Tag Archive for: Elder Care Issues

As a neurological disease, Parkinson’s disease (PD) affects movement, balance, and muscle control.   Parkinson’s is progressive with symptoms becoming more advanced over time.  Parkinson’s is diagnosed more frequent in men than in women and is more typically diagnosed in 55 to 75 year olds.  Due to this, Parkinson’s patients need added attention due to high fall risk.

With Parkinson’s patients, falls are a major concern.  It is beneficial to install home devices that can prevent falls and help stability. Examples of home improvements include:

  • Purchase electric bed or mattress. Sliding boards are beneficial for improving the patient’s ability to slide out of bed.
  • Install rails for added support in hallways, bedroom and bathrooms.
  • Remove floor mats and floor clutter so the walking path is clear and debris free.
  • Utilize chairs with arm rests, straight backs, and firm seats.

It is more common that the disease is diagnosed through symptoms, more obviously observed when starting initial movement.  Signs of Parkinson’s include slowness of motion, muscle rigidity, tremors in the arms, hands, face, and legs.  As PD advances, patients may suffer from depression, memory issues and thought process loss, speech problems, along with difficulty eating, swallowing, and digestive issues.

Since Parkinson disease has no cure, treatment is focused on improving the quality of life, and minimizing symptoms. Exercise is beneficial and can impact rehabilitation positively. Utilizing physical therapy is important and usually involves both passive and active exercise, gait training, and practice to improve daily functioning.

Mental training is also beneficial to improve the quality of life for a PD patient.  Encourage the PD patient to learn new hobbies to improve finger and hand mobility.  New hobbies can include: playing cards, sewing, fishing, to carpentry. Practice deep breathing and relaxation exercise to help reduce anxiety, improve speech, and control tremors.   Both the patient and family should consider therapy and support for loss of motivation and depression. Support programs can be beneficial for the patient and family. Also, speech therapy may be helpful for those who develop a monotone voice or suffer from a loss of volume. Therapy is needed to improve speech and to evaluate and monitor swallowing.

With early and mid-stage Parkinson’s, passive exercise is utilized to prevent muscles from shortening.  To help improve mobility, exercise starts out with gentle and slow movement to overtime increase more intensely.   Active exercises are used to help range-of-motion, speed, and improve coordination and balance. Patients need continual exercise and should make efforts to practice movement.  Helpful exercise includes making circular arm movements, marching in place, and raising the legs up and down while sitting.

Gait Training Practice exercises for turning, walking, and standing to improve balance.  Use the following tips:

  • Use small steps while turning.
  • When walking, take large steps, raising the toes at the forward step, and hit the ground with your heel.
  • Use a metronome or devices that keep a rhythmic beat.  This may help to take longer steps and walk faster.
  • Do not wear rubber shoes because they grip the floor and may cause you to trip and fall.
  • When turning or walking, spread the legs 12 – 15 inches apart to provide a wider base of support.

Muscle Freezing Reduction The patient should daily practice strategies to reduce muscle freezing.  Freezing occurs when a patient initiates movement or encounters a road block.  The following tips may be useful:

  • Raise the toes if the legs seem frozen, lifting of the toes may free spasm in some patients.
  • Rocking back and forth can reduce muscle freezing.
  • Humming tunes to a march when getting out of bed. In fact, music has shown to help people move.
  • Being touched by someone else can ease tension and sometimes can release the muscle freeze.
  • Divide actions into separate movements.  This may prevent freezing from trying to coordinate too many movements at once.  For example, if the door is an obstacle, divide the action in steps: approach the door, halt at the door, open the door, pause, and then walk through the doorway.

For help with your loved one suffering from Parkinson’s, call us at (972) 658-4001

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Approved Home Care

One certain fact that is inevitable, we are all growing older. Some of us will try to grow younger by the application of anti-aging foams and soothing oils or pills that are reported to reverse or slow the aging process. It’s true; millions of dollars are spent each year while thousands of individuals are looking for the newest miracle and the fountain of youth.

The realities of aging have seen dramatic changes over the past decades. I wasn’t that long ago, elderly individuals would move from their homes at a younger age, moving into the nursing home or what we called the old folks’ home. There was a feeling that the elderly and seniors moved into these sprawling buildings and lived out the remainder of their lives. And perhaps that “Feeling” was closer to reality that we would like to admit.

Today’s reality of aging is follows a different path. Today, people are living longer and grow older than years past. The population of elderly and seniors when compared to the past is growing rapidly. With modern medicine and new technology for Elder Care in Dallas, TX and advances and growth in health care, new medications and proper nutrition are all contributing to the growth of life spans, and a more active and involved healthier senior.

Assisted Living facilities that resemble beautiful resorts and well appointed spa’s are becoming common place. We are finding that more elderly individuals are staying in their homes than ever before. Seniors are receiving care in the home to facilitate aging in place. Aging in the house they have called home for many years. Today’s seniors are involved in community activities, going on outings, volunteering and the trend is increasing. There are more opportunities and services that now catering to the elderly than ever before.

Many times when we think of the elderly our thoughts go to the loss. It could be the loss of a loved one. Most seniors have lost friends and/or close family members. Some have lost their career when they retired. Some seniors have lost a spouse or encounter a loss of mobility or mental acuity.

But what if we alter our definition of aging from one of loss to one of gain? What if we could apply a new definition that we could apply to aging? What if we could look to the gains and positives of growing old? Let’s being by looking at the following:

  • A Full rich experience of life
  • Knowledge and wisdom that only comes with age
  • Experiences that come with the different stages of life
  • Retirement and relief from the daily grind and stresses
  • Growing families, Children, and Grandchildren
  • Satisfaction of having made a difference in the world
  • You did it, you made it to your 70’s, 80’s or 90’s!
  • Overcoming the challenges of life/
  • Respect and honor that age should bring

The manner in which the world view and treats the elderly will be a glimpse of how we will all be treated someday. Our view of the elderly and seniors will affect the type and quality of care that will one day be the same systems that takes care of us. Let’s provide the same quality of care to the elderly that we will want for ourselves someday.

If you have a loved one who could benefit from elder care services in Dallas, TX contact Approved Home Care at (972) 658-4001. We help seniors and their families with home care services for the elderly. Call (972) 658-4001 for more information.

Checklist:

When is it time for Alzheimer’s Care?

As so many have experienced, Alzheimer’s is a progressive disease.  Symptoms vary with some people experiencing signs in their 40’s, however worsen unpredictably and gradually over time.  My mother started having signs of Alzheimer’s in her 60’s, and due to the slow progression, she was able to live alone at home until her 80’s.  Research has found that people with Alzheimer’s live from three to even 20 years, experiencing a gradual loss in different skills over time.

In early, stages of Alzheimer’s, when symptoms are milder, many people function well enough to live by themselves or with regular visits by family and friends, just as my mother lived.  However, eventually, the disease progresses and Alzheimer’s patients will need round-the-clock care in order to maintain their health, cleanliness and safety.

Has the time come for your family member to receive extra care?  This checklist can help:

  • Can your family member prepare meals, buy groceries, and maintain personal hygiene? (Refusing to bathe?)
  • Is the home disorganized and dirty? (Stockpiling newspapers?)
  • Does she forget when take medications, eat, or to turn off the stove? (Cooking incidents?)
  • What is her doctor’s assessment? (Go with Dr. visit to ask questions…)
  • Can he or she still drive safely? (Or, can’t find the car at the mall?)
  •  Is the person able to evacuate home independently in case of a fire or other emergencies? (Strange sleeping habits?)
  • Has your loved one expressed fear or anxiety about continuing to manage on her own or is asking for more help? (Dependent upon neighbors for rescue?)
  • Are you and other family members worrying and becoming increasingly stressed about your loved one?

Each case is unique depending on the stage and family dynamic. Several factors to consider when creating a care plan include cost and feasibility for the person to continue living in her current home. Some families are able to move the relative into an extra bedroom to save money.  Others have an extensive support group nearby that can offer meals on wheels.  However, most families due to busy schedules turn to Approved in Home Care for an experienced caregiver to help relieve the stress and allowed their loved one to stay at home as the symptoms worsen.

Even when family is available, not everyone has the ability to cope emotionally and physically with an Alzheimer’s patient. Many adult children find it challenging to perform daily care like bathing a parent or helping with toileting. Also, many Alzheimer’s clients feel uncomfortable receiving personal care from their family members.

Call Approved Home Care at (972) 658-4001 for help.

How to Control Incontinence

With the advice and guidance of your Doctor, it is common that incontinence can be treated and possibly cured. With new advances, there are more treatment options today for urinary incontinence than in the past.

Treatment choice depends on the type of bladder control problem, the seriousness, and the best fit to incorporate into one’s daily routine. Common sense suggests trying the simplest and safest treatments first.

Training your bladder – Your doctor may suggest, initially, to start to train your bladder to get back bladder control. By implementing daily bladder training, one can change how the bladder empties and stores urine. The following is an overview of some suggestions for improvement:

Start Kegels and daily pelvic muscle exercise – The pelvic muscles are the ones used to stop urine flow or keep from passing gas. Your Doctor may discuss starting pelvic muscle exercise to strengthen the muscles that you use to stop urinating. Improving the strength of these muscles, helps avoid accidents by holding urine in the bladder for longer periods of time. The exercises your Doctor may suggest are easy to start immediately. Pelvic muscle exercises can lessen or improve stress and urge incontinence.

Typically Doctors suggest that you hold the pelvic muscles for a specific count, and then relax them. Then repeat holding the muscle a number of times. For best results, doing this exercise several times throughout a day improves bladder control. Your doctor will advise you on the best exercise for your concerns.

Diet Plays a Factor – Certain foods and drinks may worsen incontinence such as alcoholic beverages, acidic foods such as citrus juices and fruits, caffeinated drinks and foods, spicy dishes, and carbonated beverages. Chart when urinary incontinence worsens, and what foods or drinks taken, and consider eliminating that food or beverage, or at least cut back on these items.

Track Fluids Taken – Consider keeping daily water intake to a quart.  This is a simple suggestion. But, you need to talk to your doctor before making any changes to your fluid intake.

Lifestyle Changes – You can make some changes to diet, or eliminate triggers that can improve bladder control.

Drink Additional Cranberry Juice – Cranberry juice has been known to improve bladder function due to the acidic nature.

Avoid Alcohol and Caffeine – Drinking alcohol and caffeine drinks can lead to incontinence issues. Also, you may be drinking too many fluids a day, instead of water.  Consider cutting back on fluid intake if you are drinking too much daily.

Biofeedback – Biofeedback helps one become more aware of body signals. Biofeedback may help one regain control over the bladder and urethra muscles.

Chart Leaking to Determine Pattern – By charting leaking and urination, you may determine a pattern. Once a pattern is identified, go to the bathroom prior to those times to empty the bladder before a leak occurs. When combined with pelvic muscle exercises and biofeedback, these suggestions may improve ability to control urges.

Prescriptions – There are prescriptions a doctor can prescribe for improved bladder control. These varieties of drugs can prevent bladder contractions, and some medications relax muscles so the bladder empties completely during urination. Other prescriptions help to tighten muscles in the bladder and urethra to avoid leakage.  However, sometimes, these prescriptions can cause side effects including urine buildup, eye problems, or dry mouth.

Medical Procedures – Try starting diet changes and pelvic exercises.  However, if you see no improvement, go to your doctor for advice.

Urethra Implant – To help reduce stress incontinence, your doctor can inject an implant to add bulk into the area around the urethra.  Keep in mind, injections may have to be repeated because they are slowly eliminated from the body.

Pessary – Some doctors may advise women to use a tampon-like urethral plug; a throwaway patch; or a vaginal insert to improve stress incontinence.

Surgery – If incontinence is caused by bladder position or blockage due to an enlarged prostate, surgery is sometimes an option. Typical surgery for incontinence pulls the bladder up and secures it. When stress incontinence is serious, the surgeon may use a wide sling, to narrow the urethra and hold up the bladder to prevent leakage.

Checklist – Caring for Elderly Parents

This guide and checklist will help families caring for elderly loved ones. We have included important to-do items that will help in dealing with the issues seniors and their families face.  This article covers: Determining needs,  Receive Permission, Handy information to access, Knowledge of senior concerns, and Taking a break and Caring for yourself.

Determining Senior’s Needs – Caring for Elderly

  • Is your parent in need of assistance with shopping, cleaning, laundry, making beds,  or yard work?
  • Is your parent in need of assistance with bathing, dressing or grooming?
  • Is she in need of assistance with grocery shopping, or meal preparation?
  • Is your parent experiencing difficulty with memory, hearing, vision, or movement?
  • Is it safe for your parent to drive or use public transportation alone?
  • Does your parent have difficulty residing at home? Would modifications help improve safety?
  • Is your parent in need of assistance with paying bills or managing finances?
  • Does your parent need help with making legal and other important decisions?

Receive Permission

  • Appoint a trusted family member for financial power of attorney to handle paying bills and financial decisions
  • Identify a close relative to handle health care decisions with a medical power of attorney
  • Discuss and execute a living will to define future life-support preferences
  • Identify legal documents, policies, and accounts and have safety deposit box access
  • Document your senior’s wishes: funeral preferences, songs, cremation, finances, medical preferences
  • To make legal decisions, utilize a durable power of attorney
  • Consider who to add to mortgages and deeds

Handy information to access when Caring for Elderly

  • Copies of identification records: including, driver’s license, social security, and military ID numbers
  • Copies of Insurance documents: including medicare, or medicaid info, supplements,  long-term care policy
  • Document medical history: include known allergies, medications, past surgerys and procedures
  • Geriatric doctors: contact information including names, address, phone numbers
  • Locate vital records including: birth certificate, marriage license, spouse death certificate, divorce decree
  • Identify trusted providers, including: financial advisor, lawyer,  accountant, clergy
  • Update address list of family, friends, neighbors, and religious members
  • Document financial records, including: checkbook, account numbers, tax records, investments
  • Contact insurance agent for review on medical, life, homeowner’s, long-term care, auto
  • Review and update legal documents inlcuding: powers of attorney, will,  health care directive
  • Locate deeds on properties including home,  vehicles, or boat title
  • Identify household records, including: mortgage, tax records on property, apartment lease
  • Discuss final wishes including: burial, funeral pre-planning, organ donation,  estate distribution

Senior Concerns

  • Your parent wants to continue to make as many decisions possible
  • Your parent wants you to respect her independence
  • Your parent wants to talk to you about their desires, concerns, and frustrations
  • Your parent wants you to have reasonable expectations of what can be done independently
  • Your parent wants you to be patient, loving, and show compassion while you are being responsible
  • Your parent wants you to make good decisions that are in the best interest of your parent’s needs

Take a break…and care for yourself

  • Take a break and do something you find enjoyable for yourself
  • Recognize when you are getting tired and you need to take a break
  • Don’t feel guilty when you take a much needed break
  • Utilize other family members, support groups, and experienced caregivers

For a detailed assesment about caring for elderly, take our senior-elderly needs assessment.

For a information about a personal emergency button for seniors visit MyBuddyButton.com

The incidence rate of cancer rises so dramatically with age, the World Health Organization lists ageing as a fundamental factor in the development of cancer as over 75% of all cancer diagnoses in the US come from people aged 55 and older.  So how can you prepare for caring for seniors with cancer diagnosis at an advanced age?

Caregiving – Seniors with Cancer

The National Institute on Aging recommends scheduling regular screening tests for several cancers including breast cancer, cervical cancer, colorectal cancer, throat cancer, prostate cancer, and skin cancer.  Screening exams including pap tests, mammograms, colonoscopies, and prostate specific antigen tests certainly ought to be included in every senior’s medical routine as when cancer is detected early treatment is likely to be far more effective.

It is also important to be aware of rare cancers that seniors are at an extremely high risk for.  Pleural mesothelioma, for example, only affects about 3, 000 people a year in the United States but because it has a latency period of 20-50 years before it begins to enter metastasis, it affects seniors almost exclusively.  Even worse, because it’s symptoms- which include difficulty breathing and a fluid build-up in the lungs- are so commonly associated with other diseases seniors commonly face it often is not diagnosed until the cancer has spread through-out the body, making early detection even more invaluable.

Preventative care measures are extremely important, as many seniors are no longer engaged in an active lifestyle.  Regular exercise and a healthy eating plan can not only prolong your life, but, along with abstaining from heavy amounts of alcohol and smoking, are among the best ways to work to prevent cancer from occurring.

A serious concern of taking care of senior diagnosed with cancer is that because seniors have fewer and less effective nerve cells they are far more susceptible to chemotherapy-induced neuropathy and nerve damage than younger people are.  This nerve damage is most common in the extremities such as the arms and legs and can cause a tingling, pain, numbness, or less sensitivity to touch.

Fortunately several simple tasks such as walking can help to circulate the blood can reduce this neuropathy.  Regardless it’s important to keep sharp objects such as razors, knives, and scissors out of the hands of seniors with chemotherapy-induced neuropathy may not feel a cut until it becomes serious, and avoid extreme temperatures as these may further damage nerve cells and cause pain and agitation.

In the end, thousands of seniors are diagnosed with cancer each day marking the beginning of a devastating and life-threatening journey for both them and their caregivers, but the best chances for a healthy recovery is to be aware of the dangers and continue to receive regular scheduled screenings so that a tumor, if found, is found early. Caregiving, Senior with Cancer. Contact us to learn more!

There’s a lot to do after bringing someone home from the hospital. The obvious goal is continued recovery. But roughly 20% of older adults are rehospitalized within 30 days because of problems that develop at home.

Research shows there are three things you can do to prevent a backslide. It’s important to get going on them even before your loved one is discharged.

  • Understand the new medication schedule. Meet with the discharge planner to review medications. Bring a list of what your loved one was taking before hospitalization. If any of these drugs are not on the current list, ask if they should be restarted. Review each new medication. When should it be taken? How long should it be taken? Any side effects? Have new prescriptions phoned in to the pharmacy before you leave the hospital.
  • See the doctor for follow-up within a week. Find out what doctor(s) your loved one should see. Request that the hospital forward records to all of them. Before you leave the hospital, call the doctor’s office to set up an appointment for the next week. You may need to be firm with the receptionist and explain that your loved one has just been hospitalized.
  • Know the signs and symptoms of problems. Before leaving the hospital, consult with the discharge planner about what to expect. Ask them to group symptoms as “green light, ” normal recovery. “Yellow light, ” early signs of a possible problem. And “red light, ” a significant problem. Find out what to do and who to call in case of yellow or red light symptoms.

Focusing on these three tasks can significantly speed recovery and reduce your family member’s chance of rehospitalization. If you are confused about any of these tasks, don’t be shy about asking questions. You want to be sure you understand what will be needed at home before you leave the hospital.

If you have any questions, please give me a call. My direct number is (972) 658-4001.

Seniors are often prime targets for scam artists because sometimes older adults might not realize they have been scammed, or they don’t speak up because they are ashamed or worried that it might be a sign of mental incompetence.

To help protect yourself and your loved one, get familiar with these typical scams:

1. Health Insurance and Prescription Drug Scams

Beware of bogus tests offered at shopping centers or health clubs that will then be billed to your insurance. Also, prescription drugs ordered over the internet might not be medication at all.

2. Funeral and Cemetery Fraud

A casket or embalming are not requirements for direct cremation, but some funeral homes may try to convince you that they are. Disreputable cemeteries may try to sell plots that are already taken.

3. Telemarketing Scams

Phone calls that promise vacations, deep discounts on medical supplies, or large prizes are often used by cons who want credit card numbers or bank account numbers. Once they have them, they can steal large amounts of money and claim it was legitimate.

4. Empty Promises of Cures

Products that promise cures for serious medical problems prey on vulnerability and hope, ensuring something that is simply too good to be true. If a “secret formula” seems too good to be true, it probably is.

5. Investment Scams

If high returns are “guaranteed” or you have to pay a fee up-front to obtain information, beware! Investment schemes always show “proof” of individuals who have earned great dividends, but as the scheme plays out, those who are snared later wind up losing money.

How to Avoid Scams

  • Invest your money only with reputable firms and deal with them in person.
  • Never accept “free” medical equipment from anyone other than your physician.
  • Always purchase drugs from a reputable pharmacy, and inspect the labeling every time.
  • When making advance funeral arrangements, shop around for the best deal.
  • If it sounds too good to be true, don’t purchase it!
  • Don’t be pressured into signing anything.
  • Don’t listen to threats from telemarketers. If they are too aggressive or even too friendly, say goodbye and hang up the phone.
  • Never give personal or banking information over the phone.

In-home Care Is Another Option

Many seniors rely on their in-home caregivers to handle aggressive telemarketers, help them avoid suspicious people, or just act as a skeptical sounding board. To find an in-home care service that could help protect your loved one, contact us for more information (972) 658-4001.

If you have any questions, please give me a call. My direct number is (972) 658-4001 or contact us.

Approved Home Care Dallas