All posts by Hillary Hollman

Caregiver Depression: The Intangible Cost Of Dementia Care:

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Does your mother have enough food? Does she have clean laundry? Is she eating nutritious meals? Has she been wandering? Is she safe? Does she have her medications? Are her finances in order? Who will set up her doctors appointments? Who will drive her?

Up to 50 percent of caregivers providing Alzheimer's and dementia care suffer from some sort of caregiver depression - developing major depressive illnesses and stress related to added duties and worry, according to a doctor with the Memory and Aging Center at the University of California, San Francisco. The caregiver becomes so overburdened with responsibilities, duties and worries that they aren't sure what to do next. This feeling of being overwhelmed and not knowing what to do, especially when it concerns a loved one, can lead to anxiety and eventually clinical depression.

With 80 million baby boomers getting older and needing more medical care, and estimates stating that there will be 7 million Americans with Alzheimer's disease by 2025, the concern becomes about the costs of care - financial costs, as well as the intangible mental and emotional costs on the caregiver.

Signs of Caregiver Depression

Providing dementia care and Alzheimer's care for a loved one can lead to feelings of stress, guilt, anger, sadness and isolation. Depression can affect caregivers in different ways and at different times, so it is important to recognize the signs and symptoms. It is common for depression to set in immediately after the loved one has been diagnosed with the disease, and also as the disease progresses and you start to see your loved one fade. Signs of depression include:

  • Difficulty concentrating, remembering details, and making decisions
  • Fatigue and decreased energy
  • Feelings of guilt, worthlessness, and/or helplessness
  • Insomnia, early-morning wakefulness, or excessive sleeping
  • Irritability, restlessness
  • Loss of interest in activities or hobbies once pleasurable
  • Overeating or appetite loss
  • Persistent aches, headaches, cramps, or digestive problems that do not cease with treatment
  • Thoughts of suicide, or suicide attempts

If you are concerned that you might be depressed, see your doctor as soon as possible. If depression is left untreated, not only can it lead to emotional and physical problems, it can also affect the quality of care you're able to provide the person with Alzheimer's or dementia.

What is the solution?

Even though providing Alzheimer's and dementia care can be difficult, caring for loved ones can truly be very rewarding if managed correctly. It is important while providing care that the caregiver takes time to his or herself  to participate in enjoyable activities  and hobbies. Another way to help cope with the added responsibilities and stress is to try keeping a journal to express both positive and negative emotions. It is also important to talk to your friends and family and let them know when you might need some assistance.

There is also major research being conducted that aims to reduce both the tangible and intangible costs of dementia care. The University of California, San Francisco, along with the University of Nebraska Medical Center, is beginning a $10 million study funded by the federal Centers for Medicare & Medicaid Innovation. Researchers plan to develop a dementia "ecosystem," which aims to reduce the cost of caring for the growing number of dementia patients and to ease the strain on caregivers.

A handful of tech start-ups have also been working to create technological solutions to ease the burden on caregivers. In San Francisco, Lively markets a system of networked sensors and a watch that can pick up on activity around the house and let family members or caregivers know if there is a worrisome change.

With increasing technology targeted to help ease the burden of Alzheimer's and dementia care, caregiver responsibilities and worries will be lessened, and depression will likely decrease as a result. However, in the meantime it is important to find outlets for emotions related to providing care, and to seek professional help when necessary. Respite care is an affordable, reliable option that can provide the additional support to keep you from feeling isolated and overwhelmed. American In-Home Care offers respite care along with other live-in elderly care solutions. Contact us today to set up a free consultation and discuss what care options are right for you.

Safety Tips For Traveling With Alzheimer's Disease

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When a loved one is diagnosed with Alzheimer's, it often feels like that is the end of life as you know it. But being a caregiver for someone with Alzheimer's  doesn't mean that you have to give up traveling, nor does it mean your loved one can no longer enjoy getting out of the house. Traveling with Alzheimer's disease is still possible in the early stages of the disease, it just requires advanced planning to ensure everyone involved is safe and happy.

Safety is always the number one consideration when planning a trip with a loved one who has Alzheimer's. Follow the steps below to help plan an Alzheimer's-safe vacation so that you can both relax and enjoy the trip.

1. Have a plan in place for wandering.

A familiar routine and environment are comforting to someone suffering from Alzheimer's, and because traveling disrupts this, it is more likely that anxiety and wandering could happen. That is why it is crucial to never leave your loved one alone, be prepared, and have a plan in place.

Contact your local Alzheimer's Association before your trip and register with their Safe Return Program or  Comfort Zone monitoring system, being sure to complete the process entirely before you leave. If a situation arises while you are there, have a plan in place and don't hesitate to contact the local authorities.

3. Keep comfort in mind when traveling.

Have comfort items such as pillows, snacks and water readily available when you travel. This includes any kind of transportation including bus, train, car or airplane. If you decide to fly, schedule flights early in the day, and choose to fly non-stop if you can. Put medications in your carry-on bag, along with any other necessities you might need in case your flight is delayed. And  consider bringing a puzzle book or something similar for your loved one to hold on to.

3. During your trip, maintain a daily routine as much as possible.

Even in a new environment, having a regular routine will lessen the confusion for your loved one. Plan on waking up at the same time every morning and going to bed at the same time in the evenings. Also eat meals at the same time during the day. Create a plan for your days, organizing the days with structured and pleasant activities that you both can enjoy. Plan to see places and incorporate activities you know they enjoy, and make sure to allow for flexibility within your daily routine for spontaneous activities.

4. Consider respite care while you travel.

If you feel that traveling with your loved one would be too difficult or too disruptive to them, consider hiring a temporary respite care provider to come to their home. This will allow you the chance to take a break from your caregiving responsibilities, which can be crucial for your own health and happiness, and it will give your loved one a chance to  experience quality care and meaningful activities, making their "staycation" fun and safe as well.

American In-Home Care refers care providers that can assist with Respite Care and additional Alzheimer's Care services, ensuring your loved one will be in the best hands, and will always be safe and happy. We offer free, no obligation consultations and assessments. Contact us today!

 

 

 

 

 

Financing Senior Care: Understanding Your Options

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With the average lifespan increasing and costs of living rising, more and more aging adults that need care are finding their savings accounts depleted. The cost of care then falls back onto the family, who have financial burdens of their own, and often get overwhelmed by expensive care options.

According to the Genworth 2014 Cost of Care Survey, the average annual cost of a one bedroom apartment in an assisted living community is $42,000 per year, and a private room in a nursing home averages more than $87,600 per year. Independent home care is generally less expensive, so many seniors and their families opt for this option because of the potential for savings and the benefits of aging at home. However, quality in-home care providers with screened and trained professionals are still relatively expensive, and thus financing senior care requires understanding options through research and careful planning.

Long-Term Care Insurance

Long-term care insurance (LTCI) helps pay for costs that private medical insurance does not cover, and  minimizes the financial impact of long-term health care needs. In general, long-term care insurance covers the cost of home care, assisted living, adult daycare, respite care, hospice care, nursing home and Alzheimer's care facilities. However, most companies will not insure people with preexisting conditions, so it is best to buy LTCI before health issues arise.

Learn more about long-term care insurance

Life Insurance Policy Conversions: Long Term Care Benefit Plan

Rather than allowing a life insurance policy to lapse, the owner can convert their policy into a Long Term Care Benefit Plan. It is a unique financial option for seniors because it pays for immediate care needs, all health conditions are accepted, and there are no premium payments. There are also no wait periods, care limitations, costs or obligations to apply, and no requirement to be terminally ill. Policy owners have the right to convert an in-force life insurance policy to enroll in this benefit plan, and are able to immediately direct tax-exempt payments to cover specific costs like senior housing and long term care.

Government Funded Long Term Care

Contrary to popular belief, Medicare is not universal health care for people over 65, and it does not cover long-term care costs for seniors. However, Medicare, Medicaid and the US Department of Veteran Affairs do offer assistance programs that can help pay for eldercare in certain circumstances. You can also follow some tips to make sure you are making the most of your Social Security benefits.

Reverse Mortgages

A reverse mortgage - also known as a Home Equity Conversion Mortgage (HECM) - is a kind of loan for homeowners over the age of 62 that turns home equity into cash. When a reverse mortgage is secured, the money from the home equity can be used while still living in and retaining ownership of their home. There are no restrictions on how the money from a reverse mortgage can be used. The relatively high closing costs can be a disadvantage, but it could be useful if there is concern about not being able to make the payments on a normal loan, or the money is needed for any purpose.

By planning ahead, financing senior care doesn't have to be such a burden on you and your family. Your financing options can be a part of your long term retirement plan, and can help you and your family feel prepared and secure. American In-Home Care offers affordable, compassionate, and qualified in-home care services. Contact us today at 1-844-505-0004 to schedule your free in-home consultation to assess your care needs and determine the care options that are right for you and your family.

The Cause of Heart Disease: Uncovering the Truth

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The cause of heart disease is high cholesterol. It is a medical and scientific fact. Or is it?

There is evidence that not only is this not the cause of heart disease, it is a misconception that is actually causing health problems and obesity in America. Renowned heart surgeon Dr. Dwight Lundell, former Chief of Staff and Chief of Surgery at Banner Heart Hospital in Mesa, Arizona is one of the people who has evidence to support this claim.

Lundell told Disclose.tv that the real cause of heart disease is inflammation in the arteries, and that before this discovery, the accepted methods for preventing or treat heart disease were prescribing medications to lower cholesterol, and following a diet to reduce the intake of fats.

However, these low-fat diets that have been long accepted as a beneficial "heart healthy diet," have actually been the cause behind the epidemics of diabetes and obesity in the United States.

"Despite the fact that 25% of the population takes expensive medications, and despite the fact we have reduced the fat content of our diets, more Americans will die this year of heart disease than ever before," said Lundell.

The Real Cause Of Heart Disease

So if elevetaed blood cholesterol isn't the culprit, then what is? The answer is inflammation. Inflammation of the artery wall causes cholesterol to get trapped in the arteries where it causes damage. Without inflammation, cholesterol could flow freely through the blood without getting trapped.

Inflammation is your body's natural response to foreign invaders such as a virus, bacteria, or toxin. Inflammation is a healthy and important cycle in our bodies, however, when we continually expose our body to the thing that is causing the inflammation, it doesn't have time to heal, and thus chronic inflammation is born. Constantly consuming food that humans were never designed to process regularly exposes us to chronic inflammation in our bodies and our arteries.

Why would someone repeatedly consume food that is causing this damage? Lundell told Disclose.tv that it is because they had been following the mainstream "low-fat - high carb" diet that was prescribed to prevent heart disease, not knowing that they were actually causing injury to their bodies.

"The injury and inflammation in our blood vessels is caused by the low fat diet recommended for years by mainstream medicine," said Lundell.

What Causes Inflammation

The biggest cause of inflammation is the overload of simple, highly processed carbohydrates - sugars, flours and all of the products made from them - and the excessive consumption of omega-6 vegetable oils such as soybean, corn and sunflower oils that are found in almost all processed foods.

Because these foods have a very long shelf-life, they have become staples of the American diet for the past several decades, and according to Lundell, have been poisoning Americans ever since. Although those sweets, breads, and fried foods taste delicious when we consume them, they are wreaking havoc on our bodies.

"A diseased artery looks as if someone took a brush and scrubbed repeatedly against its wall. Several times a day, every day, the foods we eat create small injuries compounding into more injuries, causing the body to respond continuously and appropriately with inflammation," said Lundell.

How Do Carbohydrates Cause Inflammation?

How does a little piece of cake cause so much damage? When we consume simple carbohydrates like sugar, our blood sugar rises rapidly. In response to this, our pancreas produces a substance that exists to bring the sugar into our cells, where it is then stored as fat. However, if the cell is full and doesn't need any more sugar, it will reject it. This increases blood sugar even more, creating more excess in the body.

The excess sugar attaches to proteins in the blood vessels and causes repeated injury, and this eventually causes chronic inflammation. And when you consider that that piece of cake or that bag of chips not only contains simple carbohydrates, but is also likely coated in or contains several vegetable oils, the inflammatory property increase exponentially.

"When you spike your blood sugar level several times a day, every day, it is exactly like taking sandpaper to the inside of your delicate blood vessels. While you may not be able to see it, rest assured it is there. I saw it in over 5,000 surgical patients spanning 25 years who all shared one common denominator — inflammation in their arteries," said Lundell.

So What Is The Real Heart Healthy Diet?

Omega-6 oils are not dangerous in-and-of themselves, it is only when they are eaten in excess and the balance between omega-6 oils and omega-3 oils shifts drastically. Lundell told Disclose.tv that the mainstream American diet of processed foods has produced a huge imbalance of these two fats in favor of omega-6.

"There is no escaping the fact that the more we consume prepared and processed foods, the more we trip the inflammation switch little by little each day. The human body cannot process, nor was it designed to consume, foods packed with sugars and soaked in omega-6 oils," said Lundell.

So what can we do to reduce inflammation and truly lower our risk of heart disease?

The one simple answer is to return to eating foods that are closer to their natural state, pure and unprocessed. Eat more protein, choose carbohydrates that are very complex such as colorful fruits and vegetables. Cut down on or eliminate inflammation-causing omega-6 fats like corn and soybean oil, and the processed foods that are made from them.

Instead of choosing corn or soybean oil, use natural olive oil or coconut oil, or even ghee or butter from grass-fed beef. And add fats back in to your diet! With all the facts surrounding inflammation, it is no longer a legitimate concern to be worried about consuming fats. In fact, quite the opposite. Consuming a proportional amount of saturated fats, especially animal fats is actually good for your body and your heart. Healthy fats can be found in animal products, coconut flesh, milk, and oil, avocados and nuts.

"By eliminating inflammatory foods and adding essential nutrients from fresh unprocessed food, you will reverse years of damage in your arteries and throughout your body," said Lundell.

Bringing a qualified care provider into your home can help you or your aging loved one maintain a healthy and balanced diet by preparing meals and monitoring their eating habits. American In-Home Care always refers qualified, screened, care providers that are compassionate and ready to help. Contact us at 1-844-505-0004 to schedule your free in-home consultation to discuss which care options are right for you and your family.

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Source: Dr. Dwight Lundell, M.D. "World Renowned Heart Surgeon Speaks Out On What Really Causes Heart Disease." Disclove.tv. Jan. 21 2015. <http://m.disclose.tv/news/World_Renowned_Heart_Surgeon_Speaks_Out_On_What_Really_Causes_Heart_Disease/113103>

 

Home Care For Aging Parents: What To Do When The Time Comes

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There comes a time when we realize that home care for aging parents is necessary. The moment of realization usually comes in the form of a crisis, perhaps mom fell and broke her hip, or maybe dad went on a walk and couldn't find his way home. Moments like these are frightening, and can bring up feelings of anxiety for what is to come.

How do you talk to your parents about a very complex and sensitive situation? How do you take time away from your job or your own family and children's needs? How do you take care of your parents the same way that they cared for you?

These are all very legitimate questions that arise during a time like this, and the most important thing to do when mom and dad need care is to remain calm and not get frustrated.

1. Have your parent talk to someone outside the family about personal matters

Because many older adults can find the transition to receiving advice and care from their own children somewhat embarrassing, it can often be very difficult and frustrating to try to talk to our parents about topics like installing safety equipment in their home, giving up their car keys, or wearing an ID bracelet. But these are conversations that need to be had. To make it easier on both you and your elderly parent, try having them talk to a third party outside of the family about these issues. This third party can either be a friend, or a professional in the form of a therapist or someone in the geriatric care profession.

These third party individuals can help provide a feeling of equality for your parent, and at the very least their advice is more likely to be taken.  Having an outsider to be the one to make unbiased recommendations to your parent about potential safety issues can be instrumental in getting your parent to cooperate.

2. Determine your own needs as well as your parents'

Taking care of an aging parent can add unneeded stress to an already very busy life and schedule. Because of this, it is important to make a plan delegating your wants and needs as, well as the wants and needs of your parents, to ensure that you can enjoy the time with your parents rather than spending it arguing.

It is important to determine how closely you are able to be involved with parents' care, while still maintaining the personal and professional jobs and duties of your own. It can be beneficial to speak with a geriatric care manager or an in-home care specialist in this situation to help ensure that the needs and desires you have determined are going to be met.

3. Don't be afraid or embarrassed to seek professional help

This is a time that can be very difficult and frustrating for both you and your parents, so leaning on the advice and expertise of professionals who have experience with elder care can be very beneficial. When you start asking yourself the following questions, it may be time to seek out professional help:

  1. Are my parents safe in their home?
  2. Are my parents' health concerns taking me away from my own family and obligations?
  3. Are my parents needs and concerns becoming more than I can manage?
  4. How can I make sure that both my and my parents' needs are being met?
  5. What kind of assistance can me and my parents afford?
  6. What resources are out there that could benefit my parents?
  7. What kind of help would increase my parents' safety while also maintaining their independence?

American In-Home Care always refers qualified and compassionate Nurses, Certified Nursing Assistants, Home Health Aides, and Companions who provide a wide variety of services, so you can always find the care provider and care options that are right for you and your family. To schedule a free consultation with one of our Client Care Liaisons, call 1-844-505-0004 today.

Transitioning to Retirement: 5 Tips For A Smooth Move

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The picture of retirement is changing. Today's older adults are more active and adept than ever, and generally aren't settling down and retiring at age 65 anymore. Not only are they wanting to remain in the workforce longer, but employers are also reluctant to lose them. According to the Society for Human Resources Management, 54 percent of companies say that they're concerned about losing the skills and talent of retiring workers.

Because of this, many companies are creating phased retirement plans that allow older employees to work fewer hours in their current position, or take on part time jobs in an effort to gradually move toward retirement. This allows the companies to retain the talent of the older employees while training newer, younger individuals, while the older adults get the satisfaction of remaining in a place where their skills and expertise are valued, while they prepare for long term retirement.

Even if the company doesn't specifically have a phased retirement plan, you can still follow a similar path by creating a gradual retirement plan on your own. Either way, following the below steps can help make transitioning to retirement smoother and easier on both you and your loved ones.

1. Get As Much Info As You Can

Talk to other people - both friends and people in you professional field - who are in similar situations to you, or who have already retired in a similar way, and pick their brains. Then consider ways that you can bring your specific areas of expertise and particular projects into a scaled down job description. Map out what your new job will entail, and make sure it makes sense to you and your company.

2. Flexibility Is Crucial

There isn't one way to make a phased or gradual retirement work. Be open to creative ideas and don't be stuck on the idea that a part-time job is the only step. Consider working on a per-project basis or transitioning to freelance so that you are able to work from home and set your own hours.

3. Stay Current

It is important that you keep your skills and marketable assets current so that your employer is more likely to keep you on. This could mean attending classes or conferences outside of the workplace to stay up-to-date, or getting the latest certification or learning the newest software in your area.

4. Consider Your Wallet

It is pretty clear that your salary will be reduced when you scale down your work, but be sure to consider the other implications. Be aware of the changes that could happen to your retirement, medical and social security benefits when you are no longer a full time employee, as your coverage could be limited.

5. Find A Balance Between Work And Home

With phased out retirement, finding the right balance between holding on and letting go can sometimes be difficult. Even though it isn't as drastic as retiring all at once, it is still a big change and it is important that you start to develop skills and hobbies at home so that you feel fulfilled both at work and at home.

If you or your loved one feel the need to have a qualified and compassionate care provider in the home to assist with daily activities and companionship, American In-Home Care can help. We always refer credentialed, screened, care providers that specialize in a variety of services, so you can always find the right care option for you and your family. Contact us today at 1-844-505-0004 to schedule a free consultation to assess your in-home care needs.

 

Heart Health Tips: Lower Your Risk For Heart Disease

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Heart disease is the number one killer of adults in the United States, claiming the lives of over one million men and women every year, according to The Heart Foundation. That means every 60 seconds, someone dies from a heart-disease related event.

This is a scary statistic, but the silver lining for heart disease is that the potential for preventing it is huge. We have probably all heard that eating right, exercising, and controlling risk factors - like smoking and high blood pressure - will help protect our hearts, but how can we truly lower your risk for heart disease?

1. Smokers are twice as likely to suffer a heart attack than non-smokers

Smoking is a nuclear time bomb for heart disease. Not only are smokers more likely to suffer from a heart attack, they are more likely to die as a result. And of the 46 million Americans that smoke, women who smoke and take the contraceptive pill are at a particularly high risk for heart attack.

Smoking is such a high risk factor because the nicotine and carbon monoxide in tobacco smoke damages the heart and cardiovascular system. So, quitting smoking is the number one way to prevent heart disease.

2. Walking every day lowers your risk by 10 percent

In a Leicester study conducted in 2014, adults age 50 and over who were at high risk of heart disease and diabetes were studied to determine the effects of increasing exercise. People who walked an additional 2,000 steps a day (about 20 minutes of lively walking) reduced their risk of having a heart attack or stroke by 10 percent over the next six years.

Other than quitting smoking, regular exercise is the next best prevention method.  By doing moderate aerobic exercise five times a week for at least 30 minutes, and/or strength training three times a week for at least 20 minutes, the risk of heart disease lowers significantly.

Try starting out the month by going for 15-minute walks, three times a week. As the month progresses, amp up your walks up to 30 minutes per walk, 4 times a week. Take a friend or a dog with you for extra fun and support!

3. Consuming an extra 7 grams of fiber daily lowers your risk by 9 percent

In a recent study, British researchers found that people who ate seven more grams of dietary fiber daily had a nine percent lower risk of heart disease. Not only is eating more fiber a marker of a healthier diet, it is also good for your blood glucose, cholesterol and the gastrointestinal tract.

Vegetables, beans, fruits, nuts and whole grains are all good sources of fiber. For reference, one apple has about five grams of dietary fiber, and a half a cup of lentils has eight.

4. A daily glass of wine lowers your risk by 25 percent 

Research shows that drinking in moderation is heart healthy. Moderation is considered one daily drink for women, and two for men. Alcohol relaxes the blood vessels and thus reduces the blood's ability to clot, making it a useful preventative method for heart disease.

All alcohol has benefits, but wine has slightly more due to the fact that it contains antioxidants and can help boost good cholesterol while lowering LDL, or bad cholesterol.

5. Getting the flu shot reduces risk of heart attack by 36 percent for people with heart disease

People with heart disease and those who have had a stroke are at high risk for developing serious complications from the flu. For these people, getting the flu can be very serious because it puts a lot of stress on the body, which increases the chance of getting another heart attack by 36 percent.

Vaccination is the most important step in protecting against the flu. Even if you don’t see a regular doctor, you can get a flu vaccine from doctor's offices, clinics and pharmacies. Flu shots are approved for people with heart disease and other health conditions, however, don't get the nasal spray flu vaccine if you have heart disease, because its safety has not been established in people with heart disease and other serious conditions.

6. Following a Mediterranean diet lowers your risk by 30 percent

A major Spanish study found that adults age 55 to 80 who ate a Mediterranean diet were 30 percent less likely to have a heart attack or stroke, or die from heart disease over the next five years.

A Mediterranean diet consists of many productive elements, such as healthy fats (olive oil, olives, nuts, seeds), moderate consumption of wine, low consumption of red meats, and lots of high fiber foods such as fruits, nuts, vegetables, legumes and fish. The major benefit of the Mediterranean diet is that it is not just one healthy element, but rather it is a healthy nutritional choice.

Making simple changes in your diet, like reducing the amount of salt and simple carbohydrates you eat, can make a big impact on your heart health. Instead of opting for a side of rice, pasta, or potatoes, go for a salad or a side of steamed veggies instead. Also try replacing the salt in your meal with fresh herbs or spices, and challenge yourself to cook at home at least 3 times a week to explore healthy cooking!

7. Make regular appointments with your doctor

Even if you aren't "sick," making regular check-ups and physicals with your doctor is important. They will be able to track your overall health, as well as your heart health specifically, and they can help you set goals based on this. Be sure to ask them lots of questions, and be up-front and honest with them about things you are experiencing. Trust your doctor's advice, and stick to your health plan that you develop with them as much as possible.

It is also important to  take all your medications as prescribed, especially cholesterol and blood pressure medications. If you notice any side effects, or are having a hard time regularly taking your medications, be sure to talk to your doctor as soon as you can.

Tools to support heart health

It is important to make a pact to yourself to make choices for a healthier lifestyle that will lower your risk for heart disease. However, it isn't always easy to make these choices on your own. Below are a few useful tools for taking control of your heart health:

We always refer credentialed, screened, care providers that specialize in a variety of services, including meal preparation, diet monitoring, or starting/executing an exercise regimen, so that you can find the perfect care provider and care options for you. Contact us today at 1-844-505-0004 to schedule your free consultation to determine your in-home care needs.

 

Memory Loss With Age: Helpful Tips For Coping

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Forgetfulness and memory lapses are common among older adults, and can be frustrating and embarrassing. As we grow older, we experience changes that can cause glitches in the brain functions that we have always taken for granted. Because it takes longer to learn and recall information as we age, we’re not as quick as we used to be, which can lead to feelings of frustration when we forget everyday things.

Memory loss with age happens because the region of the brain responsible for memories starts to deteriorate, and hormones and proteins that protect and repair brain cells decline. Older adults are also less efficient at absorbing brain-enhancing nutrients, which makes some memory loss a natural part of aging.

For this reason, most people experience occasional lapses in memory that are a normal part of the aging process and not necessarily a warning sign of serious mental deterioration or the onset of dementia. However, when memory loss with age becomes so severe that it disrupts your work, hobbies, social activities, and family relationships, then it is time to see a doctor and get evaluated.

When a loved one has been evaluated and is diagnosed with severe memory loss such as Alzheimer's disease, it can be challenging for the person diagnosed as well as their caregivers. Even though there are no medical treatments for curing severe memory impairments, changing the way things are done at home can help.

1. Use Lots of Hints and Reminders

Talk frequently about things that are coming up and important events that need to be remembered. Incorporate these reminders naturally into conversation so that it doesn't make the person feel foolish, or point out the fact that they can't remember on their own. Also use hints like "let's make sandwiches for lunchtime," which can help remind them what time of day it is and what meal is coming next. Words with context such as "lunch," "dinner," or "bath time," can be more useful than using numeric values such as "3 o'clock."

2. Use Calendars and Clocks

Make sure there are clocks placed throughout the house, and keep blinds and curtains open during the day so that it is easier to keep track of the time of day. Before getting in bed,  visibly cross off the day on the calendar so that the new day is apparent in the morning.

3. Keep Old Photographs and Mementos Around

While these will not necessarily jog any present memories, they are important to have around because they can be comforting and provide reminders of family and friends. People with severe memory loss are often better able to recall events in the distant past, so having heirlooms and pictures around the house can help to provide a means to recall these comforting memories.

4. Keep Choices Limited

Remove the need for extra choices to be made which can confuse and upset the individual. For example, only leave a few shirts and two pairs of shoes in the closet, keeping the other items in a separate, locked closet. And when asking for the individual's preference, limit choices and distractions by asking "do you want" questions, such as "do you want to wear the black shoes?"

5. Use Night Lights Around the House

People with severe memory loss can easily become disoriented at night, so keeping night lights around helps them know where they are if they wake up in the middle of the night and need to use the bathroom. Also, keeping the house illuminated helps prevent injury due to falls or bumping in to objects.

6. Provide for Other Sensory Changes

Changes in other sensory organs comes along with severe memory loss, meaning taste, hearing and sight might also be compromised which can be confusing and even lead to depression. Be aware of this as a caregiver and be sure the individual gets the proper glasses or hearing aids if necessary, and try cooking with more spicy or flavorful foods to compensate for deteriorating taste buds.

7. Show Not Tell

Because of the way the brain works, someone with a progressive memory disorder such as Alzheimer's would have a poor declarative memory (related to recalling facts), but still have a strong, healthy procedural memory (related to recalling how to do things). Thus, someone with Alzheimer's may be able to learn new skills or remember how to do tasks by practicing in small steps how something is done. It may take several weeks of patient practicing, but the sense of accomplishment and independence after learning the task is worth the effort.

8. Keep a Set Routine

People with severe memory loss do not function as well when there are changes and surprises in their day, so activities should be done at the same time and in the same way every day as much as possible. For example dressing before breakfast, watering the plants before lunch, and eating meals and exercising at the same time every day. If there needs to be a change, such as a vacation or a visit to the doctor, tell the person all the information beforehand in a positive, friendly way.

If you are worried that you or your loved one's memory loss might be getting serious, you can start by taking a quiz to test the severity of memory loss, but you should always see a doctor to confirm the results and start seeking treatment. People who are diagnosed with severe memory loss such as Alzheimer's or dementia often require constant and daily care to help provide for their needs, so do not feel overwhelmed or guilty if you cannot handle the care on your own - professional in-home care services can help your loved one remain safe, happy and under control in the comfort of their own home.

At American In-Home Care, we always refer compassionate, qualified, care providers that specialize in a variety of services, including Alzheimer's and Dementia Care. Contact a Client Care Liaison at any time to set up a free assessment of your in-home care needs; they can provide you with additional information about which care options are right for you and your family. We are available to take calls 24/7 at 1-844-505-0004.

Preventing Diabetes: Tips For Fighting The Statistics

All Posts, Chronic Disease Care, Health and Wellness, , , ,

Diabetes is the 7th leading cause of death in the United States. Of this overall percent, seniors age 65 and older that are diagnosed with diabetes is alarmingly high at 25.9 percent.

Even more alarming is the fact that half of all seniors age 65 and older suffer from prediabetes, which means that blood-glucose levels are higher than normal but not high enough for a diagnosis of diabetes. People with prediabetes are at an increased risk for developing Type 2 diabetes and for heart disease and stroke.

Diabetes and prediabetes are very serious conditions that require attention to ensure early diagnosis and treatment methods. If left untreated, diabetics can suffer from kidney damage, blindness, hearing impairment, amputation, stroke, heart disease and eventually death.

However, there is a silver lining. Because so many Americans suffer from diabetes, or are at risk for it, research and government programs such as the CDC are working and conducting research to find cures, prevention methods, solutions and support.

In the 1990's, the National Institute of Health (NIH) conducted a large national clinical trial among 1,000 overweight adults at risk for Type 2 diabetes. After three years of the program, which was aimed at changing lifestyle habits and promoting weight loss, participants lowered their risk of diabetes by 58 percent. Even more significant, those aged 60 and older had a 71 percent reduced risk.

These results are particularly heartening because they show that taking a proactive approach with diet, exercise, and weight loss can significantly lower if not eliminate the risk for diabetes. This knowledge, coupled with early detection practices is a huge step towards preventing diabetes and lowering the statistics for diagnosed cases and deaths.

Warning Signs of Diabetes

It is fairly common for people to not display any symptoms of diabetes, especially in the early phases of the disease. However, diabetes symptoms generally include one or more of the following, and people should be aware if they start to develop these symptoms, especially if they know they are at an increased risk.

  • Urinating often
  • Feeling very thirsty
  • Feeling very hungry - even though you are eating
  • Extreme fatigue
  • Blurry vision
  • Cuts/bruises that are slow to heal
  • Weight loss - even though you are eating more (Type 1)
  • Tingling, pain, or numbness in the hands/feet (Type 2)

It is important to recognize these symptoms as early as possible because early detection and treatment of diabetes can reduce the risk of developing complications associated with the disease. There are several tests that doctors can perform to diagnose diabetes, and you can even take risk tests to find out if you are at increased risk for developing Type 2 diabetes.

Change your Diet

Because the leading risk factor for diabetes is obesity, the best thing you can do to prevent diabetes is to lose weight. Taking steps to lose weight can include eating smaller meal portions and choosing healthier foods, including fruits and vegetables, while at the same time consuming fewer high-fat foods. The National Education Diabetes Program recommends eating whole grain foods, avoiding consumption of fried foods, and eating lean meats without the skins.

Another important step for losing weight is portion control. Try reducing portion sizes by only filling half of your plate or only eating until you are 80 percent full. Also always plan to take home half of your meal when you eat out, as restaurants are notorious for dishing out huge portions. Scaling back on dessert is also a factor to consider. Eating dessert is alright, but consume it less frequently and in smaller amounts. Yogurt is also a great substitute for dessert, as it is shown that regularly consuming dairy reduces the risk of developing Type 2 diabetes.

Get More Exercise

Activity can reduce your risk for Type 2 diabetes because it helps make your cells more receptive. The National Education Diabetes Program recommends adding more activity each day until you reach at least 30 minutes a day, five days a week. Brisk walking, swimming and tennis or golf are great physical activities to get started, and you should also incorporate gentle strength and aerobic training into your physical activity regimen.

Stress and poor sleep also contribute to obesity and thus to diabetes. Exercising regularly can help reduce stress and get your body on a schedule, which helps regulate sleep habits. Other activities that can help with these include meditation, listening to soothing music, or sitting outside and enjoying relaxing activities such as reading or knitting.

Overall, being aware of your own personal risk for diabetes and keeping an eye on any developing symptoms is very important. But being proactive with your health and weight is something that every person can do, regardless if they already have diabetes or not, and these steps are enough to help lower your risk as well as reduce complications that might arise if/when the disease develops. With these subtle but dramatically important lifestyle changes, you can help beat the statistics of diabetes.

At American In-Home Care, we always refer qualified, screened, care providers that can assist with a variety of needs including meal preparation, diet monitoring, and exercise. Contact a Client Care Liaison at any time to set up a free assessment of your in-home care needs; they can provide you with additional information about which care options are right for you and your family. We are available to take calls 24/7 at 1-844-505-0004.

 

Caregiver Burnout: How to Avoid It As The Sole Caregiver

All Posts, Family Caregiver Tips, , ,

When an aging parent starts to show signs of needing permanent care and assistance, many families are unsure of what to do, so often a family member single-handedly takes on the role of caregiver. However, being the sole caregiver for an aging parent can be a big task, especially when an already busy family member takes on the role. This can easily lead to the caregiver beginning to neglect his or her own needs, and if ignored, caregiver burnout is inevitable.

While providing care for a parent can bring satisfaction, trying to keep up with the growing emotional and physical needs of the parent can easily overwhelm the family member who takes on such a large, personal task. When the safety of the parent starts to come in to question, the caregiver can start to feel guilt for not providing enough care, which leads to added stress and caregiver burnout.

How to Recognize Caregiver Burnout

  • Feeling down, depressed and unhappy
  • Not wanting to or not having enough energy to participate in hobbies and activities
  • Developing abnormal eating patterns, and losing or gaining a lot of weight
  • Turning to alcohol or abusing drugs to cope
  • Developing unhealthy sleeping habits such as insomnia or excessive sleeping
  • Withdrawing from friends and family, or becoming impatient or irritable with people around you
  • Getting sick more often or not being able to get rid of an illness
  • Thoughts of suicide or harming yourself or a loved one

Preventing Caregiver Burnout

  • Keep a daily routine for both yourself and your parent, and stick to it
  • Eat a well-balanced diet and be sure to drink lots of fluids and take supplements if necessary
  • Get sufficient rest. When your parent(s) is resting, you can rest too
  • Take a little time for yourself each day. Even 15 minutes of “me” time is important
  • Know your limits and do not try to do more than you are capable of handling
  • Don’t be afraid to ask family members or friends for help. They can give you days off or just help with certain tasks
  • Find a friend, support group or doctor that you can confide in and ask for advice and support when needed
  • Enjoy moments of happiness and laughter and try to focus on the satisfaction that you get from providing for your loved one

Caregivers are taking on a large, personal responsibility and so it is important to be able to recognize signs of burnout, and to be equipped to combat it. However, if you do find yourself suffering from burnout, reach out for help. Contact your doctor immediately if you become ill or start having suicidal thoughts, and join a support group who can provide support and ideas for making the experience easier.

Also consider in-home care services or Respite Care, as they can provide your parent with all of the expert, personal care and attention that he or she needs while allowing you to focus on your own health and well-being again. Remember it is important to take care of yourself first so that you can continue to be able to care for the ones you love for many years to come.

At American In-Home Care, we always refer qualified, screened, care providers that can assist you with your Respite Care needs. Contact a Client Care Liaison at any time to set up a free assessment of your in-home care needs; they can provide you with additional information about which care options are right for you and your family. We are available to take calls 24/7 at 1-844-505-0004.

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