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Caring for an elderly spouse may be becoming too risky for you November 11, 2009

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Caring for elderly spouse presents difficult challenges. It is extremely important to ensure your loved one is properly cared for, but it is equally important to look after yourself.

Looking after a loved one is a stressful and strenuous process and sometimes it can all become too much. It is important to constantly evaluate your situation and assess if the current situation is best for the both of you. Care giver stress have provided some hints to help you gauge if spousal caregiving has become too risky for you:

  • Missing or delaying your own doctor appointments
  • Ignoring your own health problems or symptoms
  • Not eating a healthy diet for lack of time Overusing tobacco and alcohol when you feel stressed
  • Giving up exercise habits for lack of time
  • Losing sleep Losing connections with friends for lack of time to socialize
  • Bottling up feelings of anger and frustration and then being surprised by angry, even violent, outbursts directed at your spouse, other family members, co-workers – even strangers
  • Feeling sad, down, depressed or hopeless
  • Loss of energy
  • Lacking interest in things that used to give you (and your spouse) pleasure
  • Feeling resentful toward your spouse
  • Blaming your spouse for the situation
  • Feeling that people ask more of you than they should
  • Feeling like caregiving has affected family relationships in a negative way
  • Feeling annoyed by other family members who don’t help out or who criticize your care

If you are experiencing a number of these signs, it is important to get support. Sometimes even the most resourceful person needs to ask for help from other family members or outside professionals or sources. It is important to take care of yourself, while taking care of someone else.

Gardens Brighten Seniors’ Lives November 4, 2009

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Home Instead Senior Care and Rebecca Kolls, star of television show Rebecca’s Garden have provided some helpful hints to help seniors continue to enjoy gardening.

This dual-effort public-education campaign has sought to bring back gardening joys to seniors who have difficulty maintaining gardens, or who have given up gardening altogether due to health or age concerns. The initiative’s primary feature, a four-color gardening guide, includes lots of helpful tips and several fun, simple projects seniors can easily complete – either independently or with their families or caregivers.

Kolls, whose grandparents originally inspired her interest in gardening, credits gardens with supplying not only food and beauty, but also improved mental and physical well-being.

“There’s a nurturing aspect in gardening where you take a seed and coddle it,” Kolls said. “Seniors have given up child rearing, so gardening gives them baby plants and seedlings again. It’s a new way of caring for something.”

“We often hear our CAREGivers speak of their clients who love to care for plants and flowers, and how they see it enriching those clients’ lives,” said Home Instead Senior Care CEO Paul Hogan. “Many of our CAREGivers enjoy gardening as well, and are thrilled to help seniors enjoy gardening and plant projects.”

Another great thing about gardening as a senior activity is that it is timeless. “The beauty of the garden, if done well, will provide four seasons of color. While seniors in warmer climates can garden year-round, those in cold-weather climates should not despair,” Kolls said. “In the winter, snow catches in seed heads, and birds find refuge in shrubbery and feed off seeds from the cone flowers. So no matter where you live, there’s alwayssomething growing in the garden.”

One Container; Many Opportunities

A little creative thinking and some assistance from families or caregivers helps ensure that seniors can continue to enjoy the types of gardening they love. “Imagine growing almost everything for a recipe in one container,” Kolls said. “What a great gift idea!”

She suggests the following projects to get you started:

  • Try a pizza garden! (If your senior isn’t a pizza fan, he or she might enjoy growing one for grandchildren.) Whiskey barrels work well for growing tomatoes, but can be expensive. A plastic laundry basket with holes cut in the bottom for drainage will work just as well. Plant a Roma tomato in the center, onions along the sides of the tomato and basil around the edge of the container.
  • A twist on the pizza garden concept: a fresh salsa garden! It’s similar to a pizza garden, only with tomatoes, onions, hot peppers and cilantro.
  • one-pot vegetable garden is always a hit! Take three bamboo poles and make a teepee in the center of the pot. Plant beans at the base of each bamboo pole, and fill the horizontal space around the pot with carrots, beets or other favorite root vegetables (make sure your pot is at least 10 to 12 inches deep.)

Rebecca’s Senior Gardening Tips

Check out these handy tidbits on how to help the seniors achieve gardening success:

  1. Herbs grow anywhere and are great for seasoning. Kitchen herb gardens are wonderful for seniors. The more you pinch and pick the herbs, such as basil, parsley and chives, the more vigorous they grow.
  2. Think height, filler and spiller. When you’re creating flowerpots, consider height, filler and spiller. Plant a variety that will grow at least twice as tall as the container; fill in with plants that will grow to no more than half of the height of the taller plants, and then plant a variety that will cascade over the pot.
  3. When it comes to annuals, pack them in. When you create flowerpots, pack your annuals in because they will become root-bound and grow up and over the pots. You’ll get drama and a beautiful arrangement, according to Kolls.
  4. Look for equipment that can make the job easier. There are many wonderful tools available that can make gardening easier for anyone including seniors. According to Kolls, Bud-Eze tools, which can be found on the Internet, are a good option, as are bionic gloves. In addition, the Arthritis Foundation has a product and services directory for senior gardeners and others with mobility problems.
  5. Garden right outside your front door or back door. Container gardening allows seniors access to flowers or vegetables in one pot and also gives them the height that helps make gardening easier for them.
  6. Team with others to garden. If a senior can’t garden anymore, enlist the help of others who might enjoy sharing the work and the produce or flowers from the garden.

Dental Care For The Elderly October 28, 2009

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Safe Dentistry have written an article providing helpful information and advice on dental care for the elderly. They have reported that improved dental care for the elderly now means that pulling a tooth at the slightest sign of infection is thankfully a thing of the past. By following Safe Dentistry’s advice you or the person in your care will be on their way to ensuring good dental health.
Dental Problems and the Elderly
More people than ever have healthy teeth well into later life but the aging process does bring about its own set of medical problems. Elderly people are more susceptible to oral disease and this can bring about further medical complications and complaints. Many people are unaware that oral disease is closely related to their overall health and if oral disease is discovered it may well be that there are also other underlying medical problems.
Common Oral Problems for the Elderly
Dry Mouth
Among the more common dental complaints of the elderly  is a condition called dry mouth that occurs due to a reduction in the amount of saliva produced. Dry mouth can happen for a number or reasons with the most common being the amount and type of medication taken, it can also occur as the result of cancer treatments using radiation.
Root Decay
Root decay occurs as the gums recede from the teeth, the roots of the teeth are then more exposed to bacteria and more susceptible to decay.
Darkened Teeth
After a lifetime of consuming food, drinking coffee, tea and other stain inducing liquids, older people will find that darkened teeth may be a problem. Darkened teeth can also be caused by changes to dentin, this is the tissue that lies beneath the tooth enamel.
Gum Disease
Gum disease caused by plaque is a major factor in tooth loss and can occur due to a variety of reasons. Poorly fitted dentures, the use of tobacco, an unhealthy diet and food left between teeth will all enhance the risk of plaque. Diseases such as diabetes and cancer will also be common sources of gum disease. If gum disease is left untreated then it can cause other medical complaints such as heart and respiratory problems.
Good dental care for the elderly  will take all of these problems into consideration and restorative measures by a dentist can be taken to ensure that the problems are treated and minimised.
Dental Examinations for the Elderly
Regular dental examinations for the elderly are vital in order to ensure that any oral diseases are caught in the early stages. When you visit your dentist for an examination he will take into consideration health complications that the elderly are susceptible to. If it has been a while since your last examination then the dentist should conduct a thorough oral examination and he will also ask questions on your medical history. The dentist will ask questions regarding your general oral health particularly if there has been any recent bleeding to your gums or swellings in your mouth.
During the examination the dentist will check your face, neck, lymph nodes and salivary glands; this is quite normal as he will be looking for any swellings, lumps or discolouration to the skin. The dentist will then conduct a full oral examination of your mouth, gums and teeth, looking closely for any signs of gum disease or decaying or cracked teeth. If you wear dentures the dentist will also examine these for any signs of breakage or wear.
Daily Dental Care for the Elderly
Daily dental care for older people should consist of a regular brushing and flossing routine. This should occur twice daily, once in the morning and before bed. Partial or full dentures should be cleaned thoroughly to ensure that no food is left on the dentures that can contribute to gum disease. If you have a problem with mobility and find it hard to visit the dentist then there are now mobile dentists who will make visits, either in your home or to your nearest residential home. The aging process does not mean that teeth should be neglected and regular dental care means many senior citizens can have a full set of healthy teeth for the duration of their lives.

Tips for buying shoes for elderly feet October 21, 2009

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Many older people continue to wear ill fitting shoes contributing to pain and trauma in the feet and toes. Aged carer has provided some helpful hints for buying shoes for the elderly.

Ageing feet
Our feet get bigger with age but many people buy shoes that don’t fit properly. Wearing shoes that are too narrow or illsuited to the condition of the feet increase the risk of falls and discomfort from bunions and calluses.

If you are buying shoes for a family member, make sure they fit comfortably on the spot and are appropriate for the kind of activity intended. It can help to get the feet measured and shoes properly fitted by a professional.

Shoes need to be of sufficient length and width. Some people may need to wear special orthoses (inserts) or a custom made shoe to fit misshapen feet. People with hammertoe for instance will need a shoe with enough toe room. If a loved one has diabetes take special care when choosing a shoe, watch out for inside seams that could cause pressure or friction on the feet.

For people in residential care, ask a local shoe shop if they can visit an aged care home or take a tracing of your family member’s foot for some indication of shoe size, take it with you to avoid too many return visits.

Tips for finding shoes for ageing feet

  • Feet can swell during the day so shop for shoes when feet are their largest (end of day)
  • Shoes should not need “breaking in” they should fit comfortably from the start
  • Ensure the toes don’t touch the end of the shoe, allow a 1cm gap from the longest toe
  • Choose rubber soles for extra cushioning
  • Ensure shoes are wide and deep enough to prevent heel slip
  • Lace up, buckles or Velcro should hold the heel in place Velcro straps can be easier for arthritic hands
  • Slip on shoes can encourage the toes to ‘claw’ at the shoe to keep it on leading to discomfort, corns and calluses
  • Look for shoes with soft leather uppers
  • Ensure shoes protect the feet from injury
  • Ask your podiatrist about specific lace techniques to prevent heel slip

Who provides the care in an aged care home? October 13, 2009

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Aged Carer has written an article to help you understand who will be responsible for looking after elderly patients in a nursing home.

Many health care professionals will be involved in the care of a resident in a nursing home. Understanding how the aged care home operates, who provides care and who to go to when you have a problem are important in ensuring your relative gets quality care.

Aged care homes are classified as low- level care or high- level care. The nursing staff employed in an aged care home will have various levels of nursing experience.

In some low- level aged care homes a registered nurse will be ‘on call’ in case of an emergency. Always ask the aged care home how many qualified nursing staff actually work on the floor as opposed to being ‘on call’.

Personal care workers who work in low-level care need easy access to qualified nursing staff either an endorsed enrolled nurse or preferably a registered nurse at all times. Keeping up to date on your loved one’s health will be much easier if you understand the roles and experience of key nursing home staff.

Personal care workers
Out of all care staff Personal Care Workers (PCW’s) or Assistants in Nursing (AIN’s) spend the most time with your loved one. Nursing home staff should preferably have their Certificate 111 in Aged Care Work.

PCW’s assist your loved one on a daily basis with personal hygiene, mobility, meals and social interaction. In some nursing homes PCW’s can assist older people with self medication (Taking medication from a Webster Pack).

PCW’s can vary in nursing experience and skills. A good aged care home will organise its staff into nursing teams taking into account every staff member’s knowledge and capabilities.

On occasions nursing home staff will be replaced by agency nurses. Don’t expect agency nurses to know a great deal about your loved one’s care routine or medical history.

If a nursing home is having to rely on agency staff on a regular basis it is generally not a good indicator of continuation of care. 

Registered nurses (RN)
Registered nurses (RN’s) working in residential care are generally university trained with special skills in geriatric, palliative and dementia care.

The number of registered nurses on duty at any time in an aged care home can vary. A registered nurse will direct and supervise PCW’s and ensure a resident is receiving proper care according to their nursing care plan.

On a daily basis a registered nurse will assess your family member’s health, provide physical and technical nursing care and manage medications.

The registered nurse will make sure your loved one receives treatment as prescribed by a doctor. They may also organise other health care professionals to be involved in the care of your family member.

If you are concerned about your family member’s health or you have a problem with nursing home staff, the registered nurse in charge is the person to speak to.

Family should be kept up to date regularly by the registered nurse and informed of any changes in a family member’s health. This includes information such as changes to medication, problems with mobility, nutrition and any recent falls or skin tears.

Director of Nursing (DON)
The Director of Nursing or DON is in charge of the day to day management and administration of a residential care facility.

All aged care homes must be accredited in order to receive government funding. The DON ensures the aged care home meets a set of 44 expected outcomes relating to the care provided to its residents.

You can ask a DON about the aged care homes current accreditation status. An aged care home with three years accreditation shows compliance with the 44 expected standards aged care homes are expected to meet.

An aged care home that focuses on quality assurance and a culture of continuous improvement will be more responsive to the care needs of its residents and more likely to deliver a quality service.

The DON largely drives this culture and will strive to deliver quality care to its residents on an ongoing basis.

When choosing an aged care home ensure you arrange a meeting with the DON. Is the DON approachable? How does the DON interact with residents and staff?

Ask the DON about the nursing homes current accreditation status and how the aged care home handles complaints. Is the DON open to discussing your concerns?

Question the DON about staff turnover. How does the aged care home look after the needs of its staff? What levels of experience do they have? Do you provide opportunities for ongoing education and promotion? How do you reward your staff?

If you are choosing an aged care home take the time to observe the nursing care staff. Nursing staff that are happy and respected will work hard to ensure your family member receives the care they deserve.

10 Ways to Improve Life With Arthritis October 6, 2009

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About.com have written an article to help people gain and maintain control over the limitations imposed by arthritis.

People living with arthritis are often dismayed by how much the disease steals from their lives. If you or someone you care for has arthritis, physical limitations caused by chronic pain, chronic fatigue, stress and more can narrow your world and interrupt living a “normal life.”

With arthritis, energy is consumed just trying to accomplish ordinary tasks and usual daily activities. Your focus may be limited to just “getting through the day.”

Arthritis starts to take control of your life, rather than you taking control of the disease.

How can you better manage your illness?
What modifications can you make to your lifestyle to make living with arthritis easier?
What actions can you take to gain and maintain control over the limitations imposed by arthritis?

1 – Stay Positive
Arthritis is an unpredictable disease, as is the future. Accepting new realities and redefining life within the limitations imposed by disease is important for people with arthritis. Positive attributes can help you manage life with chronic arthritis.

2 – Trust Your Doctor
Doctors play an essential role in the treatment of arthritis. Choosing a doctor is one of the most critical decisions you make when it comes to your condition. It is imperative that your needs are being met. Find a compassionate, communicative doctor you can trust.

3 – Accept Your Situation
Don’t fight the fact that you have arthritis or that your condition changes your life. Don’t deny that you have the disease, nor underestimate its impact. Once you accept that you have a chronic illness and that it is a part of your life for the rest of your life, the decisions you make will be better for you and will ultimately improve your life. You must internalize the acceptance — feel it, don’t just say it.

4 – Set Realistic Goals
Set realistic goals for yourself. Through reflection and contemplation, you can assess what you are not happy with and work to change those circumstances. Be sensitive to your innermost feelings. You can focus and begin to make necessary changes in your life.

5 – Be Informed
If you have been diagnosed with arthritis, it’s important to learn all that you can about the disease. The importance of knowledge and understanding your health condition cannot be overstated. Stay informed — subscribe to our newsletter.

6 – Protect Your Joints
Joint protection can reduce stress on arthritic joints and decrease pain. There are several joint protection principles which, if followed, will help to conserve energy and preserve joint function.

7 – Manage Your Medications
When your doctor hands you a new prescription, it becomes your responsibility to know what the medication is for, how to take it, and what possible side effects might occur. Medication errors have many causes, but usually have one thing in common — they could have been prevented.

8 – Keep Active
The benefits of exercise as part of a treatment program for managing arthritis are well-known and documented. Despite the known benefits, many people with arthritis avoid exercising regularly.

9 – Watch Your Weight
Being overweight, even just moderately, impacts weight-bearing joints and can increase joint pain. As you walk, your hips, knees, and ankles bear three to five times your total body weight. For every pound you’re overweight, the equivalent of three to five pounds worth of added pressure is added to each knee as you walk. The flip side of that is good news: losing just 10 pounds causes 30 to 50 pounds of extra stress to be relieved from the joints.

10 – Seek Mutual Support
Arthritis not only affects people who have the disease, it impacts the people around them, especially family and friends. People living with arthritis and those who have loved ones with the disease can gain insight and draw inspiration from others facing similar challenges. You can share your advice and experiences, offer mutual support, ask questions, and encourage others in our online arthritis forum community.

Online resource for carers September 30, 2009

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Australian Ageing Agenda has reported that people caring for ageing family members have a new source of information and support with the launch of www.agedcarer.com.au.

The new website enables family carers to access articles, videos and discussion forums covering a broad range of issues associated with the caring role.
 
It was developed by aged care nurse, Emma Hamilton after she noticed that most people felt confused and isolated when they tried to navigate the aged care system.

“I have seen residents coming in who are very frail and vulnerable and have high-level care needs,” said Ms Hamilton.

“I have also seen so many family members who have provided high level care for a long time and this website is for them.

“It’s not just about helping them find services but it’s also about providing assistance with physical care.

“It explains things like what happens when people become frail, why they get pneumonia and what happens when they fall.”

Drawing on her own expertise and by consulting with industry experts and associations, Ms Hamilton has spent the past two years writing articles and filming videos for the site.

“When I was looking for video material, there was not much Australian content and I felt we needed something representative of Australian families,” she said.

“So I went and talked to carers about what they were doing and had discussions with them about their own experiences. It’s a great way to get information and everyone has something to share.”

The site has a number of community tools that list the services available in different council areas. At the moment, they only cover Sydney’s north but Ms Hamilton expects this is an area of the website that will grow.

She hopes that the suite of services available on the site will empower carers and family members.

“All these issues are universal. Once you start talking to people about dementia or caring for an older family member, you realise that there are so many people doing it,” she said.

“But there is nothing about it in the public media and when it is, it’s usually negative. If people start sharing information and if nursing homes start to be a bit more transparent, it will help prepare carers for what is coming up.

“They need more support and they need to feel valued because a lot of the burden of care is falling on them. Otherwise they will just throw their hands up in the air.”

Seven Tips for Happier Families September 23, 2009

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To take proper care of elderly parents, younger children often decide it is necessary for their parents to move in under the one roof. The initial transition period can be difficult on the children and their family as well as the elderly parents. Home Instead Senior Care have provided seven tips to ensure multigenerational families can live happily together.

1. Take a family partnership perspective. Everyone needs to be informed and to give input into the arrangements.
2. Set expectations right away. People understand it’s not just what they get out of it, but how they fit into the family.
3. Ask for help. Engage your children in responsibilities around the home and make it clear to adult siblings that you expect them to be involved. If extended family members will not help with respite care, arrange for a professional caregiver service.
4. Make family unity key. Routines, rituals and traditions help draw the family unit together. Plan a family movie or game night or take a walk together.
5. Find threads of common interest and build on those to develop deeper relationships. Focus on activities that provide simple ways to generate a common bond, such as ethnic cooking, family history, health or wellness.
6. Keep lines of communication open. Recognise the importance of “my time” and “our time.” Try to take everyone’s needs into account. Visit www.4070talk.com for more information about bridging the communication gap between seniors and their boomer children.
7. Distinguish between private space and shared space. Shared space should be stocked with material inviting for all ages and items that could stimulate discussion, such as a child’s project or “brag book” of photos. Make clear rules regarding the private spaces set aside for each member of the household.

Makeover Tips for Seniors September 16, 2009

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Home Instead Senior Care and actress and skin-care expert Victoria Principal have joined forces in writing an article to help seniors look and feel better from the outside in with a little help from family caregivers.

Principal says, “When you get up in the morning, look in the mirror and don’t like what you see, you can say, ‘You know, I’ve looked better before. What am I going to do about it?’”

She advises that older-adult men and women eat balanced meals, stretch and exercise every day, and remember that attitude is everything.

“How we talk to ourselves is very important. If we’re cruel to ourselves, it’s very difficult to be animated and have fun. And that makes it more difficult to take positive steps,” Principal said.

Check out the following tips for seniors, and for the caregivers who help them, from Principal and Home Instead Senior Care.

Women

  • Keep hair healthy with regular cuts or trims at least once a month.
  • Use a shampoo that doesn’t strip the hair or scalp. Follow with a leave-in or rinse-out hair rinse that coats the shafts of the hair.
  • Base your wardrobe around black, brown and taupe. Think monochromatic (the same color on the top and bottom) because it elongates and slims. Use color around the face. For example, try combining a black jacket and black pants with a pink scarf.
  • The skin is the largest organ of the body, so it’s important to treat it with care. Use a cleanser that doesn’t include perfume or create too many suds, but leaves your skin ready for the next step: a quality moisturizer. Remember to moisturize around the eyes, but use only a product that was created for those areas and one that won’t irritate them.

Men

  • Your overall image and appearance will be much enhanced by staying clean and maintaining proper hygiene.
  • Shave regularly – never using aftershave (it contains alcohol and fragrance, neither of which should be on or near your face.)
  • Make sure to get a good-quality haircut at least once a month.

If you can’t manage this on your own it is a good idea to ask for assistance from a friend or caregiver to help keep you looking and feeling good from the outside in.

Yoga for the Elderly – Seniors’ Way to Be Fit September 9, 2009

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ABC of Yoga have written an article explaining that yoga is the perfect activity for seniors to stay fit and relax. They have also provided a basic yoga session for seniors to follow.

Growing Old is the stage when you have more time for yourself, your family, for leisure, recreation and relaxation. However, it is also the time when you are more susceptible to some ailments that are linked to old age like Arthritis, rheumatism, incontinence, and High Blood Pressure. This raises the need for the seniors to stay fit and healthy during this age. Though the degeneration of the body also set some limits to the types of exercises they can do. This leads to the practice of milder forms of exercise such as jogging, brisk walking, and even Yoga.

Yoga is a form of exercise that adapts to your needs and abilities that it can be done even by Senior Citizens and Pregnant Women, and deals with your whole being. It makes your body fitter, the mind calmer and more relaxed. Yoga is also beneficial in the prevention and control of common health and emotional problems that is linked with Old Age. It helps you in becoming more in touch with yourself and your body enabling you to accept who you are and the state you are in which creates a positive approach in life.

Some Yoga Asanas are designed to normalise your blood pressure and balance the Nervous System and are essential in the prevention of heart ailments and problems in the nervous system. The Breathing Techniques can make you feel refreshed and cleanses the air passages which can help prevent respiratory ailments. In practicing Yoga, know your body and respect its limits. Do not push yourself too hard in a pose. Yoga can only be effective if you practice it properly. The harder you try, the more you expose yourself to injury. Do not put more stress to your already stressed out body. Remember that Yoga aims to quiet the mind as you exercise the body. If you feel pain, stop what you are doing.

ABC of Yoga have provided a basic yoga session for seniors to follow. You do not have to do all the poses, stop when you already feel tired.