your porch easier to reach?  Is the
door sill a trip hazard?

Go through each room and notice the other hazards.  Throw rugs and extension cords can be difficult for some people to step over.  Check the transitions between different floor coverings.

Are your door knobs and faucets easy to grip?  Lever handles on doors and faucets  make them much easier for everyone to use.

Should you add a grab bar or two in the bathroom?  If some of your guests will be staying overnight, they may need some extra help navigating the tub or shower.

If one of the gatherings is at the home of one of your older family members, take note of how easily they are getting around in their home.  This is a good time to assess their home as well.

Just a few minor professionally installed additions could make your home safer and help to make your holiday season even more enjoyable for all of your friends and family.

Barbara Murphy, CKD, CBD, CGR, CAPS, Designer/Consultant,
Neil Kelly Designers/Remodelers, Home Repair, New Homes,
15573 S.W. Bangy Road, Suite 100, Lake Oswego, OR  97035
Direct Line:  503.335.9296; Fax:  503.443.2170

 

Physical Activity and Older Americans – Infographic

Blog Post by Hannah Campbell of DBS>Interactive
DBS>Interactive is a web design and marketing company that serves Evergreen Rehabilitation

 

Physical Activity and Older Americans

 

Enlarge This Infographic – Physical Activity and Older Americans

Hospital to Home Service with Free Month of Lifeline

Blog Post by Mike Brunt

Being discharged from a hospital or skilled nursing facility is a time of mixed emotions for seniors. Sure, they are happy to be getting back to their familiar surroundings, but physical weakness and health concerns can make getting home and settling in a formidable task.

Enter, Home Instead Senior Care. We just launched an area-wide promotional offer that includes transportation home, four hours of caregiving, and Lifeline activation plus month of Lifeline service all for only $99.

Patients who take advantage of this offer will have no obligation to setup ongoing services with Home Instead and may cancel the Lifeline service after the initial month. This is truly a focused, one-time service to make sure people are getting home safely and settled there. The Home Instead CAREGivers are screened, trained, bonded professionals who can help unpack, do laundry, pick up prescriptions, prepare food, help arrange living spaces, and do whatever else may be needed to get  the patient back into their home routine.

Nurses, social workers, and care managers have expressed gratitude for this incredible offer they can pass along to their patients. “This is great marketing,” said one social worker at a skilled nursing facility in Hillsboro. Under normal circumstances, the $99 wouldn’t even cover the activation and first month of Lifeline let alone transportation from the hospital with 4 hours of caregiving attached.

Please help spread the word about this amazing offer to families who are anticipating a discharge from a hospital, skilled nursing facility, or other healthcare setting. Thanks!

 

Link to Printable “Hospital to Home” Brochure

 

How to Help Your Senior Manage Medications – Video

Blog Post by Home Instead Senior Care offices in the Portland Metro Area

In this video, certified senior advisor Mary Alexander, from Home Instead Senior Care, talks about the difficulties many seniors have managing their medications and ways to offer help. This video is designed for anyone who is caring for an elderly person be it a parent, other relative or friend.

How to Help Your Senior Manage Medications - Video

 

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Though Shunned, Exercise Would Help Arthritis

Content from NPR’s Health Blog

People with knee arthritis are doing a lousy job of getting exercise, according to a new study. That’s not a huge surprise. Who wants to run with aching knees? It’s human nature to want to coddle aches, not exercise them.

But exercise is actually good medicine for osteoarthritis according to the Centers for Disease Control and Prevention. It is proven to reduce pain and inflammation, makes it easier to move, and can prevent or delay disability.

Alas, the people with knee arthritis tracked in this new study are not doing themselves any favors on that front. A majority of the women (56.5 percent) and lots of the men (40 percent) were inactive. That means they got no exercise that would count as moderate (like brisk walking) or vigorous (biking or running) for at least 10 minutes anytime in the course of a week.

“Physical activity for people with arthritis is a key to better health, without question,” says Dorothy Dunlop, an associate professor of medicine at Northwestern University’s Feinberg School of Medicine. But she knows the reality. “They are dealing with pain and stiffness and barriers to being active.”

Her new study, published in the August issue of Arthritis & Rheumatism, tracked 1,111 adults ages 49 to 84 with knee osteoarthritis for a week using accelerometers, which are fancy pedometers. There was no display on the unit, so people didn’t know how much, or how little, activity they had logged. Turns out their exercise levels were a lot lower than found in previous studies in which people self-reported on their activities.

A few of the study participants were getting a move on; 13 percent of the men and 7.7 percent of the women met federal physical activity guidelines: at least 150 minutes (2 hours and 30 minutes) a week of moderate-intensity exercise, or 75 minutes (1 hour and 15 minutes) a week of vigorous-intensity aerobic physical activity. But for that big group of arthritis sufferers who weren’t doing squat, Dunlop says that just getting off the couch would be good. In other words, any activity is better than none.

“Walking is a wonderful exercise,” Dunlop told Shots. “Just finding a neighbor you enjoy [talking with] and going out for a walk instead of talking over the fence would be a great way to weave that into your day.”

Aside from asking one’s doctor for advice on appropriate exercise, Dunlop recommends checking out local chapters of the Arthritis Foundation, which often sponsor water aerobics classes, as well as the local YMCA. Should getting wet sound unappealing, the foundation’s website features exercise videos that can be followed in the comfort of one’s TV room, right next to that now-neglected couch.

 

Warning Signs of Senior Nutritional Risk

Blog Post by Home Instead Senior Care offices in the Portland Metro Area

The Warning Signs: Is Your Senior Loved One at Nutritional Risk?

Warning Signs The changes can seem subtle at first. Mom has more sweets on her grocery list and fewer fresh fruits and vegetables. Dad’s refrigerator smells from moldy and outdated food.

Nutritional warning signs could be indicative that your parent is headed down the wrong road and failing to thrive. “Nutrition is certainly a key factor to an individual’s overall health and well-being,” said Sandy Markwood, Chief Executive Officer (CEO) of the National Association of Area Agencies on Aging (n4a), whose members coordinate the popular home-delivered meals program, also known as “Meals On Wheels®“.

“If someone is at risk, their health is impacted. Combine that with loneliness and you’re looking at increased mental and physical health risks.”

Following, from the Home Instead Senior Care® network’s Craving CompanionshipSM program, are some of the indicators of elderly nutritional risk for seniors who live alone, and suggestions for family caregivers:

  • The loneliness. Who wants to eat alone? Not only are seniors at more risk of poor nutrition, loneliness can lead to elderly depression, which could make problems worse. More than three-fourths (76 percent) of seniors who live alone eat alone most of the time, according to Home Instead Senior Care network research. Suggestion: Try to make sure your older loved one has companionship at home or in a congregate meal site.
  • The multiple meds. Nearly three-fourths (71 percent) of seniors take three or more different medications a day, according to research. Suggestion: Talk to your senior loved one’s health care team about how medications might be impacting your older adult’s appetite and discuss with them what to do about it.
  • The lack of healthy staples. Nearly half (46 percent) of seniors who live alone consume few fruits, vegetables or milk products, the survey revealed. Suggestion: In season, why not find an affordable, local farmer’s market. Talk with your older loved one about their favorite recipes – or yours – that incorporate healthy products.
  • The illness. Many older adults are struggling with conditions of aging. Some don’t feel like eating as a result. Others – 31 percent in the Home Instead Senior Care research – say that an illness or condition has forced them to change the food they eat. Suggestion: Discovering favorite recipes from the recipe box and making mealtime a social event may help.
  • Read more warning signs and suggestions to address them.

 

 

Book: “Moments This Good, The Softer Side of Alzheimer’s”

Book Recommendation by Mike Brunt

Bonnie Nester’s latest book, ”Moments this Good: The Softer Side of Alzheimer’s,” is a memoir of hope and love.  Join Bonnie as she walks beside her mother through the tangled trails of Alzheimer’s Disease. In “Moments this Good,” Bonnie shares her experiences and insights in a tender and a lovingly humorous way. This is an uplifting, encouraging read to guide others who are losing loved ones to this debilitating disease. Moments This Good gives back the humanity and dignity that Alzheimer’s tries to steal. 

A Portion of the proceeds for this book are donated to the Alzheimer’s Association.

If you would like to purchase a signed and/or personalized copy of any of her books, contact her directly.  She also welcomes any comments – she loves hearing from fellow readers: bonnie@bonnienester.com.

Publication Date: May 2008
ISBN: 9780980244601
208 Pages
26 Black & White Photos
Golden Quill Publishing

Order “Moments this Good”

Read an Excerpt
Bonnie lives in Sherwood, Oregon and is a supporter of Senior Provider Information Network. Learn more about Bonnie and her work at http://www.bonnienester.com/.

New Toolkit Helps Track Senior Medications

Blog Post by Home Instead Senior Care offices in the Portland Metro Area

Proper Medication Tracking is Vital to Keeping Seniors Healthy
You’ve just walked out of your mother’s latest doctor’s appointment and your head is spinning. The doctor wants to change the dosage on two medications, stop a third, and start a new fourth medication. Some of the medications need to be taken on an empty stomach and some with food. Some medicines your mother should take twice a day and some just in the evening. Keeping it all straight is making your head ache.
Even more importantly, however, is what can happen if you, and your mother, don’t track her medications properly. On average, seniors ages 85 and older take 34 prescriptions, including refills, per year, according to the American Society of Consultant Pharmacists (ASCP). And adverse drug reactions (ADRs) or noncompliance are responsible for 28 percent of all hospitalizations of the elderly, the organization reports.

The sheer volume of medications that most seniors are taking has the potential to create the perfect storm. Medication-related problems can cause, aggravate or contribute to common and costly geriatric problems including:

  • Depression

  • Dizziness

  • Falls

  • Incontinence

  • Insomnia

  • Loss of coordination

  • Malnutrition/dehydration

  • Memory loss

  • Psychiatric problems

 

Tools and Resources for Family Caregivers
Pill organizers can help track multiple prescriptions. So can the assistance of a family or professional caregiver. The Home Instead Senior Care® network offers many resources to help family caregivers stay on top of their loved ones’ medical situations.

In addition to in-home care services, Home Instead Senior Care has worked with Humana Points of Caregiving® to develop an information management toolkit and the Caring for Your Parents: Senior Emergency KitSM website to help you track medications and other important information regarding your senior loved ones’ health. This toolkit includes checklists and worksheets for medications, conditions, allergies, doctors, health advisors and important documents.

If you are facing caregiving challenges in your family, we want to help. Please contact your local Home Instead Senior Care office for more of these resources or to schedule a no-cost in-home consultation to learn more about how we can help you and your parents.

Most Baby Boomers Lack A Plan To Care For Parents

By Janice Lloyd, USA Today, June 17, 2011
Link to Original Article

A majority of Baby Boomers say they are likely to become caregivers for their parents, but only half can name any medications their parents take, a new survey shows.

The survey of 600 adults ages 45 to 65, conducted for the Home Instead Senior Care network, also found:

  • 31% don’t know how many medications their parents take.
  • 34% don’t know whether their parents have a safe deposit box or where the key is.
  • 36% don’t know where their parents’ financial information is located.

 

“The majority of caregivers we work with have done no advance planning,” says Jeff Huber, president of Home Instead Senior Care, a company that provides non-medical care services. “It is not important until it’s urgent. So much stress and uncertainty down the road can be prevented.

“Lack of planning can lead to serious complications when decisions need to be made quickly, says palliative care nurse practitioner Mimi Mahon, an associate professor at George Mason University in Virginia. “It’s vitally important to plan ahead and have these conversations with parents, or families can act out of fear and make mistakes when emergencies arise.

“Prescription drugs are of particular concern. In the survey, 49% couldn’t name a single drug their parents took. Ask parents about their medications and, if necessary, do research, experts say. Find out the dose, what it’s for, who prescribed it and why. People 65 and older account for about a third of all medications prescribed in the U.S., according to the National Institutes of Health, and older patients are more likely to have long-term and multiple prescriptions, which could lead to unintentional misuse.

“It’s kind of a never-ending process for caregivers,” says Sandy Markwood, head of the National Association of Area Agencies on Aging, part of the Department of Health and Human Services. “It gets further complicated when there is more than the family practitioner. A parent might have several specialists. It’s a lot for a caretaker to keep up.”

Markwood says the Administration on Aging, also under HHS, has been encouraging better record-keeping by seniors and stronger communication between seniors and caretakers since Hurricane Katrina. “Then you had a situation when seniors were evacuated without their medications and no one knew what medications they were on,” Markwood says. “Doctors had to start from scratch.”

One must-have answer for caretakers: What drugs can parents go without and which ones must be taken on schedule. For instance, blood pressure and anti-depressant medications cannot be missed, Mahon says.

The bottom line, she says, is being a staunch advocate for your parents’ health care starts with “having conversations and putting plans in place.”

 

Resources are available online

 The Home Instead Senior Care network’s Senior Emergency Kit is free and available to download (caregiverstress.com). It includes sheets for listing contacts and phone numbers, medications, allergies and conditions.

Contemplating Disaster Preparedness

Blog Post by J. Patrick Moore, CMCA
Administrator, King City Civic Association

When I was young, I had the opportunity to live through a local disaster – the Columbus Day Storm of October 12, 1962. Many people (including my parents, I’m sure) wouldn’t have called it an “opportunity,” but rather a “misfortune,” “annoyance,” or, for some kids at that time, “excitement” or “adventure.” For those of you who weren’t living in Oregon at the time, here’s a brief synopsis: the remnants of a tropical cyclone were caught up in the jet stream and followed the jet stream eastward across the Pacific Ocean. The storm grew in intensity as it neared the Oregon Coast, and came onshore along the south coast, and then turned north and came up the Willamette Valley. Millions of board feet of timber were blown down, and power and telephone service were lost throughout much of western Oregon.

My family lived in the heart of the Lake Grove area at that time. The storm came in late on a Friday afternoon, so we had all weekend to work on cleaning up tree limbs from the sixteen or so Douglas Fir trees on our quarter-acre lot. To give you a perspective of the damage, we walked straight off our porch the next morning, and the two steps were each twelve inches high! Our backyard burning pile was going all weekend long. We had some minor damage to our roof, but overall, the greatest inconvenience was the loss of telephone and electrical service; the power was off for two weeks straight! Luckily, my Dad had an old, white-gas camp stove that my mom used for cooking and for heating up water for baths; otherwise, we would have been eating out of cans or what we could buy and prepare without cooking, and bath time would have been very cold – knowing my Mom, not bathing would not have been an option.

Why do I relate this story? I believe it’s instructive of how we need to live in Western Oregon: prepared for disaster. I doubt my Dad really kept that camp stove with the idea that we’d be using it for a couple of weeks in the house; it was probably more for either sentimental value, or perhaps a misguided notion that my Mom would actually like to go camping some day (that day has never come, Dad!).

I recently attended a workshop, co-sponsored by the Red Cross and Horizon Restoration, concerning preparation for “the Big One,” a Subduction zone earthquake off the Oregon Coast. Current science points towards a regular period of time between those earthquakes of about 250 – 300 years. The last one was 311 years ago. One geologist I talked with a few years ago, said that when the Cascadia Subduction zone slips, the 8.5 – 9.0 earthquake off the coast will feel roughly like a 7.0 earthquake in the Portland area, but for anywhere from two to five or more minutes. Coincidentally, geologists estimate that the faults in the Portland area are capable of an earthquake around 7.0 in magnitude. So, whether it’s a quake off the coast or in the area, we all need to be prepared! The Red Cross speaker suggested that, when the “Big One” hits, we should think of the scenario in terms of “living in a log cabin in the Portland area.” It’s likely that much of our infrastructure – roads, bridges, utilities (power, water, communications, etc.) will be severely damaged in such a quake, and it will take a fair amount of time before they are restored to working order.

What would you need in order to survive for a month – or longer – on your own?

The speaker from the Red Cross showed us a 72-hour kit that he owns. He also acknowledged that a 72-hour kit isn’t enough to survive long-term; but he said that asking people to put together a 14 day kit doesn’t work. It would be seen as insurmountable for many. Even getting people to put together a 72-hour kit is difficult; the government estimates that only 13% of households in the United States have reached that level of preparedness.

Stop and think for a few minutes about how all that will affect you:

  • How many bridges do you typically cross in your daily or weekly routine? (For me, it’s crossing 11 bridges to work and 10 home, under 6 to work and 8 to home. There are some alternative routes, but most of them, sooner or later, cross a bridge as well, and my route straddles the Willamette River, so if the bridges go down, there will be a long line for the Canby Ferry (if it is still running). However, it only has capacity for six cars, and it runs on electricity – so it might not be operating). If you aren’t at home when disaster strikes, will you be able to get there – and if not, do you have some supplies in your car?
  • Do you take medications? If so, will your pharmacy be able to get you refills? If not, you will need to have some extra medicine at home (always consume the oldest so it doesn’t get out of date).
  • How much food do you have? If having two weeks’ worth stored up all at once, how about purchasing a few extra cans every time you shop? Again, a system to “rotate your stock,” so that you use the oldest first, works best.
  • Do you have drinking water? Again, start by picking up a bit at a time. Date them and use them periodically; jugs of water have varying shelf lives, check the date on the jug.
  • Do you have some extra blankets? Flashlights with some spare batteries? A battery-powered radio (preferably with the NOAA weather-radio feature built in, or a separate NOAA radio). Consider purchasing an LED flashlight (or several) since your batteries will last a lot longer than with a conventional flashlight.
  • Do you have a first-aid kit?

 

These are some ideas to get started with your 72-hour kit. More information can be found at http://www.ready.gov/ or http://www.redcross.org/, or by calling or stopping by a local Red Cross office.

As I wrote at the start of this article, I consider the Columbus Day Storm to have been an “opportunity,” to reflect on what it takes to survive a disaster and know that both preparedness and improvisation are important. Remember Apollo 13? Disaster struck on their way to the moon. Improvisation and some smart guys with slide rules got them back safely.

J. Patrick Moore, CMCA
Administrator, King City Civic Association
15245 SW 116th Ave.
King City, OR 97224
503.639.6565 Phone
503.639.8815 Fax
www.kingcityowners.com